234 The Difco Manual
Test Procedure
Inoculate the medium by streaking a loopful of a 24-hour culture in
a single line across the plate perpendicular to (right angle to)
the antitoxin strip. (Do not touch the actual strip itself). As many as
eight cultures may be tested on a single plate.
6
Place test isolates about
1 cm apart. Also inoculate a toxigenic (positive control) and a
nontoxigenic (negative control) C. diphtheriae strain approximately
1 cm on either side of the test isolates.
6
Incubate the inverted plates
at 37°C for 72 hours. Examine at 24-, 48- and 72-hour intervals.
Results
Toxigenic (virulent) cultures of C. diphtheriae will show fine lines
of precipitation at approximately 45° angles from the culture streak.
This line forms where toxin (from the bacteria) combines with
antitoxin from the strip. Primary precipitin lines form an arc of
identity with the precipitin line produced by an adjacent positive
control strain.
7
Nontoxigenic strains of C. diphtheriae will show no
lines of precipitation.
Limitations of the Procedure
1. Each test should include positive and negative controls.
5
2. False-positive reactions may be seen after 24 hours as weak bands
near the antitoxin strip. These can be recognized when compared
with the positive control.
8
3. Corynebacterium ulcerans and C. pseudotuberculosis may also
produce lines of toxin-antitoxin.
9
References
1. Hermann, G. J., M. S. Moore, and E. I. Parsons. 1958. A
substitute for serum in the diphtheria in vitro test. Am. J. Clin.
Pathol. 29:181-183.
2. Elek, S. D. 1948. The recognition of toxicogenic bacterial strains
in vitro. Brit. Med. J. 1:493.
3. King, E. O., M. Frobisher, Jr., and E. I. Parsons. 1949. The
in vitro test for virulence of Corynebacterium diphtheriae.
Am. J. Public Health 39:1314.
4. Clarridge, J. E., and C. A. Spiegel. 1995. Corynebacterium and
miscellaneous irregular gram-positive rods, Erysipelothrix and
Gardnerella, p. 357-378. In P. R. Murray, E. J. Baron, M. A. Pfaller,
F. C. Tenover, and R. H. Yolken (eds.), Manual of clinical
microbiology, 6th ed. American Society for Microbiology,
Washington, D.C.
5. Krech, T., and D. G. Hollis. 1991. Corynebacterium and related
organisms, p. 277-286. In A. Ballows, W. J. Hausler, Jr.,
K. Herrmann, H. D. Isenberg, and H. J. Shadomy (eds.), Manual of
clinical microbiology, 5th ed. American Society for Microbiology,
Washington, D.C.
6. MacFaddin, J. F. 1985. Media for isolation-cultivation-
identification-maintenance of medical bacteria, vol. 1, p. 410-414.
Williams & Wilkins, Baltimore, MD.
7. Washington, J. A., Jr. 1981. Laboratory procedures in clinical
microbiology. Springer-Verlag, New York, NY.
8. Lennette, E. H., A. Balows, W. J. Hausler, Jr., and J. P. Truant
(eds.). 1980. Manual of clinical microbiology, 3rd ed. American
Society for Microbiology, Washington, D.C.
9. Branson, D. 1972. Methods in clinical bacteriology. Charles
C. Thomas, Springfield, IL.
Packaging
KL Virulence Agar 500 g 0985-17
KL Virulence Enrichment 12 x 20 ml 0986-64
KL Antitoxin Strips 12 strips 3101-30
Chapman Tellurite Solution 1% 6 x 1 ml 0299-51
6 x 25 ml 0299-66
Kligler Iron Agar Section II
Bacto
®
Kligler Iron Agar
Intended Use
Bacto Kligler Iron Agar is used for differentiating pure cultures of
gram-negative bacilli based on the fermentation of dextrose and
lactose and production of hydrogen sulfide.
Also Known As
Kligler Iron Agar is also known as KIA.
Summary and Explanation
Kligler Iron Agar is a modification of Kligler’s
1
original formula. It
is recommended to identify pure cultures of colonies picked from
primary plating media, such as MacConkey Agar. Kligler’s
1
original
medium was a soft nutrient agar containing dextrose, Andrade
indicator and lead acetate. Russell
2
devised a medium containing
glucose, lactose, and an indicator for the differentiation of
lactose-fermenting and nonlactose-fermenting gram negative bacilli.
Kligler
3
found that lead acetate for the detection of hydrogen sulfide
could be successfully combined with Russell double sugar medium for
the differentiation of the typhoid, paratyphoid and dysentery groups.
Bailey and Lacy
4
simplified the formula by using phenol red as
the pH indicator instead of Andrade indicator. A similar medium
containing saccharose, Tryptone, ferrous sulfate and thiosulfate was
developed by Sulkin and Willett.
5
Kligler Iron Agar is recommended for differentiation of enteric gram-
negative bacilli from clinical specimens
6-8
and food samples.
9,10
Principles of the Procedure
Kligler Iron Agar combines the principles of Russell double sugar agar
and lead acetate agar into one medium. This combination permits
the differentiation of the gram-negative bacilli both by their ability to
ferment dextrose or lactose and to produce hydrogen sulfide. Beef
Extract, Yeast Extract, Bacto Peptone, and Proteose Peptone provide
nitrogen, vitamins and minerals. Ferrous sulfate and sodium thiosulfate
are the indicators of hydrogen sulfide production. Phenol red is the
pH indicator. Sodium chloride maintains the osmotic balance of the
medium. Bacto
®
Agar is the solidifying agent.