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Microbiology 3% exam weight

Topic 2

Part of the FMGE study roadmap. Microbiology topic microb-002 of Microbiology.

Topic 2: Bacterial Growth, Nutrition & Culture Media

Introduction

Understanding how bacteria grow, what nutrients they require, and how they can be cultured in the laboratory is essential for diagnosing infectious diseases. For FMGE, questions on culture media, bacterial growth curve, and biochemical identification are frequently asked. This chapter covers bacterial nutrition, growth requirements, the bacterial growth curve, and the culture media used to isolate clinically important pathogens.

Bacterial Nutrition

Bacteria require specific nutrients to survive and multiply: carbon sources, nitrogen sources, minerals (sulfur, phosphorus, potassium, magnesium), vitamins (especially B-group), and water. Based on their carbon source, bacteria are classified as:

  • Autotrophs — use CO₂ as the sole carbon source (e.g., Nitrosomonas)
  • Heterotrophs — require organic carbon compounds (most human pathogens fall here)
  • Fastidious organisms — have complex nutritional requirements (Haemophilus influenzae, Neisseria gonorrhoeae)

Based on oxygen requirements:

  • Aerobes — require oxygen as terminal electron acceptor
  • Anaerobes — oxygen is toxic (Clostridium, Bacteroides)
  • Facultative anaerobes — can grow with or without oxygen (E. coli, Staphylococcus)
  • Microaerophilic — require reduced oxygen levels (Helicobacter pylori, Campylobacter)
  • Obligate aerobes — cannot survive without oxygen (Pseudomonas aeruginosa, Mycobacterium tuberculosis)

The Bacterial Growth Curve

When bacteria are inoculated into a fresh culture medium, they exhibit a predictable pattern of growth over time:

Phases of Growth

  1. Lag Phase — bacteria adapt to the new environment; no increase in cell number; enzymes are synthesized
  2. Log (Exponential) Phase — rapid, logarithmic multiplication; bacteria are most susceptible to antibiotics; generation time varies (20 min for E. coli, 24 hours for M. tuberculosis)
  3. Stationary Phase — nutrients begin depleting; waste products accumulate; growth rate equals death rate; bacteria produce secondary metabolites (toxins, antibiotics)
  4. Decline (Death) Phase — cell death exceeds multiplication; viable count decreases

Generation time is the time required for the bacterial population to double. It is shortest during the log phase and is a key characteristic used in bacterial identification.

Culture Media

Culture media are classified based on composition, consistency, and purpose.

Classification by Consistency

  • Liquid media (broth) — used for enrichment, antibiotic sensitivity testing (broth dilution)
  • Solid media — contains 1.5–2% agar; used for isolation of pure colonies
  • Semisolid media — used for motility testing (0.5% agar)

Classification by Composition

  • Synthetic/Defined media — exact chemical composition is known; used in research
  • Complex/Non-synthetic media — contain natural ingredients (peptone, beef extract); used routinely in diagnostic labs

Classification by Purpose

MediaPurposeExample Pathogen
Nutrient agarGeneral cultivationMost non-fastidious bacteria
Blood agarGrowth of fastidious organisms; hemolysis detectionStreptococcus, Haemophilus
Chocolate agarGrowth of fastidious organisms (heated blood)Neisseria, Haemophilus influenzae
MacConkey agarGram-negative enteric bacteria; lactose fermentationE. coli (pink), Salmonella (colorless)
SS agarSalmonella and Shigella isolationSalmonella typhi, Shigella
Wilson-Blair agarSalmonella typhi (black colonies)S. typhi
Lowenstein-Jensen (LJ) mediumMycobacteria cultivationM. tuberculosis
Robertson’s cooked meat brothAnaerobic cultivationClostridium species
Sabouraud dextrose agarFungal isolationCandida, Aspergillus
Thiosulfate-citrate-bile salts-sucrose (TCBS) agarVibrio isolationVibrio cholerae (yellow colonies)
XLD agarEnteric pathogensSalmonella, Shigella

Selective and Differential Media

Selective media contain inhibitors (bile salts, antibiotics, dyes) that allow growth of only target organisms while suppressing others:

  • MacConkey agar (bile salts suppress gram-positive)
  • SS agar (bile salts, brilliant green suppress gram-positive and most gram-negative)
  • TCBS (thiosulfate, citrate, bile — selects Vibrio)

Differential media allow identification based on biochemical properties:

  • MacConkey agar differentiates lactose fermenters (pink) from non-fermenters (colorless)
  • Blood agar differentiates alpha, beta, and gamma hemolysis

Bacterial Metabolism and FMGE-Relevant Biochemical Tests

Catalase Test

Distinguishes Staphylococcus (catalase-positive) from Streptococcus (catalase-negative). Bubbles form when hydrogen peroxide is added to catalase-positive bacteria.

Oxidase Test

Identifies Pseudomonas aeruginosa, Neisseria, and Vibrio (all oxidase-positive). E. coli is oxidase-negative. Uses tetramethyl-p-phenylenediamine dihydrochloride — turns purple within seconds.

Coagulase Test

Distinguishes Staphylococcus aureus (coagulase-positive) from coagulase-negative staphylococci (CoNS). Both slide and tube coagulase tests are used; tube test is more reliable.

Nitrate Reduction Test

Many Enterobacteriaceae reduce nitrate to nitrite. Pseudomonas aeruginosa is a notable non-nitrite producer (further reduces to nitrogen gas).

Indole Test

Tests for tryptophanase production. E. coli is indole-positive (red ring with Kovac’s reagent); Shigella is indole-negative.

Methyl Red (MR) and Voges-Proskauer (VP) Tests

  • MR positive — mixed acid fermentation (E. coli, Salmonella)
  • VP positive — butanediol fermentation (Klebsiella, Enterobacter)

Citrate Utilization Test

Klebsiella, Enterobacter, Citrobacter (KEC group) are citrate-positive; E. coli is citrate-negative.

FMGE High-Yield Points

  • Chocolate agar — think Neisseria gonorrhoeae, Haemophilus influenzae (both fastidious)
  • MacConkey agar — lactose fermenter = pink (E. coli, Klebsiella); non-fermenter = colorless (Salmonella, Shigella, Pseudomonas)
  • TCBS (thiosulfate-citrate-bile salts-sucrose) — bright yellow colonies = Vibrio cholerae
  • Lowenstein-JensenM. tuberculosis (rough, buff-colored colonies; 4–6 weeks growth)
  • Robertson’s cooked meat broth — anaerobes, especially Clostridium
  • Generation time of E. coli ≈ 20 minutes; of M. tuberculosis ≈ 24 hours — a key distinguishing feature
  • Catalase test: Staph (pos) vs. Strep (neg)
  • Coagulase test: S. aureus (pos) vs. CoNS (neg)

Exam tip: When choosing a culture medium, first ask: (1) What is the suspected organism? (2) Is the medium selective, differential, or both? Most FMGE questions on culture media test this logic.