Differentiating Bile-Soluble S. pneumoniae from α-Hemolytic Streptococci, Lecture notes of Chemistry

Instructions for performing the bile solubility test to differentiate bile-soluble streptococcus pneumoniae from other bile-insoluble α-hemolytic streptococci. The test involves the use of bile solubility reagent, which accelerates the autolytic process in s. Pneumoniae, causing the organism to lyse and disappear in the presence of bile salts. The recommended procedure for both plate and tube methods, as well as interpretation of results and quality control.

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BILE SOLUBILITY REAGENT
- For in vitro use only - Catalogue No. RB60
Our Bile Solubility Reagent can be used to
differentiate bile-soluble Streptococcus pneumoniae
from other bile-insoluble α-hemolytic streptococci.
S. pneumoniae possesses an autolytic enzyme
that causes the organism to breakdown its own cell
wall causing lysis of the cell. In the presence of the
bile salt, sodium deoxycholate, the autolytic process
is accelerated. On a solid medium, colonies of S.
pneumoniae disintegrate and disappear, or if growth
is suspended in saline the turbid solution exhibits a
clearing effect. In both cases, the reactions are
classified as soluble. Bile (Oxgall) and other bile
salts, such as sodium taurocholate can also be used to
perform the test but often give variable results. Other
α-hemolytic streptococci do not possess active
autolytic enzymes and will not dissolve in bile, and
are classified as bile insoluble.
It should be noted that only 80% of Streptococcus
pneumoniae strains will lyse completely, and
additional tests may be required to differentiate those
strains that show only partial or incomplete lysis.
Formulation per 100 mL
Sodium Deoxycholate ....................................... 10.0 g
Sterile Deionized Water.............................. 100.0 mL
Recommended Procedure
Plate Procedure
1. Perform a four-quadrant streak of the test
organism onto a blood agar plate to obtain
well-isolated colonies. (The test organism
should be an α-hemolytic, catalase-negative,
gram-positive cocci arranged in chains and this
determination should be made prior to
performing the test)
2. Incubate plates in an inverted position for 18 to
24 hours at 35°C.
3. Select a characteristic S. pneumoniae colony
that is well-isolated. Mark the location of the
colony on the bottom of the petri dish using an
wax pencil or permanent felt marker.
4. Place a loopful or a drop of Bile Solubility
Reagent onto the colony of interest.
5. Incubate plate aerobically, agar-side down and
lid-side up, at 35°C. Do not invert the plate.
6. After 30 minutes check the plate for appearance
of the suspect colony.
Tube Procedure
1. Obtain a pure, overnight culture of the
streptococci of interest from a blood agar plate
or Todd-Hewitt Broth.
2. Prepare a heavy suspension of the organism in
1.0-mL of physiologic saline solution (Dalynn
BS85 or TS85).
3. Add 1 drop of phenol red indicator and, if
required, adjust the pH to 7.0 using 0.1 N sodium
hydroxide. The solution should appear pink.
(This step can be skipped but the pH must be
above 6.8 to obtain accurate results)
4. Divide the saline suspension equally into two
tubes (0.5-mL per tube). Label one tube test and
the other control.
5. Add 0.5-mL (4 drops) of Bile Solubility Reagent
to the tube marked test.
6. Add 0.5-mL (4 drops) of sterile physiologic
saline to the tube marked control.
7. Gently agitate both tubes to ensure that the
suspensions are homogenous.
8. Incubate tubes at 35 to 37°C.
9. Check tubes hourly and make a final
interpretation after 3 hours. Observe for clearing
of the broth.
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BILE SOLUBILITY REAGENT

  • For in vitro use only - Catalogue No. RB

Our Bile Solubility Reagent can be used to differentiate bile-soluble Streptococcus pneumoniae from other bile-insoluble α-hemolytic streptococci. S. pneumoniae possesses an autolytic enzyme that causes the organism to breakdown its own cell wall causing lysis of the cell. In the presence of the bile salt, sodium deoxycholate, the autolytic process is accelerated. On a solid medium, colonies of S. pneumoniae disintegrate and disappear, or if growth is suspended in saline the turbid solution exhibits a clearing effect. In both cases, the reactions are classified as soluble. Bile (Oxgall) and other bile salts, such as sodium taurocholate can also be used to perform the test but often give variable results. Other α-hemolytic streptococci do not possess active autolytic enzymes and will not dissolve in bile, and are classified as bile insoluble. It should be noted that only 80% of Streptococcus pneumoniae strains will lyse completely, and additional tests may be required to differentiate those strains that show only partial or incomplete lysis.

