A STUDY OF VARIOUS METHODS FOR THE ENUMERATEON OF ENTEROCOCC! IN RHVER WATERS AND SEWAGE Thesis for Hue Degree of pk. D. MICHIGAN STATE UNIVERSITY Karl Kereluk 1956 This is to certifg that the thesis entitled ASUfiyofVmfimmEbUmfisfm‘fiw Enumeration of Enterococci in Fiver Waters and dcwage presented bu Karl Kereluk has been accepted towards fulfillment of the requirements for Ph.D. Iicrobioloyy and Public Health degree in DmCJunc 26, 1956 0-169 A STUDY OF VARIOUS METHODS FOR THE ENUMERATION OF ENTEROCOCCI IN RIVER WATERS AND SEWAGE BY Karl Kereluk AN ABSTRACT Submitted to the School for Advanced Graduate Studies of Michigan State University of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Microbiology and Public Health L~.‘\ ‘ \\' Year 1956 Q‘ , K. ‘ e- L Approved by gr} Ii{/XfX/\§E:$:\fvy\limggxpn I: _. . \ \ \'-—_. \‘ \ Karl Kereluk A drop plate technic was introduced and a specific medium for growing typical and atypical enterococci was developed. The formula for this medium was as follows: Ingredient Grams per liter Phytone . 20.0 Lactose 5.0 Sodium chloride 5.0 Sodium azide 0.h Yeast extract 5.0 Ethyl violet 0.00083 K2HPOu 2.7 KHZPOu 2.7 Agar 15.0 pH - 7.0 Sterilized at 121 C for 15 minutes Samples of river and sewage waters were tested by a most probable number procedure, drop plate, and the membrane .filter. The drop plate method detects more enterococci than by any method used, however, the method has its limitations in that it is effective only in examination of high popula- tion waters. The membrane filter method serves amply where the limi- tations of the drop plate method begin. A modified ethyl violet azide medium for the enumeration of enterococci for use with the membrane filter technic was introduced. A STUDY OF VARIOUS METHODS FOR THE ENUMERATION OF ENTEROCOCCI IN RIVER WATERS AND SEWAGE By Karl Kereluk A THESIS Submitted to the School for Advanced Graduate Studies of Michigan State University of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Microbiology and Public Health 1956 ACKNOWLEDGMENTS The author expresses his sincere appreciation to Dr. W. L. Mallmann for his patient guidance and coun- seling during the progress of this thesis. Thanks is expressed to Dr. 0. Kaufmann for proof- reading this manuscript. The author wishes to take this opportunity to express his gratitude to all the members of the Department of Microbiology for their kindness and for making his work enjoyable. VITA Karl Kereluk candidate for the degree of Doctor of Philosophy Final examination, June 26, 1956, 10:00 A.M., Room 300, Giltner Hall. Dissertation: A Study of Various Methods for the Enumeration of Enterococci in River Waters and Sewage Outline of Studies: Major Subject:. Microbiology Minor Subjects° Mycology, Chemistry Biographical Items: Born: November 3, 1922, Fargo, North Dakota Undergraduate Studies: North.Dakota Agricultural College, lane—1950, 3.8., June 6, 1950. Graduate Studies: Michigan State College, 1951-1952, M.S., 1952, Professor - Dr. W. L. Mallmann. Thesis Title: Development of a Negative Stain for the Enumera- tion of Ruminal Microorganisms. Ph. D., 1956, Major Professor - Dr. W. L. Mallmann. Experience: Bacteriologist-in-Charge, l9h9-1950, City Health Department, Fargo, North.Dakota; Agent (Bacteriologist), 1950-1952, USDA, Bureau of Dairy Industry, Michigan State College; Graduate Research Assistant, 195h-1955, Michigan State University; Assistant to the University Sanitarian, 1952-195h. 1955-1956, Michigan State University. Affiliations: Society of American Bacteriologists, Society of Sigma Xi. TABDE 1. 2. 3. 9. 10. 11. 12. LIST OF TABLES Drop plate counts of §, gaecalis S. zymogenes .§. liguefaciens,'§. durans grown In mediums ’. l andOez 0.0000000000000000 Percent light transmission at 525 mu bym-granisms grown in various experimental base media . . . . . Drop plate counts of organisms grown in medium No. 1, No. 5, and Mallmann Litsky formulation . . Drop plate counts of organisms grown in a base medium containing various concentrations of phy tone 0 O O O O O O O O O O O O O O O O 0 Drop plate counts of g. faecalis and §. gymogengg .grown in a base medium.contain.ng various amounts OflaCtoae eeoeeeeeeeeoeeeeee Drop plate counts of §. faecalis and §. sympgenes grown in various combinations of phytone and laCtoae O O O O O O O O O O O O O O O O O 0 Growth of various strains of organisms in the modified ethyl violet azide-phytone medium . . . . M.P.N. of enterococci using azide dextrose broth as a presumptive mediumywith Mallmann Litsky ethyl violet azide confirmatory broth and ethyl violet azide modified broth as confirmatory media. Com. parison with the drop plate technic using ethyl violet azide modified agar medium. . . . . . . . . Percentage of confirmation of 259 colonies isolated from.the drop plates by the Sherman standards for enterococ01ecoeeeeoeeeeoeeoceee Number of typical and atypical colonies present on a single drop plate determination . . . . . . . . Enterococci growth on EVA agar medium.and on broth medium.using the membrane filter . . . . . . . . Comparison of the number of enterococci grown on EVA medium.using a white millipore membrane and a black membrane . . . . . . . . . . . . . . . . . . PAGE 27 28 3O 32 33 35 37 39 Al #5 53 53 7““- —. ‘fi‘ 1.3:!- ' LIST or TABLES (Cont.) TABLE PAGE 13. Enterococci growth on a millipore membrane and Bac-T-Flex membrane a o a c a e e a e o a a e o 56 1h. Comparison of numbers of enterococci in river water by membrane filter technic using Slanetz mediumandEV‘medi-lm 000.000.00.057 TABLE OF CONTENTS INTRODUCTION . . . . . . . . . . . . . . . . REVIEW OF LITERATURE . . . . . . . . . . . . . . . The Presence and Distribution of Streptococci Classification of the Streptococci . . . . . Streptococci as Indicators of Pollution . . . Media Used for the Isolation of Enterococci . Surface Plating Technic . . . . . . . . . . . Membrane Filter Technic for the Enumeration of Enterococci................ EXPERIPENTAL o e e e e e o e e a a o o o e a Part I: Drop Plate M0th0d o a e a e c c o e a Discussion . . . . . . . . . . Part II: Membrane Filter Method . . . . . . ‘ Discu831on a e e o e o I a c e SUWARY a a e o o e e a o e e a c e e o BIBLIOGRAPHY o a c e o a o o o o o e a o a 0 APPENDIX I O O O O O O O O O O O O I O 0 PAGE \0 0\ #r $? 13 17 19 21 21 he RB 55 59 so 65 01 po be. and INTRODUCTION Coliform organisms are the only recognized test organ- isms for the detection of sewage contamination of water and foods. The tests for these organisms are officially made by the United States Public Health Service and local health agencies. The official tests are prescribed in the Standard Procedure for the Analysis of Water and Sewage of the Ameri- can Public Health Association. Although the coliform group is the accepted test organisms, they do not always give a complete picture be- ill \ a] cause these organisms persist in water and soil for ex- it tended periods of time and do not indicate recent pollution. These organisms are present in non-contaminated soil. Fecal and non-fecal strains of coliform bacteria cannot be differ- entiated. Within the past 10 years, the enterococci group has been suggested as possible test organisms for the detection of fecal contamination in water supplies, foods, soil and other material. These organisms are used as indicators of pollution on much the same basis as the coliform organisms because they are present in feces, sewage, and known con- taminated water but they are not present in non-polluted and virgin soil. They do not multiply outside of the human or animal body except in the presence of a rich nutrient medium. The failure of these organisms to grow outside of the human or animal body makes them ideally suited for the detection of recent fecal or sewage contamination. Mallmann and Litsky (39) demonstrated that in soil contaminated with sewage, the most probable numbers of enterococci were one to ten to that of the coliform organ- isms. It was also shown that the enterococci disappeared more rapidly from the soil while the coliform group persisted for long periods of time.» When the typhoid bacillus was comp pared with the enterococci, the typhoid bacillus died out‘ more rapidly. These workers believed that the enterococci were much more indicative of recent fecal pollution than the coliform group. In 1950 Mallmann and Seligmann (#1) reported a new medium, dextrose azide broth, for the detection of entero- cocci and other streptococci. However, growth in this medium must be confirmed for streptococci by microscopic examination. Litsky, Mallmann, and Fifield (31) developed a confirma- tory medium to determine the enterococci index in a manner similar to that used for the coliform group. They proposed a new test for the enterococci using azide dextrose broth as a presumptive medium and an ethyl violet azide broth as a confirmatory medium. The authors found that the dextrose azide and ethyl violet azide media confirmed 100 to 1,000 times as many enterococci as did the Hajna-Perry S. F. (18) method and the Winter-Sandholzer procedures (6h). With the introduction of the membrane filter method by Goetz (16) in 19h7, numerous workers quickly adapted the new technic to the detection of the coliform group. Slanetz gfi‘gl (55) applied the new technic to the enumeration of en- terococci in river waters. They were able to demonstrate with this method that the counts for the enterococci were generally higher than those obtained by other procedures. Mallmann, Peabody, and Broitman (to) applied the surface plating technic of