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diff --git a/27713.txt b/27713.txt new file mode 100644 index 0000000..d98ecf0 --- /dev/null +++ b/27713.txt @@ -0,0 +1,24025 @@ +The Project Gutenberg eBook of The Elements of Bacteriological Technique, +by John William Henry Eyre + + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + + + + +Title: The Elements of Bacteriological Technique + A Laboratory Guide for Medical, Dental, and Technical Students. Second Edition Rewritten and Enlarged. + + +Author: John William Henry Eyre + + + +Release Date: January 5, 2009 [eBook #27713] + +Language: English + +Character set encoding: ISO-646-US (US-ASCII) + + +***START OF THE PROJECT GUTENBERG EBOOK THE ELEMENTS OF BACTERIOLOGICAL +TECHNIQUE*** + + +E-text prepared by Suzanne Lybarger, Brian Janes, Josephine Paolucci, and +the Project Gutenberg Online Distributed Proofreading Team +(https://www.pgdp.net) + + + +Note: Project Gutenberg also has an HTML version of this + file which includes the original illustrations. + See 27713-h.htm or 27713-h.zip: + (https://www.gutenberg.org/dirs/2/7/7/1/27713/27713-h/27713-h.htm) + or + (https://www.gutenberg.org/dirs/2/7/7/1/27713/27713-h.zip) + + +Transcriber's note: + + Text enclosed by tilde marks was in bold face in the original + (~bold~). + + Text enclosed by underscore marks is in italics (_italics_). + The italic designation for single italized letters (such as + variables in equations) and "foreign" abbreviations has been + omitted for ease of reading. + + In numbers, equations, and chemical formulas, an underscore + indicates that the following term enclosed within curly + brackets is a subscript. Examples: CO_{2}, H_{2}SO_{4}. + A carat character indicates that the following term enclosed + within curly brackets is a superscript. For example, 11.1^{3} + is 11.1 to the third power. + + Minor typographical errors have been corrected. + + + + + +THE ELEMENTS OF BACTERIOLOGICAL TECHNIQUE + +A Laboratory Guide for Medical, Dental, and Technical Students + +by + +J. W. H. EYRE, M.D., M.S., F.R.S. (EDIN.) + +Director of the Bacteriological Department of Guy's Hospital, London, +and Lecturer on Bacteriology in the Medical and Dental Schools; formerly +Lecturer on Bacteriology at Charing Cross Hospital Medical School, and +Bacteriologist to Charing Cross Hospital; sometime Hunterian Professor, +Royal College of Surgeons, England + +Second Edition Rewritten and Enlarged + + + + + + + +Philadelphia and London +W. B. Saunders Company +1913 + +Copyright, 1902, by W. B. Saunders and Company Revised, entirely +reset, reprinted, and recopyrighted July, 1913 + +Copyright, 1913, by W. B. Saunders Company + +Registered at Stationers' Hall, London, England + +Printed in America +Press of +W. B. Saunders Company +Philadelphia + + + + +TO THE MEMORY OF + +JOHN WICHENFORD WASHBOURN, C.M.G., M.D., F.R.C.P. + +Physician to Guy's Hospital and Lecturer on Bacteriology in the +Medical School, and Physician to the London Fever Hospital + +MY TEACHER, FRIEND, AND CO-WORKER + + + + +PREFACE TO THE SECOND EDITION + + +Bacteriology is essentially a practical study, and even the elements of +its technique can only be taught by personal instruction in the +laboratory. This is a self-evident proposition that needs no emphasis, +yet I venture to believe that the former collection of tried and proved +methods has already been of some utility, not only to the student in the +absence of his teacher, but also to isolated workers in laboratories far +removed from centres of instruction, reminding them of forgotten details +in methods already acquired. If this assumption is based on fact no +further apology is needed for the present revised edition in which the +changes are chiefly in the nature of additions--rendered necessary by +the introduction of new methods during recent years. + +I take this opportunity of expressing my deep sense of obligation to my +confrere in the Physiological Department of our medical school--Mr. J. +H. Ryffel, B. C., B. Sc.--who has revised those pages dealing with the +analysis of the metabolic products of bacterial life; to successive +colleagues in the Bacteriological Department of Guy's Hospital, for +their ready co-operation in working out or in testing new methods; and +finally to my Chief Laboratory Assistant, Mr. J. C. Turner whose +assistance and experience have been of the utmost value to me in the +preparation of this volume. I have also to thank Mrs. Constant Ponder +for many of the new line drawings and for redrawing a number of the +original cuts. + + JOHN W. H. EYRE. + + GUY'S HOSPITAL, S. E. + _July, 1913._ + + + + +PREFACE TO THE FIRST EDITION + + +In the following pages I have endeavoured to arrange briefly and +concisely the various methods at present in use for the study of +bacteria, and the elucidation of such points in their life-histories as +are debatable or still undetermined. + +Of these methods, some are new, others are not; but all are reliable, +only such having been included as are capable of giving satisfactory +results even in the hands of beginners. In fact, the bulk of the matter +is simply an elaboration of the typewritten notes distributed to some of +my laboratory classes in practical and applied bacteriology; +consequently an attempt has been made to present the elements of +bacteriological technique in their logical sequence. + +I make no apology for the space devoted to illustrations, nearly all of +which have been prepared especially for this volume; for a picture, if +good, possesses a higher educational value and conveys a more accurate +impression than a page of print; and even sketches of apparatus serve a +distinct purpose in suggesting to the student those alterations and +modifications which may be rendered necessary or advisable by the +character of his laboratory equipment. + +The excellent and appropriate terminology introduced by Chester in his +recent work on "Determinative Bacteriology" I have adopted in its +entirety, for I consider it only needs to be used to convince one of its +extreme utility, whilst its inclusion in an elementary manual is +calculated to induce in the student habits of accurate observation and +concise description. + +With the exception of Section XVII--"Outlines for the Study of +Pathogenic Bacteria"--introduced with the idea of completing the volume +from the point of view of the medical and dental student, the work has +been arranged to allow of its use as a laboratory guide by the technical +student generally, whether of brewing, dairying, or agriculture. + +So alive am I to its many inperfections that it appears almost +superfluous to state that the book is in no sense intended as a rival to +the many and excellent manuals of bacteriology at present in use, but +aims only at supplementing the usually scanty details of technique, and +at instructing the student how to fit up and adapt apparatus for his +daily work, and how to carry out thoroughly and systematically the +various bacterioscopical analyses that are daily demanded of the +bacteriologist by the hygienist. + +Finally, it is with much pleasure that I acknowledge the valuable +assistance received from my late assistant, Mr. J. B. Gall, A. I. C., in +the preparation of the section dealing with the chemical products of +bacterial life, and which has been based upon the work of Lehmann. + + JOHN W. H. EYRE. + + GUY'S HOSPITAL, S. E. + + + + +CONTENTS + + + PAGE + +I. LABORATORY REGULATIONS 1 + + +II. GLASS APPARATUS IN COMMON USE 3 + + The Selection, Preparation, and Care of + Glassware, 8--Cleaning of Glass + Apparatus, 18--Plugging Test-tubes and + Flasks, 24. + + +III. METHODS OF STERILISATION 26 + + Sterilising Agents, 26--Methods of + Application, 27--Electric Signal Timing + Clock, 38. + + +IV. THE MICROSCOPE 49 + + Essentials, 49--Accessories, 57--Methods + of Micrometry, 61. + + +V. MICROSCOPICAL EXAMINATION OF BACTERIA AND OTHER +MICRO-FUNGI 69 + + Apparatus and Reagents used in Ordinary + Microscopical Examination, 69--Methods of + Examination, 74. + + +VI. STAINING METHODS 90 + + Bacteria Stains, 90--Contrast Stains, + 93--Tissue Stains, 95--Blood Stains, + 97--Methods of Demonstrating Structure of + Bacteria, 99--Differential Methods of + Staining, 108. + + +VII. METHODS OF DEMONSTRATING BACTERIA IN TISSUES 114 + + Freezing Method, 115--Paraffin Method, + 117--Special Staining Methods for + Sections, 121. + + +VIII. CLASSIFICATION OF FUNGI 126 + + Morphology of the Hyphomycetes, + 126--Morphology of the Blastomycetes, + 129. + + +IX. SCHIZOMYCETES 131 + + Anatomy, 134--Physiology, + 136--Biochemistry, 144. + + +X. NUTRIENT MEDIA 146 + + Meat Extract, 148--Standardisation of + Media, 154--The Filtration of Media, + 156--Storing Media in Bulk, 159--Tubing + Nutrient Media, 160. + + +XI. ORDINARY OR STOCK CULTURE MEDIA 163 + + +XII. SPECIAL MEDIA 182 + + +XIII. INCUBATORS 216 + + +XIV. METHODS OF CULTIVATION 221 + + Aerobic, 222--Anaerobic, 236. + + +XV. METHODS OF ISOLATION 248 + + +XVI. METHODS OF IDENTIFICATION AND STUDY 259 + + Scheme of Study, 259--Macroscopical + Examination of Cultivations, + 261--Microscopical Methods, + 272--Biochemical Methods, 276--Physical + Methods, 295--Inoculation Methods, + 315--Immunisation, 321--Active + Immunisation, 322--The Preparation of + Haemolytic Serum, 327--The Titration of + Haemolytic Serum, 328--Storage of + Haemolysin, 331. + + +XVII. EXPERIMENTAL INOCULATION OF ANIMALS 332 + + Selection and Care of Animals, + 335--Methods of Inoculation, 352. + + +XVIII. THE STUDY OF EXPERIMENTAL INFECTIONS DURING LIFE 370 + + General Observations, 371--Blood + Examinations, 373--Serological + Investigations, 378--Agglutinin, + 381--Opsonin, 387--Immune Body, 393. + + +XIX. POST-MORTEM EXAMINATION OF EXPERIMENTAL ANIMALS 396 + + +XX. THE STUDY OF THE PATHOGENIC BACTERIA 408 + + +XXI. BACTERIOLOGICAL ANALYSES 415 + + Bacteriological Examination of Water, + 416--Examination of Milk, 441--Ice Cream, + 457--Examination of Cream and Butter, + 457--Examination of Unsound Meats, + 460--Examination of Oysters and Other + Shellfish, 463--Examination of Sewage and + Sewage Effluents, 466--Examination of + Air, 468--Examination of Soil, + 470--Testing Filters, 478--Testing of + Disinfectants, 480. + + +APPENDIX 492 + + +INDEX 505 + +[Illustration] + + + + +BACTERIOLOGICAL TECHNIQUE. + + + + +I. LABORATORY REGULATIONS. + + +The following regulations are laid down for observance in the +Bacteriological Laboratories under the direction of the author. Similar +regulations should be enforced in all laboratories where pathogenic +bacteria are studied. + + _Guy's Hospital._ + + + ~BACTERIOLOGICAL DEPARTMENT.~ + + HANDLING OF INFECTIVE MATERIALS. + + The following Regulations have been drawn up in the interest + of those working in the Laboratory as well as the public at + large, and will be strictly enforced. + + Their object is to avoid the dangers of infection which may + arise from neglect of necessary precautions or from + carelessness. + + Everyone must note that by neglecting the general rules laid + down he not only runs grave risk himself, but is a danger to + others. + + REGULATIONS. + + 1. Each worker must wear a gown or overall, provided at his + own expense, which must be kept in the Laboratory. + + 2. The hands must be disinfected with lysol 2 per cent. + solution, carbolic acid 5 per cent. solution, or corrosive + sublimate 1 per mille solution, after dealing with + infectious material, and ~before using towels~. + + 3. On no account must Laboratory towels or dusters be used + for wiping up infectious material, and if such towels or + dusters do become soiled, they must be immediately + sterilised by boiling. + + 4. Special pails containing disinfectant are provided to + receive any waste material, and nothing must be thrown on + the floor. + + 5. All instruments must be flamed, boiled, or otherwise + disinfected immediately after use. + + 6. Labels must be moistened with water, and not by the + mouth. + + 7. All disused cover-glasses, slides, and pipettes after use + in handling infectious material, etc., must be placed in 2 + per cent. lysol solution. A vessel is supplied on each bench + for this purpose. + + 8. All plate and tube cultures of pathogenic organisms when + done with, must be placed for immediate disinfection in the + boxes provided for the purpose. + + 9. No fluids are to be discharged into sinks or drains + unless previously disinfected. + + 10. Animals are to be dissected only after being nailed out + on the wooden boards, and their skin thoroughly washed with + disinfectant solution. + + 11. Immediately after the post-mortem examination is + completed each cadaver must be placed in the zinc + animal-box--_without removing the carcase from the + post-mortem board_--and the cover of the box replaced, ready + for carriage to the destructor. + + 12. Dead animals, when done with, are cremated in the + destructor, and the laboratory attendant must be notified + when the bodies are ready for cremation. + + 13. None of the workers in the laboratory are allowed to + enter the animal houses unless accompanied by the special + attendant in charge, who must scrupulously observe the same + directions regarding personal disinfection as the workers in + the laboratories. + + 14. No cultures are to be taken out of the laboratory + without the permission of the head of the Department. + + 15. All accidents, such as spilling infected material, + cutting or pricking the fingers, must be at once reported to + the bacteriologist in charge. + + + + +II. GLASS APPARATUS IN COMMON USE. + + +The equipment of the bacteriological laboratory, so far as the glass +apparatus is concerned, differs but little from that of a chemical +laboratory, and the cleanliness of the apparatus is equally important. +The glassware comprised in the following list, in addition to being +clean, must be stored in a sterile or germ-free condition. + +~Test-tubes.~--It is convenient to keep several sizes of test-tubes in +stock, to meet special requirements, viz.: + +1. ~18 x 1.5~ cm., to contain media for ordinary tube cultivations. + +2. ~18 x 1.3~ cm., to contain media used for pouring plate cultivations, +and also for holding sterile "swabs." + +3. ~18 x 2~ cm., to contain wedges of potato, beetroot, or other vegetable +media. + +4. ~13 x 1.5~ cm., to contain inspissated blood-serum. + +The tubes should be made from the best German potash glass, +"blue-lined," stout and heavy, with the edge of the mouth of the tube +_slightly_ turned over, but not to such an extent as to form a definite +rim. (Cost about $1.50, or 6 shillings per gross.) Such tubes are +expensive it is true, but they are sufficiently stout to resist rough +handling, do not usually break if accidentally allowed to drop (a point +of some moment when dealing with cultures of pathogenic bacteria), can +be cleaned, sterilised, and used over and over again, and by their +length of life fully justify their initial expense. + +A point be noted is that the manufacturers rarely turn out such tubes as +these absolutely uniform in calibre, and a batch of 18 by 1.5 cm. tubes +usually contains such extreme sizes as 18 by 2 cm. and 18 by 1.3 cm. +Consequently, if a set of standard tubes is kept for comparison or +callipers are used each new supply of so-called 18 by 1.5 cm. tubes may +be easily sorted out into these three sizes, and so simplify ordering. + +5. ~5 x 0.7~ cm., for use in the inverted position inside the tubes +containing carbohydrate media, as gas-collecting tubes. + +These tubes, "unrimmed," may be of common thin glass as less than two +per cent. are fit for use a second time. + +[Illustration: FIG. 1.--Bohemian flask.] + +[Illustration: FIG. 2.--Pear-shaped flask.] + +[Illustration: FIG. 3.--Erlenmeyer flask (narrow neck).] + +~Bohemian Flasks~ (Fig. 1).--These are the ordinary flasks of the chemical +laboratory. A good variety, ranging in capacity from 250 to 3000 c.c., +should be kept on hand. A modified form, known as the "pear-shaped" +(Fig. 2), is preferable for the smaller sizes--i. e., 250 and 500 c.c. + +~Erlenmeyer's Flasks~ (Fig. 3).--Erlenmeyer's flasks of 75, 100, and 250 +c.c. capacity are extremely useful. For use as culture flasks care +should be taken to select only such as have a narrow neck of about 2 cm. +in length. + +~Kolle's Culture Flasks~ (Fig. 4).--These thin, flat flasks (to contain +agar or gelatine, which is allowed to solidify in a layer on one side) +are extremely useful on account of the large nutrient surface available +for growth. A surface cultivation in one of these will yield as much +growth as ten or twelve "oblique" tube cultures. The wide mouth, +however, is a disadvantage, and for many purposes thin, flat culture +bottles known as ~Roux's bottles~ (Fig. 5) are to be preferred. + +[Illustration: FIG. 4.--Kolle's culture flask.] + +[Illustration: FIG. 5.--Roux's culture bottle.] + +[Illustration: FIG. 6.--Guy's culture bottle.] + +[Illustration: FIG. 7.--Filter flask.] + +An even more convenient pattern is that used in the author's laboratory +(Fig. 6), as owing to the greater depth of medium which it is possible +to obtain in these flasks an exceedingly luxuriant growth is possible; +the narrow neck reduces the chance of accidental contamination to a +minimum and the general shape permits the flasks to be stacked one upon +the other. + +~Filter Flasks or Kitasato's Serum Flasks~ (Fig. 7).--Various sizes, from +250 to 2000 c.c. capacity. These must be of stout glass, to resist the +pressure to which they are subjected, but at the same time must be +thoroughly well annealed, in order to withstand the temperature +necessary for sterilisation. + +All flasks should be either of Jena glass or the almost equally +well-known Resistance or R glass, the extra initial expense being +justified by the comparative immunity of the glass from breakage. + +~Petri's Dishes or "Plates"~ (Fig. 8, a).--These have now completely +replaced the rectangular sheets of glass introduced by Koch for the +plate method of cultivation. Each "plate" consists of a pair of circular +discs of glass with sharply upturned edges, thus forming shallow dishes, +one of slightly greater diameter than the other, and so, when inverted, +forming a cover or cap for the smaller. Plates having an outside +diameter of 10 cm. and a height of 1.5 cm. are the most generally +useful. A batch of eighteen such plates is sterilised and stored in a +cylindrical copper box (30 cm. high by 12 cm. diameter) provided with a +"pull-off" lid. Inside each box is a copper stirrup with a circular +bottom, upon which the plates rest, and by means of which each can be +raised in turn to the mouth of the box (Fig. 9) for removal. + +~Capsules~ (Fig. 8, b and c).--These are Petri's dishes of smaller +diameter but greater depth than those termed plates. Two sizes will be +found especially useful--viz., 4 cm. diameter by 2 cm. high, capacity +about 14 c.c.; and 5 cm. diameter by 2 cm. high, capacity about 25 c.c. +These are stored in copper cylinders of similar construction to those +used for plates, but measuring 20 by 6 cm. and 20 by 7 cm., +respectively. + +[Illustration: FIG. 8.--Petri dish (a), and capsules (b, c).] + +[Illustration: FIG. 9.--Plate box with stirrup.] + +~Graduated Pipettes.~--Several varieties of these are required, viz.: + +1. Pipettes of 1 c.c. capacity graduated in 0.1 c.c. + +2. Pipettes of 1 c.c. capacity graduated in 0.01 c.c. (Fig. 10, a). + +3. Pipettes of 10 c.c. capacity graduated in 0.1 c.c. (Fig. 10, b). + +These should be about 30 cm. in length (1 and 2 of fairly narrow bore), +graduated to the extreme point, and having at least a 10 cm. length of +clear space between the first graduation and the upper end; the open +mouth should be plugged with cotton-wool. Each variety should be +sterilised and stored in a separate cylindrical copper case some 36 by 6 +cm., with "pull-off" lid, upon which is stamped, in plain figures, the +capacity of the contained pipettes. + +[Illustration: FIG. 10.--Measuring pipettes, a and b.] + +The laboratory should also be provided with a complete set of "Standard" +graduated pipettes, each pipette in the set being stamped and +authenticated by a certificate from one of the recognised Physical +Measurement Laboratories, such as Charlottenburg. These instruments are +expensive and should be reserved solely for standardising the pipettes +in ordinary use, and for calibrating small pipettes manufactured in the +laboratory. Such a set should comprise, at least, pipettes delivering 10 +c.c., 5 c.c., 2.5 c.c., 2 c.c., 1 c.c., 0.5 c.c., 0.25 c.c., 0.2 c.c., +0.1 c.c., 0.05 c.c., and 0.01 c.c., respectively. + +In the immediately following sections are described small pieces of +glass apparatus which should be prepared in the laboratory from glass +tubing of various sizes. In their preparation three articles are +essential; first a three-square hard-steel file or preferably a +glass-worker's knife of hard Thuringian steel for cutting glass tubes +etc.; next a blowpipe flame, for although much can be done with the +ordinary Bunsen burner, a blowpipe flame makes for rapid work; and +lastly a bat's-wing burner. + +[Illustration: FIG. 11.--Glass-cutting knife. a. handle. b. double +edged blade. c. shaft. d. locking nut. e. spanner for nut.] + +1. The glass-cutting knife. This article is sold in two forms, a bench +knife (Fig. 11) and a pocket knife. The former is provided with a blade +some 8 cm. in length and having two cutting edges. The cutting edge when +examined in a strong light is seen to be composed of small closely set +teeth, similar to those in a saw. The knife should be kept sharp by +frequent stroppings on a sandstone hone. The pocket form, about 6-cm. +long over all, consists of a small spring blade with one cutting edge +mounted in scales like an ordinary pocket knife. + +2. For real convenience of work the blowpipe should be mounted on a +special table connected up with cylindrical bellows operated by a pedal. +That figured (Fig. 12) is made by mounting a teak top 60 cm. square upon +the uprights of an enclosed double-action concertina bellows (Enfer's) +and provided with a Fletcher's Universal gas blowpipe. + +3. An ordinary bat's-wing gas-burner mounted at the far corner of the +table top is invaluable in the preparation of tubular apparatus with +sharp curves, and for coating newly-made glass apparatus with a layer of +soot to prevent too rapid cooling, and its usually associated +result--cracking. + +[Illustration: FIG. 12.--Glass blower's table with Enfer's foot +bellows.] + +6. ~Sedimentation tubes 5x0.5~ cm., for sedimentation reactions, etc., and +for containing small quantities of fluid to be centrifugalised in the +haematocrit. These are made by taking 14-cm. lengths of stout glass +tubing of the requisite diameter and heating the centre in the Bunsen or +blowpipe flame. When the central portion is quite soft draw the ends +quickly apart and then round off the pointed ends of the two test-tubes +thus formed. With the glass-cutting knife cut off whatever may be +necessary from the open ends to make the tubes the required length. + +A rectangular block of "plasticine" (modelling clay) into which the +conical ends can be thrust makes a very convenient stand for these small +tubes. + +~Capillary Pipettes or Pasteur's Pipettes~ (Fig. 13 a).--These little +instruments are invaluable, and a goodly supply should be kept on hand. +They are prepared from soft-glass tubing of various-sized calibre (the +most generally useful size being 8 mm. diameter) in the following +manner: Hold a 10 cm. length of glass tube by each end, and whilst +rotating it heat the central portion in the Bunsen flame or the blowpipe +blast-flame until the glass is red hot and soft. Now remove it from the +flame and steadily pull the ends apart, so drawing the heated portion +out into a roomy capillary tube; break the capillary portion at its +centre, seal the broken ends in the flame, and round off the edges of +the open end of each pipette. A loose plug of cotton-wool in the open +mouth completes the capillary pipette. After a number have been +prepared, they are sterilised and stored in batches, either in metal +cases similar to those used for the graduated pipettes or in large-sized +test-tubes--sealed ends downward and plugged ends toward the mouth of +the case. + +[Illustration: FIG. 13.--Capillary pipettes. a, b, c.] + +The filling and emptying of the capillary pipette is most satisfactorily +accomplished by slipping a small rubber teat (similar to that on a +baby's feeding bottle but _not perforated_) on the upper end, after +cutting or snapping off the sealed point of the capillary portion. If +pressure is now exerted upon the elastic bulb by a finger and thumb +whilst the capillary end is below the surface of the fluid to be taken +up, some of the contained air will be driven out, and subsequent +relaxation of that pressure (resulting in the formation of a partial +vacuum) will cause the fluid to ascend the capillary tube. Subsequent +compression of the bulb will naturally result in the complete expulsion +of the fluid from the pipette (Fig. 14). + +[Illustration: FIG. 14.--Filling the capillary teat-pipette.] + +A modification of this pipette, in which a constriction or short length +of capillary tube is introduced just below the plugged mouth (Fig. 13, +b), will also be found extremely useful in the collection and storage +of morbid exudations. + +A third form, where the capillary portion is about 4 or 5 cm. long and +only forms a small fraction of the entire length of the pipette (Fig. +13, c), will also be found useful. + +~"Blood" Pipettes~ (Fig 15).--Special pipettes for the collection of +fairly large quantities of blood (as suggested by Pakes) should also be +prepared. These are made from _soft_ glass tubing of 1 cm. bore, in a +similar manner to the Pasteur pipettes, except that the point of the +blowpipe flame must be used in order to obtain the sharp shoulder at +either end of the central bulb. The terminal tubes must retain a +diameter of at least 1 mm., in order to avoid capillary action during +the collection of the fluid. + +[Illustration: FIG. 15.--Blood pipettes and hair-lip pin in a +test-tube.] + +[Illustration: FIG. 16.--Blood-pipette in metal thermometer case.] + +For sterilisation and storage each pipette is placed inside a test-tube, +resting on a wad of cotton-wool, and the tube plugged in the ordinary +manner. As these tubes are used almost exclusively for blood work, it is +usual to place a lance-headed hare-lip pin or a No. 9 flat Hagedorn +needle inside the tube so that the entire outfit may be sterilised at +one time. + +For the collection of small quantities of blood for agglutination +reactions and the like, many prefer a short straight piece of narrow +glass tubing drawn out at either extremity to almost capillary +dimensions. Such pipettes, about 8 cm. in length over all, are most +conveniently sterilized in ordinary metal thermometer cases (Fig. 16). + +~Graduated Capillary Pipettes~ (Fig. 17).--These should also be made in +the laboratory--from manometer tubing--of simple, convenient shape, and +graduated by the aid of "standard" pipettes (in hundredths) to contain +such quantities as 10, 50, and 90 c. mm., and carefully marked with a +writing diamond. These, previously sterilised in large test-tubes, will +be found extremely useful in preparing accurate percentage solutions, +when only minute quantities of fluid are available. + +[Illustration: FIG. 17.--Capillary graduated pipettes.] + +~Automatic ("Throttle") Pipettes.~--These ingenious pipettes, introduced +by Wright, can easily be calibrated in the laboratory and are +exceedingly useful for graduating small pipettes, for measuring small +quantities of fluids, in preparing dilutions of serum for agglutination +reactions, etc. They are usually made from the Capillary Pasteur +pipettes (Fig. 13, a). The following description of the manufacture of +a 5 c. mm. pipette will serve to show how the small automatic pipettes +are calibrated. + +1. Select a pipette the capillary portion of which is fairly roomy in +bore and possesses regular even walls, and remove the cotton-wool plug +from the open end. + +2. Heat the capillary portion near the free extremity in the by-pass +flame of the bunsen burner and draw it out into a very fine hair-like +tube and break this across. This hair-like extremity will permit the +passage of air but is too fine for metallic mercury to pass. + +3. From a standard graduated pipette deliver 5 c. mm. clean mercury into +the upper wide portion of the pipette. + +4. Adjust a rubber teat to the pipette and by pressure on the bulb +gradually drive the mercury in an unbroken column down the capillary +tube until it is stopped by the filiform extremity. + +5. Cut off the capillary tube exactly at the upper level of the column +of mercury, invert it and allow the mercury to run out. + +6. Snap off the remainder of the capillary tube from the broad upper +portion of the pipette which is now destined to form the covering tube +or air chamber, or what we may term the "barrel." This barrel now has +the lower end in the form of a truncated cone, the upper end being cut +square. Remove the teat. + +7. Introduce the capillary tube into this barrel with the filiform +extremity uppermost, and the square cut end projecting about 0.5 cm. +beyond the tapering end of the barrel. + +[Illustration: FIG. 18.--Throttle pipette--small capacity.] + +8. Drop a small pellet of sealing wax into the barrel by the side of the +capillary tube and then warm the tube at the gas flame until the wax +becomes softened and makes an air-tight joint between the capillary tube +and the end of the barrel. + +9. Fit a rubber teat to the open end of the barrel, and so complete a +pipette which can be depended upon to always aspirate and deliver +exactly 5 cm. of fluid. + +Slight modification of this procedure is necessary in making tubes to +measure larger volumes than say 75 c. mm. Thus to make a throttle +pipette to measure 100 c. mm.: + +1. Take a short length of quill tubing and draw out one end into a roomy +capillary stem, and again draw out the extremity into a fine hair point, +thus forming a small Pasteur pipette with a hair-like capillary +extremity. + +2. With a standard pipette fill 100 c. mm. into the neck of this +pipette, and make a scratch with a writing diamond at the upper level +(a) of the mercury meniscus (Fig. 19, A). + +[Illustration: FIG. 19.--Making throttle pipettes--large capacity] + +Now force the mercury down into the capillary stem as far as it will go, +so as to leave the upper part of the tube in the region of the diamond +scratch empty (Fig. 19, B). + +3. Heat the tube in the region of the diamond scratch in the blowpipe +flame, and removing the tube from the flame draw it out so that the +diamond scratch now occupies a position somewhere near the centre of +this new capillary portion (Fig. 19, C). + +4. Heat the tube in this position in the peep flame of the Bunsen +burner, and draw it out into a hair-like extremity. Snap off the glass +tube, leaving about 5 mm. of hair-like extremity attached to the upper +capillary portion (Fig. 19, D). Allow the glass to cool. + +5. Lift up the bulb by the long capillary stem and allow the mercury to +return to its original position--an operation which will be facilitated +by snapping off the hair-like extremity from the long piece of capillary +tubing. + +6. Mark on the capillary stem with a grease pencil the position of the +end of the column of mercury (Fig. 19, E.) + +7. Warm the capillary tubing at this spot in the peep flame of the +Bunsen burner, and draw it out very slightly so that when cut at this +position a pointed extremity will be obtained. + +8. With a glass-cutting knife cut the capillary tube through at the +point "b," and allow the mercury to run out. + +9. Now apply a thick layer of sealing wax to the neck of the bulb. + +10. Take a piece of 5 mm. bore glass tubing and draw it out as if making +an ordinary Pasteur pipette. + +11. Break the capillary portion off so as to leave a covering tube +similar to that already used for the smaller graduated pipettes. Into +this covering tube drop the graduated bulb and draw the capillary stem +down through the conical extremity until further progress is stopped by +the layer of sealing wax. + +12. Warm the pipette in the gas flame so as to melt the sealing wax and +make an air-tight joint. + +13. Fit an india-rubber teat over the open end of the covering tube, and +the automatic pipette is ready for use (Fig. 19, F). + +~Sedimentation Pipettes~ (Fig. 20).--These are prepared from 10 cm. +lengths of narrow glass tubing by sealing one extremity, blowing a +small bulb at the centre, and plugging the open end with cotton-wool; +after sterilisation the open end is provided with a short piece of +rubber tubing and a glass mouthpiece. When it is necessary to observe +sedimentation reactions in very small quantities of fluid, these tubes +will be found much more convenient than the 5 by 0.5 cm. test-tubes +previously mentioned. + +[Illustration: FIG. 20.--Sedimentation pipette.] + +Pasteur pipettes fitted with india-rubber teats will also be found +useful for sedimentation tests when dealing with minute quantities of +serum, etc. + +[Illustration: FIG. 21.--Fermentation tubes.] + +~Fermentation Tubes~ (Fig. 21).--These are used for the collection and +analysis of the gases liberated from the media during the growth of some +varieties of bacteria and may be either plain (a) or graduated (b). +A simple form (Fig. 21, c) may be made from 14 cm. lengths of soft +glass tubing of 1.5 cm. diameter. The Bunsen flame is applied to a spot +some 5 cm. from one end of such a piece of tubing and the tube slightly +drawn out to form a constriction, the constricted part is bent in the +bat's-wing flame, to an acute angle, and the open extremity of the long +arm sealed off in the blowpipe flame. The open end of the short arm is +rounded off and then plugged with cotton-wool, and the tube is ready for +sterilisation. + + +CLEANING OF GLASS APPARATUS. + +All glassware used in the bacteriological laboratory must be thoroughly +cleaned before use, and this rule applies as forcibly to new as to old +apparatus, although the methods employed may vary slightly. + +~To Clean New Test-tubes.~-- + +1. Place the tubes in a bucket or other convenient receptacle, fill with +water and add a handful of "Sapon" or other soap powder. See that the +tubes are full and submerged. + +2. Fix the bucket over a large Bunsen flame and boil for thirty +minutes--or boil in the autoclave for a similar period. + +3. Cleanse the interior of the tubes with the aid of test-tube brushes, +and rinse thoroughly in cold water. + +4. Invert the tubes and allow them to drain completely. + +5. Dry the tubes and polish the glass inside and out with a soft cloth, +such as selvyt. + +~New flasks, plates, and capsules~ must be cleaned in a similar manner. + +~To Clean New Graduated Pipettes.