The Difco Manual 125
2. Heat to boiling to dissolve completely.
3. Autoclave at 121°C for 15 minutes. Cool to 45-50°C.
4. To prepare blood agar, aseptically add 5% sterile defibrinated blood
to the medium at 45-50°C. Mix well.
5. Dispense into sterile Petri dishes.
Specimen Collection and Preparation
Collect specimens in sterile containers or with sterile swabs and
transport immediately to the laboratory in accordance with
recommended guidelines outlined in the references.
Test Procedure
1. Process each specimen as appropriate and inoculate directly onto
the surface of the medium. Streak for isolation with an inoculating
loop, then stab the agar several times to deposit ß-hemolytic
streptococci beneath the agar surface. Subsurface growth will
demonstrate the most reliable hemolytic reactions due to the
activity of both oxygen-stable and oxygen-labile streptolysins.
4
2. Incubate plates aerobically, anaerobically or under conditions
of increased CO
2
(5-10%) in accordance with established
laboratory procedures.
Results
1. Examine plates for growth and hemolytic reactions after 18-24 and
48 hours of incubation. Four types of hemolysis on blood agar
media can be described:
5
a. Alpha-hemolysis (α) is the reduction of hemoglobin to
methemoglobin in the medium surrounding the colony, causing
a greenish discolorization of the medium.
b. Beta-hemolysis (ß) is the lysis of red blood cells, producing a
clear zone surrounding the colony.
c. Gamma-hemolysis (γ) indicates no hemolysis. No destruction
of red blood cells occurs and there is no change in the medium.
d. Alpha-prime-hemolysis (α
´
) is a small zone of complete hemolysis
that is surrounded by an area of partial lysis.
Limitations of the Procedure
1. Blood agar base media are intended for use with blood
supplementation. Although certain diagnostic tests may
be performed directly on these media, biochemical and, if
indicated, immunological testing using pure cultures is
recommended for complete identification. Consult appropriate
references for further information.
2. Since the nutritional requirements of organisms vary, some strains
may be encountered that fail to grow or grow poorly on this medium.
Section II Columbia Broth
3. Hemolytic reactions of some strains of group D streptococci have
been shown to be affected by differences in animal blood. Such
strains are ß-hemolytic on horse, human and rabbit blood agar and
α-hemolytic on sheep blood agar.
4
4. Colonies of Haemophilus haemolyticus are ß-hemolytic on horse
and rabbit blood agar and must be distinguished from colonies
of ß-hemolytic streptococci using other criteria. The use of sheep
blood has been suggested to obviate this problem since sheep
blood is deficient in pyridine nucleotides and does not support
growth of H. haemolyticus.
6
5. Atmosphere of incubation has been shown to influence hemolytic
reactions of ß-hemolytic streptococci.
4
For optimal performance,
incubate blood agar media under increased CO
2
or anaerobic conditions.
References
1. Ellner, P. D., C. J. Stoessel, E. Drakeford, and F. Vasi. 1966.
A new culture medium for medical bacteriology. Am. J. Clin.
Pathol. 45:502-504.
2. Vanderzant, C. and D. F. Splittstoesser (ed.). 1992. Compen-
dium of methods for the microbiological examination of foods,
3rd ed. American Public Health Association, Washington, D.C.
3. Casman, E. P. 1947. A noninfusion blood agar base for neisseriae,
pneumococci and streptococci. Am. J. Clin Pathol. 17:281-289.
4. Ruoff, K. L. 1995. Streptococcus, p. 299-305. In P. R. Murray,
E. J. Baron, M. A. Pfaller, F. C. Tenover, and R. H. Yolken (ed.).
Manual of clinical microbiology, 6th ed. American Society for
Microbiology, Washington, D.C.
5. Isenberg, H. D. (ed). 1992. Clinical microbiology procedures hand-
book, vol.1. American Society for Microbiology, Washington, D.C.
6. Baron, E. J., L. R. Peterson, and S. M. Finegold. 1994. Bailey &
Scott’s diagnostic microbiology, 9th ed. Mosby-Year Book, Inc.
St. Louis, MO.
Packaging
Columbia Blood Agar Base 500 g 0792-17
2 kg 0792-07
10 kg 0792-08
Columbia Blood Agar Base EH 500 g 0790-17
2 kg 0790-07
10 kg 0790-08
Columbia Blood Agar Base No. 2 500 g 0793-17
2 kg 0793-07
10 kg 0793-08
Bacto
®
Columbia Broth
Intended Use
Bacto Columbia Broth is used for cultivating fastidious microorganisms.
Summary and Explanation
Columbia Broth is prepared according to the formulation described by
Morello and Ellner.
1
In their study Columbia Broth, a medium
developed for blood cultures, was superior to a commonly used
general purpose broth for faster growth of Staphylococcus aureus,
E. coli and streptococci (viridans and enterococcus groups).
Columbia
Broth, in the presence of CO
2
and supplemented with SPS, is an
excellent blood culture medium.
2
In the study by Morello and Ellner,
1
the addition of sodium polyanetholsulfonate (SPS) in Columbia Broth
was emphasized. SPS is an anticoagulant that inhibits serum
bactericidal activity against many bacteria, inhibits phagocytosis,
inactivates complement, and neutralizes lysozymes and the
aminoglycoside class of antibiotics.
2
Principles of the Procedure
Columbia Broth was formulated from Pantone and Bitone. Dextrose is
added to the formula as a carbon energy source. The medium is