Formulation per 100 mL

Sodium Deoxycholate....................................... 10.0 g Sterile Deionized Water.............................. 100.0 mL

Recommended Procedure

Plate Procedure

  1. Perform a four-quadrant streak of the test organism onto a blood agar plate to obtain well-isolated colonies. (The test organism should be an α-hemolytic, catalase-negative, gram-positive cocci arranged in chains and this determination should be made prior to performing the test) 2. Incubate plates in an inverted position for 18 to 24 hours at 35°C. 3. Select a characteristic S. pneumoniae colony that is well-isolated. Mark the location of the colony on the bottom of the petri dish using an wax pencil or permanent felt marker. 4. Place a loopful or a drop of Bile Solubility Reagent onto the colony of interest. 5. Incubate plate aerobically, agar-side down and lid-side up, at 35°C. Do not invert the plate. 6. After 30 minutes check the plate for appearance of the suspect colony.

Tube Procedure

  1. Obtain a pure, overnight culture of the streptococci of interest from a blood agar plate or Todd-Hewitt Broth.
  2. Prepare a heavy suspension of the organism in 1.0-mL of physiologic saline solution (Dalynn BS85 or TS85).
  3. Add 1 drop of phenol red indicator and, if required, adjust the pH to 7.0 using 0.1 N sodium hydroxide. The solution should appear pink. (This step can be skipped but the pH must be above 6.8 to obtain accurate results)
  4. Divide the saline suspension equally into two tubes (0.5-mL per tube). Label one tube test and the other control.
  5. Add 0.5-mL (4 drops) of Bile Solubility Reagent to the tube marked test.
  6. Add 0.5-mL (4 drops) of sterile physiologic saline to the tube marked control.
  7. Gently agitate both tubes to ensure that the suspensions are homogenous.
  8. Incubate tubes at 35 to 37°C.
  9. Check tubes hourly and make a final interpretation after 3 hours. Observe for clearing of the broth.

Interpretation of Results:

Bile Soluble: Plate Procedure - Bile-soluble colonies disintegrate and disappear under the drop of reagent. A flattened imprint of the lysed colony may remain and an area of hemolysis may appear at the drop location.

Tube Procedure - A clearing of the turbidity is observed when the test aliquot is compared to the control aliquot. An increase in the viscosity of the suspension may also be observed.

Bile Insoluble: Plate Procedure - Colonies remain intact and visible.

Tube Procedure - Test aliquot remains turbid and is equivalent to the control aliquot after 3 hours of incubation

  • For the plate procedure some literature recommends the use of a 2% solution of deoxycholate versus our 10%. If desired, the 10% solution can be further diluted using sterile water to obtain the desired 2% concentration
  • For the plate procedure, sometimes alpha-hemolytic colonies do not dissolve but lift off and float away therefore avoid shaking and unnecessary movement of plates after the reagent is added
  • For the tube test the pH must be above 6.8 since sodium deoxycholate can form a precipitate in an acid suspension (6.5 and lower) and give false-negative results
  • Downie reported that a loss of the capsule may alter the susceptibility of S. pneumoniae to lysis by bile salts
  • α -hemolytic Haemophilus species (H.. influenzae and H. aegypticus) are also bile soluble and the reagent may be used to help differentiate between these species from other bile-insoluble Haemophilus spp.

Quality Control

Organism Expected Results Streptococcus pneumoniae ATCC 6305 / 12344

+ve Disintegration of colony

Streptococcus mitis ATCC 15909

-ve Colony stays intact

Storage and Shelf Life

Our Bile Solubility Reagent should be stored at room temperature. At this temperature it has a shelf life of 26 weeks from the date of manufacture.

References

  1. Anderson AB, Hart PDA. The lysis of pneumococci by sodium deoxycholate. Lancet 1934; 2:359-60.
  2. Hawn CVZ, Beebe E. Rapid method for demonstrating bile solubility of Diplococcus pneumoniae. J Bacteriol 1965; 90:549.
  3. Branson D. Methods in clinical bacteriology. Springfield, IL: Charles C Thomas, 1972.
  4. Isenberg HD, Ed. Clinical microbiology procedures handbook, Vol 1. Washington, DC: ASM, 1992.
  5. Forbes BA, Sahm DF, Weissfeld AS. Bailey and Scott’s diagnostic microbiology. 10th ed. St. Louis: Mosby, 1998.
  6. MacFaddin JF. Biochemical tests for identification of medical bacteria. 3 rd^ ed. Philadelphia: Lippincott Williams & Wilkins,

Original: February 2002 Revised / Reviewed: October 2014