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Thursday, November 29, 2012

Chromogenic Agar; the gold standard for identification and analysis of pathogens


By: Kassapa Ellepola

‘Traditional standard growth media’ for microorganisms, since its introduction in the 1800’s has dominated for more than two centuries as the most widely used growth media for bacteria and fungi. The discovery of Agar, extracted from Red Algae became the best solidifying agent for microbiological media and not much has changed in these media apart from their chemical composition depending on the purpose (general purpose, enrichment, selective etc) of the medium.

Dr. Alain Rambach in 1979 pioneered the invention of ‘chromogenic culture media’ that at the time was believed would make a promising change in the medical field as well as in industry. Chromogenic Agar is a medium that assists the isolation and identification of certain pathogenic microorganisms with the aid of colony color, colony morphology and colony growth. Pathogenic microorganisms are fastidious. Therefore he equipped the medium with special nutrients that enhance their growth while inhibiting the growth of less fastidious organisms.

The normal procedure to grow fastidious organisms will be to carryout enrichment before growing in standard culture media. The proven technique is to carry out Enrichment in broths before plating out. This has been practiced for a long time. But with the use of chromogenic agar, will this be necessary!

Detection systems of conventional culture media combine various carbohydrates, amino acids, and glycosides with a suitable indicator-system. The incorporation of enzyme substrates as a detection system has led to the development of numerous primary isolation media.

Chromogenic enzyme substrates consist of chromophors linked to an enzyme-recognizing-part, such as a carbohydrate, amino acid or phosphate. Specific enzymes produced by the target microorganism cleave the chromogenic substrate liberating the chromophor, which highlight the micro-organism by coloration of the grown colony.

There is a diversity of chromogenic agar that is available for microbiological work. One such medium is the chromogenic Agar for identifying ‘methycillin resistant Staphylococcus aeureus’ (MRSA). There are chromogenic media designed for identifying Neisseria sp as well.

Infections due to Salmonella have become a principle health issue related with the food industry as well as with water quality. Rapid identification methods are needed for prevention of outbreaks. ‘Salmonella Chromogenic media’ has been designed based on Salmonella’s ability to utilize one of two chromogenic substances in the medium while others in family Enterobacteriaceae can utilize both.

Salmonella Chromogenic Agar Base’ combines two ‘chromogens’ for the detection of Salmonella sp. ‘Magenta-caprylate’ and ‘X-gal’. β-D-galactosidase acts on X-gal as it is a substrate for the enzyme . Lactase negative Salmonella species hydrolyse the chromogen, Mag-caprylate giving magenta colored colonies. The medium contains bile salts to inhibit the growth of Gram-positive organisms. The medium may also contain novobiocin to inhibit Proteus growth and cefsulodin to inhibit growth of Pseudomonads.
Not only for bacteria, but it also works for fungi such as Candida sp which its different strains are colored differently in a chromogenic agar plate.

Hospitals and nursing care institutes find it very important to find immediate identification of pathogens. Specialized chromogenic agar can be used for this purpose as it would easily inhibit undesirable organisms while enhancing the growth of the fastidious pathogens while giving colored colonies for pathogens. Use of chromogenic agar will aid the food industry as well.

Using chromogenic Agar is distinctively advantageous than traditional methods. Within 24 hours after inoculation, the chromogenic agar medium allows the presumptive identification of the pathogen with the aid of colony colors. But colonies grown on a traditional agar plate does not allow direct identification. Therefore other methods such biochemical tests should be employed which may involve costly tool kits and would take another day or two to give the results.

Improved accuracy compared to traditional agars, faster detection of targeted organisms, cost effective methodologies, ability to easily integrate other molecular methodologies and accurate selection of colonies without missing or mixing colonies are few more benefits.

Although classical media serves as an inexpensive option financially, its results are less reliable. The modern molecular biological approaches are very accurate but could be costly and laborious. Chromogenic Agar falls in-between both these techniques making it a middle cost and appropriately accurate option.

Initially nobody including industries has showed interest in the Chromogenic medium developed for E.coli in 1979, patented by Dr. Rambach. Therefore he stopped his work in chromogenic field for 10 years and he was more interested in genetic engineering. After 1989 he again developed ‘Rambach Agar Salmonella’ for identifying Salmonella sp and ‘CHROMagar E.coli’ for identifying E.coli.
  
More than three decades after its invention, chromogenic agar caters to only 10% of the world’s usage. Expansion of awareness among the microbiology community will lead to the maximum utility of this technology.


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