Bacillus diphtheriae (Klebs-Loeffler).

Bacillus Hoffmanni.

Bacillus xerosis.

Bacillus septus.

VIII. _Coli-typhoid group._

B. typhi abdominalis (B. typhosus).

B. coli communis.

B. enteritidis (Gaertner).

to contrast with

B. aquatilis sulcatus.

IX. _Escherich group._

B. coli communis (Escherich).

B. coli communior.

B. lactis aerogenes.

B. cloacae.

X. _Gaertner group._

Bacillus enteritidis (Gaertner).

B. paratyphosus A.

B. paratyphosus B.

Bacillus cholerae suum (Hog Cholera).

B. psittacosis.

XI. _Eberth group._

B. typhosus (Eberth).

B. dysenteriae (Shiga).

B. dysenteriae (Flexner).

B. faecalis alcaligines.

XII. _Spirillum group._

Vibrio cholerae.

Vibrio metschnikovi.

to contrast with

Vibrio proteus (Finkler and Prior).

Spirillum rubrum.

Spirillum rugula.

XIII. _Anthrax group._

Bacillus anthracis.

to contrast with

Bacillus subtilis.

Bacillus mycoides.

Bacillus mesentericus fuscus.

XIV. _Acid fast group._

Bacillus tuberculosis (human).

" " (bovine).

" " (avian).

" " (fish).

to contrast with

Bacillus phlei (Timothy grass bacillus).

Butter bacillus of Rabinowitch.

XV. _Plague group._

Bacillus pestis.

B. septicaemiae haemorrhagicae.

B. suipestifer.

XVI. _Influenzae group._

B. influenzae.

Bacillus aegypticus (Koch-Weeks).

Bacillus pertussis.

XVII. _Miscellaneous._

Bacillus leprae.

Bacillus mallei.

Micrococcus melitensis.

XVIII. _Streptothrix group._

Streptothrix actinomycotica.

Streptothrix madurae.

to contrast with

Cladothrix nivea.

XIX. _Tetanus group._

Bacillus tetani.

Bacillus oedematis maligni.

Bacillus chauvei (symptomatic anthrax).

XX. _Enteritidis sporogenes group._

Bacillus enteritidis sporogenes.

B. botulinus.

B. butyricus.

B. cadaveris.

FOOTNOTES:

[15] See note on Vivisection License, page 334.

XXI. BACTERIOLOGICAL ANALYSES.

Each bacteriological or bacterioscopical analysis of air, earth, sewage,

various food-stuffs, etc., includes, as a general rule, two distinct

investigations yielding results of very unequal value:

1. Quantitative.

2. Qualitative.

The first is purely quantitative and as such is of minor importance as

it aims simply at enumerating (approximately) the total number of

bacteria present in any given unit of volume irrespective of the nature

and character of individual organisms.

The second and more important is both qualitative and quantitative in

character since it seeks to accurately identify such pathogenic bacteria

as may be present while, incidentally, the methods advocated are

calculated to indicate, with a fair degree of accuracy, the numerical

frequency of such bacteria, in the sample under examination.

The general principles underlying the bacteriological analyses of water,

sewage, air and dust, soil, milk, ice cream, meat, and other tinned

stuffs, as exemplified by the methods used by the author, are indicated

in the following pages, together with the methods of testing filters and

chemical germicides; and the technique there set out will be found to be

capable of expansion and adaptation to any circumstance or set of

circumstances which may confront the student.

~Controls.~--The necessity for the existence of adequate controls in all

experimental work cannot be too urgently insisted upon. Every batch of

plates that is poured should include at least one of the presumably

"sterile" medium; plate or tube cultures should be made from the various

diluting fluids; every tube of carbohydrate medium that is inoculated

should go into the incubator in company with a similar but uninoculated

tube, and so on.

BACTERIOLOGICAL EXAMINATION OF WATER.

The bacteria present in the water may comprise not only varieties which

have their normal habitat in the water and will consequently develop at

20 deg. C., but also if the water has been contaminated with excremental

matter, varieties which have been derived from, or are pathogenic for,

the animal body, and which will only develop well at a temperature of

37 deg. C. In order to demonstrate the presence of each of these classes

it will be necessary to incubate the various cultivations at each of these

temperatures.

Further, the sample of water may contain moulds, yeasts, or torulae, and

the development of these will be best secured by plating in wort

gelatine and incubating at 20 deg. C.