Pomales-Lebr6n and Fernandez (A6) to the enumeration of high-population samples. Milk and polluted waters were used in the experiment. The interesting part of this research was that large numbers of coliform organisms were able to grow. The purpose of this research was to adapt the surface plating technic for waters of gross pollution and the mem- brane filter method in slightly polluted water for the enumer— ation of enterococci. Present methods missed a large number of enterococci. =5- lmg -11 REVIEW OF LITERATURE The Presence and Distribution of Streptococci In 189h, Laws and Andrews (30) isolated streptococci from.hospital sewage in England. Winslow and Hunnewell (60) in 1902 were the first in the United States to isolate streptococci from sewage. They also found them to be simi- lar to those found on the hands of school children in asso- ciation with Escherichia 221;. Houston (2h) reported in 1899 that streptococci, as well as staphylococci, were found in large numbers in sewage. Streptococci were found in 0.1 to 0.001 ml of water from.six polluted rivers. Horrocks (23)1901, found a high percentage of streptococci in sewage- polluted water but no Es.22ll were detected. Broadhurst (5) in 1915 stated that streptococci were less common in soil than in water. In a study on the distribution of enteric streptococci, Ostrolenk and Hunter (h3) examined soil and feces of man, dog, cat, mouse, guinea pig, rabbit, chicken, fly and monkey. Fifty-one fecal samples and two soil samples were examined using Perry's S. F. broth. The soil samples were negative for both E, 22;; and enterococci. Forty-nine of the samples from the 10 animals contained enterococci. Only h6 samples contained E. coli. Wadi: ." ‘ . .e-.... o" Andrews (2) examined h8 samples of hay, grass and leaves in 1906: only two samples showed streptococci. In another series of 18 samples, only one from.a country roadside over- flow showed a short-chained coccus. Winslow and Palmer (63) in 1910 isolated and differ- entiated enterococci, using acid production in sugar, from the intestinal tract of horses, cows, and man. In 1912, Clemesha (10) reported the presence of strep- tococci in polluted waters in India. Streptococci were present in 0.001 to 0.00001 of a gram of feces. They noted that these organisms were rare in waters which were not heavily polluted. Broadhurst (5) in 1915 believed that the streptococci were neither indigenous to soil nor grains. She reported that the streptococci were difficult to obtain from feces of dogs, cats, and cattle; but that they were easily ob- tained from.equine and human feces. That enterococci however, were isolated from the normal digestive tract of calves by Orcutt (uh) in 1926. He also showed that the streptococci were not a homogeneous group of organisms. Winter and Sandholzer (6h) reported that streptococci were not routinely found in virgin soil or in soils from heavily wooded areas. Streptococci were always present, however in samples of human and animal feces. 1’ '5‘ 7 / ‘ If / ‘s A“ /, >3 77E L I fi'b- 1‘ l‘ s _, g nil-- -{ . i i: e- ‘ 40’ ' {f s . Steinhouse (56) in 19h1 succeeded in isolating §. faecalis from seven orders of the class Hexapoda. Walter and Weaver (57), Leiniger and McCleskey (31) and Ritter gt 5; (50), showed the presence of enterococci in well water; they preferred the enterococci test to the coliform test. Classification of the Enterococci Escherich (1h) in 1886 described the morphology of the streptococci in detail and found them.to be normal inhabi- tants of the intestinal tract of infants. The lack of a definite classification system.caused a mass of confusion in the literature. At present doubt exists as to what con- stitutes an enterococcus. Hirsh and Libman (21) in 1897 described an organism, Streptococcus enteritis, which appeared to be identical with the enterococcus of Thiercelin (Micrococcus avalis of Escher- ich). He emphasized the pleomorphic morphology of the or- ganism.and stated that the organism was able to grow at A6 0, did not liquify gelatin, and inconsistently coagulated milk. The organism was killed by an exposure for 15 to 20 minutes at a temperature of 60 C and did not ferment sugars. Winslow and Palmer (63) reported on the fermentative characteristics of 116 strains of Streptococcug isolated from w— '_.J.'.;':' 10 persons. The majority of the samples were from diarrheal stools. Gordon in 1902 (I?) started the important work of class— ifying streptococci. He introduced seven biochemical tests which are associated with his name. By means of these tests, he was able to distinguish h8 varieties among 300 strepto- cocci isolated from.nommal saliva. The first exhaustive studies on the human fecal strepto- cocci were made by Houston (25) in 190k. He classified 300 strains by means of the Gordon fermentations, taken from.l9 stool samples. Houston discovered that the organisms fell into so groups on the basis of their fermentative charac- teristics and proposed 10 classes into which the majority of his strains fell. Andrews and Horder (3), using the results of Gordon and Houston, applied a series of tests to a large number of streptococci isolated from.diseased individuals. Their re- sults indicated that they were able to place the entire series of organisms into seven large groups, each having a definite type, indicated by its biological activity. The authors were the first to describe Stggptococcug faecalis. Donaldson (13) in 19I7summarized the characteristics of the enterococci. He reported that the enterococci grew in the form.of pneumococcus-like diplococci, was non- hemolytic and produced acid from glucose, lactose, maltose, saccharose, raffinose, glycerol, mannitol, and inositol. Weissenbach (58) in 1918 differentiated‘§. faecalis from S. pyogenes using a liquid medium containing 10 percent bile. The enterococci grew but the other streptococci did not. I Dible (12) in 1921 reported that the ability to with- stand exposure to heat was not a consistent characteristic of all intestinal streptococci. By this differentiation he was able to divide the enterococci into two groups, one of which consisted of organisms having fermentative reactions corresponding to‘§. faecalis; the other group consisted of organisms which frequently occurred in saliva. Bagger (h) in 1926 used one percent peptone plus one percent ox-bile for the classification of the enterococci. Alston (1) confirmed the work of Dible. He clearly defined a group of organisms which could be classified as enterococci. The characteristics of this group are: (1) heat resistant at 60 C for 10 minutes, (2) cocci, oval in shape, occurring in pairs or short chains, (3) non-hemolytic, and (h) able to ferment mannitol. RHolman (22), using hemolysin production and the ability to ferment lactose, mannitol, and salicin, as the criterian, classified the streptococci into 16 types. Welsh (59) in 1929 described six strains of strepto- cocci common to human feces. J" . - / f " .’ -_ I" - ' I/ ' ‘ " _ i.:- 0‘ 5“ ‘ ' in“ ' 7 u . ' fit"- 3“ 7‘ ' * . Ml” A .I 'F' g. 3.3.."- fl .- ' l; I i ‘ ~~3 ‘II” a ' (lit it“ _ - .r I. . I l l 2 m ._._ w... . . g... , ‘ Sherman, Manor and Stark (53) made an exhaustive study on ABA cultures of S: faecalis. They found that S, faecalis, g. durans, §_. ongenes, 51. liquefaciens would meet the fol- lowing requirements: (I) grow at 10 C and at A5 0, (2) come plete reduction of litmus milk, (3) grow at pH 9.6, (h) grow in 6.5 percent sodium chloride, and (5) grow in 0.1 percent methylene blue in skimmed milk. ' Sherman (52) in a later work indicated that the entero- cocci could grow only at a temperature of A5 0 and in 6.5 percent sodium chloride. He used this as a basis for group classification of the enterococci. Streptococci as Indicators of Pollution Houston (2A) in 1898 was the first to report on the significance of these organisms. He concluded that strep- tococci are of sanitary significance and indicate a.more recent pollution than do the coliform organisms. This re- port lead to the name "sewage streptococci of Heuston" which was given to these organisms. I In 190A, Houston (25) stressed the fact that strepto- cocci as well as staphylococci, were indicative of recent pollution by human and animal wastes. Later Horrocks (23) supperted Houston's findings. He found these organisms in large numbers in sewage and polluted I 1' ’ f *- u ., 1. A_ j¢ " i , . ‘7 :_. - ,1" .afl # p - , » ‘ ‘ 7! r ._ v M A i ‘ , I r .. a E 1 i . L _~-'- I .. W: 7“ ‘ l I J .4 U ‘ _ <3 .. ‘ . . . - j ‘- ell-ti _‘ ____ . ‘ - . ._. 3“} -_ 10 waters which contained no 2. 291.1. He found that 3'3. 923;. gradually disappeared from many specimens of sewage kept in 'the dark in an outside veranda. The organisms which persisted were varieties of streptococci and staphylococci. Winslow and Hunnewell (61) were the first in the United :States to report the presence of "sewage streptococci" in sewage in.l902. They isolated these organisms from the hands of school children in conjunction with‘g.‘ggli and found them to be similar to those found in Boston sewage. Prescott and Baker (#5) found streptococci in 50 samples of polluted water. Winslow and Nibecher (62) reported strep- tococci in "unpolluted" water samples. The latter used a direct plating method and obtained one positive sample out of 259 water samples. Mallmann (35) in 1928 reported that streptococci are constant indicators of intestinal pollution. In these studies the number of organisms present in a swimming pool paralleled the degree of pollution as indicated by the number of bathers. He also reported that‘g.