~-- + +1. Place the pipettes in a convenient receptacle, filled with water to +which soap powder has been added. + +2. Boil the water vigorously for twenty minutes over a Bunsen flame. + +3. Rinse the pipettes in running water and drain. + +4. Run distilled water through the pipettes and drain. + +5. Run rectified spirits through the pipette and drain as completely as +possible. + +6. Place the pipettes in the hot-air oven (_vide_ page 31), close the +door, open the ventilating slide, and run the temperature slowly up to +about 80 deg. C. Turn off the gas and allow the oven to cool. + +Or 6a. Attach each pipette in turn to the rubber tube of the foot +bellows, or blowpipe air-blast, and blow air through the pipette until +the interior is dry. + +Glassware that has already been used is regarded as _infected_, and is +treated in a slightly different manner. + +~Infected Test-tubes.~-- + +1. Pack the tubes in the wire basket of the autoclave (having previously +removed the cotton-wool plugs, caps, etc.), in the vertical position, +and before replacing the basket see that there is a sufficiency of water +in the bottom of the boiler. Now attach a piece of rubber tubing to the +nearest water tap, and by means of this fill each tube with water. + +2. Disinfect completely by exposing the tubes, etc., to a temperature of +120 deg. C. for twenty minutes (_vide_ page 37). + +(If an autoclave is not available, the tubes must be placed in a +digester, or even a large pan or pail with a tightly fitting cover, and +boiled vigorously for some thirty to forty-five minutes to ensure +disinfection.) + +3. Whilst still hot, empty each tube in turn and roughly clean its +interior with a stiff test-tube brush. + +4. Place the tubes in a bucket or other convenient receptacle, fill with +water and add a handful of Sapon or other soap powder. See that the +tubes are full and submerged. + +5. Fix the bucket over a large Bunsen flame and boil for thirty minutes. + +6. Cleanse the interior of the tubes with the aid of test-tube brushes, +and rinse thoroughly in cold water. + +7. Drain off the water and immerse tubes in a large jar containing water +acidulated with 2 to 5 per cent. hydrochloric acid. Allow them to remain +there for about fifteen minutes. + +8. Remove from the acid jar, drain, rinse thoroughly in running water, +then with distilled water. + +9. Invert the tubes and allow them to drain completely. + +Dry the tubes and polish the glass inside and out with a soft cloth, +such as selvyt. + +~Infected flasks, plates, and capsules~ must be treated in a similar +manner. + +~Flasks~ which have been used only in the preparation of media must be +cleaned immediately they are finished with. Fill each flask with water +to which some soap powder and a few crystals of potassium permanganate +have been added, and let boil over the naked flame. The interior of the +flask can then usually be perfectly cleaned with the aid of a flask +brush, but in some cases water acidulated with 5 per cent. nitric acid, +or a large wad of wet cotton-wool previously rolled in silver sand, must +be shaken around the interior of the flask, after which rinse thoroughly +with clean water, dry, and polish. + + +~Infected Pipettes.~-- + +1. Plunge infected pipettes immediately after use into tall glass +cylinders containing a 2 per cent. solution of lysol, and allow them to +remain therein for some days. + +2. Remove from the jar and drain. Boil in water to which a little soap +has been added, for thirty minutes. + +3. Rinse thoroughly in cold water. + +4. Immerse in 5 per cent. nitric acid for an hour or two. + +5. Rinse again in running water to remove all traces of acid. + +6. Complete the cleaning as described under "new pipettes." + +When dealing with graduated capillary pipettes employed for blood or +serum work (whether new or infected), much time is consumed in the +various steps from 5 onward, and the cleansing process can be materially +hastened if the following device is adopted. + +Fit up a large-sized Kitasato's filter flask to a Sprengel's suction +pump or a Geryk air pump (see page 43). To the side tubulure of the +filter flask attach a 20 cm. length of rubber pressure tubing having a +calibre sufficiently large to admit the ends of the pipettes. + +Next fill a small beaker with distilled water. Attach the first pipette +to the free end of the rubber tubing, place the pipette point downward +in the beaker of water and start the pump (Fig. 22). + +[Illustration: FIG. 22.--Cleaning blood pipettes.] + +When all the water has been aspirated through the pipette into the +filter flask, fill the beaker with rectified spirit and when this is +exhausted refill with ether. Detach the pipette and dry in the hot-air +oven. + +~Slides and cover-slips~ (Fig. 23), when first purchased, have "greasy" +surfaces, upon which water gathers in minute drops and effectually +prevents the spreading of thin, even films. + +~Microscopical Slides.~--The slides in general use are those known as +"three by one" slips (measuring 3 inches by 1 inch, or 76 by 26 mm.), +and should be of good white crown glass, with ground edges. + +~New slides~ should be allowed to remain in alcohol acidulated with 5 per +cent. hydrochloric acid for some hours, rinsed in running water, roughly +drained on a towel, dried, and finally polished with a selvyt cloth. + +[Illustration: FIG. 23.--Slides and cover-slips, actual size.] + +If only a few slides are required for immediate use a good plan is to +rub the surface with jeweler's emery paper (Hubert's 00). A piece of +hard wood 76x26x26 mm. with a piece of this emery paper gummed tightly +around it is an exceedingly useful article on the microscope bench. + +~Cover-slips.~--The most useful sizes are the 19 mm. squares for ordinary +cover-glass film preparations, and 38 by 19 mm. rectangles for blood +films and serial sections; both varieties must be of "No. 1" thickness, +which varies between 0.15 and 0.22 mm., that they may be available for +use with the high-power immersion lenses. + +Cover-slips should be cleaned in the following manner: + +1. Drop the cover-slips one by one into an enamelled iron pot or tall +glass beaker, containing a 10 per cent. solution of chromic acid. + +2. Heat over a Bunsen flame and allow the acid to boil gently for twenty +minutes. + + NOTE.--A few pieces of pipe-clay or pumice may be placed in + the beaker to prevent the "spurting" of the chromic acid. + +3. Turn the cover-slips out into a flat glass dish and wash in running +water under the tap until all trace of yellow colour has disappeared. +During the washing keep the cover-slips in motion by imparting a +rotatory movement to the dish. + +4. Wash in distilled water in a similar manner. + +5. Wash in rectified spirit. + +6. Transfer the cover-slips, by means of a pair of clean forceps, +previously heated in the Bunsen flame to destroy any trace of grease, to +a small beaker of absolute alcohol. + +Drain off the alcohol and transfer the cover-slips, by means of the +forceps, to a wide-mouthed glass pot, containing absolute alcohol, in +which they are to be stored, and stopper tightly. + + NOTE.--After once being placed in the chromic acid, the + cover-slips must on no account be touched by the fingers. + +~Used Slides and Cover-slips.~--Used slides with the mounted cover-slip +preparations, and cover-slips used for hanging-drop mounts, should, when +discarded, be thrown into a pot containing a 2 per cent. solution of +lysol. + +After immersion therein for a week or so, even the cover-slips mounted +with Canada balsam can be readily detached from their slides. + + +_Slides._-- + +1. Wash the slides thoroughly in running water. + +2. Boil the slides in water to which "sapon" has been added, for half an +hour. + +3. Rinse thoroughly in cold water. + +4. Dry and polish with a dry cloth. + + +_Cover-slips._-- + +1. Wash the cover-slips thoroughly in running water. + +2. Boil the cover-slips in 10 per cent. solution of chromic acid, as for +new cover-slips. + +3. Wash thoroughly in running water. + +4. Pick out those cover-slips which show much adherent dirty matter, and +rub them between thumb and forefinger under the water tap. The dirt +usually rubs off easily, as it has become friable from contact with the +chromic acid. + +5. Return all the cover-slips to the beaker, fill in _fresh_ chromic +acid solution, and treat as new cover-slips. + + NOTE.--_Test-tubes, plates, capsules_, etc., which, from + long use, have become scratched and hazy, or which cannot be + cleaned in any other way, may be dealt with by immersing + them in an enamelled iron bath, containing water acidulated + to 1 per cent. with hydrofluoric acid, for ten minutes, + rinsing thoroughly in water, drying, and polishing. + + +PLUGGING TEST-TUBES AND FLASKS. + +Before sterilisation all test-tubes and flasks must be carefully plugged +with cotton-wool, and for this purpose best absorbent cotton-wool +(preferably that put up in cylindrical one-pound packets and interleaved +with tissue paper--known as surgeons' wool) should be employed. + +1. For a test-tube or a small flask, tear a strip of cotton-wool some 10 +cm. long by 2 cm. wide from the roll. + +2. Turn in the ends neatly and roll the strip of wool lightly between +the thumb and fingers of both hands to form a long cylinder. + +3. Double this at the centre and introduce the now rounded end into the +open mouth of the tube or flask. + +4. Now, whilst supporting the wool between the thumb and fingers of the +right hand, rotate the test-tube between those of the left, and +gradually screw the plug of wool into its mouth for a distance of about +2.5 cm., leaving about the same length of wool projecting. + +[Illustration: FIG 24..--Plugging test-tubes: a, cylinder of wool +being rolled; b, cylinder of wool being doubled; c, cylinder of wool +being inserted in tube.] + +The plug must be firm and fit the tube or flask fairly tightly, +sufficiently tightly in fact to bear the weight of the glass plus the +amount of medium the vessel is intended to contain, but not so tightly +as to prevent it from being easily removed by a screwing motion when +grasped between the fourth, or third and fourth, fingers, and the palm +of the hand. + +For a large flask a similar but larger strip of wool must be taken; the +method of making and inserting the plug is identical. + + + + +III. METHODS OF STERILISATION. + + +STERILISING AGENTS. + +Sterilisation--i. e., the removal or the destruction of germ life--may +be effected by the use of various agents. As applied to the practical +requirements of the bacteriological laboratory, many of these agents, +such as electricity, sunlight, etc., are of little value, others are +limited in their applications; others again are so well suited to +particular purposes that their use is almost entirely restricted to +such. + +The sterilising agents in common use are: + +~Chemical Reagents.~--_Disinfectants_ (for the disinfection of glass and +metal apparatus and of morbid tissues). + +~Physical Agents.~ HEAT.--(a) _Dry Heat:_ + +1. Naked flame (for the sterilisation of platinum needles, etc.). + +2. Muffle furnace (for the sterilisation of filter candles, and for the +destruction of morbid tissues). + +3. Hot air (for the sterilisation of all glassware and of metal +apparatus). + +(b) _Moist Heat:_ + +1. Water at 56 deg. C. (for the sterilisation of certain albuminous +fluids). + +2. Water at 100 deg. C. (for the sterilisation of surgical instruments, +rubber tubing, and stoppers, etc.). + +3. Streaming steam at 100 deg. C. (for the sterilisation of media). + +4. Superheated steam at 115 deg. C. or 120 deg. C. (for the disinfection +of contaminated articles and the destruction of old cultivations of +bacteria). + +FILTRATION.-- + +1. Cotton-wool filters (for the sterilisation of air and gases). + +2. Porcelain filters (for the sterilisation of various liquids). + + +METHODS OF APPLICATION. + +~Chemical Reagents~, such as belong to the class known as antiseptics (_i. +e._, substances which inhibit the growth of, but do not destroy, +bacterial life), are obviously useless. Disinfectants or germicides (_i. +e._, substances which destroy bacterial life), on the other hand, are of +value in the disinfection of morbid material, and also of various pieces +of apparatus, such as pipettes, pending their cleansing and complete +sterilisation by other processes. To this class (in order of general +utility) belong: + + Lysol, 2 per cent. solution; + Perchloride of mercury, 0.1 per cent. solution; + Carbolic acid, 5 per cent. solution; + Absolute alcohol; + Ether; + Chloroform; + Camphor; + Thymol; + Toluol; + Volatile oils, such as oil of mustard, oil of garlic. + +Formaldehyde is a powerful germicide, but its penetrating vapor +restricts its use. These disinfectants are but little used in the final +sterilisation of apparatus, chiefly on account of the difficulty of +effecting their complete removal, for the presence of even traces of +these chemicals is sufficient to so inhibit or alter the growth of +bacteria as to vitiate subsequent experiments conducted by the aid of +apparatus sterilised in this manner. + + NOTE.--Tubes, flasks, filter flasks, pipettes, glass tubing, + etc., may be rapidly sterilised, in case of emergency, by + washing, in turn, with distilled water, perchloride of + mercury solution, alcohol, and ether, draining, and finally + gently heating over a gas flame to completely drive off the + ether vapor. Chloroform or other volatile disinfectants may + be added to various fluids in order to effect the + destruction of contained bacteria, and when this has been + done, may be completely driven off from the fluid by the + application of gentle heat. + +~Dry Heat.~--The _naked flame_ of the Bunsen burner is invariably used for +sterilising the platinum needles (which are heated to redness) and may +be employed for sterilising the points of forceps, or other small +instruments, cover-glasses, pipettes, etc., a very short exposure to +this heat being sufficient. + +_Ether Flame._--In an emergency small instruments, needles, etc., may be +sterilised by dipping them in ether and after removal lighting the +adherent fluid and allowing it to burn off the surface of the +instruments. Repeat the process twice. It may then be safely assumed +that the apparatus so treated is sterile. + +[Illustration: FIG. 25.--Muffle furnace.] + +_Muffle Furnace_ (Fig. 25).--Although this form of heat is chiefly used +for the destruction of the dead bodies of small infected animals, morbid +tissues, etc., it is also employed for the sterilisation of porcelain +filter candles (_vide_ p. 42). + +Filter candles are disinfected immediately after use by boiling in a +beaker of water for some fifteen or twenty minutes. This treatment, +however, leaves the dead bodies of the bacteria upon the surface and +blocking the interstices of the filter. + +To destroy the organic matter and prepare the filter candle for further +use proceed as follows: + +1. Roll each bougie up in a piece of asbestos cloth, secure the ends of +the cloth with a few turns of copper wire, and place inside the muffle +(a small muffle 76x88x163 mm. will hold perhaps four small filter +candles). + +2. Light the gas and raise the contents of the muffle to a white heat; +maintain this temperature for five minutes. + +3. Extinguish the gas, and when the muffle has become quite cold remove +the filter candles, and store them (without removing the asbestos +wrappings) in sterile metal boxes. + + NOTE.--The too rapid cooling of the candles, such as takes + place if they are removed from the muffle before it has + cooled down to the room temperature, may give rise to + microscopic cracks and flaws which will effectually destroy + their efficiency. + +_Hot Air._--Hot air at 150 deg. C. destroys all bacteria, spores, etc:, in +about thirty minutes; a momentary exposure to a temperature of 175 deg. to +180 deg. C. will effect the same result and offers the more convenient +method of sterilisation. This method is only applicable to glass and +metallic substances, and the small bulk of cotton-wool comprised in the +test-tube plugs, etc. Large masses of fabric are not effectually +sterilised by dry heat--short of charring--as its power of penetration +is not great. + +Sterilisation by hot air is effected in the hot-air oven (Fig. 18). This +is a rectangular, double-walled metal box, mounted on a stand and heated +from below by a large Bunsen burner. The interior of the oven is +provided with loose shelves upon which the articles to be sterilised are +arranged, either singly or packed in square wire baskets or crates, kept +specially for this purpose. One of the sides is hinged to form a door. +The central portion of the metal bottom, on which the Bunsen flame would +play, is cut away, and replaced by firebrick plates, which slide in +metal grooves and are easily replaced when broken or worn out. The top +of the oven is provided with a perforated ventilator slide and two +tubulures, the one for the reception of a centigrade thermometer +graduated to 200 deg. or 250 deg. C., the other for a thermo-regulator. An +ordinary mercurial thermo-regulator may be used but it is preferable to +employ a regulating capsule of the Hearson type (see p. 219) with a +spring arm adjusted to the lever so that when the boiling-point of the +capsule (e. g., 175 deg. C.) is reached the gas supply is absolutely cut +off and the jet cannot again be lighted until the spring-arm has been +readjusted by hand. The thermo-regulator is by no means a necessity, and +may be replaced by a large bore thermometer with a sliding platinum +point, connected with an electric bell, which can be easily adjusted to +ring at any given temperature. Even if the steriliser is provided with +the capsule regulator above described the contact thermometer should +also be fitted. + +[Illustration: FIG. 26.--Hot-air oven.] + + +TO USE THE HOT-AIR OVEN.-- + +1. Place the crates of test-tubes, metal cases containing plates and +pipettes, loose apparatus, etc., inside the oven, taking particular care +that none of the cotton-wool plugs are in contact with the walls, +otherwise the heat transmitted by the metal will char or even flame +them. + + To prepare a wire crate for the reception of test-tubes, + etc., cover the bottom with a layer of thick asbestos cloth; + or take some asbestos fibre, moisten it with a little water + and knead it into a paste; plaster the paste over the bottom + of the crate, working it into the meshes and smoothing the + surface by means of a pestle. When several crates have been + thus treated, place them inside the hot-air oven, close the + door, open the ventilating slide, light the gas, and run the + temperature of the interior up to about 160 deg. C. After an + interval of ten minutes extinguish the gas, open the oven + door, and allow the contents to cool. The asbestos now forms + a smooth, dry, spongy layer over the bottom, which will last + many months before needing renewal, and will considerably + diminish the loss of tubes from breakage. + + Copper cylinders and large test-tubes intended for the + reception of pipettes are prepared in a similar manner, in + order to protect the points of these articles from injury. + +2. Close the oven door, and open the ventilating slide, in order that +any moisture left in the tubes, etc., may escape; light the gas below; +set the electric alarm to ring at 100 deg. C. + +3. When the temperature of the oven has reached 100 deg. C., close the +ventilating slide; reset the alarm to ring at 175 deg. C. + +4. Run the temperature up to 175 deg. C. + +5. Extinguish the gas at once, and allow the apparatus to cool. + +6. When the temperature of the interior, as recorded by the thermometer, +has fallen to 60 deg. C.--_but not before_--the door may be opened and +the sterile articles removed and stored away. + + NOTE.--Neglect of this precautionary cooling of the oven to + 60 deg. C. will result in numerous cracked and broken tubes. + +On removal from the oven, the cotton-wool plugs will probably be +slightly brown in colour. + +Metal instruments, such as knives, scissors, and forceps, may be +sterilised in the hot-air oven as described above, but exposure to 175 deg. +C. is likely to seriously affect the temper of the steel and certainly +blunts the cutting edges. If, however, it is desired to sterilise +surgical instruments by hot air, they should be packed in a metal box, +or boxes, and heated to 130 deg. C. and retained at that temperature for +about thirty minutes. + +~Moist Heat.~--_Water at 56 deg. C._--This temperature, if maintained for +thirty minutes, is sufficient to destroy the vegetative forms of +bacteria, but has practically no effect on spores. Its use is limited to +the sterilisation of such albuminous "fluid" media as would coagulate at +a higher temperature. + +METHOD.-- + +1. Fit up a water-bath, heated by a Bunsen flame which is controlled by +a thermo-regulator, so that the temperature of the water remains at 56 +deg. C. + +2. Immerse the tubes or flasks containing the albuminous fluid in the +water-bath so that the upper level of such fluid is at least 2 cm. below +the level of the water. (The temperature of the bath will now fall +somewhat, but after a few minutes will again rise to 56 deg. C). + +3. After thirty minutes' exposure to 56 deg. C, extinguish the gas, remove +the tubes or flasks from the bath, and subject them to the action of +running water so that their contents are rapidly cooled. + +4. The vegetative forms of bacteria present in the liquid being killed, +stand it for twenty-four hours in a cool, dark place; at the end of that +time some at least of such spores as may be present will have germinated +and assumed the vegetative form. + +5. Destroy these new vegetative forms by a similar exposure to 56 deg. C. +on the second day, whilst others, of slower germination, may be caught on +the third day, and so on. + +6. In order to ensure thorough sterilisation, repeat the process on each +of six successive days. + +This method of exposing liquids to a temperature of 56 deg. C. in a +water-bath for half an hour on each of six successive days is termed +_fractional sterilisation_. + +_Water at 100 deg. C._ destroys the vegetative forms of bacteria almost +instantaneously, and spores in from five to fifteen minutes. This method +of sterilisation is applicable to the metal instruments, such as knives, +forceps, etc., used in animal experiments; syringes, rubber corks, +rubber and glass tubing, and other small apparatus, and is effected in +what is usually spoken of as the "water steriliser" (Fig. 27). + +[Illustration: FIG. 27.--Water sterilizer.] + +This is a rectangular copper box, 26 cm. long, 18 cm. wide, and 12 cm. +deep, mounted on legs, heated from below by a Bunsen or radial gas +burner, and containing a movable copper wire tray, 2 cm. smaller in +every dimension than the steriliser itself, and provided with handles. +The top of the steriliser is hinged to form a lid. + +METHOD.-- + +1. Place the instruments, etc., to be sterilised inside the copper +basket, and replace the basket in the steriliser. + +2. Pour a sufficient quantity of water into the steriliser, shut down +the lid, and light the gas below. + +[Illustration: FIG. 28.--Koch's steriliser.] + +[Illustration: FIG. 29.--Arnold's steriliser.] + +3. After the water has boiled and steam has been issuing from beneath +the lid for at least ten minutes, extinguish the gas, open the lid, and +lift out the wire basket by its handles and rest it diagonally on the +walls of the steriliser; the contained instruments, etc., are now +sterile and ready for use. + +4. After use, or when accidentally contaminated, replace the instruments +in the basket and return that to the steriliser; completely disinfect by +a further boiling for fifteen minutes. + +5. After disinfection, and whilst still hot, take out the instruments, +dry carefully and at once, and return them to their store cases. + +_Streaming steam_--i. e., steam at 100 deg. C.--destroys the vegetative +forms of bacteria in from fifteen to twenty minutes, and the sporing +forms in from one to two hours. This method is chiefly used for the +sterilisation of the various nutrient media intended for the cultivation +of bacteria, and is carried out in a steam kettle of special +construction, known as Koch's steam steriliser (Fig. 28) or in one of +its many modifications, the most efficient of which is Arnold's (Fig. +29). + +The steam steriliser in its simplest form consists of a tall tinned-iron +or copper cylindrical vessel, divided into two unequal parts by a +movable perforated metal diaphragm, the lower, smaller portion serving +for a water reservoir, and the upper part for the reception of wire +baskets containing the articles to be sterilised. The vessel is closed +by a loose conical lid, provided with handles, and perforated at its +apex by a tubulure; it is mounted on a tripod stand and heated from +below by a Bunsen burner. The more elaborate steriliser is cased with +felt or asbestos board, and provided with a water gauge, also a tap for +emptying the water compartment. + + +TO USE THE STEAM STERILISER.-- + +1. Fill the water compartment to the level of the perforated diaphragm, +place the lid in position, and light the Bunsen burner. + +2. After the water has boiled, allow sufficient time to elapse for steam +to replace the air in the sterilising compartment, as shown by the steam +issuing in a steady, continuous stream from the tubulure in the lid. + +3. Remove the lid, quickly lower the wire basket containing media tubes, +etc., into the sterilising compartment until it rests on the diaphragm, +and replace the lid. + +4. After an interval of twenty minutes in the case of fluid media, or +thirty minutes in the case of solid media, take off the lid and remove +the basket with its contents. + +5. Now, but not before, extinguish the gas. + + NOTE.--After removing tubes, flasks, etc., from the steam + steriliser, they should be at once separated freely in order + to prevent moisture condensing upon the cotton-wool plugs + and soaking through into the interior of the tubes. + +This treatment will destroy any vegetative forms of bacteria; during the +hours of cooling any spores present will germinate, and the young +organisms will be destroyed by repeating the process twenty-four hours +later; a third sterilisation after a similar interval makes assurance +doubly sure. + +The method of sterilising by exposure to streaming steam at 100 deg. C. +for twenty minutes on each of three consecutive days is termed +_discontinuous_ or _intermittent sterilisation_. + +Exposure to steam at 100 deg. C. for a period of one or two hours, or +_continuous sterilisation_, cannot always be depended upon and is +therefore not to be recommended. + +_Superheated steam_--i. e., steam under pressure (see +Pressure-temperature table, Appendix, page 500) in sealed vessels at a +temperature of 115 deg. C.--will destroy both the vegetative and the +sporing forms of bacteria within fifteen minutes; if the pressure is +increased, and the temperature raised to 120 deg. C., the same end is +attained in ten minutes. This method was formerly employed for the +sterilisation of media (and indeed is so used in some laboratories +still), but most workers now realise that media subjected to this high +temperature undergo hydrolytic changes which render them unsuitable for +the cultivation of the more delicate micro-organisms. The use of +superheated steam should be restricted almost entirely to the +disinfection of such contaminated articles, old cultivations, etc., as +cannot be dealt with by dry heat or the actual furnace. Sterilisation +by means of superheated steam is carried out in a special +boiler--Chamberland's autoclave (Fig. 30). The autoclave consists of a +stout copper cylinder, provided with a copper or gun-metal lid, which +is secured in place by means of bolts and thumbscrews, the joint between +the cylinder and its lid being hermetically sealed by the interposition +of a rubber washer. The cover is perforated for a branched tube carrying +a vent cock, a manometer, and a safety valve. The copper boiler is +mounted in the upper half of a cylindrical sheet-iron case--two +concentric circular rows of Bunsen burners, each circle having an +independent gas-supply, occupying the lower half. In the interior of the +boiler is a large movable wire basket, mounted on legs, for the reception +of the articles to be sterilised. + + +TO USE THE AUTOCLAVE.-- + +1. Pack the articles to be sterilised in the wire basket. + +2. Run water into the boiler to the level of the bottom of the basket; +also fill the contained flasks and tubes with water. + +3. See that the rubber washer is in position, then replace the cover and +fasten it tightly on to the autoclave by means of the thumbscrews. + +4. Open the vent cock and light both rings of burners. + +5. When steam is issuing in a steady, continuous stream from the vent +tube, shut off the vent cock and extinguish the outer ring of gas +burners. + +6. Wait until the index of the manometer records a temperature of 120 deg. +C., then regulate the gas and the spring safety valve in such a manner +that this temperature is just maintained, and leave it thus for twenty +minutes. In the more expensive patterns of autoclave this regulation of +the safety valve is carried out automatically, the manometer being +fitted with an adjustable pointer which can be set to any required +pressure-temperature and so arranged that when the index of the +manometer coincides with the adjustable hand the safety valve is opened. + +7. Extinguish the gas and allow the manometer index to fall to zero. + +[Illustration: FIG. 30.--Chamberland's Autoclave.] + +8. Now open the vent cock slowly, and allow the internal pressure to +adjust itself to that of the atmosphere. + +9. Remove the cover and take out the sterilised contents. + +~Sterilisation Periods.~--An exceedingly useful device for the timing of +sterilisation periods (and indeed for many other operations in the +laboratory) is the + + +ELECTRIC SIGNAL TIMING CLOCK. + +This is a clock of American type in which the face is surrounded by a +metal plate having a series of 60 holes at equal distances apart, +corresponding to the minutes on the dial. This plate is connected with +one of the poles of a dry battery, the other pole of which is connected +to the metal case of the clock for the purpose of actuating an ordinary +magnet alarm bell. In the centre of each of the holes in the plate a +metal rod is fixed, which then passes through an insulating ring and +projects inside the clock face, where it makes contact with the hour +hand. The clock is mounted on a heavy base, with a key-board containing +20 numbered plugs. If one of the plugs is inserted in a hole in the +plate it makes contact with the rod, and when the hour hand of the clock +touches the other end the circuit is completed and the bell starts +ringing. The period of this friction contact is approximately 20 +seconds. The clock can therefore be used for electrically noting the +periods of time from one minute by multiples of one minute up to one +hour. + +[Illustration: FIG. 31.--Electric signal timing clock.] + +~Filtration.~--(a) _Cotton-wool Filter._--Practically the only method in +use in the laboratory for the sterilisation of air or of a gas is by +filtration through dry cotton-wool or glass-wool, the fibres of which +entangle the micro-organisms and prevent their passage. + +Perhaps the best example of such a filter is the cotton-wool plug which +closes the mouth of a culture tube. Not only does ordinary diffusion +take place through it, but if a tube plugged in the usual manner with +cotton-wool is removed from the hot incubator, the temperature of the +contained air rapidly falls to that of the laboratory, and a partial +vacuum is formed; air passes into the tube, through the cotton-wool +plug, to restore the equilibrium, and, so long as the plug remains dry, +in a germ-free condition. If, however, the plug becomes moist, either by +absorption from the atmosphere, or from liquids coming into contact with +it, micro-organisms (especially the mould fungi) commence to multiply, +and the long thread forms rapidly penetrate the substance of the plug, +and gain access to and contaminate the interior of the tube. + +[Illustration: FIG. 32.--Cotton-wool air filter.] + + +METHOD.-- + +If it is desired to sterilise gases before admission to a vessel +containing a pure cultivation of a micro-organism, as, for instance, +when forcing a current of oxygen over or through a broth cultivation of +the diphtheria bacillus, this can be readily effected as follows: + +1. Take a length of glass tubing of, say, 1.5 cm. diameter, in the +centre of which a bulb has been blown, fill the bulb with dry +cotton-wool (Fig. 32), wrap a layer of cotton-wool around each end of +the tube, and secure in position with a turn of thin copper wire or +string; then sterilise the piece of apparatus in the hot-air oven. + +2. Prepare the cultivation in a Ruffer or Woodhead flask (Fig. 33) the +inlet tube of which has its free extremity enveloped in a layer of +cotton-wool, secured by thread or wire, whilst the exit tube is plugged +in the usual manner. + +[Illustration: FIG. 33.--Ruffer's flask.] + +3. Sterilise a short length of rubber tubing by boiling. Transfer it +from the boiling water to a beaker of absolute alcohol. + +4. When all is ready remove the rubber tube from the alcohol by means of +a pair of forceps, drain it thoroughly, and pass through the flame of a +Bunsen burner to burn off the last traces of alcohol. + +5. Remove the cotton-wool wraps from the entry tube of the flask and +from one end of the filter tube and rapidly couple them up by means of +the sterile rubber tubing. + +6. Connect the other end of the bulb tube with the delivery tube from +the gas reservoir. + +The gas in its passage through the dry sterile cotton-wool in the bulb +of the filter tube will be freed from any contained micro-organisms and +will enter the flask in a sterile condition. + +(b) _Porcelain Filter._--The sterilisation of liquids by filtration is +effected by passing them through a cylindrical vessel, closed at one end +like a test-tube, and made either of porous "biscuit" porcelain, +hard-burnt and unglazed (Chamberland system), or of Kieselguhr, a fine +diatomaceous earth (Berkefeld system), and termed a "bougie" or "candle" +(Fig. 34). + + NOTE.