~1. Quantitative.~--

_Collection of the Sample._--The most suitable vessels for the reception

of the water sample are small glass bottles, 60 c.c. capacity, with

narrow necks and overhanging glass stoppers (to prevent contamination of

the bottle necks by falling dust). These must be carefully sterilised in

the hot-air steriliser (_vide_ page 31).

(a) If the sample is obtained from a ~tap~ or ~pipe~, turn on the water

and allow it to run for a few minutes. Remove the stopper from the

bottle and retain it in the hand whilst the water is allowed to run into

the bottle and three parts fill it. Replace the stopper and tie it down,

but _do not seal it_.

(b) If the sample is obtained from a ~stream~, ~tank~, or ~reservoir~,

fasten a piece of stout wire around the neck of the bottle, remove the

stopper, and retain it in the hand. Then, using the wire as a handle,

plunge the bottle into the water, mouth downward, until it is well

beneath the surface; then reverse it, allow it to fill, and withdraw it

from the water. Pour out a few cubic centimetres of water from the

bottle, replace the stopper, and tie it down.

[Illustration: FIG. 203.--Esmarch's collecting bottle for water

samples.]

(c) If the sample is obtained from a ~lake~, ~river~ or the ~sea~; or when

it is desired to compare samples taken at varying depths, the apparatus

designed by v. Esmarch (Fig. 203) is employed. In this the sterilised

bottle is enclosed in a weighted metal cage which can be lowered, by

means of a graduated line, until the required depth is reached. At this

point the bottle is opened by a thin wire cord attached to the stopper;

when the bottle is full (as judged by the air bubbles ceasing to rise)

the pull on the cord is released and the tension of the spiral spring

above the stopper again forces it into the neck of the bottle. When the

apparatus is taken out of the water, the small bottles are filled from

it, and packed in the ice-box mentioned below.

An inexpensive substitute for Esmarch's bottle can be made in the

laboratory thus:

Select a wide-mouthed glass stoppered bottle of about 500 c.c. capacity

(about 20 cm. high and 8 cm. in diameter).

Remove the glass stopper and insert a rubber cork with two perforations

in its place.

Through one perforation pass a piece of glass tubing about 5 cm. long

and through the other a piece 22 cm. long, reaching to near the bottom

of the bottle, each tube projecting about 2.5 cm. above the rubber

stopper. Plug the open ends of the tubes with cotton wool. Secure the

stopper in place with thin copper wire.

[Illustration: FIG. 204.--Thresh's deep water sampling bottle.]

Sterilise the fitted bottle in the autoclave. Remove the cotton wool

plugs and connect the projecting tubes by a piece of loosely fitting

stout rubber pressure tubing about 5 cm. long, previously sterilised by

boiling.

Take a piece of stout rubber cord about 33 cm. long, and of 10 mm.

diameter (such as is used for door springs) thread a steel split ring

upon it and secure the free ends tightly to the neck of the bottle by

cord or catgut.

Attach the cord used for lowering the bottle into the water to the split

ring on the rubber suspender. The best material for this purpose is

cotton insulated electric wire knotted at every metre.

Connect the split ring also with the short piece of rubber tubing

uniting the two glass tubes by a piece of catgut (or thin copper wire)

of such length that when the bottle is suspended there is no pull upon

the rubber tube, but which, however, will be easily jerked off when a

sharp pull is given to the suspending cord.

Now wind heavy lead tubing about 1 cm. diameter around the upper part of

the bottle, starting at the neck just above the shoulder. This ensures

the sinking of the bottle in the vertical position (Fig. 204).

The apparatus being arranged is lowered to the required depth, a sharp

jerk is then given to the suspending cord, which detaches the rubber

tube and so opens the two glass tubes. Water enters through the longer

tube and the air is expelled through the shorter tube. The bubbles of

air can be seen or heard rising through the water, until the bottle is

nearly full, a small volume of compressed air remaining in the neck of

the bottle.

As the apparatus is raised, the air thus imprisoned expands, and

prevents the entry of more water from nearer the surface.

[Illustration: FIG. 205.--Ice-box for transmission of water samples,

etc.]

_Transport of Sample._--If the examination of the sample cannot be

commenced immediately, steps must be taken to prevent the multiplication

of the bacteria contained in the water during the interval occupied in

transit from the place of collection to the laboratory. To this end an

ice-box such as that shown (in Fig. 205) is essential. It consists of a

double-walled metal cylinder into which slides a cylindrical chamber of

sufficient capacity to accommodate four of the 60 c.c. bottles; this in

turn is covered by a metal disc--the three portions being bolted

together by thumb screws through the overhanging flanges. When in use,

place the bottles, rolled in cotton-wool, in the central chamber, pack

the space between the walls with pounded ice, securely close the metal

box by screwing down the fly nuts, and place it in a felt-lined wooden

case. (It has been shown that whilst bacteria will survive exposure to

the temperature of melting ice, practically none will multiply at this

temperature.)