‘ggli grew slightly in water of the pool whereas the streptococci did not. Savage and Wood (51) in 1918 reported that when both coliforms and enterococci were placed into a tank of water with small amounts of organic matter, the streptococci died out in about two weeks. The coliforms persisted for a longer period of time and in some cases actually increased in number. _.u". #__ 11 They concluded that streptococci might be a better indicator of pollution than the coliform.group. Mallmann and Sypien (A2) later made a comparison of the coliform.and streptococci indexes. Samples were taken five feet from.the shore of a bathing beach. The results showed that the coliform index and the total plate count did not always respond to changes in the bathing load. The streptococci indexes however, did show a change. They also reported that the streptococci disappeared overnight while the coliform organisms and total bacterial population as determined by a plate count, showed a slight decrease. Winter and Sandholzer (6A) confirmed the work of Mall- mann and Sypien. They found that the coliform.organism per- sisted in the water for a greater distance from the source of pollution than did the streptococci. Mallmann and Litsky (39) reported a survival of enteric organisms in various types of soil. Using dextrose azide broth as an enrichment medium, they could not isolate entero- cocci from soils which were not treated with sewage. They found that the coliform.arganisms persisted for longer periods of time in sewage treated soils than the entero- cocci did. The latter die out rapidly but not as rapidly as virulent typhoid bacilli. (. _ , ; ’- ,~ 2‘, . e I . i e 3, a“ a "f .’ '4- f x if , v. Q _‘ ' - ' is “in: r: r- ‘ 0 "Ft """" '2? 9 1 a. e _ \. 12 In 1951, Lattanzi and Wood (29) compared enterococci and coliform as indexes of water pollution. They found that the coliform test for water pollution subject to limitation although well established in the field of water bacteriology. Using the technic of Winter and Sandholzer, they examined samples weekly for 11 weeks during the winter months. The results indicated that enterococci densities followed the same pattern as that of coliform.indexes. Litsky gt §l_(33) compared the most probable number of coliform.bacteria and enterococci in raw sewage. They found a positive correlation of +0.9 between the number of coliform bacteria and enterococci in sewage from.the settling tanks of the Amherst sewage treatment plant during the winter, spring and summer months. The investigators also reported that the density of coliform bacteria was approximately 13.3 times that of enterococci. Litsky and Mallmann (32) compared the MPN of the coli- forms and enterococci. They found a positive correlation of +0.8A existing between the number of coliforms and entero- cocci in sAmples taken from the Connecticut River during a two year period. Based upon median value of all the samples collected in this study, the density of enterococci was approximately 7.6 times that of the coliforms. Leininger and McCleskey (31) examined various surface waters to determine bacterial indicators of pollution. In all the waters studied, high total bacterial counts were associated with relatively high coliform count,‘§,‘ggli counts, and enterococci counts. They indicated that dif- ferences between relatively clean and recently polluted water was more strikingly shown by the enterococci test than by the coliform test. Walter and Weaver (57) surveyed 52 wells to determine the value of streptococci as an index of pollution. The numbers of coliform.and streptococci in well waters were identical. 'For the examination of stored samples, however the test for streptococci was slightly superior since they never increased in number whereas the coliform count varied. Ritter gt'gl (A9) compared the coliform.organisms with the enterococci in 595 well waters in Kansas. The data showed there was a positive association of the two groups of bacteria; the chi-square test indicated non-independence with a probability less than 0.001. The enterococci test was preferred to the coliform test. Atypical strains of enterococci were isolated from well water samples of good sanitary quality as determined by the coliform.test. Media Used for the Isolation of Enterococci Prescott and Baker (A5) reported in 190A that when streptococci and E, coli were grown in mixed cultures, Eb coli reached a maximum growth before the streptococci. The ‘Q. ggli_however, were gradually displaced by the streptococci in 20 to 60 hours. In several trials the streptococci com- pletely outgrew the‘E. 391i. Mallmann and Gelpi (38) observed a similar succession of growth in lactose broth. After the coliforms were con- firmed, the tubes were reincubated for A8 hours, centrifuged and examined for streptococci by mkupscopic methods. They also noted that if the tubes were left at room temperature for three days after the initial incubation, a heavy sedi- ment formed in the bottom of the test tube. This they be- lieved was an indication of streptococci. ' Houston (26) in 1930, described a method for the iso- lation of streptococci which is still used by the British Ministry of Health. The original samples were inoculated into lactose broth tubes. The tubes were incubated for 15 to 20 minutes in a 60 C water bath. The organisms were sub- cultured on MacConky agar. The red, pin-point colonies which appeared after A8 hours incubation at 37 C were transferred again to lactose broth. They were then streaked on a ni- trate agar slant. Acid production without gas from lactose was used to indicate streptococci. A short-chain coccus in the water of condensation on the nitrate agar slant, and the absence of nitrate reduction confirmed the presence of streptococci. 15 The first selective medium for enterococci was described 'by'Weissenbach (58) in 1918. He used sterile, filtered, ox-bile as an inhibitory agent. Bagger (A) added a one percent peptone to ox-bile to promote the growth of the streptococci. Confirmation for the streptococci was made by a heat resistance test. In 1932 Fleming (15) found that potassium.tellurite was inhibitory to the coliforms in a concentration of l:l5,000 but permitted enterococci to grow. Harold (19) also used potassium.tellurite in an agar medium. The streptococci ap- peared as small bluish-black colonies, with a peripheral opalescence. Sodium.azide was first used by Hartman (20) in 1937, as an inhibitory agent against grampnegative organisms. Since the introduction of sodium azide, many investigators have used it in media for the detection of enterococci. Mallmann (36) reported in 19A0 a medium using sodium azide for the estimation of enterococci. A broth medium made according to the formula of Darby and Mallmann (11) containing 1 to 5,000 concentration of sodium azide was found to support the growth of streptococci but inhibit growth of the coliform group. Hajna and Perry (18) used this medium.and a A5 C incu- bation temperature for the selection of enterococci. Growth and acid production were regarded as indicative of fecal streptococci. J .‘ /1 If /’ :3 t, . a gift! I ’ I I + . em ;. l' flfufl Ii fit ‘ . 1,, i 1 ~ 16 Chapman (7) in 19AA used a medium containing tripan ‘blue, crystal violet, and sodium.tellurite. The entero- cocci formed a dark brown or a smooth, black, slightly- raised.colony. ‘S. salivarius produced a pale blue, opaque colony and §_. £433.12 produced a small blue colony. Winter and Sandholzer (6A) in 19A6 reported a procedure for the isolation of enterococci. The method consisted of a sodium azide-presumptive broth and a penicillin-methylene blue sodium chloride agar medium. Confirmation of the streptococci is made by microscopic examination and a cata- lase test. Later, Chapman (8) reported another medium for the iso- lation of enterococci. This was a modification of the former medium. It was called "mitis-salivarius agar". On this medium.the enterococci produced a dark blue or a raised black colony. In 1950, Mallmann and Seligmann (A1) made a comparative study of several media used for the detection of enterococci. They reported that an azide dextrose broth gave a high MPN. Positive tubes should be checked microscopically because gram-positive rods also grew in this medium as well as the streptococci. Reinhold, Swern and Hussong (A8) described a plating medium.for the isolation and enumeration of enterococci. The medium.is based on the ability of the enterococci to " g , , ,-.-. 7 V La" ‘ ’7’“ ."‘.