BAP or SBA: An abbreviation for blood agar plate or sheep blood agar. Blood agar contains mammalian blood (usually sheep, rabbit or horse), typically at a concentration of 5-10%. Blood agar is an enriched media used to isolate bacteria and to detect hemolytic activity.

E. coli    Citrobacter  Providencia  

 Serratia

 Citrobacter,

 Enterobacter,

 S. maltophilia

 Acinetobacter,

 Others

 Indole -
Indole test: The indole test is a biochemical test performed on bacterial species to determine the ability of the organism to split indole form the amino acid tryptophan. The results of an indole test are indicated by a change in color following a reaction after the addition of Kovacs reagent. A positive result is shown by the presence of a red color. A negative result appears yellow. The Indole test is a key test for separating Proteus mirabilis (indole-negative) and Proteus vulgaris (indole-positive) and Klebsiella pneumoniae (indole negative) and K. pneumoniae oxytoca (indole-positive).
No 
MacConkey: MacConkey agar is a selective medium that inhibits the growth of Gram-positive bacteria due to the presence of crystal violet and bile salts. Most Gram-negative bacteria grow well on MacConkey. MacConkey agar also contains neutral red (a pH indicator) and lactose (a disaccharide). Lactose fermenting bacteria or Lactose + bacteria on MacConkey will appear as bright pink colonies. Non-lactose fermenting bacteria will be colorless (or, if they have any color, will be their natural color rather than pink).
Lactose + (fermenter) on Mac

P. aerug

Proteus sp.

Gram stain: The Gram stain, is a laboratory staining technique that distinguishes between two groups of bacteria that have differences in the structure of their cell walls. Standard bacterial taxonomy makes a distinction between Gram-negative bacteria, which stain red/pink and the Gram-positive bacteria, which stain blue/purple. Different antimicrobial agents are directed specifically at gram-positive bacteria and gram-negative bacteria.

Flow Diagram for Gram Neg Rods on BAP & MacConkey

(NOT for stool isolates)

@ Ellen Jo Baron 2007

No
 Indole +
Yes
Yes
Yes
 K. pneumoniae

 Rare Enterobacter

Yes
mucoid

Colony mucoid

Odor of fresh bread

Swarming on BAP
Oxidase -
Oxidase: The oxidase test is used to determine if a bacterium produces certain cytochrome c oxidases. The reagent, tetramethyl-p-phenylenediamine is used as a redox indicator. The reagent turns dark blue when oxidized (oxidase positive). The reagent is colorless when reduced (oxidase-negative). Pseudomonas species and Aeromonas species are gram-negative bacilli that are oxidase-positive. Neisseria species are gram-negative cocci that are oxidase positive.
MacConkey: MacConkey agar is a selective medium that inhibits the growth of Gram-positive bacteria due to the presence of crystal violet and bile salts. Most Gram-negative bacteria grow well on MacConkey. MacConkey agar also contains neutral red (a pH indicator) and lactose (a disaccharide). Lactose fermenting bacteria or Lactose + bacteria on MacConkey will appear as bright pink colonies. Non-lactose fermenting bacteria will be colorless (or, if they have any color, will be their natural color rather than pink).
Oxidase +

 Enterobacter

 Citrobacter,

 Others

Non-mucoid: Bacterial colonies that are dry and flat looking.

E. coli

Rare Citrobacter or other Enteric GNR

Mucoid: Bacterial colonies that appear moist and sticky (resembling mucus).

Colony metallic

Odor of grapes

No
No

No

Click for Diagram
Indole test: The indole test is a biochemical test performed on bacterial species to determine the ability of the organism to split indole form the amino acid tryptophan. The results of an indole test are indicated by a change in color following a reaction after the addition of Kovacs reagent. A positive result is shown by the presence of a red color. A negative result appears yellow. The Indole test is a key test for separating Proteus mirabilis (indole-negative) and Proteus vulgaris (indole-positive) and Klebsiella pneumoniae (indole negative) and K. pneumoniae oxytoca (indole-positive).
Indole +

 

No

Yes
No

Yes

Click for Diagram
MacConkey: MacConkey agar is a selective medium that inhibits the growth of Gram-positive bacteria due to the presence of crystal violet and bile salts. Most Gram-negative bacteria grow well on MacConkey. MacConkey agar also contains neutral red (a pH indicator) and lactose (a disaccharide). Lactose fermenting bacteria or Lactose + bacteria on MacConkey will appear as bright pink colonies. Non-lactose fermenting bacteria will be colorless (or, if they have any color, will be their natural color rather than pink).
Lactose + (fermenter) on Mac
  B. cepacia,

 B. pseudomallei,

 Pasteurella,

 Others

 Klebsiella

 Rare Enterobacter

Yes
mucoid

Colony mucoid

Odor of fresh bread