--In selecting candles for use in the laboratory avoid + those with metal fittings, since during sterilisation cracks + develop at the junction of the metal and the siliceous + material owing to the unequal expansion. + +In this method the bacteria are retained in the pores of the filter +while the liquid passes through in a germ-free condition. + +It is obvious that to be effective the pores of the filter must be +extremely minute, and therefore the rate of filtration will usually be +slow. Chamberland filter candles possess finer channels than Berkefeld +candles and consequently filter much more slowly. To overcome this +disadvantage, either aspiration or pressure, or a combination of these +two forces, may be employed to hasten the process. + +Doultons white porcelain filters it may be noted are as efficient as the +Chamberland candles and filter rather more rapidly. + +_Apparatus Required._-- + +1. Separatory funnel containing the unfiltered fluid. + +2. Sterile filter candle (Fig. 34), the open end fitted with a rubber +stopper (Fig. 34, a) perforated to receive the delivery tube of the +separatory funnel, and its neck passed through a large rubber washer +(Fig. 34, b) which fits the mouth of the filter flask. + +3. Sterile filter flask of suitable size, for the reception of the +filtered fluid, its mouth closed by a cotton-wool plug. + +4. Water injector Sprengel (see Fig. 38, c) pump, or Geryk's pump (an +air pump on the hydraulic principle, sealed by means of low +vapor-tension oil, Fig. 35). + +If this latter is employed, a Wulff's bottle, fitted as a wash-bottle +and containing sulphuric acid, must be interposed between the filter +flask and the pump, in order to prevent moist air reaching the oil in +the pump. + +5. Air filter (_vide_ page 40) sterilised. + +6. Pressure tubing. + +7. Screw clamps (Fig. 36). + +METHOD.-- + +1. Couple the exhaust pipe of the suction pump with the lateral tube of +the filter flask (first removing the cotton-wool plug from this latter), +by means of pressure tubing, interposing, if necessary, the wash-bottle +of sulphuric acid. + +[Illustration: FIG. 34.--Porcelain filter candle.] + +[Illustration: FIG. 35.--Geryk air pump.] + +2. Remove the cotton-wool plug from the neck of the filter flask and +adjust the porcelain candle in its place. + +[Illustration: FIG. 36.--Screw clamps.] + +3. Attach the nozzle of the separatory funnel to the filter candle by +means of the perforated rubber stopper (Fig. 37). + +[Illustration: FIG. 37.--Apparatus arranged for filtering--aspiration.] + +4. Open the tap of the funnel, and exhaust the air from the filter flask +and wash-bottle; maintain the vacuum until the filtration is complete. + +5. When the filtration is completed close the tap of the funnel; adjust +a screw clamp to the pressure tubing attached to the lateral branch of +the filter flask; screw it up tightly, and disconnect the acid +wash-bottle. + +6. Attach the air filter to the open end of the pressure tubing; open +the screw clamp gradually, and allow filtered air to enter the flask, to +abolish the negative pressure. + +7. Detach the rubber tubing from the lateral branch of the flask, flame +the end of the branch in the Bunsen, and plug its orifice with sterile +cotton-wool. + +8. Remove the filter candle from the mouth of the flask, flame the +mouth, and plug the neck with sterile cotton-wool. + +9. Disinfect the filter candle and separatory funnel by boiling. + +If it is found necessary to employ pressure in addition to or in place +of suction, insert a perforated rubber stopper into the mouth of the +separatory funnel and secure in position with copper wire; next fit a +piece of glass tubing through the stopper, and connect the external +orifice with an air-pressure pump of some kind (an ordinary foot pump +such as is employed for inflating bicycle tyres is one of the most +generally useful, for this purpose) or with a cylinder of compressed air +or other gas. + +In order to filter a large bulk of fluid very rapidly it is necessary to +use a higher pressure than glass would stand, and in these cases the +metal receptacle designed by Pakes (Fig. 38, a), to hold the filter +candle itself as well as the fluid to be filtered, should be employed. +(A vacuum must also be maintained in the filter flask, by means of an +exhaust pump, during the entire process.) + +This piece of apparatus consists of a brass cylinder, capacity 2500 +c.c., with two shoulders; and an opening in the neck at each end, +provided with screw threads. + +A nut carrying a pressure gauge fits into the top screw; and into the +bottom is fitted a brass cylinder carrying the filter candle and +prolonged downwards into a delivery tube. Leakage is prevented by means +of rubber washers. + +Into the top shoulder a tube is inserted, bent at right angles and +provided with a tap. All the brass-work is tinned inside (Fig. 38, a). +In use the reservoir is generally mounted on a tripod stand. + +~To Sterilise.~-- + +1. Insert the filter candle into its cylinder and screw this loosely on. + +[Illustration: FIG. 38.--Pakes' filtering reservoir--pressure and +aspiration.] + +2. Wrap a layer of cotton-wool around the delivery tube and fasten in +position. + +3. Remove the nut carrying the pressure gauge and plug the neck with +cotton-wool. + +4. Heat the whole apparatus in the autoclave at 120 deg. C. for twenty +minutes. + +METHOD.-- + +1. Remove the apparatus from the autoclave, and allow it to cool. + +2. Screw home the box carrying the bougie. + +3. Set the apparatus up in position, with its delivery tube (from which +the cotton-wool wrapping has been removed) passing through a perforated +rubber stopper in the neck of a filter flask. + +[Illustration: FIG. 39.--Closed candle arranged for filtering.] + +4. Fill the fluid to be filtered into the cylinder and screw on the nut +carrying the pressure gauge. (This nut should be immersed in boiling +water for a few minutes previous to screwing on, in order to sterilise +it.) + +5. Connect the horizontal arm of the entry tube with a cylinder of +compressed oxygen (or carbon dioxide, Fig. 38, b), by means of +pressure tubing. + +6. Connect the lateral arm of the filter flask with the exhaust pump +(Fig. 38, c) and start the latter working. + +7. Open the tap of the gas cylinder; then open the tap on the entry tube +of the filter cylinder and raise the pressure in its interior until the +desired point is recorded on the manometer. Maintain this pressure, +usually one or one and a half atmospheres, until filtration is +completed, by regulating the tap on the entry tube. + +Some forms of filter candle are made with the open end contracted into a +delivery nozzle, which is glazed. In this case the apparatus is fitted +up in a slightly different manner; the fluid to be filtered is contained +in an open cylinder into which the candle is plunged, while its delivery +nozzle is connected with the filter flask by means of a piece of +flexible pressure tubing (previously sterilised by boiling), as in +figure 39. + + + + +IV. THE MICROSCOPE. + + +The essentials of a microscope for bacteriological work may be briefly +summed up as follows: + +[Illustration: FIG. 40.--Microscope stand.] + +The instrument, of the monocular type, must be of good workmanship and +well finished, rigid, firm, and free from vibration, not only when +upright, but also when inclined to an angle or in the horizontal +position. The various joints and movements must work smoothly and +precisely, equally free from the defects of "loss of time" and +"slipping." All screws, etc., should conform to the Royal Microscopical +Society's standard. It must also be provided with good lenses and a +sufficiently large stage. The details of its component parts, to which +attention must be specially directed, are as follows: + +[Illustration: FIG. 41.--Foot, three types.] + +~1. The Base or Foot~ (Fig. 40, a).--Two elementary forms--the tripod +(Fig. 41, a) and the vertical column set into a plate known as the +"horse-shoe" (Fig. 41, b)--serve as the patterns for countless +modifications in shape and size of this portion of the stand. The chief +desiderata--stability and ease of manipulation--are attained in the +first by means of the "spread" of the three feet, which are usually shod +with cork; in the second, by the dead weight of the foot-plate. The +tripod is mechanically the more correct form, and for practical use is +much to be preferred. Its chief rival, the Jackson foot (Fig. 41, c), +is based upon the same principle, and on the score of appearance has +much to recommend it. + +~2.~ The ~body tube~ (Fig. 40, b) may be either that known as the "long" +or "English" (length 250 mm.), or the "short" or "Continental" (length +160 mm.). Neither length appears to possess any material advantage over +the other, but it is absolutely necessary to secure objectives which +have been manufactured for the particular tube length chosen. In the +high-class microscope of the present day the body tube is usually +shorter than the Continental, but is provided with a draw tube which, +when fully extended, gives a tube length greater than the English, thus +permitting the use of either form of objective. + +[Illustration: FIG. 42.--Coarse adjustment.] + +[Illustration: FIG. 43.--Fine adjustment.] + + + For practical purposes the tube length = distance from the + end of the nosepiece to the eyeglass of the ocular. This is + the measurement referred to in speaking of "long" or "short" + tube. + +~3.~ The ~coarse adjustment~ (Fig. 40, c) should be a rack-and-pinion +movement, steadiness and smoothness of action being secured by means of +accurately fitting dovetailed bearings and perfect correspondence +between the teeth of the rack and the leaves of the pinion (Fig. 42). +Also provision should be made for taking up the "slack" (as by the +screws _AA_, Fig. 42). + +~4.~ The ~fine adjustment~ (Fig. 40, d) should on no account depend upon +the direct action of springs, but should be of the lever pattern, +preferably the Nelson (Fig. 43). In this form the unequal length of the +arms of the lever secures very delicate movement, and, moreover, only a +small portion of the weight of the body tube is transmitted to the +thread of the vertical screw actuating the movement. + +[Illustration: FIG. 44.--Spindle head to fine adjustment.] + +A spindle milled head (Fig. 44) will be found a very useful device to +have fitted in place of the ordinary milled head controlling the fine +adjustment. In this contrivance the axis of the milled head is prolonged +upward in a short column, the diameter of which is one-sixth of that of +the head. The spindle can be rapidly rotated between the fingers for +medium power adjustments while the larger milled head can be slowly +moved when focussing high powers. + +~5.~ The ~stage~ (Fig. 40, e) should be square in shape and large in +area--at least 12 cm.--flat and rigid, in order to afford a safe support +for the Petri dish used for plate cultivations; and should be supplied +with spring clips (removable at will) to secure the 3 by 1 glass slides. + +A mechanical stage must be classed as a necessity rather than a luxury +so far as the bacteriologist is concerned, as when working with high +powers, and especially when examining hanging-drop specimens, it is +almost impossible to execute sufficiently delicate movements with the +fingers. In selecting a mechanical stage, preference should be given to +one which forms an integral part of the instrument (Fig. 45) rather than +one which needs to be clamped on to an ordinary plain stage every time +it is required, and its traversing movements should be controlled by +stationary milled heads (Fig. 45, _AA'_). The shape of the aperture is a +not unimportant point; it should be square to allow of free movement +over the substage condenser. The mechanical stage should be tapped for +three (removable) screw studs to be used in place of the sliding bar, so +that if desired the Vernier finder (Fig. 45, _BB'_), such as is usually +fitted to this class of stage, or a Maltwood finder, may be employed. + +[Illustration: FIG. 45.--Mechanical stage.] + +[Illustration: FIG. 46.--Iris diaphragm.] + +~6. Diaphragm.~--Separate single diaphragms must be avoided; a revolving +plate pierced with different sized apertures and secured below the stage +is preferable, but undoubtedly the best form is the "iris" diaphragm +(Fig. 46) which enters into the construction of the substage condenser. + +~7.~ The ~substage condenser~ is a necessary part of the optical outfit. +Its purpose is to collect the beam of parallel rays of light reflected by +the plane mirror, by virtue of a short focus system of lenses, into a +cone of large aperture (reducible at will by means of an iris diaphragm +mounted as a part of the condenser), which can be accurately focussed on +the plane of the object. This focussing must be performed anew for each +object, on account of the variation in the thickness of the slides. + +The form in most general use is that known as the Abbe (Fig. 47) and +consists of a plano-convex lens mounted above a biconvex lens. This +combination is carried in a screw-centering holder known as the substage +below the stage of the microscope (Fig. 40 f), and must be accurately +adjusted so that its optical axis coincides with that of the objective. +Vertical movement of the entire substage apparatus effected by means of +a rack and pinion is a decided advantage, and some means should be +provided for temporarily removing the condenser from the optical axis of +the microscope. + +[Illustration: FIG. 47--Optical part of Abbe illuminator.] + +With the oil immersion objective, however, an ~achromatic condenser~, +giving an illuminating cone of about 0.9, should be used if the full +value of the lens is to be obtained. It is generally assumed that a good +objective requires an illuminating cone equivalent to two-thirds of its +numerical aperture. The best Abbe condenser transmits a cone of about +.45 whilst the aperture of the 1/12 inch immersion lenses of different +makers varies from 1.0 to 1.4, hence, the efficiency of these lenses is +much curtailed if the condenser is merely the Abbe. These improved +condensers must be absolutely centered to the objective and capable of +very accurate focussing otherwise much of their value is lost. + +~8. Mirrors.~--Below the substage condenser is attached a gymbal carrying +a reversible circular frame with a plane mirror on one side and a +concave mirror on the other (Fig. 40, g). The plane mirror is that +usually employed, but occasionally, as for example when using low powers +and with the condenser racked down and thrown out of the optical axis, +the concave mirror is used. + +~9. Oculars, or Eyepieces.~--Those known as the Huyghenian oculars (Fig. +48) will be sufficient for all ordinary work without resorting to the +more expensive "compensation" oculars. Two or three, magnifying the +"real" image (formed by the objective) four, six, or eight times +respectively, form a useful equipment. + +As an accessory ~Ehrlich's Eyepiece~ is a very useful piece of apparatus +when the enumeration of cells or bacteria has to be carried out. This is +an ordinary eyepiece fitted with an adjustable square diaphragm operated +by a lever projecting from the side of the mount. Three notches are made +in one of the sides of the square and by moving the lever square +aperture can be reduced to three-quarters, one-half or one-quarter of +the original size. + +~10. Objectives.~--Three objectives are necessary: one for low-power +work--e. g., 1 inch, 2/3 inch, or 1/2 inch; one for high-power +work--e. g., 1/12 inch oil immersion lens; and an intermediate +"medium-power" lens--e. g., 1/6 inch or 1/8 inch (dry). These lenses +must be carefully selected, especial attention being paid to the +following points: + +(a) _Correction of Spherical Aberration._--Spherical aberration gives +rise to an ill-defined image, due to the central and peripheral rays +focussing at different points. + +(b) _Correction of Chromatic Aberration._--Chromatic aberration gives +rise to a coloured fringe around the edges of objects due to the fact +that the different-coloured rays of the spectrum possess varying +refrangibilities and that a simple lens acts toward them as a prism. + +(c) _Flatness of Field._--The ideal visual field would be large and, +above all, _flat_; in other words, objects at the periphery of the field +would be as distinctly "in focus" as those in the centre. Unfortunately, +however, this is an optical impossibility and the field is always +spherical in shape. Some makers succeed in giving a larger central area +that is in focus at one time than others, and although this may +theoretically cause an infinitesimal sacrifice of other qualities, it +should always be sought for. Successive zones and the entire peripheral +ring should come into focus with the alteration of the fine adjustment. +This simultaneous sharpness of the entire circle is an indication of the +perfect centering of the whole of the lenses in the objective. + +[Illustration: FIG. 48.--Huyghenian eyepiece.] + +(d) _Good Definition._--Actual magnification is, within limits, of +course, of less value than clear definition and high resolving power, +for it is upon these properties we depend for our knowledge of the +detailed structure of the objects examined. + +(e) _Numerical Aperture_ (_N. A._).--The numerical aperture may be +defined, in general terms, as the ratio of the _effective_ diameter of +the back lens of the objective to its equivalent focal length. The +determination of this point is a process requiring considerable +technical skill and mathematical ability, and is completely beyond the +powers of the average microscopist.[1] + +Although with the increase in power it is correspondingly difficult to +combine all these corrections in one objective, they are brought to a +high pitch of excellence in the present-day "achromatic" objectives, and +so remove the necessity for the use of the higher priced and less +durable apochromatic lenses. + +In selecting objectives the best "test" objects to employ are: + +1. A thin (one cell layer), even } { 1", 2/3", 1/2": +"blood film," stained with Jenner's } for { 1/6", 1/8" +or Romanowsky's stain. } { 1/12" oil + +2. A thin cover-slip preparation } +of a young cultivation of } { 1/8" dry +_B. diphtheriae_ (showing } for { +segmentation) stained with } { 1/12" oil +methylene-blue. } + +~Accessories.~--_Eye Shade_ (Fig. 49).--This piece of apparatus consists +of a pear-shaped piece of blackened metal or ebonite, hinged to a collar +which rotates on the upper part of the body tube of the microscope. It +can be used to shut out the image of surrounding objects from the +unoccupied eye, and when carrying out prolonged observations will be +found of real service. + +_Nosepiece._--Perhaps the most useful accessory is a nosepiece to carry +two of the objectives (Fig. 50), or, better still, all three (Fig. 51). +This nosepiece, preferably constructed of aluminium, must be of the +covered-in type, consisting of a curved plate attached to the lower end +of the body tube--a circular aperture being cut to correspond to the +lumen of that tube. To the under surface of this plate is pivoted a +similarly curved plate, fitted with three tubulures, each of which +carries an objective. By rotating the lower plate each of the objectives +can be brought successively in to the optical axis of the microscope. + +[Illustration: FIG. 49.--Eye shade.] + +For critical work and particularly for photo-micrography, however, the +interchangeable nosepiece is by no means perfect as it is next to +impossible to secure accurate centreing of each lens in the optical +axis. For special purposes, therefore, it is necessary to employ a +special nosepiece such as that made by Zeiss or Leitz into which each +objective slides on its own carrier and upon which it is accurately +centred. + +[Illustration: FIG. 50.--Double nosepiece.] + +[Illustration: FIG. 51.--Triple nosepiece.] + +_Warm Stage_ (Fig. 52).--This is a flat metal case containing a system +of tubes through the interior of which water of any required temperature +can be circulated. It is made to clamp on to the stage of the +microscope by the screws _A A'_, and is perforated with a large hole +coinciding with the optical axis of the microscope; a short tube B, +projecting from one end of the warm stage permits water of the desired +temperature to be conducted from a reservoir through a length of rubber +tubing to the interior of the stage and a similar tube at the other end +_B'_ of the stage allows exit to the waste water. By raising the +temperature of hanging-drop preparations, etc., placed upon it, above +that of the surrounding atmosphere, the warm stage renders possible +exact observations on spore germination, hanging-drop cultivations, etc. + +[Illustration: FIG. 52.--Warm stage.] + +A better form is the electrical hot stage designed by Lorrain Smith;[2] +it requires the addition of a lamp resistance and sliding rheostat, also +a delicate ammeter reading to .01 of an ampere. It consists of a wooden +frame supporting a flat glass bulb with a long neck bent upward at an +obtuse angle (Fig. 53). The bulb is filled with liquid paraffin, which +rises in the open neck when expanded by heat. The neck also accommodates +the thermometer. Two coils of manganin wire run in the paraffin at +opposite sides of the bulb (outside the field of vision), coupled to +brass terminals on the wooden frame by platinum wire fused into the +glass. The resistance of the two coils in series is about 10 ohms. A +current of 2-1/2 amperes is needed, and is conducted to the coils in the +stage through the rheostat. With the help of the ammeter any desired +temperature can be obtained and maintained, up to about 200 deg. C. If +immersion oil contact is made between the top lens of the condenser and +the lower surface of the bulb, this stage works very well indeed with +the 1/12-inch oil immersion lens. + +[Illustration: FIG. 53.--Lorrain Smith's warm stage.] + +_Dark Ground or Paraboloid Condenser._--This is an immersion substage +condenser of high aperture by means of which unstained objects such as +bacteria can be shown as bright white particles upon a dense black +background. The central rays of light are blocked out by means of an +opaque stop while the peripheral rays are reflected from the +paraboloidal sides of the condenser and refracted by the object viewed. +To obtain the best results with this type of condenser a powerful +illuminant--such as a small arc lamp or an incandescent gas lamp--is +needed, together with picked slides of a certain thickness (specified +for the particular make of condenser but generally 1 mm.) and specially +thin cover-glasses (not more than 0.17 mm.) The objective must not have +a higher NA than 1.0, consequently immersion lenses must be fitted with +an internal stop to cut down the aperture. + +_Micrometer._--Some form of micrometer for the purpose of measuring +bacteria and other objects is also essential. Details of those in +general use will be found in the following pages. + +[Illustration: FIG. 54--Diamond Object marker.] + +_Object Marker_ (Fig. 54).--This is an exceedingly useful piece of +apparatus. Made in the form of an objective, the lenses are replaced by +a diamond point, set slightly out of the centre, which can be rotated by +means of a milled plate. Screwed on to the nosepiece in place of the +objective, rotation of the diamond point will rule a small circle on the +object slide to permanently record the position of an interesting +portion of the specimen. The diamond is mounted on a spring which +regulates the pressure, and the size of the circle can be adjusted by +means of a lateral screw. + + +METHODS OF MICROMETRY. + +The unit of length as applied to the measurement of microscopical +objects is the one-thousandth part of a millimetre (0.001 mm.), +denominated a _micron_ (sometimes, and erroneously, referred to as a +micro-millimetre), and indicated in writing by the Greek letter mu. Of +the many methods in use for the measurement of bacteria, three only will +be here described, viz.: + +(a) By means of the Camera Lucida. + +(b) By means of the ocular or Eyepiece Micrometer. + +(c) By means of the Filar Micrometer (Ramsden's micrometer eyepiece). + +For each of these methods a ~stage micrometer~ is necessary. This is a 3 +by 1 inch glass slip having engraved on it a scale divided to hundredths +of a millimetre (0.01 mm.), every tenth line being made longer than the +intervening ones, to facilitate counting; and from these engraved lines +the measurement in every case is evaluated. A cover-glass is cemented +over the scale to protect it from injury. + +[Illustration: FIG. 55.--Camera lucida, Abbe pattern.] + +(a) By means of the Camera Lucida. + +1. Attach a camera lucida (of the Wollaston, Beale, or Abbe pattern) +(Fig. 55) to the eyepiece of the microscope. + +2. Adjust the micrometer on the stage of the microscope and accurately +focus the divisions. + +3. Project the scale of the stage micrometer on to a piece of paper and +with pen or pencil sketch in the magnified image, each division of which +corresponds to 10 mu. Mark on the paper the optical combination (ocular +objective and tube length) employed to produce this particular +magnification. + +4. Repeat this procedure for each of the possible combinations of +oculars and objectives fitted to the microscope supplied, and carefully +preserve the scales thus obtained. + +To measure an object by this method simply project the image on to the +scale corresponding to the particular optical combination in use at the +moment. Read off the number of divisions it occupies and express them as +_micra_. + +In place of preserving a scale for each optical combination, the object +to be measured and the micrometer scale may be projected and sketched, +in turn, on the same piece of paper, taking particular care that the +centre of the eyepiece is 25 cm. from the paper on which the divisions +are drawn. + +[Illustration: FIG. 56.--Eyepiece micrometer, ordinary.] + +[Illustration: FIG. 57.--Eyepiece micrometer, net.] + +(b) By means of the Eyepiece Micrometer. + +The ~eyepiece micrometer~ is a circular glass disc having engraved on it a +scale divided to tenths of a millimetre (0.1 mm.) (Fig. 56), or the +entire surface ruled in 0.1 mm. squares (the net micrometer) (Fig. 57). +It can be fitted inside the mount of any ocular just above the aperture +of the diaphragm and must be adjusted exactly in the focus of the eye +lens. + +Some makers mount the glass disc together with a circular cover-glass in +such a way that when placed in position in any Huyghenian eyepiece of +their own manufacture, the scale is exactly in focus for normal vision. +Special eyepieces are also obtainable having a sledging adjustment to +the eye lens for focussing the micrometer. + +The value of one division of the micrometer scale must first be +ascertained for each optical combination by the aid of the stage +micrometer, thus: + +1. Insert the eyepiece micrometer inside the ocular and adjust the stage +micrometer on the stage of the microscope. + +2. Focus the scale of the stage micrometer accurately; the lines will +appear to be immediately below those of the eyepiece micrometer. Make +the lines on the two micrometers parallel by rotating the ocular. + +3. Make two of the lines on the ocular micrometer coincide with those +bounding one division of the stage micrometer; this is effected by +increasing or diminishing the tube length; and note the number of +included divisions. + +4. Calculate the value of each division of the eyepiece micrometer in +terms of mu, by means of the following formula: + + x = 10 y. + + Where x = the number of included divisions of the + eyepiece micrometer. + + y = the number of included divisions of the + stage micrometer. + +5. Note the optical combination employed in this experiment and record +it with the calculated micrometer value. + +Repeat this process for each of the other combinations. Carefully record +the results. + +To measure an object by this method read off the number of divisions of +the eyepiece micrometer it occupies and express the result in _micra_ by +a reference to the standard value for the particular optical combination +employed. + +Zeiss prepares a compensating eyepiece micrometer for use with his +apochromatic objectives, the divisions of which are so computed that +(with a tube length of 160 mm.) the value of each is equivalent to as +many _micra_ as there are millimetres in the focal length of the +objective employed. + +_Wright's Eikonometer_ is really a modification of the eyepiece +micrometer for rapidly measuring microscopical objects by direct +inspection, having previously determined the magnifying power of the +particular optical combination employed. It is a small piece of +apparatus resembling an eyepiece, with a sliding eye lens, which can be +accurately focussed on a micrometer scale fixed within the instrument. +When placed over the microscope ocular the divisions of this scale +measure the actual size of the virtual image in millimetres. + +In order to use this instrument for direct measurement, it is first +necessary to determine the magnifying power of each combination of +ocular, tube length and objective. + +Place a stage micrometer divided into hundredths of a millimetre on the +microscope stage and focus accurately. + +Rest the eikonometer on the eyepiece. Observation through the +eikonometer shows its micrometer scale superposed on the image of the +stage micrometer. + +Rotate the eikonometer until the lines on the two scales are parallel, +and make the various adjustments to ensure that two lines on the +eikonometer scale coincide with two lines on the stage micrometer. + +For the sake of illustration it may be assumed that five of the +divisions on the stage micrometer accurately fill one of the divisions +of the eikonometer scale; this indicates a magnifying power of 500 as +the constant for that particular optical combination, and a record +should be made of the fact. + +The magnification constants of the various other optical combinations +should be similarly made and recorded. + +To measure any object subsequently it should be first focussed carefully +in the ordinary way. + +The eikonometer should then be applied to the eyepiece and the size of +the object read off on the eikonometer scale as millimetres, and the +actual size calculated by dividing the observed size by the +magnification constant for the particular optical combination employed +in the observation. + +(c) By means of the filar micrometer. + +[Illustration: FIG. 58.--Ramsden's Filar micrometer.] + +[Illustration: FIG. 59.--Ramsden's micrometer field, a, fixed wire; +b, reference wire (fixed); c, travelling wire.] + +The ~Filar~ or cobweb Micrometer (Ramsden's micrometer) eyepiece (Fig. 58) +consists of an ocular having a fine "fixed" wire stretching horizontally +across the field (Fig. 59), a vertical reference wire--fixed--adjusted +at right angles to the first; and a fine wire, parallel to the reference +wire, which can be moved across the field by the action of a micrometer +screw; the drum head is divided into one hundred parts, which +successively pass a fixed index as the head is turned. In the lower part +of the field is a comb with the intervals between its teeth +corresponding to one complete revolution of this screw-head. + +As in the previous method, the value of each division of the micrometer +scale (i. e., the comb) must first be determined for each optical +combination. This is effected as follows: + +1. Place the filar micrometer and the stage micrometer in their +respective positions. + +2. Rotate the screw of the filar micrometer until the movable wire +coincides with the fixed one, and the index marks zero on the drum head. +(If when the drum head is at zero the two wires do not exactly coincide +they must be adjusted by loosening the drum screw and resetting the +drum.) + +3. Focus the scale of each micrometer accurately, and make the lines on +them parallel. + +4. Rotate the head of the micrometer screw until the movable line has +transversed one division of the stage micrometer. Note the number of +complete revolutions (by means of the recording comb) and the fractions +of a revolution (by means of scale on the head of the micrometer screw), +which are required to measure the 0.01 mm. + +5. Make several such estimations and average the results. + +6. Note the optical combination employed in this experiment and record +it carefully, together with the micrometer value in terms of mu. + +7. Repeat this process for each of the different optical combinations +and record the results. + +To measure an object by this method, simply note the number of +revolutions and fractions of a revolution of the screw-head required to +traverse such object from edge to edge, and express the result as +_micra_ by reference to the recorded values for that particular optical +combination. + +_Microscope Illuminant._--In tropical and subtropical regions diffuse +daylight is the best illuminant. In temperate climes however daylight of +the desirable quantity is not always available, and recourse must be +had to oil lamps, gas lamps--preferably those with incandescent +mantles--and electricity; and of these the last is undoubtedly the best. +A handy lamp holder which can be manufactured in the laboratory is shown +in Fig. 60. It consists of a base board weighted with lead to which is +attached the ordinary domestic lamp holder, and behind this is fastened +a curved sheet-iron reflector. An obscured metal filament lamp of about +16 candle power gives the most suitable light, and if monochromatic +light is needed, the blue grease pencil is streaked over the side of the +lamp nearest the microscope; the current is switched on and when the +glass bulb is warm, rubbing with a wad of cotton-wool will readily +distribute the blue greasy material in an even film over the ground +glass. + +[Illustration: FIG. 60.--Electric microscope lamp.] + +FOOTNOTES: + +[1] Its importance will be realised, however, when it is stated in the +words of the late Professor Abbe: "The numerical aperture of a lens +determines all its essential qualities; the brightness of the image +increases with a given magnification and other things being equal, as +the square of the aperture; the resolving and defining powers are +directly related to it, the focal depth of differentiation of depths +varies inversely as the aperture, and so forth." + +[2] Made by Mr. Otto Baumbach, 10, Lime Grove, Manchester. + + + + +V. MICROSCOPICAL EXAMINATION OF BACTERIA AND OTHER MICRO-FUNGI. + + +APPARATUS AND REAGENTS USED IN ORDINARY MICROSCOPICAL EXAMINATION. + +The following comprises the essential apparatus and reagents for routine +work with which each student should be provided. + +1. India-rubber "change-mat" upon which cover-glasses may be rested +during the process of staining. + +2. Squares of blotting paper about 10 cm., for drying cover-slips and +slides. + +(The filter paper known as "German lined"--a highly absorbent, closely +woven paper, having an even surface and no loose "fluff" to adhere to +the specimens--is the most useful for this purpose.) + +[Illustration: FIG. 61.