
نبض المختبر Lab Pulse
February 16, 2025 at 01:43 PM
*🧫 Proteus - Lab Quick information 🧫*
🔬 *Gram Stain*: Gram-negative bacilli (pleomorphic).
🌱 *Culture Media & Growth:*
✔ *Blood Agar*: Swarming! “Bullseye” pattern. May be β-hemolytic.
✔ *MacConkey*: Colorless (Lac -).
✔ *CLED*: Blue-gray (controls swarming).
✔ *XLD*: Yellow/white, may have black center (H₂S+).
🧪 *Key Biochemical Tests:*
✔ *Urease*: Strong (+).
✔ *Phenylalanine Deaminase:* (+).
✔ *Indole:* P. mirabilis (-), P. vulgaris (+).
✔ *H₂S Production:* (+).
⚠️ *Rising Resistance!* Increasing β-lactamase-producing Proteus spp., including carbapenemase genes (blaOXA-48, blaNDM, blaKPC).
✔ *AST* is Critical! Always test for cephalosporin resistance & ESBLs. Follow latest CLSI M100 guidelines.
✔ *Molecular Detection:* PCR/sequencing enhances resistance gene identification.
✔ *Swarming Control:* Use CLED, short incubation, or small inoculum.
✔ *Microscopy*: Swarming motility seen in wet mounts.
✔ *Characteristic Odor*: Foul, fishy smell due to amines (putrescine, cadaverine).
✔ *Common Infections:* UTIs, wound infections, septicemia.
✔ *Safety*: Standard precautions.
📌*Said Al Jaafari*
*Lab Pulse*
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