The culture and identification of gram-negative anaerobic bacilli of clinical interest, with special reference to the use of gas chromatography

Abstract

The literature on the classification and nomenclature of the family Bacteroidaceae and the occurrence on these organisms as commensals or pathogens in Man and other animals is reviewed.The historical development and principles of modern methods of anaerobic culture are briefly reviewed and discussed in relation to current hypotheses on the nature of anaerobiosis and theories on the oxygen sensitivity or tolerance of clinically important bacteroides strains0 Preliminary studies are presented on additional aspects of the cultural procedures previously developed by Edinburgh workers. The use of an electrometric device for the measurement of redox potentials in samples of a broth medium and for monitoring the establishment and maintainence of extremely reduced conditions in an anaerobic cabinet is described. Conventional bench and anaerobic cabinet approaches to the culture of the Gram-negative, non-sporing anaerobic bacilli are compared with further oxygen-sensitive strains not previously tested by Edinburgh workers and the earlier findings extended to show that quantitative recoveries of exacting strains in liquid media are similar with either approach.The nutritional requirements of the Bacteroidaceae are reviewed and extensive growth studies in a range of complex media are described. Media based on ordinarybacteriological peptones are shown to be inadequate for the growth of strains of Ba melaninogenicus ss. asaccharolyticus, but media containing peptide-rich Proteose peptones are shown to support good growth of the strains tested, A balanced salts solution described by other workers was found to inhibit the growth of strains of B. melaninogenicus ss, asacoharolyticus. and glucose was shown to cause an increased lag phase in the growth of the same strains. High concentrations of vitamin B₁₂ (cyanocobalamin) stimulated the growth of strains of B, melaninogenicus ss, asaccharolyticus.Methods of identifying the Gram-negative, non-sporing anaerobic bacilli are reviewed. The application of gas chromatographic (GLC) techniques to identification of bacteria and the role that these approaches have played in resolving the confused taxonomy of different bacterial groups are considered in detail. Techniques for the gasliquid chromatographic separation and identification of short-chain fatty acid metabolic products of 185 isolates from the family Bacteroidaoeae were separated and identified and a range of possible media evaluated for this work. The limitations of the GLC approach to the identification of a wide range of strains from various clinical sources are determined and the results correlated with those of a series of morphological, biochemical, tolerance and antibiotic resistance tests® The potential application of GLC procedures to the rapid and accurate identification of these organisms in hospital laboratories is considered.An established characterisation scheme for the identification of the Bacteroidaceae on the basis of conventional tests is enlarged by the inclusion of additional tests and the range of discrimination of the scheme is widened after studies with selected strains. Problems in fermentation testing are examined with selected strains of B. melaninogenicus and the detailed results of fermentation and glucose utilisation studies with these strains are presented,

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