Klebsiella spp

lab diagnosis of Klebsiella sp.

1. Klebsiella spp. Prepared by Samira Fattah Assis. Lec. College of health sciences-HMU Lab 5

2. Klebsiella is a common inhabitant of the human microflora .     is important for normal bowel health and function. The problem with  Klebsiella  bacteria occurs when it gets outside of the human colon where serious infection can occur .

3. General Characters: gram-negative rods Non-motile. possess a polysaccharide capsule .  lactose-fermenting.  facultative anaerobic.

4. Laboratory diagnosis Specimen Sputum. Urine. pus. CSF.

5. Gram stain: gram-negative rods

6. Capsule visualization Gram Stain of Sputum Specimen Showing Capsules Surrounding a Gram Negative Bacillus

7. On Culture media

8. On blood agar - slimy appearance of the colonies

9. On MacConkey agar red/pink colonies Mucous, lactose positive colonies of  Klebsiella pneumoniae  on MacConkey agar. Cultivation 37°C, 24 hours. Klebsiella pneumoniae  and Salmonella enterica on MacConkey agar: lactose + and - klebsiella salmonella

10. On EMB Klebsiella  species produces large, mucoid, pink to purple colonies with no metallic green sheen on EMB agar.

11. On CLED AGAR This medium supports the growth of urinary pathogens and provides distinct colony morphology. Klebsiella pneumoniae on CLED Agar. Large, mucoid colonies. Bromothymol blue indicator in the agar changes to yellow due to acidification of the medium due to lactose fermentation by bacterial growth. Lactose fermenters appear yellow. Non Lactose fermenters remain a translucent blue .

12. String test  A colony that stretches more than 5 mm using a standard inoculation loop tests positive for hypermucoviscosity .  Mucoid colony of  Klebsiella pneumoniae .  When colonies were touched with a loop and the loop lifted vertically from the surface of the agar plate, mucoid isolates adhered to the loop as it was lifted from the plate .

13. India ink capsule stain India Ink Capsule Stain of  Klebsiella pneumoniae  showing white capsules ( Glycocalyx ) surrounding purple cells -The background will be dark. -The bacterial cells will be stained purple. -The capsule (if present) will appear clear against the dark background.

14. Klebsiella API20E oxidase - ve indol – ve H2S – ve citrate + ve