--Disinfectant Jar.] + +3. Glass jar filled with 2 per cent. lysol solution for the reception of +infected cover-glasses and infected pipettes, etc. + +4. A square glazed earthenware box with a loose lining containing 2 per +cent. lysol solution for the reception of infected material and used +slides. The bottom of the lining is perforated so that when full the +lining and its contents can be lifted bodily out of the box, when the +disinfectant solution drains away and the slides, etc., can easily be +emptied out. The empty lining is then returned to the box with its +disinfectant solution (Fig. 61). + +5. Bunsen burner provided with "peep-flame" by-pass. + +6. Porcelain trough holding five or six hanging-drop slides (Fig. 62). + +[Illustration: FIG. 62.--Hanging-drop slides: a, Double cell seen from +above; b, single cell seen from the side.] + +The best form of hanging-drop slide is a modification of Boettcher's +glass ring slide, and is prepared by cementing a circular cell of tin, +13 to 15 mm. diameter, and 1 to 2 mm. in height, to the centre of a 3 by +1 slip by means of Canada balsam. It is often extremely convenient to +have two of these cells cemented close together on one slide (Fig. 62, +a). + + Another form of hanging-drop slide is made in which a + circular or oval concavity or "cell" is ground out of the + centre of a 3 by 1 slip. These are more expensive, less + convenient to work with, and are more easily contaminated by + drops of material under examination, and should be carefully + avoided. + +7. Three aluminium rods (Fig. 63), each about 25 cm. long and carrying a +piece of 0.015 gauge platino-iridium wire 7.5 cm. in length. The end of +one of the wires is bent round to form an oval loop, of about 1 mm. in +its short diameter, and is termed a loop or an oese; the terminal 3 or 4 +mm. of another wire is flattened out by hammering it on a smooth iron +surface to form a "spatula"; the third is left untouched or is pointed +by the aid of a file. These instruments are used for inoculating culture +tubes and preparing specimens for microscopical examination. + +[Illustration: FIG. 63.--Ends of platinum rods. a, loop; b, spatula; +c, needle.] + +The method of mounting these wires may be described as follows: + +Take a piece of aluminium wire 25 cm. long and about 0.25 cm. in +diameter, and drill a fine hole completely through the wire about a +centimetre from one end. Sink a straight narrow channel along one side +of the wire, in its long axis, from the hole to the nearest end, shallow +at first, but gradually becoming deeper. + +On the opposite side of the wire make a short cut, 2 mm. in length, +leading from the hole in the same direction. [The use of a fine dental +drill and small circular saw, worked by a dental motor facilitates the +manufacture of these aluminium handled instruments.] + +Now pass one end of the platinum wire through the hole, turn up about 2 +mm. at right angles and press the short piece into the short cut. Turn +the long end of the wire sharply, also at right angles, and sink it into +the long channel so that it emerges from about the centre of the cut end +of the aluminium wire (Fig. 63). A few sharp taps with a watch maker's +hammer will now close in the sides of the two channels over the wire and +hold it securely. + +[Illustration: FIG. 64.--Platinum rod in aluminium handle--method of +mounting. + +The platinum wire may be fused into the end of a piece of glass rod, but +such a handle is vastly inferior to aluminium and is not to be +recommended.] + +8. Two pairs of sharp-pointed spring forceps (10 cm. long), one of which +must be kept perfectly clean and reserved for handling clean +cover-slips, the other being for use during staining operations. + +9. A box of clean 3 by 1 glass slips. + +10. A glass capsule with tightly fitting (ground on) glass lid, +containing clean cover-slips in absolute alcohol. + +11. One of Faber's "grease pencils" (yellow, red, or blue) for writing +on glass. + +12. A wooden rack (Fig. 65) with twelve drop-bottles (Fig. 66) each 60 +c.c. capacity, containing + + Aniline water. + + Gentian violet, saturated alcoholic solution. + + Lugol's (Gram's) iodine. + + Absolute alcohol. + + Methylene-blue, } + Fuchsin, basic, } saturated alcoholic solution. + + Neutral red, 1 per cent. aqueous solution. + + Leishman's modified Romanowsky stain. + + Carbolic acid, 5 per cent. aqueous solution. + + Acetic acid, 1 per cent. solution. + + Sulphuric acid, 25 per cent. solution. + + Xylol. + +[Illustration: FIG. 65.--Staining rack, rubber change mat and lysol +pot.] + +[Illustration: FIG. 66.--Drop bottle.] + +[Illustration: FIG. 67.--Canada balsam pot.] + +And two pots with air-tight glass caps (Fig. 67), each provided with a +piece of glass rod and filled respectively with Canada balsam dissolved +in xylol, and sterile vaseline. + + +METHODS OF EXAMINATION. + +Bacteria, etc., are examined microscopically. + + 1. In the living state, unstained, or stained. + 2. In the "fixed" condition (i. e., fixed, killed, + and stained by suitable methods). + +The preparation of a specimen from a tube cultivation for examination by +these methods may be described as follows: + +~1. Living, Unstained.~--(a) _"Fresh" Preparation._-- + +1. Clean and dry a 3 by 1 glass slip and place it on one of the squares +of filter paper. Deposit a drop of water (preferably distilled) or a +drop of 1 per cent. solution of caustic potash, on the centre of the +slip, by means of the platinum loop. + +[Illustration: FIG. 68.--Holding tubes for removing bacterial growth, as +seen from the front.] + + TECHNIQUE OF OPENING AND CLOSING A CULTURE TUBE. + + 2. Remove the tube cultivation from its rack or jar with the + left hand and ignite the cotton-wool plug by holding it to + the flame of the Bunsen burner. Extinguish the flame by + blowing on the plug, whilst rotating the tube on its long + axis, its mouth directed vertically upward, between the + thumb and fingers. (This operation is termed "flaming the + plug," and is intended to destroy any micro-organisms that + may have become entangled in the loose fibres of the + cotton-wool, and which, if not thus destroyed, might fall + into the tube when the plug is removed and so accidentally + contaminate the cultivation.) + + 3. Hold the tube at or near its centre between the ends of + the thumb and first two fingers of the left hand, and allow + the sealed end to rest upon the back of the hand between the + thumb and forefinger, the plug pointing to the right. Keep + the tube as nearly in the horizontal position as is + consistent with safety, to diminish the risk of the + accidental entry of organisms (Fig. 68). + + 4. Take the handle of the loop between the thumb and + forefinger of the right hand, holding the instrument in a + position similar to that occupied by a pen or a paint-brush, + and sterilise the platinum portion by holding it in the + flame of a Bunsen burner until it is red hot. Sterilise the + adjacent portion of the aluminium handle by passing it + rapidly twice or thrice through the flame. After sterilising + it, the loop must not be allowed to leave the hand or to + touch against anything but the material it is intended to + examine, until it is finished with and has been again + sterilised. + + 5. Grasp the cotton-wool plug of the test-tube between the + little finger and the palm of the right hand (whilst still + holding the loop as directed in step 4), and remove it from + the mouth of the tube by a "screwing" motion of the right + hand. + + 6. Introduce the platinum loop into the tube and hold it in + this position until satisfied that it is quite cool. (The + cooling may be hastened by touching the loop on one of the + drops of moisture which are usually to be found condensed on + the interior of the glass tube, or by dipping it into the + condensation water at the bottom; at the same time care must + be taken in the case of cultures on solid media to avoid + touching either the medium or the growth.) + + 7. Remove a small portion of the growth by taking up a drop + of liquid, in the case of a fluid culture, in the loop; or + by touching the loop on the surface of the growth when the + culture is on solid medium; and withdraw the loop from the + tube without again touching the medium or the glass sides of + the tube. + + 8. Replace the cotton-wool plug in the mouth of the tube. + +9. Replace the tube cultivation in its rack or jar. + +10. Mix the contents of the loop thoroughly with the drop of water on +the 3 by 1 slide. + +11. Again sterilise the loop as directed in step 4, and replace it in +its stand. + +12. Remove a cover-slip from the glass capsule by means of the +cover-slip forceps, rest it for a moment on its edge, on a piece of +filter paper to remove the excess of alcohol, then pass it through the +flame of the Bunsen burner. This burns off the remainder of the alcohol, +and the cover-slip so "flamed" is now clean, dry, and sterile. + +13. Lower the cover-slip, still held in the forceps, on to the surface +of the drop of fluid on the 3 by 1 slip, carefully and gently, to avoid +the inclusion of air bubbles. + +14. Examine microscopically (_vide infra_). + +During the microscopical examination, stains and other reagents may be +run in under a cover-slip by the simple method of placing a drop of the +reagent in contact with one edge of the cover-glass and applying the +torn edge of a piece of blotting paper to the opposite side. The reagent +may then be observed to flow across the field and come into contact with +such of the micro-organisms as lie in its path. + +The non-toxic basic dyes most generally employed for the intra-vitam +staining of bacteria are + + Neutral red, } + Quinoleine blue } + Methylene green } in 0.5 per cent. aqueous solutions. + Vesuvin, } + +_Negative Stain_ (Burri).--By this method of demonstration the +appearances presented by dark ground illumination (by means of a +paraboloid condenser) are closely simulated, since minute particles, +bacteria, blood or pus cells etc. stand out as brilliantly white or +colourless bodies on a dark grey-brown background. + +_Reagent required:_ + +Any one of the liquid waterproof black drawing inks (Chin-chin, Pelican, +etc.). This is prepared for use as follows: + +Measure out and mix: + + Liquid black ink, 25 c.c. + Tincture of iodine 1 c.c. + +Allow the mixture to stand 24 hours, centrifugalise thoroughly, pipette +off the supernatant liquid to a clean bottle and then add a crystal of +thymol or one drop of formalin as a preservative. + +METHOD.-- + +1. With the sterilised loop deposit one drop of the liquid ink close to +one end of a 3 by 1 slide. + +2. With the sterilised loop deposit a drop of the fluid culture (or of +an emulsion from a solid culture) by the side of the drop of ink (Fig. +69, a); mix the two drops thoroughly by the aid of the loop. + +3. Sterilise the loop. + +4. Hold the slide firmly on the bench with the thumb and forefinger of +the left hand applied to the end nearest the drop of fluid. + +5. Take another clean 3 by 1 slide in the right hand and lower its short +end obliquely (at an angle of about 60 deg.) transversely on to the mixed +ink and culture on the first slide, and allow the fluid to spread across +the slide and fill the angle of incidence. + +6. Maintaining the original angle, draw the second slide firmly and +evenly along the first toward the end farthest from the left hand (Fig. +69, b). + +7. Throw the second slide into a pot of disinfectant; allow the first +slide to dry in the air. + +[Illustration: FIG. 69.--Spreading negative film.] + +8. Place a drop of immersion oil on the centre of the film, lower the +1/12-inch objective into the oil and examine microscopically without the +intervention of a cover-slip. + +(The film of ink may be covered with a long cover-glass and xylol balsam +as a permanent preparation.) + +(<b) _Hanging-drop Preparation._-- + +1. Smear a layer of sterile vaseline on the upper surface of the ring +cell of a hanging-drop slide by means of the glass rod provided with the +vaseline bottle, and place the slide on a piece of filter paper. + +2. "Flame" a cover-slip and place it on the filter paper by the side of +the hanging-drop slide. + +3. Place a drop of water on the centre of the cover-slip by means of the +platinum loop. + +4. Obtain a small quantity of the material it is desired to examine, in +the manner detailed above (pages 74-76, steps 2 to 11 must be followed +in their entirety and with the strictest exactitude whenever tube +contents are being handled), and mix it with the drop of water on the +cover-slip. + +5. Raise the cover-slip in the points of the forceps and rapidly invert +it on to the ring cell of the hanging-drop slide, so that the drop of +fluid occupies the centre of the ring. (Carefully avoid contact between +the drop of fluid and either the ring cell or the layer of vaseline. +Should this happen, the now _infected_ hanging-drop slide and its +cover-slip must be dropped into the pot of lysol and a new preparation +made.) + +6. Press the cover-slip firmly down into the vaseline on to the top of +the ring cell. (This spreads out the vaseline into a thin layer, and +besides ensuring the adhesion of the cover-slip, seals the cells and so +retards evaporation.) + +7. Examine microscopically. + +The examination of a "fresh" specimen or a "hanging-drop" preparation is +directed to the determination of the following data: + +1. The nature of the bacteria present--e. g., cocci, bacilli, etc. + +2. The purity of the cultivation; this can only be determined when gross +morphological differences exist between the organisms present. + +3. The presence or absence of spores; when present, spores show their +typical refrangibility exceedingly well by this method. + +4. The presence or absence of mobility. In a hanging-drop specimen some +form of movement can practically always be observed, and its character +must be carefully determined by noting the relative positions of +adjacent micro-organisms. + +(a) Brownian or molecular movement. Minute particles of solid matter +(including bacteria), when suspended in a fluid, will always show a +vibratory movement affecting the entire field, but never altering the +relative positions of the bacteria. (Cocci exhibit this movement, but +with the exception of the Micrococcus agilis, the cocci are non-motile.) + +(b) Streaming movement. This is due to currents set up in the hanging +drop as a result of jarring of the specimen or of evaporation, or to the +fact that the cover-slip is not perfectly level, and although the +relative positions of the bacteria may vary, still the flowing movement +of large numbers of organisms in some one direction will usually be +sufficient to demonstrate the nature of this motion. + +(c) Locomotive movement, or ~true motility~, is determined by observing +some one particular bacillus changing its position in the field +independently of, and in a direction contrary to, other organisms +present. + +When the examination is completed and the specimen finished with, the +"fresh specimen"--i. e., the slide with the cover-slip attached--must +be dropped into the lysol pot. In the hanging-drop specimen, however, +the cover-slip only is infected, and this may be raised from the ring +cell by means of forceps and dropped into the disinfectant. + +_Permanent Staining of the Hanging-drop Specimen._--Occasionally it is +necessary to fix and stain a hanging-drop preparation. This may be done +as follows: + +1. Remove the cover-slip from the cell by the aid of the forceps. + +2. If the drop is small, fix it by dropping it face downward, whilst +still wet, on to the surface of some Gulland's solution or corrosive +sublimate solution (_vide_ page 82) in a watch-glass. If the drop is +large, place it face upward on the rubber mat, cover it with an inverted +watch-glass, and allow it to dry. Then fix it in the alcohol and ether +solution (_vide_, page 82). + +3. Dip the cover-glass into a beaker containing hot water in order to +remove some of the vaseline adhering to it. + +4. Wash successively in alcohol, xylol, ether, and alcohol, to remove +the last traces of grease. + +5. Wash in water. + +6. Stain, wash, dry, and mount as for an ordinary cover-slip film +preparation (_vide_ pages 83-85). + +~2. Killed, Stained.~--In this method three distinct processes are +necessary: + + "Preparing" and "fixing" the film. + Staining. + Mounting. + +_Preparing the Film._-- + +1. Flame a cover-slip and place it on a piece of filter paper. + +2. Place a drop of water on the centre of the cover-slip by means of +platinum loop. + +3. Obtain a small quantity of the material to be examined upon a +sterilised platinum loop (see pages 74-76, steps 2 to 11) and mix it +with the drops of water on the cover-slip. + +4. Spread the drop of emulsion evenly over the cover-slip in the form of +a square film to within 1 mm. of each edge of the cover-slip. + +5. Allow it to dry completely in the air. + +_Fixing._--Fix by passing the cover-slip, held in the fingers, three or +four times through the flame of a Bunsen burner. + +In some instances (e. g., when the films after staining are intended +for micrometric observations) it is almost essential to fix by exposure +to a uniform temperature of 115 deg. C., for twenty minutes. This is best +done in a carefully regulated hot-air oven. + +Fixation may also be effected by immersing in some fixative fluid, such +as one of the following: + +1. Absolute alcohol, for five to fifteen minutes. + + { equal parts, for five to thirty + 2. Absolute alcohol, { minutes (e. g., for blood or + Ether, { milk). + +3. Osmic acid, 1 per cent. aqueous solution, for thirty seconds. + +4. Corrosive sublimate, saturated aqueous solution, for five minutes. + +5. Corrosive sublimate (Lang), for five minutes. This solution is +prepared by dissolving: + + Sodium chloride 0.75 gramme + Hydrarg. perchloride 12.00 grammes + Acetic acid 5.00 grammes + In distilled water 100.00 c.c. + Filter. + +6. Gulland's solution, for five minutes. This solution is prepared by +mixing: + + Absolute alcohol 25.0 c.c. + Ether 25.0 c.c. + Corrosive sublimate, 20 per cent. alcoholic solution 0.4 c.c. + +7. Formalin 10 per cent. aqueous solution (= 4 per cent. aqueous +solution of formaldehyde since formalin is a 40 per cent. solution of +the gas in water). + +Either of these methods of fixation coagulates the albuminous material +and ensures perfect adhesion of the film to the cover-slip. + +_Clearing._--Wash the cover-slip thoroughly in running water and proceed +with the staining. + +If the film has been prepared from broth, liquefied gelatine, or pus or +other morbid exudations, saturate the film after fixation with acetic +acid 2 per cent. and allow it to act for two minutes. + +Wash with alcohol, then let the alcohol remain on the cover-slip for two +minutes. (This will "clear" the groundwork and give a much sharper and +cleaner film than would otherwise be obtained.) + +If the film has been prepared from blood or bloodstained fluid, treat +with acetic acid 2 per cent. for two minutes after fixation. Wash with +water, dry, and proceed with the staining. (This will remove the +haemoglobin and facilitate examination.) + +_Staining._-- + +1. Rest the cover-slip, film side uppermost, on the rubber mat. + +2. By means of a drop-bottle, cover the film side of the cover-slip with +the selected stain, allow it to act for a few minutes, then wash off the +excess in running water. + +The penetrating power of stains is increased by (a) physical +means--e. g., heating the stain; (b) chemical means--e. g., by the +addition of carbolic acid, 5 per cent. aqueous solution; caustic +alkalies, 2 per cent. aqueous solutions; water saturated with aniline +oil; borax, 0.5 per cent. aqueous solution. + +The most commonly used dyes for cover-slip film preparations are the +aniline dyes. + + (A) Basic: + (a) Methylene-blue. + (b) Gentian violet. + (c) Fuchsin. + +These dyes are kept in saturated alcoholic (90 per cent.) solutions so +that decomposition may be retarded. + +Two or three drops of alcoholic solution of these dyes to, say, 4 c.c. +water, usually makes a sufficiently strong staining fluid for cover-slip +film preparations. + +Carbolic methylene-blue (C.M.B.) and carbol fuchsin (C.F.) are prepared +by covering the cover-slip with 5 per cent. solution of carbolic acid +and adding a few drops of the saturated alcoholic solution of +methylene-blue or fuchsin respectively to it. For aniline gentian violet +(A.G.V.) the stain is added to a saturated solution of aniline oil in +water. + + (d) Thionine blue. + (e) Bismarck brown. + (f) Neutral red. + (B) Acid: + (a) Eosin, aqueous yellowish. + (b) Safranine. + +These dyes are kept in 1 per cent. aqueous solution to which is added 5 +per cent. of alcohol, as a preservative. They are generally used in this +form. + +A few nuclear stains (carmine, haematoxylin) are occasionally used more +especially in "section" work. + +_Decolourisation._--After overstaining, films may be decolourised by +washing for a longer or shorter time in one of the following reagents +arranged in ascending order of power + +1. Water. +2. Chloroform. +3. Acetic acid, 1 per cent. +4. Alcohol. +5. Alcohol absolute, } equal parts. + Acetic acid, 1 per cent., } + + {Hydrochloric, 1 per cent. aqueous solution. + {Hydrochloric, 1 per cent. Alcoholic + { (90 per cent.) solution. +6. Mineral acids: {Sulphuric, 25 per cent. aqueous solution. + {Nitric, 33 per cent. aqueous solution. + +_Counterstaining._--Use colours which will contrast with the first +stain; e. g., + +Vesuvin, } +Neutral red, }for films stained by methylene-blue or +Eosin, }Gram's method. +Fuchsin, } + +Methylene-blue, }for films stained by fuchsin. +Gentian violet, } + +8. _Mounting._-- + +1. Wash the film carefully in running water. + +2. Blot off the superfluous water with the filter paper, or dry more +completely between two folds of blotting paper. + +3. Complete the drying in the air, or by holding the cover-slip in the +fingers at a safe distance above the flame of the Bunsen burner. + +4. Place a drop of xylol balsam on the centre of a clean 3 by 1 glass +slide and invert the cover-slip over the balsam, and lower it carefully +to avoid the inclusion of air bubbles. + + NOTE.--Xylol is used in preference to chloroform to dissolve + Canada balsam, as it does not decolourise the specimen. + +~Impression films~ (_Klatschpraeparat_) are prepared from isolated +colonies of bacteria in order that their characteristic formation may be +examined by higher powers than can be brought to bear on the living +cultivation. They are prepared from plate cultivations (_vide_ page 230) +in the following manner. + +1. Remove a clean cover-slip from the alcohol pot with sterile forceps +and burn off the spirit. + +2. Open the plate and rest one edge of the cover-slip on the surface of +the medium a little to one side of the selected colony. Lower it +cautiously over the colony until horizontal. Avoid any lateral movement +or the inclusion of bubbles of air. + +3. Make gentle vertical pressure on the centre of the cover-slip with +the points of the forceps to ensure perfect contact with the colony. + +4. Steady one edge of the cover-slip with the forceps and pass the point +of a mounted needle just under the opposite edge and raise the +cover-slip carefully; the colony will be adherent to it. When nearly +vertical, grasp the cover-slip with the forceps and remove it from the +plate. Re-cover the plate. + +5. Place the cover-slip, film uppermost, on the rubber mat, and cover +it with an inverted watch-glass until dry. + +6. Fix by immersing in one of the fixing fluids previously mentioned +(_vide_ page 82). + +7. Clear with acetic acid and alcohol. + +8. Stain and mount as an ordinary cover-slip film preparation, being +careful to perform all washing operations with extreme gentleness. + +~Microscopical Examination of the Unstained Specimens.~-- + +1. Place the body tube of the microscope in the vertical position. + +2. Arrange the hanging-drop slide on the microscope stage so that the +drop of fluid is in the optical axis of the instrument, and secure it in +that position by means of the spring clips. + +3. Use the 1/6-inch objective, rack down the body tube until the front +lens of the objective is almost in contact with the cover-slip--that is, +well within its focal distance. This is best done whilst bending down +the head to one side of the microscope, so that the eyes are on a level +with the stage. + +4. Apply the eye to the ocular and adjust the plane mirror to the +position which secures the best illumination. + +5. Rack the condenser down slightly and cut down the aperture of the +iris diaphragm so that the light, although even, is dim. + +6. Rack up the body tube by means of the coarse adjustment until the +bacteria come into view; then focus exactly by means of the fine +adjustment. + +Some difficulty is often experienced at first in finding the hanging +drop, and if the first attempt is unsuccessful, the student must not on +any account, whilst still applying his eye to the ocular, rack the body +tube down (for by so doing there is every likelihood of the front lens +of the objective being forced through the cover-glass, and not only +spoiling the specimen, but also contaminating the objective); but, on +the contrary, withdraw his eye, rack the tube up, and commence again +from step 2. + + +~Dark Ground Illumination.~-- + +1. Set up the microscope stand in the vertical position and insert the +highest eyepiece available. + +2. Remove the nosepiece from the microscope tube and fit the 2/3 inch +objective in place. + +3. Remove the substage condenser and replace it by the dark ground +condenser. + +4. Fit up the source of illumination some 30-50 cm. distant from the +microscope. (This should be the Liliput Arc Lamp (Leitz), Nernst Lamp or +incandescent gas lamp; if either of the two latter are employed, a +bull's eye condenser to produce parallel rays must be interposed between +light and microscope); and adjust illuminant and microscope so that the +substage plane mirror is completely filled with light. + +5. Focus the two concentric rings engraved upon the upper surface of the +condenser and centre them accurately by means of the centring screws. + +6. Prepare a "fresh" specimen (see pages 74-76) of the material it is +desired to observe, using selected, new, 3 by 1 glass slips of less than +1 mm. thickness, and No. 1 cover-glasses (0.17 mm. thick), which should +be cleaned with a piece of soft washleather and not with the emery +paper, as scratches on the glass produce haziness in the preparation. + +7. Deposit a large drop of immersion oil (or pure water) on the upper +surface of the condenser and rack it down a few millimetres. + +8. Adjust the fresh preparation on the microscope stage and fasten it in +position with the stage clips. + +9. Rack up the condenser until the immersion fluid makes contact with +the under surface of the slide; avoid the formation of air bubbles. + +10. Adjust the substage mirror so that the light is reflected upward. A +bright spot will be seen on the fresh preparation near the centre of the +field. + +11. Replace the 2/3-inch objective by the 1/12-inch oil immersion lens +which has been fitted with the special stop to reduce its N. A.; place a +drop of immersion oil upon the centre of the cover-glasses of the fresh +preparation and lower the microscope tube until the front lens of the +objective has entered the oil drop. + +12. Focus the bright spot referred to in step 10. If it no longer +occupies the centre of the field, alter the angle of the substage mirror +until it does. + +13. Now focus the lens accurately on the film, cautiously vary the +height of the dark ground condenser until the best position is found. +The intensely illuminated bacteria will stand out in vivid contrast to +the dark background. + +[Illustration: FIG. 70.--Immersion oil bottle.] + +~Microscopical Examination of the Stained Specimen.~--(The body tube of +the microscope may be vertical or inclined to an angle.) + +1. Secure the slide on the stage of the microscope by means of the +spring clips. + +2. Place a drop of cedarwood oil on the centre of the cover-slip. + + The immersion oil is pure cedarwood oil, and is kept in a + small bottle of stout glass (Fig. 70), the cavity of which + is shaped like an inverted cone, and is provided with a + safety funnel (so that the oil does not escape if the bottle + is accidentally overturned) and a dust cap of boxwood fitted + with a wooden rod with which the drop of oil is applied to + the cover-glass or lens. + +3. Use the 1/12-inch oil immersion lens of the microscope. Rack down the +body tube till the front lens of the objective is in contact with the +oil and nearly touching the cover-slip. + +4. Rack up the condenser until it is in contact with the under surface +of the slide. + +5. Apply the eye to the ocular and arrange the plane mirror so as to +obtain the greatest possible amount of light. + +6. Rack up the body tube until the stained film comes into view. + +7. Focus the condenser accurately on the film. + +8. Focus the film accurately by means of the fine adjustment. + + + + +VI. STAINING METHODS. + + +In the following pages are collected the various "stock" stains in +everyday use in the bacteriological laboratory, together with a +selection of the most convenient and generally useful staining methods +for demonstrating particular structures or differentiating groups of +bacteria. The stains employed should either be those prepared by +Gruebler, of Leipzig, or Merck, of Darmstadt. The methods printed in +ordinary type are those which a long experience has shown to be the most +reliable, and to give the best results--those relegated to small type +comprise such as are not so generally useful, but give excellent results +in the hands of the experienced worker. + + +BACTERIA STAINS. + +~Methylene-blue.~-- + +1. _Saturated Aqueous Solution._ + +Weigh out + + Methylene-blue 1.5 grammes + +Place in a stoppered bottle having a capacity of from 150 to 200 c.c. +and add + + Distilled water 100.0 c.c. + +Allow the water to remain in contact with the dye for two weeks, shaking +the contents of the bottle vigourously for a few moments every day. +Filter. + +2. _Saturated Alcoholic Solution._ + +Weigh out + + Methylene-blue 1.5 grammes + +Place in a stoppered bottle of 150 c.c. capacity and add + + Alcohol, 90 per cent 100.0 c.c. + +Allow the alcohol to remain in contact with the dye for two hours, +shaking vigourously every few minutes. Filter. + +3. _Carbolic Methylene-blue_ (Kuehne). + +Weigh out + + Methylene-blue 1.5 grammes + Carbolic acid 5.0 grammes + +and dissolve in + + Distilled water 100.0 c.c. + +and add + + Absolute alcohol 10.0 c.c. + +Filter. + +4. _Alkaline Methylene-blue_ (Loeffler). + +Measure out and mix + + Methylene-blue, saturated alcoholic solution 30.0 c.c. + Caustic potash, 0.1 per cent. aqueous solution 100.0 c.c. + +Filter. + +~Gentian Violet.~-- + +5. _Saturated Aqueous Solution._ + +Weigh out + + Gentian violet 2.25 grammes + +and proceed as in preparing the corresponding solution of +methylene-blue. + +6. _Saturated Alcoholic Solution._ + +Weigh out + + Gentian violet 5.0 grammes + +and proceed as in preparing the corresponding solution of +methylene-blue. + +7. _Carbolic Gentian Violet_ (Nicolle). + +Measure out and mix + + Gentian violet, saturated alcoholic solution 10.0 c.c. + Carbolic acid, 1 per cent. aqueous solution 100.0 c.c. + +Filter. + +8. _Anilin Water Solution_ (Koch-Ehrlich). + +Measure out + + Distilled water 100 c.c. + +Add anilin oil drop by drop (shaking well after the addition of each +drop) until the solution is opaque. + +Filter until clear. + +and add + + Absolute alcohol 10 c.c. + Saturated alcoholic solution gentian violet 11 c.c. + +Filter. + + NOTE.--This solution will not keep longer than 14 days. + +~Thionine Blue (or Lauth's Violet).~-- + +9. _Carbolic Thionine Blue_ (Nicolle). + +Weigh out + + Thionine blue 1.0 gramme + Carbolic acid 2.5 grammes + +and dissolve in + + Distilled water 100.0 c.c. + +Filter. + +Before use dilute with equal quantity of distilled water and again +filter. + +~Fuchsin (Basic).~-- + +10. _Saturated Aqueous Solution._ + +Weigh out + + Basic fuchsin 1.5 grammes + +and proceed as in preparing the corresponding solution of methylene-blue +(_q. v._). + +11. _Saturated Alcoholic Solution._ + +Weigh out + + Basic fuchsin 3.5 grammes + +and proceed as in preparing the corresponding solution of +methylene-blue. + +12. _Carbolic Fuchsin_ (Ziehl). + +Weigh out + + Basic fuchsin 1.0 gramme + Carbolic acid 5.0 grammes + +dissolve in + + Distilled water 100.0 c.c. + +and add + + Absolute alcohol 10.0 c.c. + +Filter. + + +CONTRAST STAINS. + +~Eosin.~--There are several commercial varieties of eosin, which, from the +bacteriological point of view, possess very different values. Gruebler +lists four varieties, of which two only are useful for bacteriological +work: + + Eosin, aqueous yellowish. + Eosin, aqueous bluish. + +13. _Eosin Aqueous Solution_ (Yellowish or Bluish Shade), 1 per cent. + +Weigh out + + Eosin, aqueous 1.0 gramme + +dissolve in + + Distilled water 100.0 c.c. + +and add + + Absolute alcohol 5.0 c.c. + +Filter. + +14. _Eosin Alcoholic Solution_, 0.5 per cent. + +Weigh out + + Eosin, alcoholic 0.5 gramme + +and dissolve in + + Alcohol (70 per cent.) 100.0 c.c. + +Filter. + +~Safranine.~-- + +15. _Aqueous Solution._ + +Weigh out. + + Safranine 0.5 gramme + +and dissolve in + + Distilled water 100.0 c.c. + +Filter. + +~Neutral Red.~-- + +16. _Aqueous Solution._ + +Weigh out + + Neutral red 1.0 gramme + +and dissolve in + + Distilled water 100.0 c.c. + +Filter. + +~Vesuvin (or Bismarck Brown).~-- + +17. _Saturated Aqueous Solution._ + +Weigh out + + Vesuvin 0.5 gramme + +and dissolve in + + Distilled water 100.0 c.c. + +Filter. + + +TISSUE STAINS. + + +~Aniline Gentian Violet~ (For Weigert's Fibrin Stain).-- + +Weigh out + + Gentian violet 1.0 gramme + +and dissolve in + + Absolute alcohol 15.0 c.c. + Distilled water 80.0 c.c. + +then add + + Aniline oil 3.0 c.c. + +Shake well and filter before use. + + +~Haematoxylin~ (Ehrlich).