- ‘ - J " '.5 “I" "V,II ii”.' l7 utilize sodium citrate as an available carbon source, to convert ditetrazolium chloride to a blue diformazan and to grow in the presence of 0.01 percent sodium azide. The medium was used to isolate and estimate the numbers of enter- ococci in raw milk. Litsky, Mallmann and Fifield (31) reported a new medium .for'the detection of enterococci in water. They designed a selective medium, containing ethyl violet and sodium azide, ‘which is specific for the growth of enterococci from pure cultures or from dextrose azide broth showing growth from sewage contaminated waters. They proposed a new test in 'which dextrose azide broth is used as a presumptive test medium.and ethyl violet azide broth as a confirmatory medium. Surface Plating Technic In 19A8, Reed and Reed (A7) reported a "drOp plate" method for counting viable bacteria. The method was rela- tively simple. A drop of a suitably diluted material delivered by a calibrated pipette was placed on a partially dried agar plate. Six such drops were made on an agar plate. They demp onstrated that counts on pure cultures of bacteria made by the drop plate method are 7 percent higher than those made on the same culture by the pour plate method. They also stated that the technic is less laborious and it is a little more ac- curate with most of the species tested. V C J. .1' 4. ’3\ 18 Campbell and Konowalchuk (6) using the method of Reed and Reed (#7) showed that in parallel counts made by the pour plate method and drop plate method on raw mdlk samples, the drop plate method gave counts which were 27 percent higher than by the pour plate method. They suggested that this discrepancy resulted from.the more efficient breaking up of clumps and chains of bacteria by the dilution procedure used in preparing the drop plate. Females-Lebron and Fernandez (R6) in 1952 used a drop plate method which was similar to that of Reed and Reed. These workers used this method for the estimation of the num- ber of various bacteria in liquids and tissues. Mallmann, Peabody, and Broitman (to) applied the method of PomalesoLebrbn and Fernandez to the enumeration of high— population samples. Milk and polluted waters were used in the experiment. Mallmann and Broitman (37), using the drop plate method of Pomales-Lebron and Fernandez, made a comparison of the drop plate method and the pour plate (standard plate count) on retail milk samples. They concluded that the 36-hour drop plate count was comparable to the hB-hour standard plate count. Membrane Filter Technic for the Enumeration of Enterococci The report by Goetz (16) in 19k? on the nature and use of the membrane filters in Germany, stimulated a number of papers in this country on the membrane filter technic for the bacteriological analysis of water. A still greater in- terest occurred in the membrane filter after the publications of Clark gt‘gl (9) and Goetz (16). These investigators des- cribed a membrane filter procedure for the detection of coli- form and other bacteria in water. They concluded that the .membrane filter technic had distinct advantages over the MPN procedures of Standard Methods for the Examination 9; Max: 8&1 Ms.” ' Slanetz, Bent, and Bartley (55) were the first to adapt the membrane filter technic to the enumeration of entero- cocci in water. They developed a selective medium for use with the membrane filter. With the membrane filter technic, the counts for enterococci were generally higher than those obtained by other procedures. Litsky and Shaer (3h) made a comparative study of the MPN and membrane filter technic for the enumeration of en- terococci. The authors used the technic of Slanetz gt a; (53). and the MPN method of Mallmann, Litsky, and Fifield (31). In waters of low populations, 75 percent of the samples showed a higher count using the MPN technic than with the membrane filter. 55 *American Public Health Association, 10th. edition, 19 . Slanetz, Bartley and Ray (Sh) made further studies on the membrane filter procedures for the determination of the enterococci count in water and sewage. They reported that by incubating the membranes on agar instead of the usual pro- cedure of incubating the membranes on broth pads, the count and the size of the colony increased. In 70 percent of the samples tested, the membrane filter technic gave a higher count than did the MPN method of Litsky g£.g; (31). 21 EXPERIMENTAL Part I: Drop Plate Method Sherman and Albus, Walker and Winslow, demonstrated that the lag phase is the most critical stage in the bac- terial growth cycle. In order to formulate a medium for a drop plate method, a base medium first had to be selected which would support the growth of a minimal inoculum of organ- isms as described by Darby and Mallmann (11). The greater the number of bacteria that survive the critical lag phase, the better the chance that these organisms have to multiply. The following experiments were carried out on the assumption that the shorter the lag phase of a bacterial growth curve, the better the medium is for a particular species. For a base medium, the Mallmann Litsky (31) ethyl vio- let confirmatory medium was investigated. The authors have demonstrated that the concentration of ethyl violet dye ~(0.00083 grams per liter) inhibits the gram-positive bacilli. The concentration of sodium azide (O.h grams per liter) was sufficient to inhibit the growth of the gram-negative bac- teria and still permit the growth of‘§. faecalis. The ob- jective of these growth curve studies was to formulate a medium.not only for'§. faecalis, but also for §. durans, ‘§. nympgenes and‘g. liguefaciens. 22 The Mallmann Litsky medium, minus the peptone and carbo- hydrate was the base medium used in a series of growth curve studies. The first growth curve experiments were carried out to determine a suitable peptone source. Phytone, trypti- case, polypeptone, and phytone plus yeast extract were used. The concentration of the peptones was two percent.“ The growth experiments were executed by using the drop plate method of Females-Lebren and Fernandez (#6). This seemed to be the proper step, since the medium.was being de- signed for drop plate technic. The method lent itself to the conservation of media and glassware. The method used is as follows. An lB-hour culture of .§. faecalis, which was transferred daily for three days, was used as the test organism. The size of the inoculum of‘§. faecalis into the experimenta1.medium was critical, and a pre- liminary count on the culture was made to determine the number of organisms present. The Petroff-Hauser counting chamber was used to make this determination. After the total count was determined, serial dilutions of the culture was made in 99 ml saline dilution blanks to give from five to 25 organ- isms per O-OH ml. The flasks containing 100 m1 of the ex- perimental base medium.were inoculated with the appropriate dilution of the culture. The flasks were shaken on a Boerner shaker for five mdnutes and a sample withdrawn at the end “The peptones were procured from Baltimore Biological Laboratory, Incorporated, Baltimore, Maryland. i. It}! lull \3.\ 23 of the shaking period. A 0.2 ml pipette, graduated in 0.01 ml was used to remove the sample. Duplicate aliquots of 0.01 ml, 0.02 ml, and 0.0h ml were placed on the agar plate at six equally spaced positions. See Plate I. The counts were made on the duplicate drops from the three different amounts; thus the final count shown in the tables is an average of the six counts. Counts were made at the end of 0, three, six, nine, 12 and 15 hours. The agar plates (drop plates) and the base medium were incubated at 37 C. The medium.used in the agar drop plates was recommended by Mallmann and Seligmann (Azide Dextrose Broth) but modified by omitting the sodium azide and adding 1.5 percent agar. Be- fore the agar plates were used, they were dried in an inverted position with the top lid ajar for four hours in a 37 C incu- bator. This drying of the agar allowed the drOp-sample to penetrate into the agar medium within several minutes. The inoculated agar drop plates were incubated at 37 C for AS hours and counted. The drop plates were counted by viewing under a stereosc0pic microscope. See Plate I for a typical drop plate. This method for growth curve studies was repeated, 'using.§. durans,‘§. zymogenes,‘§. liquefaciens. See Figure l for a schematic drawing of the technic used. Comparison growth experiments were conducted using the drop plate method and a colorimeter. A larger inoculum.was . . gigs}! .. at. . o \.\$ 4 ....,.l (ninth .2 .2 .1... . .- '- h PLAI’ v I v‘ ’ ’1 a .. if‘Aezfi ' “x \1 $5.. 83;. ." ... .x. a. ‘.Vv .rv .. 2.... . .7. n. e71} ... . .. .c a, .1, . . ~. - x .1. .VV\ .. a. f 4 . z . l. I. t 1 ‘ . If w :17 ‘ a" ' - is' . . I ~ ,. we 4‘s \ F3 01 FIGURE I DROP PLATE GROWTH CURVE METHOD fl ' ~ g % WWW i .? 99 ML sauna lOO ML or MEDIUM { CULTURE? BLANK ( ‘ ‘ mo DlLUTION ‘ \ a...) 3 HRS.J 6 Has. ( 0"“ ”L suns. ( $ I2 HRS. l5 HRS. 0.02 ML 0.04 MI. DROP PLATE 26 used in the colorimeter.method. The colorhmeter used was the Bausch and Lomb "Spectronic 20", set at 525 millimicrons. The percent light transmission was recorded at zero hour incubation and at the end of every three-hour period for a total of 15 hours incubation. The results are tabulated in Tables 1 and 2. The media used in the experiments had the following formulations: Medium.No. l KZHPOh 2.7 grams/liter 7 Ethyl violet dye 0.00083 7'Base Sodium azide 0.h Sodium chloride - 5.0 J Phytone (BBL) 20.0 Lactose ” 5.0 pH 7.0 Medium.No. 2 Base plus Phytone 20.0 grams/liter Lactose 5.0 Yeast extract 5.0 pH 7.0 Medium NO 0 3 Base plus Lactose 5 .0 grams/liter 27 . H8 :0 . o\mSm “cameo... oom.aa omm ooo.o~ com ooo.ma . ooo.mo oooqm ma oo:.m ooa ooo.m ooa omo.m . omo.ma oaa.a NH omm co owm . oo com om . ooo.a . a oea om oma om oaa - com 00 o om o: o: c: on - cm 0: m 0: on on on on om 0: son “masons o m.oz a.oz .. «.mm a.oz -m.oz a.oz ~.oz H.0m asses: .asaeoz assess .ssaeoa .seaeoz .ssaeos .ssaeoz assoc: seas «condo .w. maoaoamodd: .w. unlommmmelnmm. .m. unused.“ .m doapmosocH (q) 1H .nu - .ozuoze a .nn nephew: 2H zzomelmzampo am .mzmH04mmp Ha .m .mazmoozwu .m .mHueomem .m mo weapon maaqm memo H H1848 PERCENT LIGHT TRANSMISSION AT 525 mp BY ORGANISMS GROWN IN VARIOUS EXPERIMENTAL BASE MEDIA TABLE 2 L‘k Incubation Medium Medium Medium Medium Time No.1 No.2 No.3 No.11 §_e fae 63.118 0 (hours) 100 100 100 100 3 97 96 96 98 6 95 95 91 98 9 93 90 88 98 12 88 SS 87 91 15 1+0 18 75 65 _S_. zmggenes 0 (hours) 100 100 100 100 3 96 93 97 98 6 95 91 9h 98 9 91 88 93 98 12 82 82 93 96 15 uh. no 90 87 _S_. liguefaciens 0 (hours) 100 100 100 100 3 9h 96 96 97 6 91+ 91 91 96 9 92 89 90 96 12 88 82 87 92 15 65 14.0 614. 