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The Genus Serratia

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230 F. Grimont and P.A.D. Grimont CHAPTER 3.3.11<br />

<strong>The</strong> pH is adjusted to 7.2. Autoclave at the same time as<br />

solution A. After autoclaving, solutions A and B are<br />

mixed aseptically, and the resulting medium is poured in<br />

thick layers into sterile, plastic petri dishes (25–30 ml for<br />

petri dishes 9–10 cm in diameter). <strong>The</strong> medium is no<br />

longer effective if it is remelted, but plates of CT agar<br />

keep well for several weeks at 4°C if contamination and<br />

desiccation are prevented.<br />

CT agar is very useful for the isolation of <strong>Serratia</strong><br />

spp. (except S. fonticola) from feces, sputum,<br />

and any other polymicrobial clinical sample.<br />

<strong>Serratia</strong> colonies are apparent within 3 days, and<br />

further incubation allows colonies grow (2–5<br />

mm). Occasionally, Providencia spp., Acinetobacter<br />

spp., or Pseudomonas spp. may develop<br />

colonies on this medium. Other bacteria give<br />

only pinpoint colonies. When samples are from<br />

the natural environment or food, the results are<br />

less clear, especially if the sample contains nutrients.<br />

Several colonies must then be checked for<br />

DNase. Preenrichment in nutrient broth with<br />

4% NaCl, incubated overnight at 20°C, can be<br />

used; about 0.1 ml of the enrichment culture is<br />

streaked onto CT agar. Broth that has supported<br />

overnight bacterial growth usually does not<br />

contain enough nutrients to adversely affect<br />

the selective isolation of <strong>Serratia</strong> spp. (P. A. D.<br />

Grimont, unpublished observations).<br />

Identification<br />

<strong>The</strong> usual methods for the identification of<br />

serratiae and other Enterobacteriaceae can be<br />

found in Ewing (1986). However, following the<br />

pioneering example of Stanier et al. (1966) with<br />

the pseudomonads, developments in enterobacterial<br />

taxonomy (Bouvet et al., 1985; Grimont<br />

and Ageron, 1989; Grimont et al., 1977b; Grimont<br />

et al., 1988) have demonstrated the usefulness<br />

of carbon source utilization tests. Also, it<br />

should be noted that utilization tests are preferable<br />

to fermentation tests since strains able to<br />

utilize a polyalcohol sometimes fail to produce<br />

enough acid products to give a positive reaction<br />

in fermentation tests. Although all species can be<br />

identified with carbon source utilization tests,<br />

some conventional tests can also be used:<br />

tetrathionate-reduction and β-xylosidase tests<br />

are useful in clinical identification (Le Minor et<br />

al., 1970; Brisou et al., 1972). <strong>The</strong> methodology<br />

of carbon source utilization tests and other procedures<br />

that are not in general use, but are essential<br />

to <strong>Serratia</strong> identification, are detailed herein.<br />

Conditions of Incubation<br />

Best results are obtained when <strong>Serratia</strong> cultures<br />

are incubated at 30°C. At 37°C, pigmentation<br />

often fails to appear, and the Voges-Proskauer<br />

test is often negative. S. plymuthica may even fail<br />

to grow at 37°C. Otherwise, there is little difference<br />

between the results of tests held at 30°C<br />

and those held at 37°C as far as S. marcescens is<br />

concerned.<br />

Carbon Source Utilization Tests<br />

Two methods can be used for carbon utilization<br />

tests: a minimal agar medium or API strips (API<br />

System, La Balme-les-Grottes, France).<br />

<strong>The</strong> minimal agar medium employs the same<br />

M70 medium (Véron, 1975) used in the caprylate-thallous<br />

selective agar (see the recipe), but<br />

omits the yeast extract, thallous sulfate, and<br />

caprylate from solution A. Neutralized carbon<br />

sources (the purest brand available) are added<br />

to solution A to give a 0.1% final concentration<br />

(weight of the anion/vol) in the complete<br />

medium (0.2% in the case of carbohydrates).<br />

Sterilization of the carbon source in aqueous<br />

solution is achieved by filtration throught membrane<br />

filters or by heating at 80°C for 20 min.<br />

Plates are examined for growth after 4 days<br />

(early reading) and 14 days (late reading).<br />

<strong>The</strong> API strip method uses API 50 CH (containing<br />

49 carbohydrates), API 50 AO (49<br />

organic acids), and API 50 AA (49 aminoacids)<br />

galleries and a minimal medium containing<br />

growth factors provided by the manufacturer.<br />

<strong>The</strong>se were described by Gavini et al. (1980).<br />

Since about one-third of the carbon sources are<br />

useless in the study of the Enterobacteriaceae,<br />

we use special galleries containing 99 selected<br />

carbon sources (including new compounds not<br />

included in the above-mentioned galleries). <strong>The</strong><br />

inoculated galleries are examined for growth<br />

after 2 days (early reading) and 4 days (late reading).<br />

<strong>The</strong>se galleries have been used for the<br />

description of several bacterial groups (Bouvet<br />

et al., 1985; Grimont et al., 1988; Grimont and<br />

Ageron, 1989).<br />

In our experience, carbon source utilization<br />

tests (CSUT) gave reproducible and clear-cut<br />

results. Utilization of carbohydrates and polyalcohols<br />

often give more useful results than fermentation<br />

tests (FT). More than 95% of CSUT<br />

and FT using D-xylose, L-arabinose, trehalose,<br />

sorbitol, sucrose, and rhamnose gave the same<br />

results (P. A. D. Grimont, 1977). However,<br />

results with CSUT and FT are not parallel when<br />

adonitol, inositol, cellobiose, and lactose are<br />

studied. Whereas almost all <strong>Serratia</strong> strains can<br />

grow on inositol, acid from inositol was produced<br />

by only 76% of S. marcescens, 36% of S.<br />

rubidaea, 92% of S. liquefaciens-S. proteamaculans<br />

and 35% of S. plymuthica strains within 2<br />

days. CSUT with adonitol is a very good test for<br />

separating S. marcescens from S. liquefaciens<br />

(99% vs. 0% positive strains, respectively), but

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