-- + +1. Weigh out + + Haematoxylin 2.0 grammes + +and dissolve in + + Absolute alcohol 100.0 c.c. + +2. Weigh out + + Ammonium alum 2.0 grammes + +and dissolve in + + Distilled water 100.0 c.c. + +3. Mix 1 and 2, allow the mixture to stand forty-eight hours, then +filter. + +4. Add + + Glycerine 85.0 c.c. + Acetic acid, glacial 10.0 c.c. + +5. Allow the stain to stand for one month exposed to light; then filter +again ready for use. + + +~Haematin~ (Mayer's).-- + +A. Weigh out + + Haematin 1.0 gramme + +and dissolve in + + Alcohol 90 per cent. (warmed to 37 deg. C.) 50 c.c. + +B. Weigh out + + Potash alum 50 grammes + +and dissolve in + + Distilled water 100 c.c. + +Prepare these two solutions in separate flasks. Take a clean flask of +250 c.c. capacity and insert a large funnel in its neck. Pour the +solutions A and B simultaneously and slowly into the funnel to mix +thoroughly. Store for future use. + + NOTE.--If acid haematin is required, introduce glacial acetic + acid (3 c.c.) into the mixing flask before adding the + solutions A and B. + + +~Alum Carmine~ (Mayer).-- + +Weigh out + + Alum 2.5 grammes + Carmine 1.0 gramme + +and place in a glass beaker. + +Measure out in a measuring cylinder, + + Distilled water 100.0 c.c. + +Place the beaker on a sand-bath, add the water in successive small +quantities, and keep the mixture boiling for twenty minutes. Measure the +solution and make up to 100 c.c. by the addition of distilled water. +Filter. + + +~Lithium Carmine~ (Orth).-- + +Weigh out + + Carmine 2.5 grammes + +and dissolve in + + Lithium carbonate, cold saturated solution 100.0 c.c. + +Filter. + + +~Picrocarmine.~-- + +Weigh out + + Picrocarmine 2.0 grammes + +and dissolve in + + Distilled water 100.0 c.c. + + +BLOOD STAINS + +When watery solutions of medicinal methylene blue and water soluble +eosins are mixed a precipitate is formed which is soluble only in +alcohol, and solutions of this precipitate impart a peculiar +reddish-purple colour to chromatin. This compound was first used by +Romanowsky to demonstrate malarial parasites, but various modifications +are now employed for staining blood films generally, and also for +bacteria and protozoa. The best modifications of the original Romanowsky +are those of Jenner and Leishman--Jenner being most suitable for the +histological study of the blood, and Leishman for the demonstration of +protozoa. + + +~Jenner's Stain.~-- + +A. Weigh out: + + Eosin aqueous yellow 6.0 grammes + +Dissolve in + + Distilled water (non-alkaline) 250 c.c. + +This will make a thick solution. + +B. Weigh out: + + Methylene blue (medicinally pure) Hoechst 5.0 grammes + +Dissolve in + + Distilled water (non-alkaline) 250 c.c. + +1. Add B to A very slowly, stirring all the time. A viscous precipitate +forms which frequently loses its viscosity when heat is applied. (This +explains the necessity of mixing slowly). + +2. Evaporate slowly in a porcelain basin, stirring occasionally, on a +water bath at 55 deg. C. When a paste begins to form scrape and break up +occasionally. (On no account must the paste be allowed to fuse.) + +3. Grind the resulting mass into an amorphous powder. + +4. Weigh out: + + Amorphous powder 0.5 grammes + +Dissolve in + + Methylic alcohol (Merck's puriss, for analysis) 100 c.c. + +Allow time for true solution. (About three days is sufficient.) + +METHOD.-- + +1. Prepare film, dry, but _do not fix_. + +2. Flood the unfixed film with the stain, allow it to act for 3 minutes +(the methylic alcohol of the stain fixes the film). + +3. Pour off the stain and wash in distilled water until the film +presents a pink colour. + +4. Dry and mount. + + +~Leishman's Stain.~-- + +_A._ Weigh out: + + Methylene blue (medicinal) 1 gramme + +Dissolve in + + Sodium carbonate, 0.5 per cent. aqueous solution 100 c.c. + +Keep at 65 deg. C. for 12 hours in either a hot incubator or a water-bath; +then stand in dark place at room temperature (20 deg. C.) for ten days. + +_B._ Weigh out: + + Eosin, extra B. A. 0.1 gramme + +Dissolve in + + Distilled water 100 c.c. + +1. Mix the two solutions A and B in equal volumes, and allow the +mixture to stand for 12 hours with occasional stirring. + +2. Filter, and collect precipitate on filter paper. + +3. Wash precipitate thoroughly with distilled water, and dry. + +4. Weigh out 0.15 gramme of the dried precipitate; rub up in a mortar +with 5 c.c. of methylic alcohol (Merck's puriss, for analysis). + +Allow undissolved powder to settle, then decant the supernatant fluid to +a clean 100 c.c. measuring cylinder. + +5. Add further 5 c.c. alcohol to sediment in mortar and repeat the +process, and so on until all the sediment has been dissolved. + +6. Now make up the fluid in the measuring cylinder to 100 c.c. by the +addition of more methylic alcohol. + +METHOD.-- + +1. Prepare film, dry, but _do not fix_. + +2. Flood the unfixed film with stain, allow it to act 30 seconds. + +3. Add double the volume of distilled water to the stain on the film, +and mix with glass rod or platinum loop. + +4. Allow this diluted stain to act five minutes. + +5. Wash off with distilled water. + +6. Leave some water on film for thirty seconds to intensify the colour +contrasts. + +7. Dry and mount. + + +METHODS OF DEMONSTRATING STRUCTURE OF BACTERIA, ETC. + +~To Demonstrate Capsules.~ + +~1. MacConkey.~-- + +_Stain._-- + +Weigh out + + Dahlia 0.5 gramme + Methyl green (00 crystals) 1.5 grammes + +rub up in a mortar with + + Distilled water 100.0 c.c. + +Add + + Fuchsin, saturated alcoholic solution 10.0 c.c. + +and make up to 200 c.c. by the addition of + + Distilled water 90.0 c.c. + +Filter. + +Allow the stain to stand for two weeks before use; keep in a dark place +or in an amber glass bottle. Owing to the unstable character of the +methyl green, this stain deteriorates after about six months. + +METHOD.-- + +1. Prepare and fix film in the usual manner. + +2. Flood the cover-slip with the stain and allow it to act for five to +ten minutes. + +3. Wash very thoroughly in water; if necessary, direct a powerful stream +of water on the film from a wash-bottle. + +4. Dry and mount. + + ~2. Muir's Method.~-- + + 1. Prepare, dry and fix film in the ordinary manner. + + 2. Flood the film with carbolic fuchsin, warm until steam + begins to rise. Allow the stain to act for thirty seconds. + + 3. Wash quickly with methylated spirit. + + 4. Wash thoroughly with water. + + 5. Subject the film to the action of the following mordant + for five seconds: + + Corrosive sublimate, saturated aqueous solution 2 c.c. + Tannic acid, 20 per cent. aqueous solution 2 c.c. + Potash alum saturated aqueous solution 5 c.c. + + 6. Wash thoroughly in water. + + 7. Treat with methylated spirit for about sixty seconds. + (The preparation should now be pale red.) + + 8. Wash thoroughly in water. + + 9. Counterstain in methylene blue, aqueous solution thirty + seconds. + + 10. Wash in water. + + 11. Dehydrate in alcohol. + + 12. Clear in xylol and mount in xylol balsam. + + ~3. Welch's Method.~-- + + 1. Prepare and fix film in the usual manner. + + 2. Flood the slide with acetic acid 2 per cent.; allow the + acid to remain in contact with the film for two minutes. + This swells up and fixes the capsule and enables it to take + the stain. + + 3. Blow off the acetic acid by the aid of a pipette. + + 4. Immerse in aniline gentian violet, five to thirty + seconds. + + 5. Wash in water. + + 6. Dry and mount. + + ~4. Ribbert's Method.~-- + + _Stain._-- + + Measure out and mix: + + Acetic acid, glacial 12.5 c.c. + Alcohol, absolute 50.0 c.c. + Distilled water 100.0 c.c. + + Warm to 36 deg. C. (e. g., in the "hot" incubator) and + saturate with dahlia. Filter. + + METHOD.-- + + 1. Prepare and fix films in the usual manner. + + 2. Cover the film with the stain and allow it to act for one + or two seconds only. + + 3. Wash thoroughly in water. + + 4. Dry and mount. + + +~To Demonstrate Flagella.~ + +~1. Muir's Modified Pitfield.~--This is the best method and gives the most +reliable results, for not only is the percentage of successful +preparations higher than with any other, but the bacilli and flagella +retain their relative proportions. + + (a) ~Mordant.~-- + + Tannic acid, 10 per cent. aqueous solution 10 c.c. + Corrosive sublimate, saturated aqueous solution 5 c.c. + Alum, saturated aqueous solution 5 c.c. + Carbolic fuchsin (Ziehl) 5 c.c. + + + +Mix thoroughly. + +A precipitate forms which must be allowed to settle for a few hours. + +Decant off the clear fluid into tubes and centrifugalise thoroughly. + +This solution is at its best some four or five days after manufacture; +it keeps for about a couple of weeks, but must be re-centrifugalised +each time, before use. + +(b) _Stain._-- + + Alum, saturated aqueous solution 25 c.c. + Gentian violet, saturated alcoholic solution 5 c.c. + +Filter. + +This stain must be freshly prepared. + +METHOD.--The cultivations employed should be smear agar cultures, twelve +to eighteen hours old if incubated at 37 deg. C, twenty-four to thirty +hours if incubated at 22 deg. C. + +1. Remove a very small quantity of the growth by means of the platinum +spatula. + +2. Emulsify it with a few cubic centimetres of distilled water in a +watch-glass, by gently moving the spatula to and fro in the water. Do +not rub up the growth on the side of the watch-glass. Some workers +prefer to use tap water, others employ normal saline solution, but +distilled water gives the best emulsion. + +3. Spread a thin film of the emulsion on a newly flamed cover-slip, +using no force, but rather _leading_ the drop over the cover-slip with +the platinum loop. + +4. Allow the film to dry in the air, properly protected from falling +dust. + +5. Fix by passing thrice through the Bunsen flame, holding the +cover-slip whilst doing so by one corner between the finger and thumb. + +6. Pour on the film as much of the mordant as the cover-glass will hold. +Grasp the cover-slip with the forceps and hold it, high above the flame, +until steam rises. Allow the steaming mordant to remain in contact with +the film two minutes. + +7. Wash well in water and dry carefully. + +8. Pour on the film as much of the stain as the cover-glass will hold. +Steam over the flame as before for two minutes. + +9. Wash well in water. + +10. Dry and mount. + + ~2. "Pitfield" Original Method.~-- + + (a) _Mordant._-- + + Tannic acid 1 gramme + Water 10 c.c. + + (b) _Stain._-- + + Saturated aqueous solution of alum 10 c.c. + Saturated alcoholic solution of gentian violet 1 c.c. + Distilled water 5 c.c. + + Mix equal parts of a and b before using. + + 1. Prepare and fix the film in the manner described above. + + 2. Boil the mixture and immerse the cover-slip in it, whilst + still hot, for one minute. + + 3. Wash in water. + + 4. Examine in water; if satisfactory, dry and mount in + Canada balsam. + + ~3. MacCrorrie's Method.~-- + + _Mordant-Stain._-- + + Measure out and mix. + + Night blue, saturated alcoholic solution 10 c.c. + Potash alum, saturated aqueous solution 10 c.c. + Tannin, 10 per cent. aqueous solution 10 c.c. + + NOTE.--The addition of gallic acid, 0.1 to 0.2 gramme, may + improve the solution, but is not necessary. + + METHOD.-- + + 1. Prepare and fix the films as above. + + 2. Pour some of the mordant-stain on the film and warm + gently, high above the flame, for two minutes (or place in + the "hot" incubator for a like period). + + 3. Wash thoroughly in water. + + 4. Dry and mount. + + ~4. Loeffler's Method.~-- + + (a) _Mordant._-- + + Tannic acid, 20 per cent. aqueous solution 10 c.c. + Ferrous sulphate, saturated aqueous solution 5 c.c. + Haematoxylin solution 3 c.c. + Carbolic acid, 1 per cent. aqueous solution 4 c.c. + + This solution must be freshly prepared. + + _Haematoxylin solution_ is prepared by boiling 1 gramme + logwood + +with 8 c.c. distilled water, filtering and replacing the loss from +evaporation. + + _Alternative Mordant_ (Bunge's Mordant).-- + + Tannic acid, 20 per cent. aqueous solution 10 c.c. + Ferrous sulphate, saturated aqueous solution 5 c.c. + Fuchsin, saturated alcoholic solution 1 c.c. + + (b) _Stain._-- + + Weigh out + Methylene-blue } + Or methylene-violet } 4 grammes + Or fuchsin } + +and dissolve in + + Aniline water, freshly saturated and filtered 100 c.c. + +METHOD.-- + +1. Prepare and fix films as above. + +2. Pour the mordant on to the film and warm cautiously over the flame +till steam rises; keep the mordant gently steaming for one minute. + +3. Wash well in distilled water till no more colour is discharged; if +necessary, wash carefully with absolute alcohol. + +4. Filter a few drops of the stain on to the film, warm as before, and +allow the steaming stain to act for one minute. + +5. Wash well in distilled water. + +6. Dry and mount. + +NOTE.--The flagella of some organisms can be demonstrated better by +means of an alkaline stain or an acid stain--a point to be determined +for each. Speaking generally, those bacilli which give rise to an acid +reaction in the culture medium require an alkali; those which form +alkali in cultivation require an acid. According to requirements, +therefore, Loeffler recommends the addition of sodium hydrate, 1 per +cent. aqueous solution, 1 c.c.; or an equal quantity of an exactly +comparable solution of sulphuric acid. + +~5. Van Ermengem's Method.~--This method, being merely a precipitation of +a silver salt on the micro-organisms and not a true stain, creates a +false impression as to the relative proportions of bacteria and +flagella. + + + (a) _Fixing Fluid._-- + + Osmic acid, 2 per cent. aqueous solution 10 c.c. + Tannic acid, 20 per cent. aqueous solution 20 c.c. + Acetic acid, glacial 1 c.c. + + The fixing fluid should be prepared some days before use and + filtered as required. In colour it should be distinctly + violet. + + (b) _Sensitising Solution._-- + + Silver nitrate, 0.5 per cent. aqueous solution. + + This solution must be kept in a dark blue glass bottle or in + a dark cupboard. + + Filter immediately before use. + + (c) _Reducing Solution._-- + + Weigh out + + Gallic acid 5 grammes + Tannic acid 3 grammes + Potassium acetate, fused 10 grammes + + and dissolve in + + Distilled water 350 c.c. + + Filter. + + This solution will keep active for several days, but fresh + solution must be used for each preparation. + + METHOD.-- + + 1. Prepare emulsion, make and fix films as above in the + preceding method, steps 1 to 4. + + 2. Pour on the film as much of the fixing solution as the + cover-glass will hold, heat carefully over the flame till + steam rises, and allow the steaming fixing fluid to act for + five minutes. + + 3. Wash well in water. + + 4. Wash in absolute alcohol. + + 5. Wash in distilled water. + + 6. Pour some of the sensitising solution on the film and + allow it to act for from thirty seconds to one minute; blot + off the excess of fluid with filter paper. + + 7. Without washing, transfer the film to a watch-glass + containing the reducing solution and allow it to remain + therein for from thirty seconds to one minute; blot off the + excess of fluid with filter paper. + + 8. Without washing, again treat the film with the + sensitising solution, this time until the film commences to + turn black. + + 9. Wash in distilled water. + + 10. Dry and mount. + +~To Stain Nuclei of Yeast Cells.~ + +1. Prepare and fix film in the usual manner. + +2. Soak in ferric ammonia sulphate 3 per cent. aqueous solution for two +hours. + +3. Wash thoroughly in water. + +4. Stain in haematoxylin solution (see page 95) for thirty minutes. + +5. Wash in water. + +6. Differentiate in ferric ammonia sulphate solution for 1-1/2-2 +minutes, examining wet under microscope during the process. + + +~To Stain Spores.~ + +~1. Single Stain.~-- + +1. Prepare cover-slip film in the usual way. + +2. In fixing, pass the cover-slip film fifteen or thirty times through +the flame instead of only three. This destroys the resisting power of +the spore membrane and allows the stain to reach the interior. + +3. Stain in the usual way with methylene-blue or fuchsin. + +4. Wash in water. + +5. Dry and mount. + +~2. Double Stain.~-- + +1. Prepare and fix film in the usual way--i. e., pass three times +through flame to fix. + +2. Cover the film with hot carbol-fuchsin and hold in the forceps above +a small flame until the fluid begins to steam. Set the cover-slip down +and allow it to cool. Repeat the process when the stain ceases to steam +and continue to repeat until the stain has been in contact with the film +for twenty minutes. (This stains both spores and bacteria.) + +3. Wash in water. + +4. Decolourise in alcohol, 2 parts; acetic acid, 1 per cent., 1 part. +(This removes the stain from everything but the spores.) + +5. Wash in water. + +6. Mount the cover-slip in water and examine microscopically with the +1/6-inch objective. (Spores should be red, and the rest of the film +colourless or a very light pink.) If satisfactory, pass on to section 7; +if unsatisfactory, repeat steps 2 to 5. + +7. Counterstain in weak methylene-blue. (Now spores red, bacilli blue.) + +8. Wash in water. + +9. Dry and mount. + +The spores of different bacilli differ greatly in their resistance to +decolourising reagents; even the spores of the same species of organisms +vary according to their age. Young spores are more easily decolourised +than those more mature. + +Sulphuric acid, 1 per cent. aqueous solution, and hydrochloric acid, 0.5 +per cent. alcoholic (90 per cent.) solution, are useful decolourising +reagents. + + ~3. Moeller's Method.~-- + + 1. Prepare and fix films in the usual manner. + + 2. Immerse in absolute alcohol for two minutes, then in + chloroform for two minutes; wash in water. This dissolves + out any fat or crystals that might otherwise retain the + "spore" stain. + + 3. Immerse in chromic acid, 5 per cent. aqueous solution, + for one minute; wash in water. + + 4. Pour Ziehl's carbolic fuchsin on the film, warm as in + previous methods, and allow it to act for ten minutes. + + 5. Wash in water. + + 6. Decolourise in sulphuric acid, 5 per cent. aqueous + solution, for five seconds. + + 7. Wash in water. + + 8. Counterstain with Kuehne's carbolic methylene-blue for + one or two minutes. + + 9. Wash in water. + + 10. Dry and mount. + + (Spores red, bacilli blue.) + + ~4. Abbott's Method.~-- + + 1. Prepare and fix films in the usual manner. + + 2. Pour Loeffler's alkaline methylene-blue on the film; warm + cautiously over the flame till steam rises and allow the hot + steam to act for one to five minutes. + + 3. Wash thoroughly in water. + + 4. Decolourise in nitric acid, 2 per cent. alcoholic + (alcohol 80 per cent.) solution. + + 5. Wash thoroughly in water. + + 6. Counterstain in eosin, 1 per cent. aqueous solution. + + 7. Wash. + + 8. Dry and mount. + + (Spores blue, bacilli red.) + + +DIFFERENTIAL METHODS OF STAINING. + +~Gram's Method.~--This method depends upon the fact that the protoplasm of +some bacteria permits aniline gentian violet and Lugol's iodine +solution, when applied consecutively, to enter into a chemical +combination which results in the formation of a new blue-black pigment, +only very sparingly soluble in absolute alcohol. Such organisms are said +to "stain by Gram," or to be "Gram positive." + +1. Prepare a cover-slip film and fix in the usual way. + +2. Stain in aniline gentian violet three to five minutes. Filter as much +aniline water on to the cover-slip as it will hold; then add the +smallest quantity of alcoholic solution of gentian violet which suffices +to saturate the aniline water and form a "bronze scum" upon its +surface--if too much of the alcoholic gentian violet is added the +alcohol present redissolves this scum. + + To prepare aniline water, pour 4 or 5 c.c. aniline oil into + a stoppered bottle and add distilled water, 100 c.c. Shake + vigourously and filter immediately before use. The excess of + oil sinks to the bottom of the bottle and may be used again. + +3. Wash in water. + +4. Treat with Lugol's iodine solution until the film is black or dark +brown. + +To do this treat with iodine solution for a few seconds, wash in water, +and examine the film over a piece of white filter paper. Note the +colour. Repeat this process until the film ceases to darken with the +fresh application of iodine solution. + +Lugol's solution is prepared by dissolving + + Iodine 1 gramme + Iodide of potassium 3 grammes + In distilled water 300 c.c. + +5. Wash in water. + +6. Wash with alcohol until no more colour is discharged and the alcohol +runs away clear and colourless. + +The following mixture may be substituted for absolute alcohol as a +decolouriser + + Acetone 10 c.c. + Absolute alcohol 100 c.c. + +7. Wash in water. + +8. Counterstain very lightly with aqueous solution of Neutral Red. Other +counterstains may be used such as dilute eosin, dilute fuchsin, or +vesuvin. + + NOTE.--This section may be omitted when dealing with films + prepared from pure cultivations. + +9. Wash in water. + +10. Dry and mount. + + +~Gram-Claudius Method.~-- + +1. Prepare a cover-slip film and fix in the usual way. + +2. Stain in methyl violet, 1 per cent. aqueous solution for three to +five minutes. + +3. Treat with two lots picric acid, saturated aqueous solution. + +4. Wash in water and dry. + +5. Decolourise with clove oil. + +6. Wash off clove oil with xylol. + +7. Mount in xylol balsam. + + +~Gram-Weigert Method.~-- + +1-5. Proceed as for the corresponding sections of Gram's method (_quod +vide_). + +6. Dry in the air. + +7. Wash in aniline oil, 1 part, xylol, 2 parts, until no more colour is +discharged. + +8. Wash in xylol. + +9. Mount in xylol balsam. + + +~Modified Gram-Weigert Method.~--(To demonstrate trichophyta in hair.) + +1. Soak the hairs in ether for ten minutes to remove the fat. + +2. Stain thirty minutes in a tar-like solution of aniline gentian violet +(prepared by adding 15 drops of the alcoholic solution of gentian violet +to 3 drops of aniline water). + +3. Dry the hairs between pieces of blotting paper. + +4. Treat with perfectly fresh iodine solution. + +5. Again dry between blotting paper. + +6. Treat with aniline oil to remove excess of stain. (If necessary, add +a drop or two of nitric acid to the oil.) + +7. Again treat with aniline oil. + +8. Treat with aniline oil and xylol, equal parts. + +9. Clear with xylol. + +10. Mount in xylol balsam. + +To obtain the best differentiation the preparation should be repeatedly +examined microscopically (with a 1/6-inch objective) between steps 5 and +9, as the actual time involved varies with different specimens. + +~Ziehl-Neelsen's Method.~--(To demonstrate tubercle and other acid-fast +bacilli.) + +1. Smear a thin, even film of the specimen on the cover-slip by means of +the platinum loop. (In the case of sputum, if it is a very watery +specimen, allow the film to dry, then spread a second and even a third +layer over the first.) + +2. Fix by passing three times through the flame. + +3. Stain in hot carbol-fuchsin (as in staining for spores) for five to +ten minutes. (This stains everything on the film.) Avoid over-heating. + +4. Decolourise by dipping in sulphuric acid, 25 per cent. (This removes +stain from everything but acid-fast bacilli; e. g., tubercle, leprosy, +and smegma bacilli and the film turns yellow.) + +5. Wash in water. (A pale red colour returns to the film). + +6. Wash in alcohol till no more colour is discharged. (This often, but +not invariably, removes the stain from acid-fast bacilli other than +tubercle; e. g., smegma bacillus.) + +7. Wash in water. + +8. Counterstain in weak methylene-blue. (Stains non-acid-fast bacilli, +leucocytes, epithelial cells, etc.) + +9. Wash in water, dry, and mount. + +~Pappenheim's Method.~-- + +This method is supposed to differentiate between B. tuberculosis and +other acid-fast micro-organisms. + +1. Prepare and fix film in the usual way. + +2. Stain in carbol-fuchsin _without heat_ for three minutes. + +3. Without previously washing in water treat the film with three or four +successive applications of corallin (Rosolic acid) solution. + + Corallin 1 gramme + Methylene-blue + (saturated alcoholic solution) 100 c.c. + Glycerine 20 c.c. + +4. Wash in water. + +5. Dry and mount. + +~Neisser's Method--Modified.~--(To demonstrate diphtheroid bacilli.) + +_Stain I._-- + +Measure out and mix + + Methylene-blue, saturated alcoholic solution 4.0 c.c. + Acetic acid, 5 per cent. aqueous solution 96.0 c.c. + +Filter. + +_Stain II._-- + +Weigh out + + Neutral red 2.5 grammes + +and dissolve in + + Distilled water 1000 c.c. + +Filter. + +METHOD.-- + +1. Prepare and fix films in the usual way. + +2. Pour stain I on the film and allow it to act for two minutes. + +3. Wash thoroughly in water. + +4. Treat with Lugol's iodine for ten seconds. + +5. Wash thoroughly in water. + +6. Pour stain II on to the film and allow it to act for thirty seconds. + +7. Wash thoroughly in water. + +8. Dry and mount. + + NOTE.--The cultivation from which the films are prepared + must be upon blood-serum which has been incubated at 37 deg. C. + for from nine to eighteen hours. + +The bacilli are stained a light red by the neutral red, which contrasts +well with the two or three black spots, situated at the poles and +occasionally one in the centre representing protoplasmic aggregations (? +metachromatic granules) stained by the acid methylene-blue. + + ~Wheal and Chown (Oxford) Method.~--(To demonstrate + actinomyces.) + + 1. Stain briefly with Ehrlich's haematoxylin (until nuclei + are faint blue after washing with tap water). + + 2. Wash in tap water. + + 3. Stain in hot carbol-fuchsin (as for tubercle bacilli) for + five to ten minutes. + + 4. Wash in tap water. + + 5. Decolourise with Spengler's picric acid alcohol. This is + prepared by mixing: + + Alcohol, absolute 20 c.c. + Picric acid, saturated aqueous solution 10 c.c. + Distilled water 10 c.c. + + During the progress of steps 1-5 the preparation must be + repeatedly examined microscopically with the 1/6-inch + objective. + + When properly differentiated the clubs appear brilliant red + on greenish ground. + + 6. Dehydrate in alcohol. + + 7. Clear in xylol. + + 8. Mount in xylol balsam. + + This method serves equally well for films and for sections. + + + + +VII. METHODS OF DEMONSTRATING BACTERIA IN TISSUES. + + +For bacteriological purposes, sections of tissue are most conveniently +prepared by either the ~freezing method~ or the ~paraffin method~. + +The latter is decidedly preferable, but as it is of greater importance +to demonstrate the bacteria, if such are present, than to preserve the +tissue elements unaltered, the "frozen" sections are often of value. + +Whichever method is selected, it is necessary to take small pieces of +the tissue for sectioning,--2 to 5 mm. cubes when possible, but in any +case not exceeding half a centimetre in thickness. Post-mortem material +should be secured as soon after the death of the animal as possible. + +The tissue is prepared for cutting by-- + +(a) Fixation; that is, by causing the death of the cellular elements +in such a manner that they retain their characteristic shape and form. + +The fixing fluids in general use are: Absolute alcohol; corrosive +sublimate, saturated aqueous solution; corrosive sublimate, Lang's +solution (_vide_ page 82); formaldehyde, 4 per cent. aqueous solution. +(Of these, Lang's corrosive sublimate solution is decidedly the best +all-round "fixative.") + +(b) Hardening; that is, by rendering the tissue of sufficient +consistency to admit of thin slices or "sections" being cut from it. +This is effected by passing the tissue successively through alcohols of +gradually increasing strength: 30 per cent. alcohol, 50 per cent. +alcohol, 75 per cent. alcohol, 90 per cent. alcohol, absolute alcohol. + +In both these processes a large excess of fluid should always be used. + + +FREEZING METHOD. + +1. ~Fixation.~ Place the pieces of tissue in a wide-mouthed glass bottle +and fill with absolute alcohol. Allow the tissues to remain therein for +twenty-four hours. + +2. ~Hardening.~ Remove the alcohol (no longer absolute, as it has taken up +water from the tissues) from the bottle and replace it with fresh +absolute alcohol. Allow the tissues to remain therein for twenty-four +hours. + +[Illustration: FIG. 71.--Washing tissues.] + + NOTE.--If not needed for cutting immediately, the hardened + tissues can be stored in 75 per cent. alcohol. + +3. Remove the alcohol from the tissues by soaking in water from one to +two hours. Remove the stopper from the bottle; rest a glass funnel in +the open mouth and place under a tap of running water. The water of +course, overflows, but the tissues remain in the bottle (Fig. 71). + +4. Impregnate the tissues with mucilage for twelve to twenty-four hours, +according to size. Transfer the pieces of tissue to a bottle containing +sterilised gum mixture. + +~Formula.~-- + + Gum arabic 5 grammes + Saccharose 1 gramme + Boric acid 1 gramme + Water 100 c.c. + +5. Place the tissue on the plate of a freezing microtome (Cathcart's is +perhaps the best form), cover and surround with fresh gum mixture; +freeze with ether, or for preference, carbon dioxide, and cut sections. + +6. Float the sections off the knife into a glass dish containing tepid +water and allow them to remain therein for about an hour to dissolve out +the gum. + +(If not required at once, store in 90 per cent. alcohol.) + +7. Transfer to a glass capsule containing the selected staining fluid, +by means of a section lifter. + +8. Transfer the sections in turn to a capsule containing absolute +alcohol (to dehydrate) and to one containing xylol or oil of cloves (to +clear). + +9. Mount in xylol balsam. + +_Alternative Rapid Method._-- + + 1. Cut very small blocks of the tissue. + + 2. Fix in formalin 10 per cent. aqueous solution (fixation + fluid No. 7, page 82) for 24 hours. + + 3. Transfer block to plate of freezing microtome and freeze + with carbon dioxide vapour. + + 4. Float the sections off the knife into a glass dish of + tepid water. + + 5. Stain the sections in glass capsules containing selected + stains. + + 6. Place the stained section in a dish of clean water and + introduce a glass slide obliquely beneath the section; with + a mounted needle draw the section on to the slide and hold + it there; gently remove the slide from the water, taking + care that any folds in the section are floated out before + the slide is finally removed from the water. + + 7. Drain away as much water as possible from the section. + Drop absolute alcohol on to the section from a drop bottle, + to dehydrate it. + + 8. Double a piece of blotting paper and gently press it on + the section to dry it. + + 9. Drop on xylol to clear the section. + + 10. Place a large drop of xylol balsam on the section and + carefully lower a cover-glass on to the balsam. + + +PARAFFIN METHOD. + +1. ~Fixation.~ Place the pieces of tissue, resting on cotton-wool, in a +wide-mouthed glass bottle. Pour on a sufficient quantity of the +corrosive sublimate fixing fluid; allow the tissue to remain therein for +twelve to twenty-four hours according to size. + +2. Pour off the fixing fluid and wash thoroughly in running water for +twenty minutes to half an hour to remove the excess of corrosive +sublimate. + +[Illustration: FIG. 72.--~L~-shaped brass moulds.] + +[Illustration: FIG. 73.--Paraffin kettle.] + +3. ~Hardening.~ Place the tissues in each of the following strengths of +alcohol in turn for from twelve to twenty-four hours: 50 per cent., 75 +per cent., 90 per cent., absolute. + +4. ~Dehydration~ is effected by transferring the tissues to fresh absolute +alcohol. + +5. ~Clearing.~ Half fill a wide-mouthed bottle with chloroform. On the +surface of the chloroform float a layer of absolute alcohol about five +to ten millimetres in depth. Place the pieces of tissue in the layer of +alcohol and when they have sunk through this layer, transfer them to +pure chloroform for from six to twenty-four hours according to the size +of the pieces. When "cleared," the tissue becomes more or less +transparent. + +6. ~Infiltration.~ Place the cleared tissues in fresh chloroform with +several pieces of paraffin wax and stand in a warm place, such as on the +top of the warm incubator. The warmth gradually melts the paraffin and +the tissues should remain in the mixture about twenty-four hours. + +7. Transfer the tissues to a vessel containing pure melted paraffin. +Place this vessel in a paraffin water-bath regulated for 2 deg. C. above +the melting-point of the paraffin used, and allow the tissues to soak for +some four to six hours to ensure complete impregnation. The paraffin +used should have a melting-point of not more than 58 deg. C. For all +ordinary purposes 54 deg. C. will be found quite high enough. + +8. Imbed in fresh paraffin in a metal (or paper) mould. + +(a) Arrange a pair of ~L~-shaped pieces of metal on a plate of glass to +form a rectangular trough (Fig. 72). + +(b) Pour fresh melted paraffin into the mould from a special vessel +(Fig. 73). + +(c) Lift the piece of tissue from the paraffin bath and arrange it in +the mould. + +(d) Blow gently on the surface of the paraffin in the mould, and as +soon as a film of solid paraffin has formed, carefully lift the glass +plate on which the mould is set and lower plate and mould together into +a basin of cold water. + +(e) When the block is cold, break off the metal ~L~'s; trim off the +excess of paraffin from around the tissue with a knife, taking care to +retain the rectangular shape, and store the block in a pill-box. + +When several pieces of tissue have to be imbedded at one time, shapes of +stout copper, 10 cm., 5 cm., and 2.5 cm. square respectively, and 0.75 +cm. deep (Fig. 74) will be found extremely useful. These placed upon +plates of glass replace the pair of L's in the above process. When the +paraffin has set firmly the screw a should be loosened to allow the +two halves of the flange b to separate slightly--this facilitates +removal of the paraffin block. + +[Illustration: FIG. 74.--Paraffin mould.] + +8. Cement the block on the carrier of a "paraffin" microtome (the Minot, +the Jung, or the Cambridge Rocker) with a little melted paraffin. +Greater security is obtained if the paraffin around the base of the +block is melted by means of a hot metal or glass rod. + +9. Cut sections--thin, and if possible in ribbands. + + +~Mounting Paraffin Sections.