On reaching the laboratory, the method of examination consists in adding

measured quantities of the water sample to several tubes of nutrient

media previously liquefied by heat, pouring plate cultivations from each

of these tubes, incubating at a suitable temperature, and finally

counting the colonies which make their appearance on the plates.

_Apparatus Required_:

Plate-levelling stand.

Case of sterile plates.

Case of sterile pipettes, 1 c.c. (in tenths of a cubic centimetre).

Case of sterile pipettes, 10 c.c. (in tenths of a cubic centimetre).

Case of sterile capsules, 25 c.c. capacity.

Tubes of nutrient gelatine.

Tubes of nutrient agar.

Tubes of wort gelatine.

One 250 c.c. flask of sterile distilled water.

Tall cylinder containing 2 per cent. lysol solution.

Bunsen burner.

Grease pencil.

Water-bath regulated at 42 deg. C.

METHOD.--

1. Arrange the plate-levelling platform with its water compartment

filled with water, at 45 deg. C.

2. Number the agar tubes, consecutively, 1 to 6; the gelatine tubes,

consecutively, 1 to 6, and the wort tubes, 1, 2, and 3. Flame the plugs

and see that they are not adherent to the lips of the tubes.

3. Place the agar tubes in boiling water until the medium is melted,

then transfer them to the water-bath regulated at 42 deg. C. Liquefy the

nutrient gelatine and wort gelatine tubes by immersing them in the same

water-bath.

4. Remove the bottle containing the water sample from the ice-box,

distribute the bacterial contents evenly throughout the water by

shaking, cut the string securing the stopper, and loosen the stopper,

but do not take it out.

[Illustration: FIG. 206.--Withdrawing water from water sample bottle.]

5. Remove one of the 1 c.c. pipettes from the case, holding it by the

plain portion of the tube. Pass the graduated portion twice through the

Bunsen flame. Tilt the bottle containing the water sample on the bench

holding the neck between the middle and ring fingers of the left hand;

grasp the head of the stopper between the forefinger and thumb, and

remove it from the bottle.

6. Pass the pipette into the mouth of the bottle, holding its point well

below the surface of the water (Fig. 206). Suck up rather more than 1

c.c. into the pipette and allow the pipette to empty; this moistens the

interior of the pipette and renders accurate measurement possible. Now

draw up exactly 1 c.c. into the pipette. Withdraw the pipette from the

bottle, replace the stopper, and stand the bottle upright.

7. Take the first melted agar tube in the left hand, remove the

cotton-wool plug, and add to its contents 0.5 c.c. of the water sample

from the pipette; replug the tube and replace it in the water-bath. In a

similar manner add 0.3 c.c. water to the contents of the second tube,

and 0.2 c.c. to the contents of the third.

8. In a similar manner add 1 c.c. of the sample to the contents of the

fourth tube.

9. Similarly, add 0.5 c.c. and 0.1 c.c. respectively to the contents of

the fifth and sixth tubes.

10. Drop the pipette into the cylinder containing lysol solution.

11. Mix the water sample with the medium in each tube in the manner

described under plate cultivations; pour a plate from each tube. Label

each plate with (a) the distinctive number of the sample, (b) the

quantity of water sample it contains, and (c) the date.

12. Pour the contents of a tube of liquefied agar--not inoculated--into

a Petri dish to act as a control to demonstrate the sterility of the

batch of agar employed.

13. Allow the plates to set, and incubate at 37 deg. C.

14. Empty the water chamber of the levelling apparatus and refill it

with ice-water.

15. By means of the sterile 10 c.c. pipette deliver 9.9 c.c. sterile

distilled water into a sterile glass capsule.

16. Add 0.1 c.c. of the water sample to the 9.9 c.c. sterile water in

the capsule. This will give a dilution of 1 in 100.

17. Plant the six tubes of nutrient gelatine in the following manner: To

the first tube add 0.5 c.c. of the water sample direct from the bottle;

to the second, 0.3 c.c.; and to the third, 0.2 c.c.; and pour a plate of

each tube. To the fourth tube add 0.5 c.c. of the diluted water sample

from the capsule; to the fifth, 0.3 c.c.; and to the sixth, 0.2 c.c.;

and pour a plate from each.