81 _S_. durans 0 (hours) 100 100 100 100 3 98 96 96 100 6 97 91 91 98 9 9h 90 9o 97 12 82 75 88 91+ 15 an. 35 85 83 .Q . . ‘ _ . _ . / . . ,' _ . ' y l' ‘ '.. .. ‘ l x . . I V r 1 .I . ‘ ‘ 7.x {8; '- _. . ‘ -‘ : ‘ 'u “a -' .. * ." t ' . ‘ -. f I. _ i" I ‘ ~- . . ‘ “ .f 0 _ ~ _ ‘0 7:5“ ‘ tn ._,._.j . - .. ¢" ‘ .0} l1": '2‘! ‘ 29 Polypeptone (BBL) 20.0 pH 7.0 Medium.No. h Base plus Lactose 5.0 grams/liter Trypticase (BBL) 20.0 pH 7.0 Sterilized at 121 C for 15 minutes An examination of the data revealed that there was close relationship between the results of two methods in the growth studies. Medium No. 2 showed the shortest lag phase of the four base media tested for all four organisms used. Medium No. 2, containing 0.5 percent yeast extract, showed a shorter lag phase than medium.No. 1 which did not contain any yeast ex- tract. Medium No. 1 and No. 2 contained phytone as the pep- tone source. The phytone demonstrated a shorter lag phase than the other peptone sources, trypticase (Medium No. 3) and polypeptone (Medium No. 8). A second set of growth experiments was run to determine the effect of lactose and to make a comparison with the Mall- mann Litsky medium. Medium No. 1 contained 0.5 percent lactose and Medium.No. 5 was devoid of lactose. The drop plate nmthod was used as previously described. The data of the second growth experiments are tabulated in Table 3. The ’ I P )})’}illllll‘ll{l(l| TABLE 3 DROP PLATE COUNTS OF ORGANISMS GROWN IN MEDIUM NO. 1, NO. 5, AND MALLMANN LITSKY FORMULATION :- A AAA; fl. Ingflation Medium No. 1 Medium No. 5 Mfiigfign e g. 1.360311; 0 (hours) " 10 15 3 20* 10 15 e - 1.5 25 2° 9 125 35 25 12 175 125 25 15 #00 162 62 §_. zymogenes 0 (hours) 20 20 25 3 20 ’ 30 6 - 3° " 9 32 35 50 12 1200 50 75 15 2000 75 75 s. liguefaciens 0 (hours) 30 15 ’40 3 35 25 5° 6 SS 35 #5 9 75 125 75 12 200 175 75 15 1400 125 75 g. durans 0 (hours) 15 5 20 3 20 15 20 6 60 25 20 9 125 75 SO 12 - " " 15 - " " *0rganisms70 . 01.4. ml . .0 d _ ‘ “1.1 .___ results indicated that the lactose aids in the reduction of a lag phase. This held for the four organisms. The phytone-lactose medium (Medium No. 1) and the phytone medium minus the lactose (Medium No. 5) showed a marked re- duction in the lag phase as compared to the Mallmann Litsky medium. ‘ A third series of growth experiments was run to deter- mine the amount of phytone which could be used in a medium for the enterococci. The data are recorded in Table A. The results indicated that an increasing phytone concentration caused a decreasing lag phase period. A two percent concen- tration of phytone permitted the greatest number of organisms to grow. To determine the amount of lactose which could be used with the base medium containing two percent phytone, the lactose concentration was varied. The amounts of lactose used were: 0.5, 1.0, and 2.0 percent. The results of the experiment are in Table 5. The highest count was observed with §. faecalis at 0.5 percent concentration of lactose, while §. zymogenes was the opposite. é, zympgenes gave a higher count at the two percent lactose concentration. A final series of growth experiments was conducted to establish the combination concentrations of phytone and lac- tose that would yield the shortest lag phase. The phytone concentrations used were 0.5, 1.0, and 2.0 percent and the "II. ‘ . ‘1 : . '19 ' ' .‘ I * ' iii“ . 1 ‘u: t u h ‘ I q :E In " .. W ' i I #5 .’ L 1" _ ‘ r" '1 57.. ‘ , st . 1..» r . - . . .75 .75. A Q . T. . 2 . . LL- ;_ H- J TABLE h DROP PLATE COUNTS OF ORGANISMS GROWN IN A BASE MEDIUM CONTAINING VARIOUS CONCENTRATIONS OF PHYTONE Hours of Concentration of Phytone in Percent Incubation 0 0.5 1.0 2.0 _S_. faecalis 0 10* 15 15 10 1 3 10 10 20 5 A 6 35 20 to 20 1 9 50 50 - AZ 12 50 35 100 275 15 100 125 850 950 2w 212282222 0 3o 30 25 20 3 no 20 25 50 6 50 75 50 35 9 75 50 100 175 12 150 300 u25 850 *0rganisms/0.0L ml. DROP PLATE COUNTS OF S. FAECALIS AND S. ZYMOGENES GROWN IN A TABLE 5 33 BASE MEDIUM CONTAINING VARIOUS AMOUNTS OF LACTOSE Hours of Concentration of Lactose in Percent Incubation 0.5 1.0 2.0 .§- faecalis 0 15* 15 3 10 10 6 110 50 9 325 250 12 1550 675 15 8200 hloo 15 ‘§. zymogenes o 30 25 3 30 30 6 50 125 9 100 280 12 350 925 12 *Organi ems/0. 014. m1 . *fiMedium containing 1.5 percent dextrose and no lactose. 15 225 775 3000 950** 10 20 50 250 1125 850** 1.4 same concentrations of lactose were also used. The results are compiled in Table 6. The results showed that the 2.0 percent concentration of phytone increased the amounts of growth. This was demonstrated in the previous experiments. .§- faecalis exhibited the shortest lag phase when the con- centration of phytone was two percent in combination with a 5. 0.5 percent concentration of lactose. However,‘§. zymogenes 1 grew best in a 2.0 percent concentration of phytone plus a 2.0 percent concentration of lactose. Previous experiments indicated that the yeast extract kg shortened the lag phase for all four test organisms. The results of these series of growth experiments indicated a possible medium for use in a drop plate technic for the detection of enterococci in various waters. The following is the medium to be used in further investigations: K HPO 2.7 grams per liter 2 1+ KHZPOu 2.7 Ethyl violet dye* 0.00083 Sodium azide 0.h Sodium chloride - 5.0 Phytone (BBL) 20 .0 Yeast extract 5.0 Agar 15.0 pH 7.0 Sterilized at 121 C for 15 minutes “National Aniline Division, Allied Chemical and Dye Cor'Poration. Lot No. 12552. Dye content 57.5 percent. TABLE 6 DROP PLATE COUNTS OF S. FAECALIS AND S. ZYMOGENES GROWN IN VARIOUS COMBINATIONS OF PHYTONE AND LACTOSE Hours of Phytone 0.5% Phytone 1.0% Phytone 2.0% Incubation Lactose i Lactose Lactose 0.5% 1.0% 2.0% 0.5% 1.0% 2.0% 0.5% 1.0% 2.0% _S_. faecalis '0 10* 10 10 5 10 20 15 15 5 3 20 15 - 10 lo 30 10 10 15' 6 70 no - 30 30 - 110 50 - 9 62 25 50 200 75 62 325 250 225 12 200 225 75 175 200 175 1550 675 775 15 500 275 75 1250 350 560 8200 8100 3000 _8_. zmogenes 0 '30 30 25 30 20 10 30 25 10 3 - 25 50 30 20 25 30 30 20 6 35 25 50 50 125 75 50 125 50 9 75 25 125 125 175 100 100 280 250 12 325 100 175 h50 300 500 350 925 1125 *Organi sms/O .014. m1. The medium above shall be designated as Ethyl Violet Azide Modified or EVA modified. In order to determine the specificity of the medium, a number of selected test organisms were used. The EVA.modi- fied medium was made up minus the agar and dispensed into test tubes. The organisms were inoculated into the broth r‘ medium. The tubes were read after~h8 hours incubation at 37 C. A plus or minus sign designated growth or absence of growth. The results are tabulated in Table 7. None of the organisms grew except the enterococci (S, faecalis,.§. durans, g S, liggefaciegg, and‘§. zymogenes). The phytone did not interfere with the activity of the sodium azide or the ethyl violet dye. The concentration of sodium azide inhibited the growth of grampnegative organisms and the concentration of ethyl violet dye inhibited the growth of gram-positive bacilli. Five Red Cedar River samples and 22 sewage samples from the East Lansing Sewage Plant were analyzed to determine the number of enterococci. The drop plate method using EVA modified medium, the MPN method of Mallmann Litsky and the EVA modified broth medium.(used in place of the Mallmann Litsky EVA confirmatory medium) were used to enumerate the enterococci. Azide dextrose broth was used as the presump- tive medium.in the last two cases. The results (Table 8) showed that the EVA modified broth medium was 100 percent more effective than the Mallmann TABLE 7 GROWTH OF VARIOUS STRAINS OF ORGANISMS IN THE MODIFIED ETHYL VIOLET AZIDE-PHYTONE MEDIUM -_ l Growth After Species Source R8 Hours Incubation Aerobacter aerogenes MSU (Neu) -577 Pseudomonas aeruginosa MSU - Sarcina citreus MSU - Proteus vulgaris MSU - Sarcina lutea MSU - Chromobacter violaceum MSU‘ - Bacillus cereus MSU (Neu) - Bacillus megatherium MSU " - Bacillus circulans Wayne U. - Bacillus mesentericus Wayne U. - Bacillus subtilis var. aterrimus Wayne U. - Bacillus ruber (of Kiel) Wayne U. - Bacillus rubidum A Wayne U. - E. coli var. mutabilis Wayne U. - E. coli strain B Hayne U. - E. coli MSU - Micrococcus pyogenes var. aureus Brail strain MSU (Neu) - Micro coccus pyogenes var . ' aureus Wayne U. - Micrococcus albug pyogenes Var 0 Wayne U. TABLE 7 (Cont.) Source Growth.After Species he Hours Incubation Micrococcus pyogenes var. roseus Wayne U. - Streptococcus sp. B. hemolytic MSU (Neu) - S. sp. B. hemolytic MSU " A - S. sp. Lancefield E MSU " - S. equisimilis MSU " - s. pyogenes human A MSU '1 - s. faecalis MSU " +** S. durans MSU '3 + S. liquefaciens MSU “ + S. zymogenes MSU " + *Negative, no growth *flPositive, growth M.P.N. Sample Type of Sample TABLE 8 OF ENTEROCOCCI USING AZIDE DEXTROSE BROTH AS A PRESUMPTIVE MEDIUM WITH MALLMANN LITSKY ETHYL VIOLET AZIDE CONFIRMATORY BROTH AND ETHYL VIOLET AZIDE MODIFIED BROTH AS CONFIRMATORY MEDIA. COMPARISON WITH THE DROP PLATE TECHNIC USING ETHYL VIOLET AZIDE MODIFIED AGAR MEDIUM w Mallmann Litsky EVA Modified EVA Drop Plate No. 1 River ulo 17,000 26,300 2 Sewage 130,000 350,000 3R7,000 3 River 2,800 7,000 u,000 h Sewage 79,000 5h0,000 550,000 5 Sewage 170,000 350,000 270,000 6 Sewage 170,000 170,000 820,000 7 River 2,u00 2,h00 6,000 8 Sewage 1,800,000 2,800,000 1,110,000 9 Sewage 36,000 lh0,000 u02,000 10 River 1,100 1,800 5,000 11 Sewage 200.000 2u0,000 820,000 12 Sewage 1,800 1,800 15,000 13 Sewage 79,000 79,000 h10,000 18 River 130 700 2,000 15 Sewage 2h0,000 280.000 920,000 16 Sewage 330,000 890.000 560,000 17 Sewage 330,000 330,000 6h0,000 18 Sewage 19,000 79,000 250,000 19 Sewage 130,000 200.000 1,280,000 20 Sewage 170,000 350,000 350,000 21 Sewage 1,100,000 1,100,000 1,015,000 22 Sewage 35,000 100,000 182,000 ~..