~-- + +1. Place a large drop of 30 per cent. alcohol on the centre of a slide +(or cover-slip) and float the section on to the surface of the drop, +from a section lifter. + +2. Hold the slide in the fingers of one hand and warm cautiously over +the flame of a Bunsen burner, touching the under surface of the glass +from time to time on the back of the other hand. As soon as the slide +feels distinctly warm to the skin, the paraffin section will flatten out +and all wrinkles disappear. + +(The slide with the section floating on it may be rested on the top of +the paraffin bath for two or three minutes, instead of warming over the +flame as here described.) + +3. Cautiously tilt up the slide and blot off the excess of spirit with +blotting paper, leaving the section attached to the centre of the +slide. + +4. Place the slide in a wire rack (Fig. 75), section downward, in the +"hot" incubator for twelve to twenty-four hours. At the end of this time +the section is firmly adherent to the glass, and is treated during the +subsequent steps as a "fixed" cover-glass film preparation. + + NOTE.--If large, thick sections have to be manipulated, or + if time is of importance or acids are used during the + staining process, it is often advisable to add a trace of + Mayer's albumin to the alcohol before floating out the + section. If this substance is employed, a sojourn of twenty + minutes to half an hour in the "hot" incubator will be found + ample to ensure firm adhesion of the section to the slide. + The albuminous fluid is prepared as follows: + +[Illustration: FIG. 75.--Section rack.] + + +~Mayer's Albumin.~-- + + Weigh out + Salicylate of soda 1 gramme + and dissolve in + Glycerine 50 c.c. + Add + White of egg 50 c.c. + + Mix thoroughly by means of an egg whisk. + + Filter into a clean bottle. + + As an alternative method paint a thin layer of Schallibaum's + solution on the slide with a camel's hair pencil; lay the + section carefully on this film and heat gently to fix the + section. + + +_Schallibaum's solution_: + + Clove oil 30 c.c. + Collodion 10 c.c. + +Keep in a dark blue bottle in a cool place. + + +~Staining Paraffin Sections.~-- + +1. Warm paraffin section over the Bunsen flame to soften (_but not to +melt_) the paraffin, then dissolve out the wax with xylol poured on from +a drop bottle. + +2. Remove xylol by flushing the section with alcohol. + +3. If the tissue was originally "fixed" in a corrosive sublimate +solution, the section must now be treated with Lugol's iodine solution +for two minutes and subsequently immersed in 90 per cent. alcohol to +remove all traces of yellow staining. + +4. Wash in water. + +5. Stain deeply, if using a single stain, as the subsequent processes +decolourise. + +6. Wash in water, decolourise if necessary. + +7. Flood with several changes of absolute alcohol to dehydrate the +section. + +8. Clear in xylol. (Oil of cloves is not usually employed, as it +decolourises the section.) + +9. Mount in xylol balsam. + + +SPECIAL STAINING METHODS FOR SECTIONS. + + +~Double-staining Carmine and Gram-Weigert.~-- + +1. Prepare the section for staining as above, sections 1 to 3. + +2. Stain in lithium carmine (Orth's) or picrocarmine for ten to thirty +minutes, in a porcelain staining pot (Fig. 76). + +3. Wash in picric acid solution until yellow. At this stage cell nuclei +are red, protoplasm is yellow, and bacteria are colourless. + +Picric acid solution is prepared by mixing + + Picric acid, saturated aqueous solution 40 c.c. + Hydrochloric acid 1 c.c. + Alcohol (90 per cent.) 160 c.c. + +4. Wash in water. + +5. Wash in alcohol. + +6. Stain in aniline gentian violet. + +7. Wash in iodine solution till dark brown or black. + +8. Wash in water. + +9. Dip in absolute alcohol for a second. + +10. Decolourise with aniline oil till no more colour is discharged. + +[Illustration: FIG. 76.--Staining pot.] + +11. Wash with aniline oil, 2 parts, xylol, 1 part. + +12. Clear with xylol. + +13. Mount in xylol balsam. + +~Alternative Gram-Weigert Method for Sections.~-- + +1. Fix paraffin section on slide and prepare for staining in the usual +manner. + +2. Stain in alum carmine for about fifteen minutes. + +3. Wash thoroughly in water. + +4. Filter aniline gentian violet solution on to the section on the slide +and allow to stain about twenty-five minutes. + +5. Wash thoroughly in water. + +6. Treat with Lugol's iodine until section ceases to become any blacker. + +7. Wash thoroughly in water. + +8. Treat with a mixture of equal parts of aniline oil and xylol until no +more colour comes away. + +9. Wash thoroughly with xylol. + +10. Decolourise and dehydrate rapidly with absolute alcohol until there +remains only a very faint bluish tint. + +11. Clear with xylol. + +12. Mount in xylol balsam. + +(Then fibrin and hyaline tissue are stained deep blue, whilst bacteria +which "stain Gram" appear of a deep blue-violet colour.) + +~Unna-Pappenheim Method.~-- + +Stain.-- + +Weigh out and mix + + Methylene green 0.15 gramme + Pyronin 0.25 gramme + +and dissolve in + + Carbolic acid 0.5 per cent. aqueous solution 78 c.c. + +Measure out + + Alcohol 2.5 c.c. } + Glycerine 20.0 c.c. } and add to the stain. + +~Method.~-- + +1. Place tissue in the above stain for ten minutes. + +2. Differentiate and dehydrate with absolute alcohol. + +3. Clear in xylol. + +4. Mount in xylol balsam. + +~To Demonstrate Capsules.~-- + +1. _MacConkey's Method._--Stain precisely as for cover-slip films +(_vide_ page 100). + +2. _Friedlaender's Method._-- + +Stain.-- + + Gentian violet, saturated alcoholic solution 50 c.c. + Acetic acid, glacial 10 c.c. + Distilled water 100 c.c. + + METHOD.-- + + 1. Prepare the sections for staining, _secundum artem_. + + 2. Stain sections in the warm (e. g., in the hot + incubator) for twenty-four hours. + + 3. Wash with water. + + 4. Decolourise lightly with acetic acid, 1 per cent. + + 5. Dehydrate rapidly with absolute alcohol. + + 6. Clear with xylol. + + 7. Mount in xylol balsam. + + +~To Demonstrate Acid-fast Bacilli.~-- + +1. Prepare the sections for staining in the usual way. + +2. Stain with haematin solution ten to twenty seconds, to obtain a pure +nuclear stain; then wash in water. + +3. Stain with carbolic fuchsin twenty to thirty minutes at 47 deg. C.; +then wash in water. + +4. Treat with aniline hydrochlorate, 2 per cent. aqueous solution, for +two to five seconds. + +5. Decolourise in 75 per cent. alcohol till section appears free from +stain--fifteen to thirty minutes. + +6. Dehydrate with absolute alcohol. + +7. Clear very rapidly with xylol. + +8. Mount in xylol balsam. + + +~To Demonstrate Spirochaetes in Tissues.~ + +~Piridin Method (Levaditi).~-- + +1. Cut slices of tissue 1 mm. thick. + +2. Fix in 10 per cent. formalin solution for twenty-four hours. + +3. Wash in water for one hour. + +4. Place in 96 per cent. alcohol for twenty-four hours. + +5. Measure into a dark green or amber bottle 100 c.c. silver nitrate +solution 1 per cent., and 10 grammes pyridin puriss. Transfer slices of +tissue to this. Stopper and keep at room temperature three hours, then +in thermostat at 50 deg. C. for four to six hours. + +6. Wash quickly in 10 per cent. pyridin solution. + +7. Reduce silver by transferring slices of tissue to following solution +for forty-eight hours. + + Pyrogallic acid 4 grammes + Acetone 10 c.c. + Pyridin puriss 15 grammes + Distilled water 100 c.c. + +8. Wash well in water. + +Take through alcohols of increasing strength up to absolute, keeping in +each strength for twenty-four hours. + +9. Clear, embed, cut very thin sections, mount, remove paraffin, again +clear and mount in xylol balsam. + +The spirochaetes if present are black and show up against the pale yellow +color of the background. + +Weak carbol fuchsin, neutral red or toluidin blue can also be used to +stain the background if desired, after the removal of the paraffin in +step 9. + +~To Demonstrate Protozoa in Sections (Leishman).~-- + +Reagents required: + + Leishman's Polychrome stain. + Acetic acid 1 in 1500 aqueous solution. + Caustic soda 1 in 7000 aqueous solution. + Distilled water. + +1. Mount section, remove paraffin and take into distilled water as usual +(_vide_ page 121). + +2. Drain off the excess of water. + +3. Cover the section with diluted Leishman (1 part stain, 2 parts +distilled water) and allow to act for five to ten minutes (until tissue +appears a deep blue). + +4. Decolourise with acetic acid solution until only the nuclei appear +blue (examine the section wet, with low power objective). + +5. If the eosin colour is too well marked treat with the caustic soda +solution until the desired tint is obtained (as seen with the 1/6-inch +objective). + +6. Wash with distilled water. + +7. Rapidly dehydrate with alcohol. + +8. Clear with xylol. + +9. Mount in xylol balsam. + + + + +~VIII. CLASSIFICATION OF FUNGI.~ + + +For practical purposes FUNGI may be divided into: + + ~1. Hymenomycetes~ (including the mushrooms, etc.). + ~2. Hyphomycetes~ (moulds). + ~3. Blastomycetes~ (yeasts and torulae). + ~4. Schizomycetes~ (bacteria). + + NOTE.--Formerly myxomycetes were included in the fungi; they + are now recognized as belonging to the animal kingdom, and + are termed "mycetozoa." + + +~MORPHOLOGY OF THE HYPHOMYCETES.~ + +At the commencement of his studies, the attention of the student is +directed to the various non-pathogenic moulds and yeasts, not only that +he may gain the necessary technique whilst handling cultivations of +harmless organisms, but also because these very species are amongst the +commonest of those that may accidentally contaminate his future +preparations. + +The hyphomycetes are composed of a mycelium of short jointed rods or +"hyphae" springing from an axis or germinal tube which develops from the +spore. Hyphae are-- + +(a) Nutritive or submerged. + +(b) Reproductive or aerial. + +The protoplasm of these cells contains granules, pigment, oil globules, +and sometimes crystals of calcium oxalate. + +~Reproduction.~--Apical spore formation--asexual; + zoospores--sexual. + +~Mucorinae.~--_Mucor_ (Fig. 77).--Note the branching filaments--"mycelium" +(a), "hyphae" (b). + +Note the asexual reproduction. + +1. A filament grows upward. At its apex a septum forms, then a globular +swelling appears--"sporagium" (d). This possesses a definite membrane. + +2. From the septum grows a club-shaped mass of protoplasm--"columella" +(c). + +[Illustration: FIG. 77.--Mucor mucedo.] + +[Illustration: FIG. 78.--Aspergillus] + +3. The rest of the contained protoplasm breaks up into "swarm spores" +(e). + +Finally the membrane ruptures and spores escape. + +~Perisporaceae.~--_Aspergillus_ (Fig. 78).--Note the branching +filaments--"mycelium" (a). + +[Illustration: FIG. 79.--Penicillium.] + +Note the asexual reproduction. + +1. A filament (b) grows upward, its termination becomes clubbed; on +the clubbed extremity flask-shaped cells appear--"sterigmata" (c). + +2. At free end of each sterigma is formed an oval body--a spore or +"gonidium" (d), which, when ripe, is thrown off from the sterigma. Two +or more gonidia may be supported upon each sterigma. + +_Penicillium_ (Fig. 79).--Note the branching filaments--"mycelium" (a) +(frequently containing globules). + +Note the asexual reproduction. + +1. A filament grows upward--"goniodophore" (b)--and its apex divides +up into several branches--"basidia" (c). + +2. At the apex of each basidium a flask-shaped cell, "sterigma" (d), +appears. + +3. At the apex of each sterigma appears a row of oval cells--"spores" or +"conidia" (e). These, when ripe, are cast off from the sterigmata. + +[Illustration: FIG. 80.--Oidium.] + +~Ascomycetae.~--_Oidium_ (Fig. 80).--(This family is perhaps as nearly +related to the blastomycetes as it is to the hyphomycetes.) + +Note the branching filaments--"pseudomycelium" (a). Here and there +filaments are broken up at their ends into oval or rod-shaped segments, +"oidia," and behave as spores. + +Note the asexual reproduction. From the pseudomycelium arise true hyphae +(b), each of which in turn ends in a chain of spores (c). + + +~MORPHOLOGY OF THE BLASTOMYCETES.~ + +The blastomycetes are composed of spherical or oval cells (8 to 9.5 mu in +diameter), which, when rapidly multiplying by budding, may form a +spurious mycelium. A thin cell-wall encloses the granular protoplasm, in +which vacuoles and sometimes a nucleus may be noted. This latter is best +seen when stained with haematoxylin (see page 105). + +During their growth and multiplication the blastomycetes split up +solutions containing sugar into alcohol and CO_{2}. + +~Saccharomyces~ (Fig. 81).--Note the round or oval cells of granular +protoplasm (a) containing solid particles and vacuoles (c), and +surrounded by a definite envelope. + +~Reproduction.~--Budding; ascospores--asexual. + +Note the asexual _reproduction_. + +1. "Gemmation"--that is, the budding out of daughter cells (b) from +various parts of the gradually enlarging mother cell. These are +eventually cast off and in turn become mother cells and form fresh +groups of buds. + +[Illustration: FIG. 81.--Saccharomyces with ascospores.] + +[Illustration: FIG. 82.--Torula.] + +2. Spore formation--"ascospores" (e). These are formed at definite +temperatures and within well-defined periods; e. g., Saccharomyces +cerevisiae, thirty hours at 25 deg. to 37 deg. C., or ten days at +12 deg. C. + +~Torulae~ (Fig. 82).--Torulae, whilst resembling yeasts in almost +every other respect, never form endo-spores. Note the elongated, +sausage-shaped cells (a) the larger oval cells (b) and the globular +cells (c) the former two often interlacing and growing as a film. + +Note the absence of ascospore formation. + + + + +IX. SCHIZOMYCETES. + + +~Classification and Morphology.~--Bacteria are often classified, in +general terms, according to their life functions, into-- + + _Saprogenic_, or putrefactive bacteria; + _Zymogenic_, or fermentative bacteria; + _Pathogenic_, or disease-producing bacteria; + +or according to their food requirements into-- + + _Prototrophic_, requiring no organic food (e. g., nitrifying bacteria); + _Metatrophic_, requiring organic food (e. g., saprophytes + and facultative parasites); + _Paratrophic_, requiring living food (obligate parasites); + +or according to their metabolic products into-- + + _Chromogenic_, or pigment-producing bacteria; + _Photogenic_, or light-producing bacteria; + _Aerogenic_, or gas-producing bacteria; + +and so on. + +Such broad groupings as these have, however, but little practical value +when applied to the systematic study of the fission fungi. + +On the other hand, no really scientific classification of the +schizomycetes has yet been drawn up, and the varying morphological +appearances of the members of the family are still utilised as a basis +for classification, as under-- + +~1. Cocci.~ (Fig. 83).--Rounded or oval cells, subdivided according to the +arrangement of the individuals after fission, into-- + +_Diplococci_ and _Streptococci_, where division takes place in one plane +only, and the individuals remain attached (a) in pairs or (b) in +chains. + +_Tetrads_, _Merismopedia_, or _Pediococci_, where division takes place +alternately in two planes at right angles to each other, and the +individuals remain attached in flat tablets of four, or its multiples. + +[Illustration: FIG. 83.--Types of bacteria--cocci: 1, Diagram of sphere +indicating planes of fission; 2, diplococci; 3, streptococci; 4, +tetrads; 5, sarcinae; 6, staphylococci.] + +_Sarcinae_, where division takes place in three planes successively, +and the individuals remain attached in cubical packets of eight and its +multiples. + +[Illustration: FIG. 84.--Types of bacteria--bacilli, etc.: 1, Bacilli; +2, diplobacilli; 3 streptobacilli; 4, spirilla; 5, vibrios; 6, +spirochaetae.] + +_Micrococci_ or _Staphylococci_, where division takes place in three +planes, but with no definite sequence; consequently the individuals +remain attached in pairs, short chains, plates of four, cubical packets +of eight, and irregular masses containing numerous cocci. + +~2. Bacilli~ (Fig. 84, 1 to 3).--Rod-shaped cells. A bacillus, however +short, can usually be distinguished from a coccus in that two sides are +parallel. Some bacilli after fission retain a characteristic arrangement +and may be spoken of as _Diplobacilli_ or _Streptobacilli_. + +Leptothrix is a term that in the past has been loosely used to signify a +long thread, but is now restricted to such forms as belong to the +leptothriciae (_vide infra_). + +~3. Spirilla~ (Fig. 84, 4 to 6).--Curved and twisted filaments. +Classified, according to shape, into-- + + Spirillum. + Vibrio (comma). + Spirochaeta. + +Many Spirochaetes appear to belong to the animal kingdom and are grouped +under protozoa; other organisms to which this name has been given are +undoubtedly bacteria. + +Higher forms of bacteria are also met with, which possess the following +characteristics: They are attached, unbranched, filamentous forms, +showing-- + +(a) Differentiation between base and apex; + +(b) Growth apparently apical; + +(c) Exaggerated pleomorphism; + +(d) "Pseudo-branching" from apposition of cells; and are classified +into-- + + 1. Beggiotoa. } Free swimming forms, which + 2. Thiothrix. } contain sulphur granules. + + 3. Crenothrix. } + 4. Cladothrix. } These forms do not contain + 5. Leptothrix. } sulphur granules. + + 6. Streptothrix. A group which exhibits true but + not dichotomous branching, and contains some pathogenic + species. + +The morphology of the same bacterium may vary greatly under different +conditions. + +For example, under one set of conditions the examination of a pure +cultivation of a bacillus may show a short oval rod as the predominant +form, whilst another culture of the same bacillus, but grown under +different conditions, may consist almost entirely of long filaments or +threads. This variation in morphology is known as "pleomorphism." + +Some of the factors influencing pleomorphism are: + +1. The composition, reaction, etc., of the _nutrient medium_ in which +the organism is growing. + +2. _The atmosphere_ in which it is cultivated. + +3. _The temperature_ at which it is incubated. + +4. Exposure to or protection from _light_. + +The various points in the anatomy morphology and physiology of bacteria +upon which stress is laid in the following pages should be studied as +closely as is possible in preparations of the micro-organisms named in +connection with each. + + +~ANATOMY.~ + +1. _Capsule_ (Fig. 85, b).--A gelatinous envelope (probably akin to +mucin in composition) surrounding each individual organism, and +preventing absolute contact between any two. In some species the capsule +(e. g., B. pneumoniae) is well marked, but it cannot be demonstrated in +all. In very well marked cases of gelatinisation of the cell wall, the +individual cells are cemented together in a coherent mass, to which the +term "zoogloea" is applied (e. g., Streptococcus mesenteroides). In +some species colouring matter or ferric oxide is stored in the capsule. + +2. _Cell Wall_ (Fig. 85, c).--A protective differentiation of the +outer layer of the cell protoplasm; difficult to demonstrate, but +treatment with iodine or salt solution sometimes causes shrinkage of the +cell contents--"plasmolysis"--and so renders the cell wall apparent (_e. +g._, B. megatherium) in the manner shown in figure 85. Stained bacilli, +when examined with the polarising microscope, often show a doubly +refractile cell wall (e. g., B. tuberculosis and B. anthracis). + +In some of the higher bacteria the cell wall exhibits this +differentiation to a marked degree and forms a hard sheath within which +the cell protoplasm is freely movable; and during the process of +reproduction the cell protoplasm may be extruded, leaving the empty tube +unaltered in shape. + +[Illustration: FIG. 85.--Dragrammatic sketch of composite bacterium to +illustrate details of anatomical structure.] + +[Illustration: FIG. 86.--Plasmolysis.] + +3. _Cell Contents._--Protoplasm (mycoprotein) contains a high percentage +of nitrogen, but is said to differ from proteid in that it is not +precipitated by C_{2}H_{6}O. It is usually homogeneous in +appearance--sometimes granular--and may contain oil globules or sap +vacuoles (Fig. 85, d), chromatin granules, and even sulphur granules. +Sap vacuoles must be distinguished from spores, on the one hand, and the +vacuolated appearance due to plasmolysis, on the other. + +The cell contents may sometimes be differentiated into a parietal layer, +and a central body (e. g., beggiotoa) when stained by haematoxylin. + +4. _Nucleus._--This structure has not been conclusively proved to +exist, but in some bacteria chromatin particles have been observed near +the centre of the bacterial cell and denser masses of protoplasm +situated at the poles which exhibit a more marked affinity than the rest +of the cell protoplasm for aniline dyes. These latter are termed polar +granules or _Polkoerner_ (Fig. 85, e). Occasionally these aggregations +of protoplasm alter the colour of the dye they take up. They are then +known as metachromatic bodies or _Ernstschen Koerner_ (e. g., B. +diphtheriae). + +5. _Flagella_ (Organs of Locomotion, Fig. 85, a).--These are +gelatinous elongations of the cell protoplasm (or more probably of the +capsule), occurring either at one pole, at both poles, or scattered +around the entire periphery. Flagella are not pseudopodia. The +possession of flagella was at one time suggested as a basis for a system +of classification, when the following types of ciliation were +differentiated (Fig. 87): + +[Illustration: FIG. 87.--Types of ciliation.] + +1. Polar: (a) _Monotrichous_ (a single flagellum situated at one pole; +e. g., B. pyocyaneus). + +(b) _Amphitrichous_ (a single flagellum at each pole; e. g., +Spirillum volutans). + +(c) _Lophotrichous_ (a tuft or bunch of flagella situated at each +pole; e. g., B. cyanogenus). + +2. Diffuse: _Peritrichous_ (flagella scattered around the entire +periphery e. g., B. typhosus). + + +~PHYSIOLOGY.~ + +~Reproduction.~--_Active Stage._--Vegetative, i. e., by the division of +cells, or "fission." + +1. The cell becomes elongated and the protoplasm aggregated at opposite +poles. + +2. A circular constriction of the organism takes place midway between +these aggregations, and a septum is formed in the interior of the cell +at right angles to its length. + +3. The division deepens, the septum divides into two lamellae, and +finally two cells are formed. + +[Illustration: FIG. 88.--Fission of cocci.] + +[Illustration: FIG. 89.--Fission of bacteria.] + +4. The daughter cells may remain united by the gelatinous envelope for a +variable time. Eventually they separate and themselves subdivide. + +Cultures on artificial media, after growing in the same medium for some +time--i. e., when the pabulum is exhausted--show "involution forms" +(Fig. 90), well exemplified in cultures of B. pestis on agar two days +old, B. diphtheriae on potato four to six days old. + +[Illustration: FIG. 90.--Involution forms.] + +They are of two classes, viz.: + +(a) Involution forms characterised by alterations of shape (Fig. 90). +(Not necessarily dead.) + +(b) Involution forms characterised by loss of staining power. (Always +dead.) + +_Resting Stage._--Spore Formation.--Conditions influencing spore +formation: In an old culture nothing may be left but spores. It used to +be supposed that spores were _always_ formed, so that the species might +not become extinct, when + +(a) The supply of nutrient was exhausted. + +(b) The medium became toxic from the accumulation of metabolic +products. + +(c) The environment became unfavourable; e. g., change of +temperature. + +This is not altogether correct; e. g., the temperature at which spores +are best formed is constant for each bacterium, but varies with +different species; again, aerobes require oxygen for sporulation, but +anaerobes will not spore in its presence. + +(A) Arthrogenous: Noted only in the micrococci. One complete element +resulting from ordinary fission becomes differentiated for the purpose, +enlarges, and develops a dense cell wall. One or more of the cells in a +series may undergo this alteration. + +This process is probably not real spore formation, but merely relative +increase of resistance. These so-called arthrospores have never been +observed to "germinate," nor is their resistance very marked, as they +fail to initiate new cultures, after having been exposed to a +temperature of 80 deg. C. for ten minutes. + +(B) Endogenous: The cell protoplasm becomes differentiated and condensed +into a spherical or oval mass (very rarely cylindrical). After further +contraction the outer layers of the mass become still more highly +differentiated and form a distinct spore membrane, and the spore itself +is now highly refractile. It has been suggested, and apparently on good +grounds, that the spore membrane consists of two layers, the exosporium +and the endosporium. Each cell forms one spore only, usually in the +middle, occasionally at one end (some exceptions, however, are recorded; +e. g., B. inflatus). The shape of the parent cell may be unaltered, as +in the anthrax bacillus, or altered, as in the tetanus bacillus, and +these points serve as the basis for a classification of spore-bearing +bacilli, as follows: + +(A) Cell body of the parent bacillus unaltered in shape (Fig. 91, a). + +(B) Cell of the parent bacillus altered in shape. + +1. _Clostridium_ (Fig. 91, b): Rod swollen at the centre and +attenuated at the poles; spindle shape; e. g., B. butyricus. + +2. _Cuneate_ (Fig. 91, c): Rods swollen slightly at one pole and more +or less pointed at the other; wedge-shaped. + +[Illustration: FIG. 91--Types of spore-bearing bacilli.] + +3. _Clavate_ (Fig. 91, d): Rods swollen at one pole and cylindrical +(unaltered) at the other; keyhole-shaped; e. g., B. chauvei. + +4. _Capitate_ (Fig. 91, e): Rods with a spherical enlargement at one +pole; drumstick-shaped; e. g., B. tetani. + +The endo-spores remain within the parent cell for a variable time (in +one case it is stated that germination of the spore occurs within the +interior of the parent cell--"endo-germination"), but are eventually set +free, as a result of the swelling up and solution of the cell membrane +of the parent bacillus in the surrounding liquid, or of the rupture of +that membrane. They then present the following characteristics: + +1. Well-formed, dense cell membranes, which renders them extremely +difficult to stain, but when once stained equally difficult to +decolourise. + +2. High refractility, which distinguished them from vacuoles. + +3. Higher resistance than the parent organism to such lethal agents as +heat, desiccation, starvation, time, etc., this resistance being due to + +(a) Low water contents of plasma of the spore. + + (b) Low heat-conducting power } of the spore + (c) Low permeability } membrane. + +This resistance varies somewhat with the particular species--e. g., +some spores may resist boiling for a few minutes--but practically all +are killed if the boiling is continued for ten minutes. + +~Germination.~--When transplanted to suitable media and placed under +favourable conditions, the spores germinate, usually within twenty-four +to thirty-six hours, and successively undergo the following changes +which may be followed in hanging-drop cultures on a warm stage: + +1. Swell up slowly and enlarge, through the absorption of water. + +2. Lose their refrangibility. + +3. At this stage one of three processes (but the particular process is +always constant for the same species) may be observed: + +(a) The spore grows out into the new bacillus without discarding the +spore membrane (which in this case now becomes the cell membrane); _e. +g._, B. leptosporus. + +(b) It loses its spore membrane by solution; e. g., B. anthracis. + +(c) It loses its spore membrane by rupture. + +In this process the rupture may be either polar (at one pole only _e. +g._, B. butyricus), or bipolar (e. g., B. sessile), or equatorial; +(e. g., B. subtilis). + +In those cases where the spore membrane is discarded the cell membrane +of the new bacillus may either be formed from-- + +(a) The inner layer of the spore membrane, which has undergone a +preliminary splitting into parietal and visceral layers; e. g., B. +butyricus. + +(b) The outer layers of the cell protoplasm, which become +differentiated for that purpose; e. g., B. megatherium. + +The new bacillus now increases in size, elongates, and takes on a +vegetative growth--i. e., undergoes fission--the bacilli resulting +from which may in their turn give rise to spores. + +[Illustration: FIG. 92. Simple.] + +[Illustration: FIG. 93. Solution.] + +[Illustration: FIG. 94. Polar.] + +[Illustration: FIG. 95. Bipolar.] + +[Illustration: FIG. 96. Equatorial.] + + +~Food Stuffs.~--1. _Organic Foods._-- + +(a) The pure parasites (e. g., B. leprae) will not live outside the +living body. + +(b) Both saprophytic and facultative parasitic bacteria agree in +requiring non-concentrated food. + +(c) The facultative parasites need highly organised foods; e. g., +proteids or other sources of nitrogen and carbon, and salts. + +(d) The saprophytic bacteria are more easily cultivated; e. g., + +1. Some bacteria will grow in almost pure distilled water. + +2. Some bacteria will grow in pure solutions of the carbohydrates. + +3. _Water_ is absolutely essential to the _growth_ of bacteria. + +Food of a definite reaction is needed for the growth of bacteria. As a +general rule growth is most active in media which react slightly acid to +phenolphthalein--that is, neutral or faintly alkaline to litmus. Mould +growth, on the other hand, is most vigourous in media that are strongly +acid to phenolphthalein. + +~Environment.~--The influence of physical agents upon bacterial life and +growth is strongly marked. + +1. _Atmosphere._--The presence of _oxygen_ is necessary for the growth +of some bacteria, and death follows when the supply is cut off. Such +organisms are termed _obligate aerobes_. + +Some bacteria appear to thrive equally well whether supplied with or +deprived of oxygen. These are termed _facultative anaerobes_. + +A third class will only live and multiply when the access of free oxygen +is completely excluded. These are termed _obligate anaerobes_. + +2. _Temperature._--Practically no bacterial growth occurs below 5 deg. C, +and very little above 40 deg. C. 30 deg. C. to 37 deg. C is the most +favorable for the large majority of micro-organisms. + +The maximum and minimum temperatures at which growth takes place, as +well as the optimum, are fairly constant for each bacterium. + +Bacteria have been classified, according to their optimum temperature, +into-- + + MIN. OPT. MAX. + +1. Psychrophilic bacteria + (chiefly water organisms) 0 deg. C. 15 deg. C. 30 deg. C. +2. Mesophilic bacteria + (includes pathogenic bacteria) 15 deg. C. 37 deg. C. 45 deg. C. +3. Thermophilic bacteria 45 deg. C. 55 deg. C. 70 deg. C. + +The thermal death-point of an organism is another biological constant; +and is that temperature which causes the death of the vegetative forms +when the exposure is continued for a period of ten minutes (see pages +298-301). + +3. _Light._--Many organisms are indifferent to the presence of light. On +the other hand, light frequently impedes growth, and alters to a greater +or lesser extent the biochemical characters of the organisms--e. g., +chromogenicity or power of liquefaction. Pathogenic bacteria undergo a +progressive loss of virulence when cultivated in the presence of light. + +4. _Movements._--Movements, if slight and simply of a flowing character, +do not appear to injuriously affect the growth of bacteria; but violent +agitation, such as shaking, absolutely kills them. + +A condition of perfect rest would seem to be that most conducive to +bacterial growth. + +~The Metabolic Products of Bacteria.~--_Pigment Production._--Many +micro-organisms produce one or more vivid pigments--yellow, orange, red, +violet, fluorescent, etc.--during the course of their life and growth. +The colouring matter usually exists as an intercellular excrementitious +substance. Occasionally, however, it appears to be stored actually +within the bodies of the bacteria. The chromogenic bacteria are +therefore classified, in accordance with the final destination of the +colouring matter they elaborate, into-- + +_Chromoparous_ Bacteria: in which the pigment is diffused out upon and +into the surrounding medium. + +_Chromophorous_ Bacteria: in which the pigment is stored in the cell +protoplasm of the organism. + +_Parachromophorous_ Bacteria: in which the pigment is stored in the cell +wall of the organism. + +Different species of chromogenic bacteria differ in their requirements +as to environment, for the production of their characteristic pigments; +e. g., some need oxygen, light, or high temperature; others again +favor the converse of these conditions. + +_Light Production._--Some bacteria, and usually those originally derived +from water, whether fresh or salt, exhibit marked phosphorescence when +cultivated under suitable conditions. These are classed as "photogenic." + +_Enzyme Production._--Many bacteria produce soluble ferments or enzymes +during the course of their growth, as evidenced by the liquefaction of +gelatine, the clotting of milk, etc. These ferments may belong to either +of the following well-recognised classes: proteolytic, diastatic, +invertin, rennet. + +_Toxin Production._--A large number, especially of the pathogenic +bacteria, elaborate or secrete poisonous substances concerning which but +little exact knowledge is available, although many would appear to be +enzymic in their action. + +These toxins are usually differentiated into-- + +_Extracellular_ (or Soluble) Toxins: those which are diffused into, and +held in solution by, the surrounding medium. + +_Intracellular_ (or Inseparate) Toxins: those which are so closely bound +up with the cell protoplasm of the bacteria elaborating them that up to +the present time no means has been devised for their separation or +extraction. + +_End-products of Metabolism._--Under this heading are included-- + +Organic Acids (e. g., lactic, butyric, etc.). + +Alkalies (e. g., ammonia). + +Aromatic Compounds (e. g., indol, phenol). + +Reducing Substances (e. g., those reducing nitrates to nitrites). + +Gases (e. g., sulphuretted hydrogen, carbon dioxide, etc.). + +And while the discussion of their formation, etc., is beyond the scope +of a laboratory handbook, the methods in use for their detection and +separation come into the ordinary routine work and will therefore be +described (_vide_ page 276 _et seq._). + + + + +X. NUTRIENT MEDIA. + + +In order that the life and growth of bacteria may be accurately observed +in the laboratory, it is necessary-- + +1. To _isolate_ individual members of the different varieties of +micro-organisms. + +2. To _cultivate_ organisms, thus isolated, apart from other associated +or contaminating bacteria--i. e., in _pure culture_. + +For the successful achievement of these objects it is necessary to +provide nutriment in a form suited to the needs of the particular +bacterium or bacteria under observation, and in a general way it may be +said that the nutrient materials should approximate as closely as +possible, in composition and character, to the natural pabulum of the +organism. + +The general requirements of bacteria as to their food-supply have +already been indicated (page 142) and many combinations of proteid and +of carbohydrate have been devised, from time to time, on those lines. +These, together with various vegetable tissues, physiological or +pathological fluid secretions, etc., are collectively spoken of as +_nutrient media_ or _culture media_. + +The greater number of these media are primarily _fluid_, but, on account +of the rapidity with which bacterial growth diffuses itself through a +liquid, it is impossible to study therein the characteristics of +individual organisms. Many such media are, therefore, subsequently +rendered solid by the addition of substances like gelatine or agar, in +varying proportions, the proportions of such added material being +generally mentioned when referring to the media; e. g., 10 per cent. +gelatine, 2 per cent. agar. Gelatine is employed for the solidification +of those media it is intended to use in the cultivation of bacteria at +the room temperature or in the "cold" incubator. In the percentages +usually employed, gelatine media become fluid at 25 deg. C.; higher +percentages remain solid at somewhat higher temperatures, but the +difficulty of filtering strong solutions of gelatine militates against +their general use. + +Media, on the other hand which have been solidified by the addition of +agar, only become liquid when exposed to 90 deg. C. for about ten +minutes, and again solidify when the temperature falls to 40 deg. C. + +When it becomes necessary to render these media fluid, heat is applied, +upon the withdrawal of which they again assume their solid condition. +Such media should be referred to as _liquefiable media_; in point of +fact, however, they are usually grouped together with the solid media. + + NOTE.