18. Label each plate with the quantity of the water sample it

contains--that is, 0.5 c.c., 0.3 c.c., 0.2 c.c., 0.005 c.c., 0.003 c.c.,

and 0.002 c.c.

19. Pour a control (uninoculated) gelatine plate.

20. Allow the plates to set, and incubate at 20 deg. C.

21. To the first tube of liquefied wort gelatine add 0.5 c.c. water

sample; to the second, 0.3 c.c.; and to the third, 0.2 c.c.

22. Label the plates, allow them to set, and incubate at 20 deg. C.

23. Count and record the number of colonies that have developed upon the

agar at 37 deg. C. after forty-eight hours' incubation.

24. Note the number of colonies present on each of the gelatine and wort

gelatine plates after forty-eight hours' incubation.

25. Replace the gelatine and wort plates in the incubator; observe again

at three days, four days, and five days.

26. Calculate and record the number of organisms present per cubic

centimetre of the original water from the average of the six gelatine

plates at the latest date possible up to seven days--the presence of

liquefying bacteria may render the calculation necessary at an earlier

date, hence the importance of daily observations.

_Method of Counting._--The most accurate method of counting the colonies

on each of the plates is by means of either Jeffery's or Pakes' counting

disc. Each of these discs consists of a piece of paper, upon which is

printed a dead black disc, subdivided by concentric circles and radii,

printed in white. In Jeffery's counter (Fig. 207), each subdivision has

an area of 1 square centimetre; in Pakes' counter (Fig. 208), radii

divide the circle into sixteen equal sectors, and counting is

facilitated by concentric circles equidistant from the centre.

[Illustration: FIG. 207.--Jeffery's disc, reduced.]

[Illustration: FIG. 208.--Pakes' disc, reduced.]

(a) In the final counting of each plate, place the plate over the

counting disc, and centre it, if possible, making its periphery coincide

with one or other of the concentric circles.

(b) Remove the cover of the plate, and by means of a hand lens count the

colonies appearing in each of the sectors in turn. Make a note of the

number present in each.

(c) If the colonies present are fewer than 500, the entire plate should

be counted. If, however, they exceed this number, enumerate one-half, or

one-quarter of the plate, or count a sector here and there, and from

these figures estimate the number of colonies present on the entire

plate. In practice it will be found that Pakes' disc is more suitable

for the former class of plate; Jeffery's disc for the latter. It should

be recollected however that unless the plates have been carefully

leveled and the medium is of equal thickness all over it is useless to

try and average from small areas--since where the medium is thick all

the bacteria will develop, where the layer is a thin one, only a few

bacteria will find sufficient pabulum for the production of visible

colonies.

It will be noted that the quantities of water selected for addition to

each set of tubes of nutrient media have been carefully chosen in order

to yield workable results even when dealing with widely differing

samples. Plates prepared in agar with 0.1 c.c. and in gelatin with 0.02

c.c. can be counted even when large numbers of bacteria are present in

the sample; whereas if micro-organisms are relatively few, agar plate 4

and gelatine plate 1 will give the most reliable counts. Again the

counts of the plates in a measure control each other; for example, the

second and third plates of each gelatine series should together contain

as many colonies as the first, and the second should contain about half

as many more than the third and so on.

2. Qualitative Examination.--

_Collection of Sample._--The water sample required for the routine

examination, which it will be convenient to consider first, amounts to

about 110 c.c. It is collected in the manner previously described

(_vide_ page 416); similar bottles are used, and if four are filled the

combined contents, amounting to about 240 c.c., will provide ample

material for both the qualitative and quantitative examinations. Unless

the examination is to be commenced at once, the ice-box must be

employed, otherwise water bacteria and other saprophytes will probably

multiply at the expense of the microbes indicative of pollution, and so

increase the difficulties of the investigation.

In the routine examination of water supplies it is customary to limit

the qualitative examination to a search for

A. B. coli and its near allies.

B. Streptococci,

organisms which are frequently spoken of as microbes of indication, as

their presence is held to be evidence of pollution of the water by

material derived from the mammalian alimentary canal, and so to

constitute a danger signal.

C. Some observers still attach importance to the presence of B.

enteritidis sporogenes, but as the search for this bacterium,

(relatively scarce in water) necessitates the collection of a fairly

large quantity of water it is not usually included in the routine

examination.

In the case of water samples examined during the progress of an

epidemic, of new supplies and of unknown waters the search is extended

to embrace other members of the coli-typhoid group; and on occasion the

question of the presence or absence of Vibrio cholerae or (more rarely)

such bacteria as B. anthracis or B. tetani, may need investigation.