__. Log Average. 10,100 81,500 7 158,000 ‘4. \ I "I / LT": V7 . O f '4’ , f ,, 17 . 5‘ ' 1.: rt- ‘ /f I . / t I m i . " ° ‘ 1 ""0 Litsky EVA medium in the MPN method. The drop plate util- izing the EVA modified medium was 98 percent higher than the MPN of the EVA modified confirmatory medium. The results are compiled in Table 8. From.drop plates 259 colonies were isolated and trans- ferred into brain heart infusion broth. The isolations were made under a stereoscopic microscope with 10X magnification. The tubes were incubated at 37 C for 88 hours. From the brain heart infusion broth, transfers were made into the fol- lowing media: brain heart infusion broth for incubation at 85 C in a water bath; 0.1 percent methylene blue in skim milk, brain heart infusion broth with 6.5 percent sodium. chloride, and brain heart infusion broth at a pH of 9.6, incubated at 37 C. If the isolates grew in all four media, the organism was considered to be a member of the enterococci group based on the Sherman classification (52). MicroscOpic examinations were made on the isolated organism. The results are compiled in Table 9. 0f the 259 organisms isolated, 95.8 percent were classified as enterococci. Two types of colonies were present on the'drop plate. One was a round, raised white colony and the other a round, flat, grey colony. The 95.8 percent of the colonies which confirmed as enterococci by the Sherman criteria were white colonies. Forty-one additional isolations were made taking only the flat grey colonies,.and tested by the Sherman criteria TABLE 9 PERCENTAGE OF CONFIRMATION OF 259 COLONIES ISOLATED FROM THE DROP PLATES BY THE SHERMAN STANDARDS FOR ENTEROCOCCI 1 C 0.1% Broth with Broth Micros00pic RS Methylene 6.5% Sod. at Examination - Incubation Blue in Chloride pH Gram positive Skim Milk 9.6 cocci in pair or short chains Number of positives 258 281 282 287 259 Percentage 99.8 95.8 95.6 96.9 100 ‘5. U n . 7, éz‘finh. . ‘. 1‘ . “'95-'37“ ”in-'1. , I I r "I .. “-7 a. _. ._g ‘\ 82 for enterococci. These colonies grew at 85 C but did not mee t the other requirements. The microscopic examination or these isolates revealed gram-positive cocci in pairs or short chains. Their morphology was typically that of the. enterococci. The 81 isolates were transferred every 12 hours for five days in brain heart infusion broth. After 3 the tenth transfer, the organisms were again tested by the Stierman requirements. Four of the 81 isolates were confirmed as enterococci. Based on these data the flat grey colonies ’ i we re atypical or attenuated enterococci. Discussion Many investigators have demonstrated that the enter- o<=c>cci can be used as indicators of fecal pollution. The investigation indicates that the numbers of enterococci re- covered is small as compared to the coliforms recovered. mesa workers considered the enterococci poor indicators or pollution. This may explain why for the past 50 years the enterococci have not been used extensively as indicators or Pollution. Lack of research in this may have been due to the fact that there was no satisfactory medium. Mallmann ELrid Litsky (31) improved the medium for determining the number of Streptococci by adapting it to a MPN method similar to that used for coliforms. The method used azide dextrose br-o th as a presumptive medium and confirmed all the positive azide dextrose tubes in the EVA medium for confirmation. In the development of the Mallmann Litsky EVA confirmatory medium, no attempt was made to study types of peptone used in the for- mulation. Three peptone sources were chosen: phytone, poly- pe ptone, trypticase, and a combination of phytone and yeast eJlt‘bract. The phytone produced the highest number of organisms in the shortest period of time. Phytone is a papaic digestion of soya meal, containing a. considerable quantity of carbohydrate derived from plant 133Lasue. With this in mind, the selection of the amount of c=ar-bohydrate to be used in the medium had to be given some thought. In these studies, dextrose and lactose were used. Dextrose has been used in many formulations for the entero- cOcci. Mallmann and Litsky (31) found that lactose was egually as good as dextrose for the carbohydrate source. A Two percent phytone was found to be a sufficient amount or peptone in the formulation. Varying amounts of lactose and dextrose were used with two percent phytone to find which carbohydrate and the amount that would yield the greatest number of organisms in the shortest period of time. At the end of 12 hours of incubation the growth indicated that S. faecalis multiplied best in a 0.5 percent concen- tration of lactose. The count was 1,550 in this concentra- tion while the) 1.5 percent concentration of dextrose gave r ' I! 11", JIII‘J I ' (l'ullulli' 1 ’}1’}I’1’ ll a count of 275 organisms. S. zymogenes showed a different growth response. At the end of 12 hours of growth, the 2.0 percent concentration of lactose gave a count of 1,125 °Pg anisms per 0.08 ml, while the 1.5 percent concentration 01‘ dextrose gave a count of 850 organisms per 0.08 ml. S. 411 uefaciens and S. durans failed to grow during this particu- 18.1- series of experiments and the trials were not repeated. The enterococci in waters are of fecal origin and too 11 ttle is known of the length of survival or comparative Iillirnbers of different groups. From the isolation of 300 colonies made from EVA modified agar drop plates, 81 were remind to be atypical enterococci. When selecting the colonies to be isolated for confirmation by the Sherman method, one can usually differentiate between the typical and atypical eEnterococci. The typical enterococci are raised white 0010- rIiles and the atypical are flat grey colonies. The white c<31onies were confirmed as enterococci by the Sherman method. The atypical colonies do not confirm, but 99 percent grew at LLS C and have the morphology of enterococci, a gram-positive 00cci in pairs or in short chains. The number of typical ari-Ci atypical enterococci are recorded in Table 10. It can be noted from the table that the number of typical entero- c0001 are in the majority. However, four of the 81 original at379:1.ca1 isolates confirmed after being transferred twice daily for five days. The indication is that the atypical NUMBER OF TYPICAL AND ATYPICAL COLONIES PRESENT ON A SINGLE DROP TABLE 10 PLATE DETERMINATION 1+5 Typical Atypical Total ————\ 1 7 8 11 a 59 27 86 3 9 5 It LL 10 9 l9 5 26 18 80 6 20 10 30 7 20 8 28 8 26 15 81 9 6 8 10 lo 18 8 22 l :L 203 10 213 12 311. 15 329 1.3 9 0 9 AVer-age 56.0 10.0 65.5 enterococci are attenuated typical enterococci and need only to be restored. From several positive tubes of Mallmann Litsky EVA cor11‘irmatory broth, streaks were made on EVA modified agar me dium. After 211 hours incubation at 37 C atypical and tirp :ical enterococci colonies were present. The ratio of the atypical colonies to the typical colonies was one to five. This may support the indication that the Mallmann L1 tsky medium does not support the growth of the atypical A number of Organisms as well as the EVA modified medium. 8Ltypical colonies were seeded into the Mallmann Litsky EVA The atypical organism formed a round, light purple medifllfle button on the bottom of the test tube. When compared to a Pure culture of §. faecalis, which forms a compacted round, purple button on the bottom of the tube, the atypical organ- 1 arms have a much lighter color and the round button is not The same results were demonstrated when EVA as compacted. IIl-‘EDdified broth medium was used in the place of‘Mallmann L1 tsky medium. Ritter 2.15. a; (14.9) has isolated atypical enterococci from good quality well water samples as shown by the coliform test. The atypical enterococci have a definite place of im- For tance in sanitary water supplies and further investiga- tions should be carried out along this line. A new medium has been described in the thesis which is a mOdification of the Mallmann Litsky EVA medium. The EVA i0 117 modified medium used with the drop plate method gives a higher count of enterococci than by any of the methods used today. The drop plate method has some distinct advantages ove :- the time consuming MPN method used by Mallmann and Lit sky. The method can be used in the smallest water labora- tories. The drop plate method gives accurate counts and re- Pr‘oducible results. In addition to higher bacteria counts it conserves media and glassware. With the drop plate method two water samples at three different dilutions can be made on one petri dish. However, the method is not as success- fill in low population waters. It is, therefore, recommended for high population waters, such as grossly‘ polluted rivers and sewage. Some river water samples have been successfully eJiamined for enterococci by using a larger amount of sam;>le than the 0.014. ml. A 0.1 ml sample can be used. Four such 8ia-l'nples can be made on one petri dish. “hula? Il‘lalllllllll‘ Part II: Membrane Filter Method The membrane (molecular) filter, hereinafter designated as HF, was first described by Goetz (16) in 19117. The MP pro cedure has been extensively applied to the bacteriological ana lysis of water. Several investigators have described the MP procedures for the determination of coliform and other bac-. _ ‘-__..;-- teria in water and concluded that the MF might have distinct advantages over the MPN procedure of, Standard Methods for the Examination of Water and Sewage. ‘ Slanetz gt 3; (55) y‘ I.