--It must here be stated that the designation 10 per + cent. gelatine or 2 per cent. agar refers only to the + quantity of those substances actually added in the process + of manufacture, and _not_ to the percentage of gelatine or + agar, as the case may be, present in the finished medium; + the explanation being that the commercial products employed + contain a large proportion of insoluble material which is + separated off by filtration during the preparation of the + liquefiable media. + +Other media, again--e. g., potato, coagulated blood-serum, +etc.--cannot be again liquefied by physical means, and these are spoken +of as _solid_ media. + +The following pages detail the method of preparing the various nutrient +media, in ordinary use (see also Chapter XI), those which are only +occasionally required for more highly specialised work are grouped +together in Chapter XII. It must be premised that scrupulous cleanliness +is to be observed with regard to all apparatus, vessels, funnels, etc., +employed in the preparation of media; although in the preliminary stages +of the preparation of most media absolute sterility of the apparatus +used is not essential. + + +MEAT EXTRACT. + +A watery solution of the extractives, etc., of lean meat (usually beef) +forms the basis of several nutrient media. This solution is termed "meat +extract" and it has been determined empirically that its preparation +shall be carried out by extracting half a kilo of moist meat with one +litre of water. For many purposes, however, it is more convenient to +have a more concentrated extract; one kilo of meat should therefore be +extracted with one litre of water, to form "Double Strength" meat +extract. + +It was customary at one time, and is even now in some laboratories to +use either "shin of beef" or "beef-steak"--both contain muscle sugar +which often needs to be removed before the nutrient medium can be +completed. Heart muscle (bullock's heart or sheep's heart) is much to be +preferred and from the point of economy, ease and cleanliness of +manipulation, and extractive value, the imported frozen bullock's hearts +provide the best extract. + +Meat extract (Fleischwasser) is prepared as follows: + +1. Measure 1000 c.c. of distilled water into a large flask (or glass +beaker, or enamelled iron pot) and add 1000 grammes (roughly, 2-1/2 +pounds) of fresh lean meat--e. g., bullock's heart--finely minced in a +mincing machine. + +2. Heat the mixture gently in a water-bath, taking care that the +temperature of the contents of the flask does not exceed 40 deg. C. for +the first twenty minutes. (This dissolves out the soluble proteids, +extractives, salts, etc.) + +3. Now raise the temperature of the mixture to the boiling-point, and +maintain at this temperature for ten minutes. (This precipitates some +of the albumins, the haemoglobin, etc., from the solution.) + +4. Strain the mixture through sterile butter muslin or a perforated +porcelain funnel, then filter the liquid through Swedish filter paper +into a sterile "normal" litre flask, and when cold make up to 1000 c.c. +by the addition of distilled water--to replace the loss from +evaporation. + +5. If not needed at once, sterilise the meat extract in bulk in the +steam steriliser for twenty minutes on each of three consecutive days. + +Calf, sheep, or chicken flesh is occasionally substituted for the beef; +or the meat extract may be prepared from animal viscera, such as brain, +spleen, liver, or kidneys. + + NOTE.--As an alternative method, 5 c.c. of Brand's meat + juice or 3 grammes of Wyeth's beef juice, or 10 grammes + Liebig's extract of meat (Lemco) may be dissolved in 1000 + c.c. distilled water, and heated and filtered as above to + form ordinary or single strength meat extract. + + Media, prepared from such meat extracts are, however, + eminently unsatisfactory when used for the cultivation of + the more highly parasitic bacteria; although when working in + tropical and subtropical regions their use is well-nigh + compulsory. + +~Reaction of Meat Extract.~--Meat extract thus prepared is acid in its +reaction, owing to the presence of acid phosphates of potassium and +sodium, weak acids of the glycolic series, and organic compounds in +which the acid character predominates. Owing to the nature of the +substances from which it derives its reaction, the total acidity of meat +extract can only be estimated accurately when the solution is at the +boiling-point. + +Moreover, it has been observed that prolonged boiling (such as is +involved in the preparation of nutrient media) causes it to undergo +hydrolytic changes which increase its acidity, and ~the meat extract only +becomes stable in this respect after it has been maintained at the +boiling-point for forty-five minutes~. + +Although meat extract always reacts acid to phenolphthalein, it +occasionally reacts neutral or even alkaline to litmus; and again, meat +extract that has been rendered exactly neutral to litmus still reacts +acid to phenolphthalein. This peculiar behaviour depends upon two +factors: + +1. Litmus is insensitive to many weak organic acids the presence of +which is readily indicated by phenolphthalein. + +2. Dibasic sodium phosphate which is formed during the process of +neutralisation is a salt which reacts alkaline to litmus, but neutral to +phenolphthalein. In order, therefore, to obtain an accurate estimation +of the reaction of any given sample of meat extract, it is essential +that-- + +1. The meat extract be previously exposed to a temperature of 100 deg. C. +for forty-five minutes. + +2. The estimation be performed at the boiling-point. + +3. Phenolphthalein be used as the indicator. + +The estimation is carried out by means of titration experiments against +standard solutions of caustic soda, in the following manner: + +_Method of Estimating the Reaction._-- + +_Apparatus Required_: _Solutions Required_: + +1. 25 c.c. burette graduated 1. 10N NaOH, accurately +in tenths of a centimetre. standardised. + +2. 1 c.c. pipette graduated in 2. n/1 NaOH, accurately +hundredths, and provided standardised +with rubber tube, pinch-cock, +and delivery nozzle. + +3. 25 c.c. measure (cylinder or 3. n/10 NaOH, accurately +pipette, calibrated for standardised. +98 deg. C.--_not_ 15 deg. C). + +4. Several 60 c.c. conical 4. 0.5 per cent. solution of +beakers or Erlenmeyer phenolphthalein in 50 per +flasks. cent. alcohol. + +5. White porcelain evaporating basin, filled with boiling water and +arranged over a gas flame as a water-bath. + +6. Bohemian glass flask, fitted as a wash-bottle, and filled +with distilled water, which is kept boiling on a tripod stand. + +METHOD.--Arrange the apparatus as indicated in figure 97. + +(A) 1. Fill the burette with n/10 NaOH. + +2. Fill the pipette with n/1 NaOH. + +[Illustration: FIG. 97.--Arrangement of apparatus for titrating media.] + +3. Measure 25 c.c. of the meat extract (previously heated in the steamer +at 100 deg. C. for forty-five minutes) into one of the beakers by means of +the measure; rinse out the measure with a very small quantity of boiling +distilled water from the wash-bottle, and then add this rinse water to +the meat extract already in the beaker. + +4. Run in about 0.5 c.c. of the phenolphthalein solution and immerse the +beaker in the water-bath, and raise to the boil. + +5. To the medium in the beaker run in n/10 NaOH cautiously from the +burette until the end-point is reached, as indicated by the development +of a pinkish tinge, shown in figure 98 (b). Note the amount of +decinormal soda solution used in the process. + + NOTE.--Just before the end-point is reached, a very slight + opalescence may be noted in the fluid, due to the + precipitation of dibasic phosphates. After the true + end-point is reached, the further addition of about 0.5 c.c. + of the decinormal soda solution will produce a deep magenta + colour (Fig. 98, c), which is the so-called "end-point" of + the American Committee of Bacteriologists. + +[Illustration: FIG. 98.--a, Sample of filtered meat extract or +nutrient gelatine to which phenolphthalein has been added. The medium is +acid, as evidenced by the unaltered colour of the sample. b, The same +neutralised by the addition of n/10 NaOH. The production of this faint +rose-pink colour indicates that the "end-point," or neutral point to +phenolphthalein, has been reached. If such a sample is cooled down to +say 30 deg. or 20 deg. C., the colour will be found to become more distinct +and decidedly deeper and brighter, resembling that shown in c. c, Also +if, after the end-point is reached, a further 0.5 c.c. or 1.0 c.c. n/10 +NaOH be added to the sample, the marked alkalinity is evidenced by the +deep colour here shown.] + +(B) Perform a "control" titration (occasionally two controls may be +necessary), as follows: + +1. Measure 25 c.c. of the meat extract into one of the beakers, wash out +the measure with boiling water, and add the phenolphthalein as in the +first estimation. + +2. Run in n/1 NaOH from the pipette, just short of the equivalent of the +amount of _deci_-normal soda solution required to neutralise the 25 c.c. +of medium. (For example, if in the first estimation 5 c.c. of n/10 NaOH +were required to render 25 c.c. of medium neutral to phenolphthalein, +only add 0.48 c.c. of n/1 NaOH.) Immerse the beaker in the water-bath. + +3. Complete the titration by the aid of the n/10 NaOH. + +4. Note the amount of n/10 NaOH solution required to complete the +titration, and add it to the equivalent of the n/1 NaOH solution +previously run in. Take the total as the correct estimation. + + +_Method of Expressing the Reaction._-- + +The reaction or _titre_ of meat extract, medium, or any solution +estimated in the foregoing manner, is most conveniently expressed by +indicating the number of cubic centimetres of normal alkali (or normal +acid) that would be required to render _one litre_ of the solution +exactly neutral to phenolphthalein. + +[Illustration: FIG. 99.--Stock bottle for dekanormal soda solution.] + +The sign + (plus) is prefixed to this number if the original solution +reacts acid, and the sign - (minus) if it reacts alkaline. + +For example, "meat extract + 10," indicates a sample of meat extract +which reacts acid to phenolphthalein, and would require the addition of +10 c.c. of _normal_ NaOH per litre, to neutralise it. + + NOTE.--Such a solution would probably react alkaline to + litmus. + +Conversely, if as the result of our titration experiments we find that +25 c.c. of meat extract require the addition of 5 c.c. n/10 NaOH to +neutralise, then 1000 c.c. of meat extract will require the addition of +200 c.c. n/10 NaOH = 20 c.c. n/1 NaOH. + +And this last figure, 20, preceded by the sign + (i. e., +20), to +signify that it is acid, indicates the reaction of the meat extract. + + NOTE.--The standard soda solutions should be prepared by + accurate measuring operations, controlled by titrations, + from a stock solution of 10N NaOH, which should be very + carefully standardised. If a large supply is made or the + consumption is small this stock solution must be kept in an + aspirator bottle to which air can only gain access after it + has been dried and rendered free from CO_{2}. This may be + done by first leading it over H_{2}SO_{4} and soda lime, or + soda lime alone, by some such arrangement as is shown in + figure 99, which also shows a constant burette arrangement + for the delivery of small measured quantities of the + dekanormal soda solution. + + +STANDARDISATION OF MEDIA. + +Differences in the reaction of the medium in which it is grown will +provoke not only differences in the rate of growth of any given +bacterium, but also well-marked differences in its cultural and +morphological characters; and nearly every organism will be found to +affect a definite "optimum reaction"--a point to be carefully determined +for each. For most bacteria, however, the "optimum" usually approximates +fairly closely to +10; and as experiment has shown that this reaction is +the most generally useful for routine laboratory work, it is the one +which may be adopted as the standard for all nutrient media derived from +meat extract. + +Briefly, the method of standardising a litre of media to +10 consists in +subtracting 10 from the initial _titre_ of the medium mass; the +remainder indicates the number of cubic centimetres of normal soda +solution that must be added to the medium, per litre, to render the +reaction +10. + +~Standardising Nutrient Bouillon.~--For example, 1000 c.c. bouillon are +prepared; at the first titration it is found + +1. 25 c.c. require the addition of 5.50 c.c. n/10 NaOH to neutralise. + +Two controls give the following results: + +2. 25 c.c. require the addition of 5.70 c.c. n/10 NaOH to neutralise. + +3. 25 c.c. require the addition of 5.60 c.c. n/10 NaOH to neutralise. + +Averaging these two controls, 25 c.c. require the addition of 5.65 c.c. +n/10 NaOH to neutralise, and therefore 1000 c.c. require the addition of +226 c.c. n/10 NaOH, or 22.60 c.c. n/1 NaOH, or 2.26 c.c. n/10 NaOH. + +Initial _titre_ of the bouillon = +22.6, and as such requires the +addition of (22.6 c.c. - 10 c.c.) = 12.6 c.c. of n/1 NaOH per litre to +leave its finished reaction +10. + +But the three titrations, each on 25 c.c. of medium, have reduced the +original bulk of bouillon to (1000 - 75 c.c.) = 925 c.c. The amount of +n/1 NaOH required to render the reaction of this quantity of medium +10 +may be deduced thus: + + 1000 c.c.:925 c.c.::12.6 c.c.:x. + +Then x = 11.65 c.c. n/1 NaOH. + +Whenever possible, however, the required reaction is produced by the +addition of dekanormal soda solution, on account of the minute increase +it causes in the bulk, and the consequent insignificant disturbance of +the percentage composition of the medium. By means of a pipette +graduated to 0.01 c.c. it is possible to deliver very small quantities; +but if the calculated amount runs into thousandth parts of a cubic +centimetre, these are replaced by corresponding quantities of normal or +even decinormal soda. + +In the above example it is necessary to add 11.65 c.c. normal NaOH or +its equivalent, 1.165 c.c. dekanormal NaOH. The first being too bulky a +quantity, and the second inconveniently small for exact measurement, the +total weight of soda is obtained by substituting 1.16 c.c. dekanormal +soda solution, and either 0.05 c.c. of normal soda solution or 0.5 c.c. +of decinormal soda solution. + +~Standardising Nutrient Agar and Gelatine.~--The method of standardising +agar and gelatine is precisely similar to that described under bouillon. + + +THE FILTRATION OF MEDIA. + +~Fluid media~ are usually filtered through stout Swedish filter paper +(occasionally through a porcelain filter candle), and in order to +accelerate the rate of filtration the filter paper should be folded in +that form which is known as the "physiological filter," not in the +ordinary "quadrant" shape, as by this means a large surface is available +for filtration and a smaller area in contact with the glass funnel +supporting it. + +To fold the filter proceed thus: + +1. Take a circular piece of filter paper and fold it exactly through its +centre to form a semicircle (Fig. 100, a). + +2. Fold the semicircle exactly in half to form a quadrant; make the +crease 2, distinct by running the thumbnail along it, then open the +filter out to a semicircle again. + +3. Fold each end of the semicircle in to the centre and so form another +quadrant; smooth down the two new creases 3 and 3a, thus formed and +again open out to a semicircle. + +4. The semicircle now appears as in figure 100, a, the dark lines +indicating the creases already formed. + +5. Fold the point 1 over to the point 3, and 1a to 3a, to form the +creases 4 and 4a, indicated in the diagram by the light lines. Fold +point 1 over to 3a, and 1a to 3, to form the creases 5 and 5a. + +[Illustration: FIG. 100.--Filter folding: a, Filter folded in half, +showing creases; b, appearance of filter on completion of folding; +c, filter opened out ready for use.] + +6. Thus far the creases have all been made on the same side of the +paper. Now subdivide each of the eight sectors by a crease through its +centre on the opposite side of the paper, indicated by the faint broken +lines in the diagram. Fold up the filter gradually as each crease is +made, and when finished the filter has assumed the shape of a wedge, as +in figure 100, b. + +When opened out the filter assumes the shape represented in figure 100, +c. + +The folded filter is next placed inside a glass funnel supported on a +retort stand, and moistened with hot distilled water before the +filtration of the medium is commenced. + +~Liquefiable solid media~ are filtered through a specially made filter +paper--"papier Chardin"--which is sold in boxes of twenty-five +ready-folded filters. + +[Illustration: FIG. 101.--Hot-water filter funnel and ring burner.] + +Gelatine, when properly made, filters through this paper as quickly as +bouillon does through the Swedish filter paper, and does _not_ require +the use of the hot-water funnel. + +Agar, likewise, if properly made, filters readily, although not at so +rapid a rate as gelatine. If badly "egged," and also during the winter +months, it is necessary to surround the glass funnel, in which the +filtration of the agar is carried on, by a hot-water jacket. This is +done by placing the glass funnel inside a double-walled copper +funnel--the space between the walls being filled with water at about +90 deg. C.--and supporting the latter on a ring gas burner fixed to a +retort stand (Fig. 101). The gas is lighted and the water jacket +maintained at a high temperature until filtration is completed. If the +steam steriliser of the laboratory is sufficiently large, it is sometimes +more convenient to place the flask and filtering funnel bodily inside, +close the steriliser and allow filtration to proceed in an atmosphere of +live steam, than to use the gas ring and hot-water funnel. + + +STORING MEDIA IN BULK. + +After filtration fill the medium into sterile litre flasks with +cotton-wool plugs and sterilise in the steamer for twenty minutes on +each of three consecutive days. After the third sterilisation, and when +the flasks and contents are cool, cut off the top of the cotton-wool +plug square with the mouth of the flask; push the plug a short distance +down into the neck of the flask and fill in with melted paraffin wax to +the level of the mouth. When the wax has set the flasks are stored in a +cool dark cupboard for future use. + +[Illustration: FIG. 102.--Rubber cap closing store bottle. a, before, +and b, after sterilizing.] + +This plan is not absolutely satisfactory, although very generally +employed on occasion, and it is preferable to fill the medium into +long-necked flint glass bottles (the quart size, holding nearly 1000 +c.c., such as those in which Pasteurised milk is retailed) and to close +the neck of the bottle by a special rubber cap.[3] This cap is made of +soft rubber, the lower part, dome-shaped with thin walls, being slipped +over the neck of the bottle (Fig. 102, a). The upper part is solid, +but with a sharp clean-cut (made with a cataract or tenotomy knife) +running completely through its axis from the centre of the disc to the +top of the dome. During sterilisation the air in the neck of the bottle, +expanded by the heat, is driven out through the valvular aperture in the +solid portion of the stopper. On removing the bottle from the steam +chamber, the liquid contracts as it cools, and the pressure of the +external air drives the solid piece of rubber down into the neck of the +bottle, and forces together the lips of the slit (Fig. 102, b). Thus +sealed, the bottle will preserve its contents sterile for an indefinite +period without loss from evaporation. + + +TUBING NUTRIENT MEDIA. + +After the final filtration, the nutrient medium is usually "tubed"--_i. +e._, filled into sterile tubes in definite measured quantities, usually +10 c.c. This process is sometimes carried out by means of a large +separator funnel fitted with a "three-way" tap which communicates with a +small graduated tube (capacity 20 c.c. and graduated in cubic +centimetres) attached to the side. The shape of this piece of apparatus, +known as Treskow's funnel, renders it particularly liable to damage. It +is better, therefore, to arrange a less expensive piece of apparatus +which will serve the purpose equally well (Fig. 103). + +A Geissler's three-way stop-cock has the tube on one side of the tap +ground obliquely at its extremity, and the tube on the opposite side cut +off within 3 cm. of the tap. The short tube is connected by means of a +perforated rubber cork with a 10 cm. length of stout glass tubing (1.5 +cm. bore). The third channel of the three-way tap is connected, by means +of rubber tubing, with the nozzle of an ordinary separator funnel. +Finally, the receiving cylinder above the three-way tap is graduated in +cubic centimetres up to 20, by pouring into it measured quantities of +water and marking the various levels on the outside with a writing +diamond. + +Fluid media containing carbohydrates are filled into fermentation tubes +(_vide_ Fig. 21); or into ordinary media tubes which already have +smaller tubes, inverted, inside them (Fig. 104), to collect the products +of growth of gas-forming bacteria. When first filled, the small tubes +float on the surface of the medium after the first sterilisation nearly +all the air is replaced by the medium, and after the final sterilisation +the gas tubes will be submerged and completely filled with the medium. + +[Illustration: FIG. 103.--Separatory funnel and three-way tap arranged +for tubing media.] + +[Illustration: FIG. 104.--Gas tube (Durham).] + +~Storing "Tubed" Media.~--Media after being tubed are best stored by +packing, in the vertical position, in oblong boxes having an internal +measurement of 37 cm. long by 12 cm. wide by 10 cm. deep. Each box (Fig. +105) has a movable partition formed by the vertical face of a weighted +triangular block of wood, sliding free on the bottom (Fig. 105, A); or +by a flat piece of wood sliding in a metal groove in the bottom of the +box, which can be fixed at any spot by tightening the thumbscrew of a +brass guide rod which transfixes the partition (Fig. 105, B). The front +of the box is provided with a handle and a celluloid label for the name +of the contained medium. These boxes are arranged upon shelves in a dark +cupboard--or preferably an iron safe--which should be rendered as nearly +air-tight as possible, and should have the words "media stores" painted +on its doors. + +[Illustration: FIG. 105.--Medium box, showing alternative partitions A +and B.] + +FOOTNOTES: + +[3] This rubber cap has been made for me by the Holborn Surgical +Instrument Co., Thavies Inn, London, W. C. + + + + +XI. CULTURE MEDIA. + +ORDINARY OR STOCK MEDIA. + + +~Nutrient Bouillon.~-- + +1. Measure out double strength meat extract, 500 c.c., into a litre +flask and add 300 c.c. distilled water. + +2. Weigh out Witte's peptone, 10 grammes (= 1 per cent.), salt, 5 +grammes (= 0.5 per cent.), and mix into a smooth paste with 200 c.c. of +distilled water previously heated to 60 deg. C. (Be careful to leave no +unbroken globular masses of peptone.) + +3. Add the peptone emulsion to the meat extract in the flask and heat in +the steamer for forty-five minutes (to completely dissolve the peptone, +and to render the acidity of the meat extract stable). + +4. Estimate the reaction of the medium; control the result; render the +reaction of the finished medium +10 (_vide_ page 155). + +5. Heat for half an hour in the steamer at 100 deg. C. (to complete the +precipitation of the phosphates, etc.). + +6. Filter through Swedish filter paper into a sterile flask. + +7. Fill into sterile tubes (10 c.c. in each tube). + +8. Sterilise in the steamer for twenty minutes on each of three +consecutive days--i. e., by the discontinuous method (_vide_ page 35). + + NOTE.--As an alternative method when neither fresh nor + frozen meat is available nutrient bouillon may be prepared + from a commercial meat extract, as follows: + + ~Lemco Broth.~-- + + 1. Measure out 250 c.c. distilled water into a litre flask. + + 2. Weigh out 10 grammes Liebig's Lemco Meat Extract on a + piece of clean filter paper and add to the water in the + flask. Shake the flask well to make an even emulsion of the + meat extract. + + 3. Weigh out Witte's peptone (10 grammes), salt (5 grammes). + Mix into smooth paste with 100 c.c. distilled water + previously heated to 60 deg. C. + + 4. Add the peptone salt emulsion to the meat extract + emulsion in the flask and add 650 c.c. distilled water. Heat + in the steamer for forty-five minutes. + + 5. Standardise the medium and complete as for nutrient + bouillon. + +~Nutrient Gelatine.~-- + +1. Weigh a 2-litre flask on a trip balance (Fig. 106) and note the +weight, or counterpoise carefully. + +[Illustration: FIG. 106.--Trip balance.] + +An extremely useful counterpoise is a small sheet-brass cylinder about +38 mm. high and 38 mm. in diameter, with a funnel-shaped top and +provided with a side tube by which its contents, fine "dust" shot, may +be emptied out (Fig. 107). + +[Illustration: FIG. 107.--Counterpoise; weight when empty, 35 grammes; +when full of dust shot, 200 grammes.] + +2. Measure out double strength meat extract, 500 c.c., into the "tared" +flask. + +3. Weigh out and mix 10 grammes of peptone, 5 grammes of salt, and make +into a thick paste with 150 c.c. distilled water; then add the emulsion +to the meat extract in the flask; also add 100 grammes sheet gelatine +cut into small pieces; place the flask in the water-bath and raise to +the boil. + +[Illustration: FIG. 108.--Arrangement of steam can and water-bath for +the preparation of media.] + +4. Arrange a 5-litre tin can (with copper bottom, such as is used in the +preparation of distilled water) by the side of the water bath, fill the +can with boiling water and place a lighted Bunsen burner under it. Fit a +long safety tube to the neck of the can and also a delivery tube, bent +twice at right angles; adjust the tube to reach to the bottom of the +interior of the flask containing the gelatine, etc. (Fig. 108). + +5. Keep the water in the steam can vigourously boiling, and so steam at +100 deg. C, bubbling through the medium mass, for ten minutes, by +which time complete solution of the gelatine is effected. A certain +amount of steam will condense as water in the medium flask during this +process--hence the necessity for the use of double strength meat +extract--but if the water bath is kept boiling this condensation will +not exceed 100 c.c. + +6. Weigh the flask and its contents; then (1115[4] grammes + weight of +the flask) minus (weight of the flask and its contents) equals the +weight of water required to make up the bulk to 1 litre. The addition of +the requisite quantity of water is carried out as follows: + +In one pan of the trip balance place the counterpoise of the tared flask +(or its equivalent in weights) together with the weights making up the +_calculated medium weight_. In the opposite pan place the flask +containing the medium mass. Now add boiling distilled water from a wash +bottle until the two pans are exactly balanced. + +7. Titrate and estimate the reaction of the medium mass; control the +result. Calculate the amount of soda solution required to make the +reaction of the medium mass +10 (i. e., calculate for 1000 c.c., less +the quantity used for the titrations). + +8. Add the necessary amount of soda solution and heat in the steamer at +100 deg. C. for twenty minutes, to precipitate the phosphates, etc. + +9. Allow the medium mass to cool to 60 deg. C. Well whip the whites of +two eggs, add to the contents of the flask and replace in the steamer at +100 deg. C. for about half an hour (until the egg-albumen has coagulated +and formed large, firm masses floating on and in clear gelatine). + +10. Filter through papier Chardin into a sterile flask. + +11. Tube in quantities of 10 c.c. + +12. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +three consecutive days--i. e., by the discontinuous method. + + +~Nutrient Agar-agar.~-- + +1. Weigh a 2-litre flask and note the weight--or counterpoise exactly. + +2. Measure out double strength meat extract, 500 c.c., into the "tared" +flask. + +3. Weigh out and mix 10 grammes of peptone, 5 grammes of salt, and 20 +grammes of powdered agar, and make into a thick paste with 150 c.c. +distilled water, and add to the meat extract in the flask; place the +flask in a water-bath. + +4. Arrange the steam can and water-bath as already directed (for the +preparation of gelatine) and figured. + +5. Bubble live steam (at 100 deg. C.) through the medium mass, for +twenty-five minutes, by which time complete solution of the agar is +effected. + +6. Now weigh the flask and its contents; then (1035[5] grammes + weight +of flask) minus (weight of flask and its contents) equals the weight of +water required to make up the bulk of the medium to 1 litre. Add the +requisite amount (see preparation of gelatine, page 166, step 6). + +7. Titrate, and estimate the reaction of the medium mass; control the +result. Calculate the amount of soda solution required to make the +reaction of the medium mass + 10 (i. e., calculated for 1000 c.c., +less the quantity used for the titrations). + +8. Add the necessary amount of soda solution and replace in the steamer +for twenty minutes (to complete the precipitation of the phosphates, +etc.). + +9. Allow the medium mass to cool to 60 deg. C. Well whip the whites of +two eggs, add to the contents of the flask, and replace in the steamer at +100 deg. C. for about _one hour_ (until the egg-albumen has coagulated +and formed large, firm masses floating on and in clear agar.) + +10. Filter through papier Chardin, by the aid of a hot-water funnel, if +necessary (Fig. 101), into a sterile flask. + +11. Tube in quantities of 10 c.c. or 15 c.c. + +12. Sterilise in the steamer at 100 deg. C. for thirty minutes on each of +three consecutive days--i. e., by the discontinuous method. + + +~Blood-serum (Inspissated).~-- + +1. Sterilise cylindrical glass jar (Fig. 109) and its cover by dry heat, +or by washing first with ether and then with alcohol and drying. + +2. Collect blood at the slaughter house from ox or sheep in the sterile +cylinder. + +3. Allow the vessel to stand for fifteen minutes for the blood to +coagulate. (This must be done before leaving the slaughterhouse, +otherwise the serum will be stained with haemoglobin.) + +4. Separate the clot from the sides of the vessel by means of a sterile +glass rod (the yield of serum is much smaller when this is not done), +and place the cylinder in the ice-chest for twenty-four hours. + +5. Remove the serum with sterile pipettes, or syphon it off, and fill +into sterile tubes (5 c.c. in each) or flasks. + +6. Heat tubes containing serum to 56 deg. C. in a water-bath for half an +hour on each of two successive days. + +7. On the third day, heat the tubes, in a sloping position, in a serum +inspissator to about 72 deg. C. (A coagulum is formed at this temperature +which is fairly transparent; above 72 deg. C., a thick turbid coagulum is +formed.) + +[Illustration: FIG. 109.--Blood-serum jar with wicker basket for +transport.] + +The serum inspissator (Fig. 110) in its simplest form is a double-walled +rectangular copper box, closed in by a loose glass lid, and cased in +felt or asbestos--the space between the walls is filled with water. The +inspissator is supported on adjustable legs so that the serum may be +solidified at any desired "slant," and is heated from below by a Bunsen +burner controlled by a thermo-regulator. The more elaborate forms +resemble the hot-air oven (Fig. 26) in shape and are provided with +adjustable shelves so that any desired obliquity of the serum slope can +be obtained. + +8. Place the tubes in the incubator at 37 deg. C. for forty-eight hours +in order to eliminate those that have been contaminated. Store the +remainder in a cool place for future use. + +_Alternative Method._ + +_Steps 1-5 as above._ + +6. Sterilise the serum by the fractional method--that is, by exposure in +a water-bath to a temperature of 56 deg. C. for half an hour on each of +six consecutive days; store in the fluid condition. + +7. Coagulate in the inspissator when needed. + +[Illustration: FIG. 110.--Serum inspissator.] + + ~Serum Water.