Hektoen Enteric Agar (HEA)
Contains bile salt, bromthymol blue, salicin, lactose, and sucrose.
Selective due to bile salt and bromthymol blue
Differential part: due to salicin, lactose, and sucrose in order to
determine the fermentation process/patterns.
Bile salt and dye inhibit the growth of other Gram-negative bacilli to
promote the isolation of Salmonella and Shigella.
pH indicator (and inhibitor): bromthymol blue
H2S indicator: ferric ammonium citrate (producing black precipitate due
to ferric and hydrogen sulfide reaction)
Lactose-fermenting: yellow colonies (with black center for C. fleundii)
Non-lactose-fermenting: blue-green colonies (green with black center for Proteus)
Non-enteric pathogens: orange to pinkish-orange colonies
Xylose Lysine Deoxycholate (XLD) Agar
Useful for the isolation of Salmonella and Shigella species from heavily
contaminated specimens (e.g. stool).
Contains lactose, sucrose, xylose, lysine, and sodium deoxycholate.
pH indicator: phenol red
H2S indicator: Sodium thiosulfate (as sulfide source) and ferric ammonium
sulfate (as iron source) creating a black precipitate as a production of
hydrogen sulfide.
Shigella- pink to red colonies
Salmonella- pink to red colonies with black centers.
Other enterobacteria- yellow (E. Coli) to red colonies
Eosin Methylene Blue (EMB) or Levine Medium
Contains eosin Y, methylene blue, lactose, and sucrose.
pH indicator: eosin and methylene blue, particular indicator for E. coli
E. coli- exhibits green metallic sheen; other LF exhibit purple color.
NLF: colorless colonies
Other coliforms- pink colonies
Salmonella-Shigella Agar (SSA)
Differentiates Salmonella and Shigella spp. from other enteric bacteria.
Bile salts and brilliant green dye inhibit Gram positive and some LF found
in stool specimens.
SSA is mainly used in differentiating these two, but there are also other
organisms that can grow in SSA such as
CHO source: lactose
pH indicator: neutral red
H2S indicator: sodium thiosulfate and ferric ammonium citrate
Salmonella- colorless or pink colonies with black centers
Shigella- colorless or pink colonies without black centers
Serotyping
Identifies strains (serovars or serotypes) of bacteria that differ in their
antigenic composition (Somatic O, flagellar H, capsular K antigens)
Commonly tested organism: Salmonella, Shigella, and E. coli O157:H7
(Enterohemorrhagic E. coli)
Preferred medium for testing: 5% Sheep BA
Uses specific monoclonal antibodies directed against specific antigens
found in the strains and agglutination indicating positive reaction.