Tiny colony < 0.5 mm

  

        Flow chart for streptococci on Blood Agar Plate (BAP )
BAP or SBA: An abbreviation for blood agar plate or sheep bloog agar. Blood agar contains mammalian blood (usually sheep, rabbit or hrose), typically at a concentration of 5-10%. Blood agar is an enriched media used to isolate bacteria and to detect hemolytic activity.

@ Ellen Jo Baron 2007

     

Yes

Enterococcus

Grp. B = CAMP + & PYR Neg
PYR test: the PYR test is a qualitative procedure for determining the ability of streptococci to enzymatically hydrolyze L-pyrrolidonyl- β-napthylamide (PYR). A positive PYR tests allows for the presumptive identification of group A streptococci (Streptococcus pyogenes) and group D Enterococci.
Campy agar: Campylobacter CVA Agar is a selective medium used in the primary isolation and cultivation of Campylobacter jejuni from human fecal specimens. This selective medium contains cefoperazone, vancomycin and amphotericin B; this combination of antimicrobial agents inhibits the normal fecal flora for easier detection of C. jejuni.
   No and PYR +
PYR test: the PYR test is a qualitative procedure for determining the ability of streptococci to enzymatically hydrolyze L-pyrrolidonyl- β-napthylamide (PYR). A positive PYR tests allows for the presumptive identification of group A streptococci (Streptococcus pyogenes) and group D Enterococci.
       PYR +
PYR test: the PYR test is a qualitative procedure for determining the ability of streptococci to enzymatically hydrolyze L-pyrrolidonyl- β-napthylamide (PYR). A positive PYR tests allows for the presumptive identification of group A streptococci (Streptococcus pyogenes) and group D Enterococci.

          Bile soluble
Bile Solubility: The bile solubility test is a qualitative procedure for determining the ability of bacterial cells to lyse in the presence of bile salts (sodium desoxycholate) under specific conditions of time and temperature. The test is primarily used to differentiate bile soluble Streptococcus pneumoniae from bile insoluble alpha-hemolytic streptococci.
 ▪ Gram positive cocci pairs & chains

 ▪ Catalase negative

Gram stain: The Gram stain, is a laboratory staining technique that distinguishes between two groups of bacteria that have differences in the structure of their cell walls. Standard bacterial taxonomy makes a distinction between Gram-negative bacteria, which stain red/pink and the Gram-positive bacteria, which stain blue/purple. Different antimicrobial agents are directed specifically at gram-positive bacteria and gram-negative bacteria.
Catalase test: The catalase test is used to differentiate some bacterial species. The test is done by placing a drop of hydrogen peroxide on a microscope slide. Using an applicator stick, a small portion of a colony is then added to a drop of hydrogen peroxide drop.

   Beta hemolytic
Beta hemolysis (β-hemolysis): Beta hemolysis is the complete lysis of the red blood cells around and under the colonies on a blood agar plate. This area appears transparent. Streptococcus pyogenes displays beta hemolysis and is often called Group A beta-hemolytic strep (GABHS).
  Alpha or non-hemolytic
Alpha hemolysis (α-hemolysis): Alpha hemolysis is the incomplete lysis of the red blood cells around and under the colonies on a blood agar plate. This area appears dark and greenish. Streptococcus pneumoniae and a group of streptococci (Streptococcus viridans or viridans streptococci) found in oral flora display alpha hemolysis.
Non-hemolytic (γ-hemolysis): If an organism does not induce any hemolysis on a blood agar plate, it is said to display gamma or no hemolysis. The agar under and around the colony is unchanged.

 No

 Other alpha strep

No
Regular size colony
Tiny colony < 0.5 mm
 No

 Other beta strep

 Yes

 S. pyogenes

 Soft hemolysis only

 under colony

  Regular size colony

S. anginosus ("S. milleri")

  group

Caramel, burnt sugar, or

   butterscotch smell

▪ Can have grp A, C, G, or

   F antigen

Yes

S. pneumo

Yes

Group B Strep or rarely

Enterococcus (PYR +)