Detection of Beta Lactam

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Detection method for

beta-lactamase
Pratima Pandey
BSC.MLT 3rd year
METHODS:

Beta-lactamase enzymes activity can be detected by ;

1) Nitrocef disks test.


2) Rapid acidometric method.
3) Iodometric method.
4) Modified hodge test.
1. Nitrocef disk test
Nitrocef Disks™ are impregnated with nitrocefin, a
chromogenic cephalosporin.

As the amide bond in a beta-lactam ring is hydrolyzed by a


beta-lactamase, nitrocefin changes color from yellow to red.

 Bacteria which produce beta-lactamase in significant amounts


produce this yellow to red color change on the Nitrocef
Disk™.
These beta-lactamases are capable of inactivating
"penicillinase-labile-penicillins", such as amoxicillin,
ampicillin, penicillin, carbenicillin, mezlocillin, and
piperacillin.

 Most positive bacterial strains will produce a color change


within 5 minutes. Some staphylococci, however, may take up
to 60 minutes for a positive result.
Showing positive (left disk) and negative (right disk) reactions for
Nitrocef Disks™ (Cat. no. Z7301). 
Each disk was moistened with deionized water and growth from cultures
of Haemophilus influenzae(ATCC ® 33533) and Moraxella (Branhamella)
catarrhalis (ATCC ® 25240) was applied to the left and right disks,
respectively. The orange/red color development was indicative as beta-
lactamase positive. The yellow color development was indicative as beta-
lactamase negative. 
2. Acidimetric method
Reagents: 2 ml of the 0.5% phenol red solution was added to 16.6 ml sterile
distilled water. After mixing, this solution was added to a vial of crystalline
benzyl penicillin G which contained 20 million units. This solution was then
placed in sterile container.

Since this solution was at an acidic pH due to citrate buffer in the penicillin, 1 N
sodium hydroxide was added drop-wise to the solution till development of reddish
violet colour (pH 8.5). This solution should be stable for several months only if it
doesn’t turn yellow.

Procedure: 100 μl of penicillin phenol red solution was placed in the well of
microtitre plate. Several colonies were suspended in the solution to get dense
suspension. The solution turned yellow within 10-15 minutes if β Lactamase
enzyme was produced.
Note: Colour changes after 15 minutes is not of significance
since it represents decomposition of substrate. Overnight broth
culture should not be used as the organism may have produced
an acid in growth medium.
3. Iodometric method
Reagents- Sterile potassium or sodium penicillin G powder (6 lac units) was
dissolved in potassium phosphate buffer PH 6.0, 0.05 M at a concentration of 6000
μg / ml (to be prepared fresh when required) Starch solution was prepared by adding
1 gm of soluble starch to 100 ml distilled water and slowly bringing it to boil.

The solution should become clear opalescent in appearance and can be stored at 4 ºC
for several days.

Iodine solution: This was prepared by dissolving 2.03 g of iodine and 53.2 g of
potassium iodide in 100 ml distilled water. It should be stored in ground glass,
stopper brown bottle.

β lactamase producing strain of S. aureus ATCC 29213was used as positive control.


Procedure
100 μl of the penicillin solution was dispensed into a well of
microtitre plate. Several colonies of the organism to be tested
were emulsified into the solution to get dense suspension.

 Two drops of starch were added and then the plate was kept at
room temperature for 30-60 minutes.

One drop of iodine was then added which turn the solution
blue. If the blue colour disappeared in 10 minutes, the organism
was considered as β lactamase positive. Negative control with
penicillin alone was kept without any culture suspension.
4. Modified hodge test for carbepenemase
The Modified Hodge Test (MHT) detects carbapenemase
production in isolates of Enterobacteriaceae.

Other carbapenemase, like the metallo β lactamase (MBL) and the


SME-1 in Serratia marcescens, can also produce a positive MHT.

Carbapenemase production is detected by the MHT when the test


isolate produces the enzyme and allows growth of a carbapenem
susceptible strain (E.coli ATCC 25922) towards a carbapenem disk.

The result is a characteristic cloverleaf-like inde


Prepare a 0.5 McFarland dilution of the E.coli ATCC 25922 in
Procedure
5 ml of broth or saline.

 Dilute 1:10 by adding 0.5 ml of the 0.5 McFarland to 4.5 ml of
MHB or saline.

Streak a lawn of the 1:10 dilution of E.coli ATCC 25922 to a
Mueller Hinton agar plate and allow to dry 3–5 minutes.

Place a 10 µg meropenem or ertapenem susceptibility disk in
the center of the test area.
In a straight line, streak test organism from the edge of the disk
to the edge of the plate. Up to four organisms can be tested on
the same plate with one drug.

Incubate overnight at 35OC ± 2OC in ambient air for 16–24
hours
Interpretation of result
After 16–24 hours of incubation, examine the plate for a clover
leaf-type indentation at the intersection of the test organism and
the E. coli 25922, within the zone of inhibition of the
carbapenem susceptibility disk.

MHT Positive test has a clover leaf-like indentation of the


E.coli 25922 growing along the test organism growth streak
within the disk diffusion zone.

MHT Negative test has no growth of the E.coli 25922 along


the test organism growth streak within the disc diffusion.
Thank you………

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