When pathogenic or excremental bacteria are present in water, their

numbers are relatively few, owing to the dilution they have undergone,

and it is usual in commencing the examination, to adopt one or other of

the following methods:

A. _Enrichment_, in which the harmless non-pathogenic bacteria may be

destroyed or their growth inhibited, whilst the growth of the parasitic

bacteria is encouraged.

This is attained by so arranging the environment, (i. e., Media,

incubation temperature, and atmosphere) as to favor the growth of the

pathogenic organisms at the expense of the harmless saprophytes.

B. _Concentration_, whereby all the bacteria present in the sample of

water, pathogenic or otherwise, are concentrated in a small bulk of

fluid.

This is usually effected by filtration of the water sample through a

porcelain filter candle, and the subsequent emulsion of the bacterial

residue remaining on the walls of the candle with a small measured

quantity of sterile bouillon.

A. ~Enrichment Method.~

(Dealing with the demonstration of bacteria of intestinal origin.)

_Apparatus Required_ (_Preliminary Stage_):

Incubator running at 42 deg. C.

Case of sterile pipettes, 1 c.c. graduated in tenths.

Case of sterile pipettes, 10 c.c. graduated in c.c.

Case of sterile pipettes, graduated to deliver 25 c.c.

Tubes of bile salt broth (_vide_ page 180).

Flask of double strength bile salt broth (_vide_ page 199).

Tubes of litmus silk.

Sterile flasks, 250 c.c. capacity.

Buchner's tubes.

Tabloids pyrogallic acid.

Tabloids sodium hydrate.

Bunsen burner.

Grease pencil.

(_Later stage_):

Incubator running at 37 deg. C.

Surface plates of nutrose agar (see page 232).

Aluminium spreader.

Tubes of various media, including carbohydrate media.

Agglutinating sera, etc.

METHOD.--

1. Number a set of bile salt broth, tubes 1-5, and a duplicate set

1a-5a.

2. Number one flask 7 and another 8.

3. To Tubes No. 1 and 1a add 0.1 c.c. water sample.

To Tubes No. 2 and 2a add 1 c.c. water sample.

To Tubes No. 3 and 3a add 2 c.c. water sample.

To Tubes No. 4 and 4a add 5 c.c. water sample.

To Tubes No. 5 and 5a add 10 c.c. water sample.

4. Put up all the tubes in Buchner's tubes and incubate anaerobically at

42 deg. C.

NOTE.--The bile salt medium is particularly suitable for the

cultivation of bacteria of intestinal origin, and at the

same time inhibits the growth of bacteria derived from other

sources.

The anaerobic conditions likewise favor the multiplication of intestinal

bacteria, and also their fermentative activity. The temperature 42 deg. C.

destroys ordinary water bacteria and inhibits the growth of many

ordinary mesophilic bacteria.

5. Pipette 25 c.c. of double strength bile salt broth into flask 6, and

50 c.c. double strength bile salt broth into flask 7.

6. Pipette 25 c.c. water sample into flask 6, and 50 c.c. water sample

into flask 7.

7. Incubate the two flasks aerobically at 42 deg. C.

8. After twenty-four hours incubation note in each culture:

a. The presence or absence of visible growth.

b. The reaction of the medium as indicated by the colour change, if

any, the litmus has undergone.

c. The presence or absence of gas formation, as indicated by a froth

on the surface of the medium, and the collection of gas in the inner

"gas" tube.

9. Replace those tubes which show no signs of growth in the incubator.

Examine after another period of twenty-four hours (total forty-eight

hours incubation) with reference to the same points.

10. Remove culture tubes which show visible growth from the Buchner's

tubes, whether acid production and gas formation are present or not.

11. Examine all tubes which show growth by hanging-drop preparations.

Note such as show the presence of chains of cocci.

12. Prepare surface plate cultivations upon nutrose agar from each tube

that shows growth either macroscopically or microscopically, and

incubate for twenty-four hours aerobically at 37 deg. C.

13. Examine the growth on the plates either with the naked eye or with

the help of a small hand lens. Practice will facilitate the recognition

of colonies of the coli group, the typhoid group and the paratyphoid

group; also those due to the growth of streptococci. The investigation

from this stage proceeds along two divergent lines of enquiry--the first

being concerned with the identity of the bacilli--typhoid bacilli, the

second with that of the cocci.

A. _B. Coli and its allies._

14. Pick off coliform or typhiform colonies; make streak or smear

subcultivations upon nutrient agar; incubate aerobically for twenty-four

hours at 37 deg. C.

The elements of bacteriological technique · 第 25 / 33 段