°E><>rted on the use'of the MF technic to enumerate entero- cccci in water. The filter apparatus used in this study is shown in Plate II and Figure 2. The apparatus consisted of a glass f‘J-Iilnel, a fritted glass base on which the membrane rests, and a rubber stopper by which a vacuum flask may be attached by use of a special clamp. The membranes?! are 150 microns, or 0-005 inch thick, and composed of cellulose esters. The membranes are white with an imprinted grid with each square be presenting l/lOOth of the effective filtering area. The Pox-e size of the membrane is such that it will retain particles or 0.5 microns or greater. They were sterilized by placing 151319111 between absorbent pads, wrapped in desired numbers, in Paper, and autoclaved at 121 C. (15 pounds pressure) for 15 minutes. when ready for use, the membranes and pads g 7 “Type EA, 147 mm, Millipore Filter Corporation, Watertown, 2’ M388. u.-. -n. l .1 . d: - , Ii-1-fl.3.... .J. n... .. f I I! I. .4. h: ‘I’ ’ . A . . ill 3%.. .‘W , . . _ V . . . . “ a. .V . a, . ut' mlllPoRE "neg How nun cents nu ' ”u HOLDING CLAMP PART at 3 has; V. . - w‘Nta V: .43‘1 A. ”‘9“ “3" « 51 may be easily handled by placing them.in sterile petri dishes. The glass apparatus was covered with freezer foil and sterilized by autoclaving at 121 C for 15 minutes. The culture media used in the studies are the entero- cocci medium of Slanetz (55) (see Appendix) and the EVA agar medium to which 0.01 percent of 2,3,5 triphenyltetra- r* zolium.chloride (TTC) was added. The TTC was made into a . P one percent stock solution, placed in a brown bottle and steamed for two hours. The TTC solution was added asepti- cally to the above medium. . Li The filtration and cultivation procedures used during these studies were similar to those used for the determina- tion of coliform bacteria in water by various investigators. The various broth culture media tested were added in two ml amounts to the absorbent pad when a broth base was used and five ml were added when an agar base was used. The desired quantity of water sample was filtered through the membrane using a vacuum. The filters were then transferred directly to the petri dishes containing the media. The petri dishes were placed into a plastic vegetable crisper (13%" x 10%" x u%") that closed tightly. A piece of moistened cheese cloth was placed on the bottom of the vegetable crisper to maintain a high relative humidity. The container of petri dishes was incubated at 37 C. After AB hours incubation the colony counts were made, using a stereoscopic microscope magnifying 10 times. III. . .’ Iain!!!» i I. It! i l . . , 1.1. All previous work with the MF has been done with broth media soaked into an absorbent pad. It was thought that the membrane could be incubated directly on an agar medium. The initial studies demonstrated that the membrane could be in- cubated directly on top of an agar medium. It should be noted here that with this procedure the membrane must be r rolled on to the agar surface with care so as not to leave 5 air-pockets between the membrane and the agar. In Table 11 the results of the colony counts are recorded when the mem- weer"? branes are incubated on the agar surface as compared to that incubated on the nutrient broth pads. The results indicate that the membranes incubated on the former gave a slightly higher enterococci count than did the membranes incubated on the nutrient broth pads. The studies on the membrane filter used a white (type HA) membrane which were difficult to count because the enterococci appear as white colonies. A black:HF was tried. The black HA membrane filter was first sterilized by autoclaving at 121 C for five minutes but it became brittle and very difficult to handle. Some membranes were so brittle they could not be touched without breaking. A personal communication (28) regarding the sterilization of the black membranes was as follows: "The filter is, of course, composed of cellulosic-esters. By nature, the chemi— cal bonds are not strong.....The addition of the non- v- 3.9..“ d - -»-v_'V;. i '1 q '5 A I- ' I, I / I " a, | ' — 3::I' V V .‘. . ll. ‘“ . I” ‘ V I": '3' I ~ . A} // i g ‘l l ; . I. “ .~ ‘* I _‘l‘ f . 38 ‘9. 1., 2. I q! l " :- i r r I , 7.I—-‘xa t. . A": '- -_ age _ __ Janna. 1 _.. t ‘ M ’5'}? fits? . -~ . . 1 .. ’5» fl ‘ .. '1 ' ' ul' 53 TABLE 11 ENTEROCOCCI GROWTH ON EVA AGAR MEDIUM AND ON BROTH MEDIUM USING THE MEMBRANE FILTER Sample MP on Agar Base MF on Broth Base (No./10 ml) (No./lo m1) River Water 1 h9h A f 391 " " 2 307 191 " " 3 163 5h " " h 100 93 " " 5 3h 27 1' '3 6 89 70 Average 196 1A1 TABLE 12 COMPARISON OF THE NUMBER OF ENTEROCOCCI GROWN ON EVA MEDIUM USING A WHITE MILLIPORE MEMBRANE AND A BLACK MEMBRANE Sample No. Agar Base Broth Base White Black White Black Membrane Membrane Membrane Membrane (No./S ml) (No./5 ml) (No./S ml) (No./S ml) 1 ‘ 26 ' ' 17 ‘ 3A 13 2 3h 17 8 20 3 3h 26 27 - h 93 #3 70 #3 S 93 36 - AS 6 81 5h 70 A2 Average 60.1 32 51.8 32.6 Wino—7..- _..—._-‘—.. .. —‘E—=|_-J 9 SL1 flourescent dye, which for this purpose must be done in the process of manufacture rather than afterward, seems in some manner to alter the internal bonds of the constituent mole- cules in the filter so that they 33g pg; be sterilized by steam” They may, however, be sterilized either by high voltage as in an electron accelerator Van de Graff machine, or more commonly by ethylene oxide followed by a suitable period of aeration in their container to obviate any inhibi- tory action of residual ethylene oxide in the pores of the filter." Since there was no Van de Graff machine available at the time, or ethylene oxide, the membranes were sterilized by using ultraviolet light. The white colonies on a black background were easier to count. The results of the experiment (Table 12) indi- cated that the black membrane had an effect on the number of colonies that would grow. In every case the white membrane gave higher counts than the black membrane. Slanetz (55) reported the use of the Bac-T-Flexfi mem- brane filter. He stated that the membrane was more flexible and durable than other membranes used. He conducted all his enterococci determinations using the Bac-T-Flex membranes; however, he did not make any comparison of numbers of enter- ococci which would grow on both membranes. This was the *Bac-T-Flex filters (8 mm square grid markings), and S and S absorbent pads No. u07. Supplied by Carl Schleicher and Schuell Company, Keene, N. H. ,-—am "'fifrj.- a 1 ._. 2.. next experiment which was carried out and the results tabu- lated in Table 13. A river water sample was used for the comparison. EVA agar, EVA broth and Slanetz's medium were tested on both the membranes. There was no significant difference in the number of enterococci recovered from.the two membranes. A comparison of the number of enterococci in river water was made by the membrane filter using an EVA medium and Slanetz's medium on Bac-T-Flex membranes. The results of 12 river samples are tabulated in Table IA. The EVA medium.showed a greater recovery of enterococci than the Slanetz medium. Discussion The introduction of MF technic offers a new method by which organismssin slightly polluted waters could be concen- trated on a membrane. This membrane retains the organisms on its surface and allows nutrients to pass through its microscopic pores, permitting growth. The method is advan- tageous when the sample of water that is to be tested needs to be concentrated to detect the microorganisms present. The membranes which were incubated directly on agar medium showed a higher colony count and larger colonies than did the membranes impregnated with broth medium. This was @ la J fie...“ Th.-— ffi _i'jr .. 1‘ i-m TABLE 13 ENTEROCOCCI GROWTH ON A MILLIPORE MEMBRANE AND Bac-T-Flex MEMBRANE EVA Agar EVA Broth Slanetz Medium _ MF BTF MF BTF MF BTF F] 357 3&8 326 .251 268 22? gl 3 315 225 309 262 215 231 5_ J 289 321 276 211.6 262 277 EJ Average: 327 296 303 253 2118 2&5 ‘» COMPARISON OF NUMBERS OF ENTEROCOCCI IN RIVER WATER BY MEMBRANE TABLE 1h FILTER TECHNIC USING SLANETZ MEDIUM AND EVA MEDIUM Sample No. EVA Medium. Slanetz Medium 1 222 17A 2 2&0 152 3 95 52 h 92 5h 5 25 12 6 2A 2A 7 357 268 8 315 215 9 289 262 10 28k 227 11 255 23 1 12 321 277 ; Average 201.6 162.1 . I ‘ as”? {1; x . ._ . ' w. . :21 _ - 1, . ~ , ‘ a . A ‘ .. I x ‘ ' a _a : . j 7 ‘ » z ‘ fl} ' t - A "u I - ea " _ - _ 7 . ' 2 ' I!" i E ' d- "' , ‘ ' ‘ 1 1 j I" e . j . .I 1" . . l‘ . ~ \ I - e II II '! ._ , ?h v 7‘ .‘ ‘ ~_ 1' q - ”‘71- an“ 1:31-5 dew a. , I! _ . '_’ l e. , . 58 noted by Slanetz gt gl_(5u), but no explanation for this oc- currence has been given. Red and pink colonies were isolated from.the membranes grown with Slanetz medium.and the EVA medium. A total of A07 colonies were isolated from the membranes on EVA medium and 168 colonies were isolated from membranes on Slanetz medium. All the isolated colonies were inoculated in brain heart in- fusion broth and incubated for 2h hours at 37 C. From.the brain heart infusion broth transfers were made into: 1) brain heart infusion broth and incubated at MS C, 2) 0.1 percent methylene blue in skim milk, 3) brain heart infusion broth with 6.5 percent sodium chloride, A) brain heart infusion broth at a pH of 9.6. If the organisms grew on all four media, they were considered to be enterococci according to Sherman. A total of 13 colonies from the EVA medium and AB colonies from Slanetz medium.did not confirm as enterococci. The h8 colonies from Slanetz medium were white colonies which were present on the membrane. Thus the EVA medium had a higher percentage of organisms confirmed as enterococci than the isolates from Slanetz medium. 