4.2 Types of media

The choice of media and incubation conditions are guided by the specific requests in the submission form and the type of organisms expected, depending on the range of pathogens circulating in the region.

Bacteriological media are classified according to physical state (Figure 5) and nutrient characteristics.

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Figure 5 Different physical presentations of bacteriological media. Image modified from: https://images.slideplayer.com/ 27/ 9026387/ slides/ slide_4.jpg [Tip: hold Ctrl and click a link to open it in a new tab. (Hide tip)]

Liquid media (broths) provide a fertile environment for the amplification of the bacteria present in the specimen, and are usually used to ‘enrich’ the target organism so that it surpasses the LoD of culture.

What are the potential disadvantages of using a liquid rather than a solid medium as the primary growth medium?

Answer

The disadvantages are:

  • Unlike on solid media, no discrete bacterial colonies are formed, so it is not possible to obtain individual colonies for testing. This may present difficulties if there is a mixed infection.
  • The relative abundance of the bacterial species initially present changes during culture and, in the case of a mixed flora, the target organism might be overgrown by a faster competitor.

All bacteriological media contain a balanced blend of energy sources and micro and macronutrients necessary for in vitro bacterial growth. Supplements may be added to encourage or suppress the growth of particular microorganisms, or to help identify potential pathogens. Table 3 describes the main media types used in microbiology laboratories.

Table 3 Different types of growth media
Media Characteristics/example Purpose
Basic Contain a balanced mix of nutrients to support bacterial growth. Example: nutrient agar/broth For non-fastidious organisms. Also used as a base for other media.
Enriched Supplemented with extra nutrients (blood, serum, vitamins etc). Example: blood agar For fastidious organisms which have special growth requirements.
Selective

Contain substances (antibiotics, salts, dyes) which suppress certain organisms while favouring the growth of others. Example: Mannitol Salt agar used to recover Staphylococcus aureus from polymicrobial matrices.

Selective broths are often called ‘selective enrichment’ broths, as they enrich the target organism while inhibiting others.

For non-sterile specimens where competing commensal flora is likely to be found, such as faeces.
Differential Contain a substance, such as a pH indicator, that changes colour in response to bacterial activity, for example, when carbohydrate fermentation leads to acid production by certain organisms. Differential media are sometimes referred to as indicator media. For basic differentiation of target organisms from other organisms potentially present in the inoculum.
Selective-differential Combine the properties of selective and differential media. Example: MacConkey agar – see Figure 6. Also referred to as selective-indicator media. To select for and differentiate target organisms from others.
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Figure 6 A MacConkey agar plate inoculated with a lactose fermenter (left) and a non-lactose fermenter organism (right). MacConkey agar is a common selective-differential medium that selects for Gram-negatives due to the presence of bile salts that inhibit most Gram-positive bacteria, and differentiates between lactose-fermenters such as Escherichia coli and non-lactose-fermenters such as Salmonella spp. colonies due to the presence of a pH indicator.

4 Bacterial isolation

4.2.1 Storage or preservation media