Diagnostic
bacteriology is concerned with the isolation and identification of
bacteria in a specimen from a patient. These specimens, unless from a
normally sterile site of the body, rarely contain a single bacterial
type, but are mixtures of the disease-producing bacteria and the host's
normal or indigenous flora. Since accurate studies of the biochemical
and the antigenic properties of a bacterial species are possible only
through the use of pure cultures, it is necessary to have a reliable and
rapid method that will permit the isolation of possible pathogenic
organisms.
An inoculum from the specimen is streaked on solid agar in a
manner, which physically separates most of the bacterial types,
permitting them to form discrete colonies. This procedure is facilitated
whenever possible by the use of either a selective medium that inhibits
the growth of species not sought or by the use of a differential
medium, which imparts a recognizable appearance to the colonies of the
type sought. It is possible that colonies of the bacterial type selected
for by the selective medium will be contaminated with bacteria of a
different type that are inhibited from growing but not killed by the
selective medium. Upon transfer of this mixed colony to a medium without
the inhibitors, both types of bacteria may grow, and a pure culture
will not be obtained. Consequently, it is often necessary to streak a
second plate of the same selective medium with a colony from the first
selective plate in order to obtain a pure culture of the bacterial
species that you are attempting to isolate.