9. T.)-..- '1 ‘ t ,~'r if. 1Q 3; E-np ‘ _ - u i __ "H" [‘9.‘ a? ., ,Oq '\ -: I. N. e _'-. '0 l I I 59 SUMMARY A drop plate technic and a specific medium for growing typical and atypical enterococci have been introduced. After a series of transfers the atypical enterococci proved to be typical enterococci. The atypical enterococci must, therefore, be given consideration in the evaluation of the sanitary quality of water. However, the drop plate method has its limitations in that it is effective only in examina- tion of high population waters. This method detects more enterococci than by the Most Probable Number method described by Mallmann and Litsky. The membrane filter method can serve amply where the limitations of the drop plate technic begin. An Ethyl Violet Azide medium.was introduced which gives slightly higher colony counts of enterococci than the method and medium of Slanetz. The drop plate method detects the greatest number of enterococci in high population waters, whereas the membrane filter method can detect enterococci in low population waters. 10. 11. 12. 13. BIBLIOGRAPHY Alson, J. M. An investigation of streptococci isolated from the alimentary tract of man and certain animals. Jour. Bact., 16:397, 1928. Andrews, F. W. The evolution of the streptococci. Lancet, 2:1A15, 1906. Andrews, F. W. and T. J. Herder. A study of the strepto- cocci pathogenic to man. Lancet, 2:708, 1906. Baggzr, S. V. The enterococcus. Jour. Path., 29:225. 192 . Broadhurst, J. Environmental factor studies of strepto- cocci. Jour. Inf. Dis., 17:277. 1915. Campbell, J. R. and J. Konowalchuk. Comparison of "drop" and "pour plate counts of bacteria in raw milk. Can. Jour. Res. 26E, 327, 19h8. Chapman, G. H. The isolation of streptococci from mixed cultures. Jour. Bact., h8:ll3, 19hh. Chapman, G. H. The isolation and testing of fecal strep- tococci. Am. Jour. Dig. Dis., 13:105, 19u6. Clark, H. F., E. E. Geldreich, H. L. Jeter and P. W. Kabler. The membrane filter in sanitary bacteriology. PUbe Health Rep. 66:951, 1951. Clemesha, W. W. The Bacteriology of Surface Waters in the Tropics. Thacker, Spink and 00., Calcutta, 1912. Darby, C. W. and W. L. Mallmann. Studies on media for coliform organisms. Jour. Am. Water Works Assn., 31: 689. 1939. Dible, J. H. The enterococcus and the fecal strepto- cocci: their properties and relations. Jour. Path. and Bact., 2h:3, 1921. Donaldson, R. The characters of the enterococci. Brit. Med. Jour., 13:188, 1917s _Z‘HA 3:3: ‘ T 15 ‘ I K ~| 15. 16. 17. 18. 19. 20. 21. 22. 23. 25. ’( ‘1 i a Q “ h' ‘ ‘I n, .5 / f : 3;. I - r ‘ ('9‘ I .~'-'\- i? ? ' 5y I V 7.7. l’ .— I¢ ‘ ' i l‘ .' 3!" 1* . ,. u ' ‘ > ’ 7"“? , .. 6 hi. ' ‘ '7. ‘4 fig ’ 1: .‘fl ,, d-..-- . “1*“? 2." ' “*l- '- _I’I _ In I =7» .. , l -> g, I - 61 ‘l‘ .2 f. l .. \ L' J. 9 ,- Escherich, F. Amn. Suisses des. Sc. Med. Ser. H. 2, 11. Cited from Oppenheim. Fleming, A. On the specific antibacterial properties of penicillin and potassium tellurite. Jour. Path. Bact., 35:831, 1932. Goetz, A. and N. Tsuneishi. Application of molecular filter membranes to bacteriological analysis of water. Jour. Am. Water Works Assoc., h3:9h3, 1951. Gordon, M. H. A ready method of differentiating strep- tococci and some results already obtained by its appli- cation. Lancet, 231h00, 1905. Hajna, A. A. and C. A. Perry. Comparative study of presumptive and confirmative media for bacteria of the coliform group and fecal streptococci. Jour. Am. Public Health, 33:550, 19MB. Harold, c. H. H. Thirty-first Annual Report, Metropoli- tan Water Board, London, 1936. Hartman, G. Ein Beitrag zur Beinzuchtung von mastitisstrep- tokokken aus verunreinigen.Mbteria1. Milchw. Forsch., Hirsh, Q. L. and B. Libman. Ein fall von Itreptokokken- Enteritis in Ganglingsalter. Centralbl. f. Bakt. u. Parasit. Abth. l, 23:269, 1897. Holman, W. L. The classification of streptococci. Jour. Med. Hes., 3u:377, 1916. Horrocks, W. H. An Introduction to the Bacteriological Examination of Water. J. and A. Churchill, London, 1901. Houston, A. C. Bacterioscopic Examination of Drinking Water with Particular Reference to the Relation of Streptococci and Staphflococci with Water of this Class, Supplement to the Twenty-eighth Annual Report of the Local Government Board Containing the Report of the Medical Officer for 1898-1899zh67, 1899. Houston, A. C. Supplement to the Thirty-third Annual Report of the Local Government Board, 1903-u. 26. 27. 28. 29. 30. 31. 32. 33- 3h- 35- 36- 37. 38. 39. Houston, A. C. Twenty-fifth Annual Report, Metropoli- tan Water Board, London, 1930. Houston, T. and J. N. McCloy. The relation of the enterococci to "trench fever" and alleid conditions. Lancet, 2:632, 1916. V Kenyon, w. w. Millipore Filter Corp., Wateroftwn 72, Mass. Personal Communication, April 11, 1955. Lattanzi, W. E. and E. W. Mood. A comparison of enter- ococci and E. coli as indices of water pollution. Sewage and Indust. Wastes 23:115h, 1951. Laws, J. P. and F. W. Andrews. Report on the Results of Investigations of Microorganisms of Sewage. Report to London County Council, December 13, 189h. Leininger, H. V. and C. S. McCleskey. Bacterial indica- _tors of pollution in surface waters. Applied Microb. 1:119, 1953. Litsky, W. and W. L. Mallmann. Comparison of MPN of g. coli and enterococci. Am. Jour. Public Health, as: Litsky, W., W. J. Rosenbaum, and R. L. France. A com- parison of the MPN of coliform bacteria and enterococci in raw sewage. Applied Microb. 1:2h7, 1953. Litsky, W. and S. N. Shaer. A comparative study of the MPN and millipore filter methods for the enumeration of enterococci in water. Bact. Proc., 1956. Mallmann, W. L. Streptocci as an indicator of swimmin pool pollution. Am. Jour. Public Health, 18:771, 192 . Mallmann, W. L. A new yardstick for measuring sewage pollution. Sewage Works Jour., 12:875, 19u0. Mallmann, W. L. and S. Broitman. In press. Mallmann, W. L: and A. C. Gelpi, Jr. Chlorine resistance of colon bacilli and streptococci in the swimming pool. Mich. State College Engineering Experiment Station Bulletin 27, 1930. Mallmann, W. L. and W. Litsky. Survival of selected enteric organisms in various types of soil. Am. Jour. Public Health, hl:38, 1951. h0- h1. u2. #3- 1m. #5. 1+6. #7. “.80 #9. 50. 51. 52. 1 ' ' / II- . I .- .t n ' I O .' / E ' , / _ I ," . If ‘ 331,"; Ar 1" . Li. . Q , ‘ I-_ r. , . ,“(fi‘ if 5 V I "x, fit :. ‘3' ~ A I 3 I' . . I "- ' , .‘i _, I ‘ Q: ‘l H s I " ‘l' -. i . . ‘ - - g ‘ (hf-«r u o .rhfi I If" . '. . V. a ‘ ,7 L «J < ‘ . ‘ '. . ' I "H "_"— ' ' I. V. - . a???” at“ - - L‘, L" ”I. ‘ 63 Mallmann, W. L., F. R. Peabody and S. A. Broitman. The application of a surface plating technic to the enumeration of high population samples. Joint meeting of the Michigan and Ohio branch of the S.A.B. Detroit, Mich., March, 1956. Mallmann, W. L. and E. B. Seligmann, Jr. A comparative study of media for the detection of streptococci in wager and sewage. Am. Jour. Public Health, u0:286, 19 0. Mallmann, W. L. and A. Sypien. Pollution indices of natural bathing places. Am. Jour. Public Health, 2H: 681, 193k. Ostrolenk, M. and A. C. Hunter. The distribution of enteric streptococci. Jour. Bact. 51:735, 19h6. Orcutt, M. A. A study of enterococci from.the diges- tive tract of calves. Jour. Bact., 11:129. 1926. Prescott, S. C. and 3. K. Baker. 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Bact., 51:588, 19h6. _—..— _"mw‘g ~m'. “rm.' .~ } APPENDIX Composition of the Various Medium.No. 1 KZHPOH KHZPOu Ethyl violet dyea Sodium azide Sodium chloride Phytone (BBL) Lactose Medium No. 2 KZHPQH KHéPOu Ethyl violet dyefi Sodium azide Sodium chloride Phytone (BBL) Lactose Yeast extract *Ethyl violet dye -- National Aniline Division, Allied No. 12552. Dye Content 57.5 Chemical and Dye Corporation. Lot percent. Experimental Media 2.7 grams/liter 2.7 0.00083 0.h 5.0 20.0 5.0 pH 7.0 2.7 grams/liter 2.7 0.00083 0.h 5.0 20.0. 5.0 5.0 pH 7.0 ”an "k- a Mediu Med Medium No. 3 KZHPOH KH P0 2 h Ethyl violet dyefi Sodium.azide Sodium chloride Lactose Polypeptone (BBL) Medium No . 14. KZHPOu KH P0 2 u Ethyl violet dyea Sodium azide Sodium.chloride Lactose Trypticase (BBL) Medium No. 5 KZHPOH KHZPOH Ethyl violet dyefi Sodium azide Sodium chloride Phytone (BBL) 2.7 grams/liter 2.7 0.00083 o.u 5.0 5.0 20.0 pH 7.0 2.7 grams/liter 2.7 0.00083 o.u 5.0 5.0 2000 pH 7.0 2.7 grams/liter 2.7 0.00083 0.u 5.0 20.0 pH 7.0 66 Malia EV“ Mallmann Litsky Medium KZHPOLL KHZPQh Ethyl violet dye* Sodium.azide Sodium chloride Dextrose Tryptose (Difco) EVA Medium for the MF Technic KZHPOH KHZPOH Sodium azide Sodium.chloride Ethyl violet dyes Lactose Tryptose Slantez Medium Tryptose Yeast extract Dextrose Sucrose KzPou Sodium azide 67 2.7 grams/liter 2.7 0.00083 o.u~ 5.0 15.0 2o.o pH 7.0 2.7 grams/liter 2.7 0.h 5.0 0.00083 15.0 20.0 pH 7.0 k percent 1 0.2 10.0 o.u 000“ PH 700-702 68 Prepare a one percent 2,3,5 triphenyl tetrazolium chloride (TTC) solution, sterilize, and add aseptically to the above two media Just before use to give 0.01 per- cent final concentration. F,_.. “"7“ — -‘-1 A "—40.“ 6* ._.- .6. M:- F‘— fi. - “mic-TWO"? ' '3 JR" ' i . 7 / ,_ . I ’ f" f“ c, .- r r I f... I. ’— a 0 "~ ’ . / . r . f r «I? :- Wftmm~j R005] 13'“: 0”" Date Due at... "2‘3. . I i %J | Demco-293 M'TITITMHILJEMEIfill/ilflfflfijilflllflflifllfl“