~-- + + This forms the basis of many useful media, and is prepared + as follows: + + 1. Collect blood in the slaughterhouse (see page 168) and + when firmly clotted collect all the expressed serum and + measure in a graduated cylinder. + + 2. For every 100 c.c. of serum add 300 c.c. distilled water + and mix in a flask. + + 3. Heat the mixture in the steamer at 100 deg. C. for thirty + minutes. (This destroys any diastatic ferment present in the + serum and partially sterilises the fluid.) + + 4. Filter if turbid. + + 5. If not needed at once complete the sterilisation of the + serum water by two subsequent steamings at 100 deg. C. for + twenty minutes at twenty-four hour intervals. + + +~Citrated Blood Agar. Guy's.~-- + +1. Kill a small rabbit with chloroform vapour, and nail it out on a +board (as for a necropsy); moisten the hair thoroughly with 2 per cent. +solution of lysol. + +2. Sterilise several pairs of forceps, scissors, etc. by boiling. + +3. Reflect the skin over the thorax with sterile instruments. + +4. Open the thoracic cavity by the aid of a fresh set of sterile +instruments. + +5. Open the pericardium with another set of sterile instruments. + +6. Sear the surface of the left ventricle with a red-hot iron. + +7. Take a sterile capillary pipette (Fig. 13, c); break off the sealed +extremity with a pair of sterile forceps. + +8. Steady the heart in a pair of forceps and thrust the point of the +pipette through the wall of the ventricle and through the seared area, +apply suction to the plugged end of the pipette and fill it with blood. + +9. Transfer the entire quantity of blood collected from the rabbit's +heart to a small Erlenmeyer flask containing a number of sterile glass +beads and 5 c.c. concentrated sod. citrate solution. (See page 378.) + +10. Agitate thoroughly and set aside for a couple of hours. + +11. Melt up several tubes of nutrient agar (see page 167) and cool to +42 deg. C. + +12. With a sterile 10 c.c. graduated pipette transfer 1 c.c. citrated +blood from the Erlenmeyer flask to each tube of liquefied agar. Rotate +the tube between the hands in order to diffuse the citrated blood evenly +throughout the agar. + +13. Place the tubes in a sloping position and allow the medium to set. + +14. Place tubes of blood agar for forty-eight hours in the incubator at +37 deg. C. and at the end of that time eliminate any contaminated tubes. + +15. Store such tubes as remain sterile for future use. + + +~Milk.~-- + +1. Pour 1 litre of fresh cow's or goat's milk into a large separating +funnel, and heat in the steamer at 100 deg. C. for one hour. + +2. Remove from the steamer and estimate the reaction of the milk (normal +cows' milk averages +17). If of higher acidity than +20, or lower than ++10, reject this sample of milk and proceed with another supply of milk +from a different source. + +Reject milk to which antiseptics have been added as preservatives. + +3. Allow the milk to cool, when the fat or cream will rise to the +surface and form a thick layer. + +4. Draw off the subnatant fat-free milk into sterile tubes (10 c.c. in +each). + +5. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +five successive days. + +6. Incubate at 37 deg. C. for forty-eight hours and eliminate any +contaminated tubes. Store the remainder for future use. + + +~Litmus Milk.~-- + +1. Prepare milk as described above, sections 1 to 3. + +2. Draw off the subnatant fat-free milk into a flask. + +3. Add sterile litmus solution, sufficient to colour the milk a deep +lavender. + +4. Tube, sterilise, etc., as for milk. + + +~Nutrose Agar (Eyre).~-- + +(This is a modification of the well known Drigalski-Conradi medium +originally introduced for the isolation of B. typhosus). + +1. Collect 250 c.c. perfectly fresh ox serum (_vide_ Blood Serum, page +168, steps 1 to 5) and add to it 450 c.c. sterile distilled water. + +2. Weigh out agar powder, 20 grammes, and emulsify it with 250 c.c. of +the cold serum water. + +3. Weigh out + + Witte's peptone 10 grammes + Sodium chloride 5 grammes + Nutrose 10 grammes + +and dissolve in 200 c.c. of serum water heated to 80 deg. C. + +4. Mix the agar emulsion and the peptone-nutrose solution in a "tared" +flask of 2-litre capacity and add a further 100 c.c. serum water. + +5. Complete the solution of the various ingredients by bubbling live +steam through the flask as in making nutrient agar. + +6. Add further 250 c.c. serum water. + +7. Weigh the flask and its contents: then (1045 grammes + weight of +flask) minus (weight of flask and its present contents) = weight of +fluid required to make up the bulk of the medium to 1 litre. Add the +requisite amount of sterile distilled water. + +8. Titrate and estimate the reaction of the medium mass. Then +standardise to reaction of +2.5. + +9. Clarify with egg, and filter as for nutrient agar. (In clarifying, +after the addition of the egg white the mixture should be in the steamer +for full two hours.) + +10. After filtration is complete measure the filtrate, and to every 150 +c.c. of the medium add: + +Litmus solution (Kahlbaum) 20 c.c. +Krystal violet aqueous solution (1:1000) (B. Hoechst) 1.5 c.c. +Lactose 1.5 grammes + +11. Tube in quantities of 15 c.c. + +12. Sterilise in the steamer at 100 deg. C. for thirty minutes on each +of three successive days--i. e., by the discontinuous method for three +days. + + +~Egg Medium (Dorset).~-- + +1. Prepare 1000 c.c. of a 0.85 per cent. solution of sodium chloride in +a stout 2-litre flask. + +2. Sterilise in the autoclave at 120 deg. C. for twenty minutes. Cool +to 20 deg. C. + +3. Take 12 fresh eggs; wash the shells first with water then with +undiluted formalin: allow the shells to dry. + +4. Break the eggs into a sterile graduated cylinder and measure the +total volume of the mixed whites and yolks. Add one part sterile saline +solution to three parts mixed eggs. + +5. Transfer this mixture to a large wide-mouthed stoppered bottle +previously sterilised. Add sterile glass beads and shake thoroughly in a +mechanical shaker for about thirty minutes, or whip with an egg-whisk. + +6. Filter through coarse butter muslin into a sterile flask. + + NOTE.--A few drops of alcoholic solution of basic fuchsin + (sufficient to give a definite pink colour), or a few drops + of waterproof Chinese ink added to the medium at this stage + facilitates the subsequent "fishing" of colonies. + +7. Tube in quantities of 10 c.c. + +8. Solidify in the sloping position in the inspissator at 75 deg. C. +for one hour. + +9. Place the tubes for forty-eight hours in the incubator at 37 deg. C., +and eliminate any contaminated tubes. + +To prevent drying, 0.5 c.c. glycerine bouillon (see page 209) may be +added to each tube between steps 8 and 9. + +10. Cap those tubes of media which remain sterile with india-rubber caps +and store for future use. + + +~Potato.~-- + +1. Choose fairly large potatoes, wash them well, and scrub the peel with +a stiff nail-brush. + +2. Peel and take out the eyes. + +3. Remove cylinders from the longest diameter of each potato by means of +an apple-corer or a large cork-borer (i. e., one of about 1.4 cm. +diameter). + +The reaction of the fresh potato is strongly acid to phenolphthalein. +If, therefore, the potatoes are required to approximate +10, as for the +cultivation of some of the vibrios, the cylinders should be soaked in a +1 per cent. solution of sodium carbonate for thirty minutes. + +4. Cut each cylinder obliquely from end to end, forming two wedge-shaped +portions. + +5. Place a small piece of sterilised cotton-wool, moistened with sterile +water, at the bottom of a sterile test-tube; insert the potato wedge +into the tube so that its base rests upon the cotton-wool. Now plug the +tube with cotton-wool (Fig. 111). + +6. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +_five_ consecutive days. + +[Illustration: FIG. 111.--Potato tube.] + + NOTE.--The cork borer reserved for cutting the potato + cylinders should be silver electro-plated both inside and + out, and the knife used for dividing the cylinders should be + of silver or silver plated. When these precautions are + adopted the potato wedges will retain their white color and + will not show the discoloration so often observed when steel + instruments are employed. + +~Beer Wort.~--Wort is chiefly used as a medium for the cultivation of +yeasts, moulds, etc., both in its fluid form and also when made solid by +the addition of gelatine or agar. The wort is prepared as follows: + +1. Weigh out 250 grammes crushed malt and place in a 2-litre flask. + +2. Add 1000 c.c. distilled water, heated to 70 deg. C., and close the +flask with a rubber stopper. + +3. Place the flask in a water-bath regulated to 60 deg. C. and allow +the maceration to continue for one hour. + +4. Strain through butter muslin into a clean flask and heat in the +steamer for thirty minutes. + +5. Filter through Swedish filter paper. + +6. Tube in quantities of 10 c.c. or store in flasks. + +7. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +three consecutive days. + +The natural reaction of the wort should _not_ be interfered with. + + NOTE.--It is sometimes more convenient to obtain + "_unhopped_"[6] beer wort direct from the brewery. In this + case it is diluted with an equal quantity of distilled + water, steamed for an hour, filtered, filled into sterile + flasks or tubes, and sterilised by the discontinuous method. + + +~Wort Gelatine.~-- + +1. Measure out wort (prepared as above), 900 c.c., into a sterile flask. + +2. Weigh out gelatine, 100 grammes (= 10 per cent.), and add it to the +wort in the flask. + +3. Bubble live steam through the mixture for ten minutes, to dissolve +the gelatine. + +4. Cool to 60 deg. C.; clarify with egg as for nutrient gelatine +(_vide_ page 164). + +5. Filter through papier Chardin. + +6. Tube, and sterilise as for nutrient gelatine. + + +~Wort Agar.~-- + +1. Measure out wort (as above), 700 c.c., into a sterile flask. + +2. Weigh out powdered agar, 20 grammes; mix into a smooth paste with 200 +c.c. of cold wort and add to the wort in the flask. + +3. Bubble live steam through the mixture for twenty minutes, to dissolve +the agar. + +4. Cool to 60 deg. C.; clarify with egg as for nutrient agar (_vide_ page +167). + +5. Filter through papier Chardin, using the hot-water funnel. + +6. Tube, and sterilise as for nutrient agar. + + +~Peptone Water (Dunham).~-- + +1. Weigh out Witte's peptone, 10 grammes, and salt, 5 grammes, and +emulsify with about 250 c.c. of distilled water previously heated to +60 deg. C. + +2. Pour the emulsion into a litre flask and make up to 1000 c.c. by the +addition of distilled water. + +3. Heat in the steamer at 100 deg. C. for thirty minutes. + +4. Filter through Swedish filter paper. + +5. Tube in quantities of 10 c.c. each. + +6. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +three consecutive days. + +~"Sugar" or "Carbohydrate" Media.~-- + +Formerly the ability of bacteria to induce hydrolytic changes in +carbohydrate substances was observed only in connection with a few +well-defined sugars, but of recent years it has been shown that when +using litmus as an indicator these so-called "fermentation reactions" +facilitate the differentiation of closely allied species, and the list +of substances employed in this connection has been considerably +extended. The media prepared with them are now no longer regarded as +special, but are comprised in the "stock media" of the laboratory. The +chief of these substances are the following, arranged in accordance with +their chemical constitution: + + _Monosaccharides_ Dextrose (glucose), laevulose, galactose, + mannose, arabinose, xylose. + _Disaccharides_ Maltose, lactose, saccharose. + _Trisaccharides_ Raffinose (mellitose). + _Polysaccharides_ Dextrin, inulin, starch, glycogen, amidon. + _Glucosides_ Amygdalin, coniferin, salicin, + helicin, phlorrhizin. + _Polyatomic alcohols_ _Trihydric_, Glycerin. + _Tetrahydric_, Erythrite. + _Pentahydric_, Adonite. + _Hexahydric_, Dulcite, (dulcitol or + melampirite), isodulcite (rhamnose), + mannite (mannitol), sorbite (sorbitol), + inosite. + +These substances should be obtained from Kahlbaum (of Berlin); in the +pure form, and when possible as large crystals, and the method of +preparing a medium containing either of them may be exemplified by +describing Dextrose Solution. + + +~Dextrose Solution.~-- + +1. Weigh out + + Peptone 20 grammes + Glucose 10 grammes + +and grind together in a mortar; then emulsify in 100 c.c. of distilled +water heated to 60 deg. C. + +2. Place in a flask and add + + Distilled water 850 c.c. + +3. Steam in the steamer at 100 deg. C. for twenty minutes to dissolve +the peptone and glucose. + +4. Add + + Kubel-Tiemann litmus solution (Kahlbaum) 50 c.c. + +(The substances enumerated above react acid to phenolphthalein, but +variously toward the neutral litmus solution. To such as react acid, add +very cautiously n/1 sodium hydrate solution to the medium in bulk until +the neutral tint has returned). + +5. Fill into tubes in which have previously been placed the inverted +Durham's gas tubes. + +6. Sterilise in the steamer at 100 deg. C. for _twenty minutes_ on +each of three successive days. + + NOTE.--On no account should these media be sterilised in the + autoclave, as temperatures above 100 deg. C. themselves induce + hydrolytic changes in the substances in question. It is + equally important that the twenty minutes should not be + exceeded in sterilisation, as neglect of this precaution may + discolour the litmus or lead to the production of yellowish + tints when the tubes are subsequently inoculated with + acid-forming bacteria. + + +~Neutral Litmus Solution.~ + +The most satisfactory is the Kubel-Tiemann, prepared by Kahlbaum. It can +however be made in the laboratory as follows: + +1. Weigh out + + Commercial litmus 50 grammes, + +and place in a well stoppered 500 c.c. bottle; measure out and add 300 +c.c. alcohol 95 per cent. + +2. Shake well at least once a day for seven days--the alcohol acquires a +green colour. + +3. Decant off the green alcohol and fill a further 300 c.c. 95 per cent. +alcohol into the bottle and repeat the shaking. + +4. Repeat this process until on adding fresh alcohol the fluid only +becomes tinged with violet. + +5. Pour off the alcohol, leaving the litmus as dry as possible. Connect +up the bottle to an air pump and evaporate off the last traces of +alcohol. + +6. Transfer the dry litmus to a litre flask, measure in 600 c.c. +distilled water and allow to remain in contact 24 hours with frequent +shakings. + +7. Filter the solution into a clean flask and add one or two drops of +pure concentrated sulphuric acid until the litmus solution is distinctly +wine-red in colour. + +8. Add excess of pure solid baryta and allow to stand until the reaction +is again alkaline. + +9. Filter. + +10. Bubble CO_{2} through the solution until reaction is definitely +acid. + +11. Sterilise in the steamer at 100 deg. C. for thirty minutes on each of +three consecutive days. This sterilises the solution and also drives off +the carbon dioxide, leaving the solution neutral. + +~Media for anaerobic cultures.~ In addition to the foregoing media, all of +which can be, and are employed in the cultivation of anaerobic bacteria, +certain special media containing readily oxidised substances are +commonly used for this purpose. The principal of these are as follows: + + ~Bile Salt Broth (MacConkey).~-- + + 1. Weigh out Witte's peptone, 20 grammes (= 2 per cent.), + and emulsify with 200 c.c. distilled water previously warmed + to 60 deg. C. + + 2. Weigh out sodium taurocholate (commercial), 5 grammes (= + 0.5 per cent.), and glucose, 5 grammes (= 0.5 per cent.), + and dissolve in the peptone emulsion. + + 3. Wash the peptone emulsion into a flask with 800 c.c. + distilled water, and heat in the steamer at 100 deg. C. for + twenty minutes. + + 4. Filter through Swedish filter paper into a sterile flask. + + 5. Add sterile litmus solution sufficient to colour the + medium to a deep purple, usually 13 per cent. required. + + 6. Fill, in quantities of 10 c.c., into tubes containing + small gas tubes (_vide_ Fig. 104, page 161). Sterilise in + the steamer at 100 deg. C. for twenty minutes on each of three + consecutive days. + + ~Glucose Formate Bouillon (Kitasato).~-- + + 1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page + 163, sections 1 to 6). + + 2. Weigh out glucose, 20 grammes (= 2 per cent.), sodium + formate, 4 grammes (= 0.4 per cent.), and dissolve in the + fluid. + + 3. Tube, and sterilise as for bouillon. + + ~Glucose Formate Gelatine (Kitasato).~-- + + 1. Prepare nutrient gelatine (_vide_ page 164, sections 1 to + 7) and measure out 1000 c.c. + + 2. Weigh out glucose, 20 grammes (= 2 per cent.), and sodium + formate, 4 grammes (= 0.4 per cent.), and dissolve in the + hot gelatine. + + 3. Filter through papier Chardin. + + 4. Tube, and sterilise as for nutrient gelatine. + + ~Glucose Formate Agar (Kitasato).~-- + + 1. Prepare nutrient agar (_vide_ page 167, sections 1 to 8). + Measure out 1000 c.c. + + 2. Weigh out glucose, 20 grammes (= 2 per cent.), sodium + formate, 4 grammes (= 0.4 per cent.), and dissolve in the + agar. + + 3. Tube, and sterilise as for nutrient agar. + + ~Sulphindigotate Bouillon (Weyl).~-- + + 1. Measure out nutrient bouillon (_vide_ page 163, sections + 1 to 6 1000 c.c.). + + 2. Weigh out glucose, 20 grammes (= 2 per cent.), sodium + sulphindigotate, 1 gramme (= 0.1 per cent.), and dissolve in + the fluid. + + 3. Tube, and sterilise as for bouillon. + + ~Sulphindigotate Gelatine (Weyl).~-- + + 1. Prepare nutrient gelatine (_vide_ page 164, sections 1 to + 7). Measure out 1000 c.c. + + 2. Weigh out glucose, 20 grammes (= 2 per cent.), and sodium + sulphindigotate, 1 gramme (= 0.1 per cent.), and dissolve in + the hot gelatine. + + 3. Filter through papier Chardin. + + 4. Tube, and sterilise as for nutrient gelatine. + + ~Sulphindigotate Agar.~-- + + 1. Prepare nutrient agar (_vide_ page 167, sections 1 to 8). + Measure out 1000 c.c. + + 2. Weigh out glucose, 20 grammes (= 2 per cent.), sodium + sulphindigotate, 1 gramme (= 0.1 per cent.), and dissolve in + the hot agar. + + 3. Tube, and sterilise as for nutrient agar. + + NOTE.--The Sulphindigotate media are of a blue colour, which + during the growth of anaerobic bacteria is oxidised and + decolourised to a light yellow. + +FOOTNOTES: + +[4] This figure is obtained by adding together 1 litre water, 1000 +grammes; 10 per cent. gelatine, 100 grammes; 1 per cent. peptone, 10 +grammes; 0.5 per cent. salt, 5 grammes; total, 1115 grammes. +Modifications of the above process, as to quantities and percentages, +will require corresponding alterations of the figures. The average +weight of a measured litre of 10 per cent. nutrient gelatine when +prepared in this way _after filtration_ is 1080 grammes. + +[5] This figure is obtained by adding together 1 litre of water (meat +extract), 1000 grammes; 2 per cent. agar, 20 grammes; 1 per cent. +peptone, 10 grammes; 0.5 per cent. salt, 5 grammes--total 1035 grammes. +Modifications of the process as to quantities or percentages will +necessitate corresponding alterations in the calculated medium figure. +The average weight of a measured litre of 2 per cent. agar when prepared +in this way, _after filtration_, is 1010.5 grammes. + +[6] "Hopped" wort exerts a toxic effect upon many bacteria, including +the lactic acid bacteria. + + + + +XII. SPECIAL MEDIA. + + +In this chapter are collected a number of media which have been +elaborated by various workers for special purposes, grouped together +under headings which indicate their chief utility. In many instances the +name of the originator of the medium is given, but without reference to +his original instructions, since these are in many cases inadequate to +the requirements of the isolated worker, who would probably fail to +reproduce the medium in a form giving the results attributed to it by +its author. Such modifications have therefore been introduced as make +for uniformity between the different batches of media. + +A considerable number of coloured media, chiefly intended for work with +intestinal bacteria, have been included; but beyond the fact that the +author's modification of the Drigalski-Conradi medium has been included +amongst the routine media of the laboratory, no comment has been made +upon their relative values, since only by observation and practice can +the skill necessary to utilise their full value be acquired. + +The instructions as to sterilisation are rarely given in full; the +routine method of exposure in the steam steriliser at 100 deg. C. (without +pressure) for twenty minutes on each of three successive days for all +fluid media, and thirty minutes on each of three successive days for all +liquefiable or solid media must be carried out; and only when these +general rules are to be departed from are further details given. + +_Media for the Study of the Chemical Composition of Bacteria._ + + +~Asparagin Medium (Uschinsky).~-- + +1. Weigh out and mix + Asparagin 3.4 grammes + Ammonium lactate 10.0 grammes + Sodium chloride 5.0 grammes + Magnesium sulphate 0.2 gramme + Calcium chloride 0.1 gramme + Acid potassium phosphate (KH_{2}PO_{4}) 1.0 gramme + +2. Dissolve the mixture in distilled water 1000 c.c. + +3. Add glycerine, 40 c.c. + +4. Tube, and sterilise as for nutrient bouillon. + +~Asparagin Medium (Frankel and Voges).~-- + +1. Weigh out and mix + Asparagin 4 grammes + Sodium phosphate, (Na_{2}HPO_{4}) 12OH 2 grammes + Ammonium lactate 6 grammes + Sodium chloride 5 grammes +and dissolve in + Distilled water 1000 c.c. + +2. Tube, and sterilise as for nutrient bouillon. + + NOTE.--Either of the above asparagin media, after the + addition of 10 per cent. gelatine or 1.5 per cent. agar, may + be advantageously employed in the solid condition. + + +~Proteid Free Broth (Uschinsky).~-- + +1. Weigh out and mix + Calcium chloride 0.1 gramme + Magnesium sulphate 0.2 gramme + Acid potassium phosphate (KH_{2}PO_{4}) 2.0 grammes + Potassium aspartate 3.0 grammes + Sodium chloride 5.0 grammes + Ammonium lactate 6.0 grammes + +2. Dissolve the mixture in distilled water 1000 c.c. + +3. Add glycerine 30 c.c. + +4. Tube and sterilise as for nutrient broth. + + +_Media for the Study of Biochemical Reaction._ + + +~Inosite-free Media--Bouillon (Durham).~-- + +1. Prepare meat extract, 1000 c.c. (_vide_ page 148), from bullock's +heart which has been "hung" for a couple of days. + +2. Prepare nutrient bouillon (+10), 1000 c.c. (_vide_, page 161), from +the meat extract, and store in 1-litre flask. + +3. Inoculate the bouillon from a pure cultivation of the B. lactis +aerogenes, and incubate at 37 deg. C. for forty-eight hours. + +4. Heat in the steamer at 100 deg. C. for twenty minutes to destroy the +bacilli and some of their products. + +5. Estimate the reaction of the medium and if necessary restore to +10. + +6. Inoculate the bouillon from a pure cultivation of the B. coli +communis and incubate at 37 deg. C. for forty-eight hours. + +7. Heat in the steamer at 100 deg. C. for twenty minutes. + +Now fill two fermentation tubes with the bouillon, tint with litmus +solution, and sterilise; inoculate with B. lactis aerogenes. If no acid +or gas is formed, the bouillon is in a sugar-free condition; but if acid +or gas is present, again make the bouillon in the flask +10, reinoculate +with one or other of the above-mentioned bacteria, and incubate; then +test again. Repeat this till neither acid nor gas appears in the medium +when used for the cultivation of either of the bacilli referred to +above. + +8. After the final heating, stand the flask in a cool place and allow +the growth to sediment. Filter the supernatant broth through Swedish +filter paper. If the filtrate is cloudy, filter through a porcelain +filter candle. + +9. Tube, and sterilise as for bouillon. + +Bouillon prepared in the above-described manner will prove to be +absolutely sugar-free; and from it may be prepared nutrient sugar-free +gelatine or agar, by dissolving in it the required percentage of +gelatine or agar respectively and completing the medium according to +directions given on pages 166 and 167. The most important application of +inosite-free bouillon is its use in the preparation of sugar bouillons, +whether glucose, maltose, lactose, or saccharose, of exact percentage +composition. + + +~Sugar (Dextrose) Bouillon.~-- + +1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page 163, sections 1 +to 6) or sugar-free bouillon (_vide supra_). + +2. Weigh out glucose (anhydrous), 20 grammes (= 2 per cent.), and +dissolve in the fluid. + +3. Tube, and sterilise as for bouillon. + +Ordinary commercial glucose serves the purpose equally well, but is not +recommended, as during the process of sterilisation it causes the medium +to gradually deepen in colour. + + NOTE.--In certain cases a corresponding percentage of + lactose, maltose, or saccharose is substituted for glucose. + +~Sugar Gelatine.~-- + +1. Prepare nutrient gelatine (_vide_ page 164, sections 1 to 7). Measure +out 1000 c.c. + +2. Weigh out glucose, 20 grammes (= 2 per cent.), and dissolve in the +hot gelatine. + +3. Filter through papier Chardin. + +4. Tube, and sterilise as for nutrient gelatine. + + +~Sugar Agar.~-- + +1. Prepare nutrient agar (_vide_ page 167, sections 1 to 8). Measure out +1000 c.c. + +2. Weigh out glucose, 20 grammes (= 2 per cent.), and dissolve in the +clear agar. + +3. Tube, and sterilise as for nutrient agar. + + NOTE.--Other "sugar" media are prepared by substituting a + corresponding percentage of lactose, maltose (or any other + of the substances referred to under "Sugar Media," page 177) + for the glucose. + + +~Iron Bouillon.~-- + +1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page 141, sections 1 +to 6). + +2. Weigh out ferric tartrate, 1 gramme (= 0.1 per cent.), and dissolve +it in the bouillon. + +3. Tube, and sterilise as for bouillon. + + NOTE.--The lactate of iron may be substituted for the + tartrate. + + +~Lead Bouillon.~-- + +1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page 163, sections 1 +to 6). + +2. Weigh out lead acetate, 1 gramme (= 0.1 per cent.), and dissolve it +in the bouillon. + +3. Tube, and sterilise as for bouillon. + + +~Nitrate Bouillon.~-- + +1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page 163, sections 1 +to 6). + +2. Weigh out potassium nitrate, 5 grammes (= 0.5 per cent.), and +dissolve it in the bouillon. + +3. Tube, and sterilise as for bouillon. + + NOTE.--The nitrate of sodium or ammonium may be substituted + for that of potassium, or the salt may be added in the + proportion of from 0.1 to 1 per cent. to meet special + requirements. + + +~Iron Peptone Solution (Pakes).~-- + +1. Weigh out peptone, 30 grammes, and emulsify it with 200 c.c. tap +water, previously heated to about 60 deg. C. + +2. Wash the emulsion into a litre flask with 800 c.c. tap water. + +3. Weigh out salt, 5 grammes, and sodium phosphate, 3 grammes, and +dissolve in the mixture in the flask. + +4. Heat the mixture in the steamer at 100 deg. C. for thirty minutes, +to complete the solution of the peptone, and filter into a clean flask. + +5. Fill into tubes in quantities of 10 c.c. each. + +6. Add to each tube 0.1 c.c. of a 2 per cent. neutral solution of ferric +tartrate. (A yellowish-white precipitate forms.) + +7. Sterilise as for nutrient bouillon. + + +~Lead Peptone Solution.~-- + +Prepare as for iron peptone solution but in step 6 substitute 0.1 c.c. +of a 1 per cent. neutral aqueous solution of lead acetate. + + +~Nitrate Peptone Solution (Pakes).~-- + +1. Weigh out Witte's peptone, 10 grammes, and emulsify it with 200 c.c. +ammonia-free distilled water previously heated to 60 deg. C. + +2. Wash the emulsion into a flask and make up to 1000 c.c., with +ammonia-free distilled water. + +3. Heat in the steamer at 100 deg. C. for twenty minutes. + +4. Weigh out sodium nitrate, 1 gramme, and dissolve in the contents of +the flask. + +5. Filter through Swedish filter paper. + +6. Tube, and sterilise as for nutrient bouillon. + + +~Litmus Bouillon.~-- + +1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page 163, sections 1 +to 6). + +2. Add sufficient sterile litmus solution to tint the medium a dark +lavender colour. (Media rendered +10 will usually react very faintly +alkaline or occasionally neutral to litmus.) + +3. Tube, and sterilise as for bouillon. + + +~Rosolic Acid Peptone Solution.~-- + +1. Weigh out rosolic acid (corallin), 0.5 gramme, and dissolve it in 80 +per cent. alcohol, 100 c.c. Keep this as a stock solution. + +2. Measure out peptone water (Dunham), 100 c.c., and rosolic acid +solution, 2 c.c., and mix. + +3. Heat in the steamer at 100 deg. C. for thirty minutes. + +4. Filter through Swedish filter paper. + +5. Tube, and sterilise as for nutrient bouillon. + + +~Capaldi-Proskauer Medium, No. I.~-- + +1. Weigh out and mix + + Sodium chloride 2.0 grammes + Magnesium sulphate 0.1 gramme + Calcium chloride 0.2 gramme + Monopotassium phosphate 2.0 grammes + +2. Dissolve in water 1000 c.c. in a 2-litre flask + +3. Weigh out and mix + + Asparagin 2 grammes + Mannite 2 grammes + +and add to contents of flask. + +4. Measure out 25 c.c. of the solution and titrate it against decinormal +sodic hydrate, using litmus as the indicator. Control the result and +estimate the amount of sodic hydrate necessary to be added to render the +remainder of the solution neutral to litmus. Add this quantity of sodic +hydrate. + +5. Filter. + +6. Add litmus solution 47.5 c.c. (= 5 per cent.). + +7. Tube, and sterilise as for nutrient bouillon. + + +~Capaldi-Proskauer Medium No. II.~-- + +1. Weigh out and mix + + Peptone 20 grammes + Mannite 1 gramme + +2. Dissolve in water 1000 c.c. in a 2-litre flask. + +3. Neutralise to litmus as in No. I (_vide supra_, Step 4). + +4. Filter. + +5. Add litmus solution 47.5 c.c. (= 5 per cent.). + +6. Tube, and sterilise as for nutrient bouillon. + + +~Urine Media. Bouillon.~-- + +1. Collect freshly passed urine in sterile flask. + +2. Place the flask in the steamer at 100 deg. C. for thirty minutes. + +3. Filter through two thicknesses of Swedish filter paper. + +4. Tube, and sterilise as for nutrient bouillon. (Leave the reaction +unaltered.) + + +~Urine Gelatine.~-- + +1. Collect freshly passed urine in sterile flask. + +2. Take the specific gravity, and, if above 1010, dilute with sterile +water until that gravity is reached. + +3. Estimate (with control) at the boiling-point, and note the reaction +of the urine. + +4. Weigh out gelatine, 10 per cent., and add to the urine in the flask. + +5. Heat in the steamer at 100 deg. C. for one hour to dissolve the +gelatine. + +6. Estimate the reaction and add sufficient caustic soda solution to +restore the reaction of the medium mass to the equivalent of the +original urine. + +7. Cool to 60 deg. C. and clarify with egg as for nutrient gelatine +(_vide_ page 166). + +8. Filter through papier Chardin. + +9. Tube, and sterilise as for nutrient gelatine. + + +~Urine Gelatine (Heller).~-- + +1. Collect freshly passed urine in sterile flask. + +2. Filter through animal charcoal to remove part of the colouring +matter. + +3. Take the specific gravity, and if above 1010, dilute with sterile +water till this gravity is reached. + +4. Add Witte's peptone, 1 per cent.; salt, 0.5 per cent.; gelatine, 10 +per cent. + +5. Heat in the steamer at 100 deg. C. for one hour, to dissolve the +gelatine, etc. + +6. Add normal caustic soda solution in successive small quantities, and +test the reaction from time to time with litmus paper, until the fluid +reacts faintly alkaline. + +7. Cool to 60 deg. C. and clarify with egg as for nutrient gelatine +(_vide_ page 166). + +8. Filter through papier Chardin. + +9. Tube, and sterilise as for nutrient gelatine. + + +~Urine Agar.~-- + +1. Collect freshly passed urine in sterile flask. + +2. Take the specific gravity and if above 1010, dilute with sterile +water till this gravity is reached. + +3. Weigh out 1.5 per cent. or 2 per cent. powdered agar, and add it to +the urine. + +4. Heat in the steamer at 100 deg. C. for ninety minutes to dissolve the +agar. + +5. Cool to 60 deg. C. and clarify with egg as for nutrient agar (_vide_ +page 168). + +6. Filter through papier Chardin, using the hot-water funnel. + +7. Tube, and sterilise as for nutrient agar. + +(Leave the reaction unaltered.) + + +~Serum Sugar Media (Hiss).~-- + +In these media the fermentation of carbohydrate substance by bacterial +action is indicated by the coagulation of the serum proteids in addition +to the production of an acid reaction. + + +~Serum Dextrose Water (Hiss).~-- + +1. Measure out into a litre flask + + Serum water (See page 170) 1000 c.c. + +2. Weigh out + + Dextrose 10 grammes + +and dissolve in the serum water. + +3. Filter through Swedish filter paper. + +4. Measure out and add to the medium + + Litmus solution (Kahlbaum) 50 c.c. + +5. Tube in quantities of 10 c.c. and sterilise in the steamer at 100 +deg. C. for twenty minutes on each of three successive days. + +Laevulose, galactose, maltose, lactose, etc., can be substituted in +similar amounts for dextrose and the medium completed as above. + + +~Omeliansky's Nutrient Fluid~ (_For Cellulose Fermenters_).-- + +1. Weigh out and mix + + Potassium phosphate 4.0 grammes + Magnesium sulphate 2.0 grammes + Ammonium sulphate 4.0 grammes + Sodium chloride 0.25 gramme + +2. Dissolve in distilled water 4000 c.c. + +3. Flask in quantities of 250 c.c. + +4. Weigh out and add 5 grammes precipitated chalk to each flask. + +5. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +three successive days. + + +_Media for the Study of Chromogenic Bacteria._ + + +~Milk Rice (Eisenberg).~-- + +1. Measure out nutrient bouillon, 70 c.c., and milk, 210 c.c., and mix +thoroughly. + +2. Weigh out rice powder, 100 grammes, and rub it up in a mortar with +the milk and broth mixture. + +3. Fill the paste into sterile capsules, spreading it out so as to form +a layer about 0.5 cm. thick, over the bottom of each. + +4. Heat over a water-bath at 100 deg. C. until the mixture solidifies. + +5. Replace the lids of the capsules. Sterilise in the steamer at 100 +deg. C. for thirty minutes on each of three consecutive days. + +(A solid medium of the colour of _cafe au lait_ is thus produced.) + + +~Milk Rice (Soyka).~-- + +1. Measure out nutrient bouillon, 50 c.c., and milk, 150 c.c., and mix +thoroughly. + +2. Weigh out rice powder, 100 grammes, and rub it up in a mortar with +the milk and broth mixture. + +3. Fill the paste into sterile capsules, to form a layer over the bottom +of each. + +4. Replace the lids of the capsules. + +5. Sterilise in the steamer at 100 deg. C. for thirty minutes on each of +three consecutive days. + +(A pure white, opaque medium is thus formed.) + + +_Media for the Study of Phosphorescent and Photogenic Bacteria._ + + +~Fish Bouillon.~-- + +1. Weigh out herring, mackerel, or cod, 500 grammes, and place in a +large porcelain beaker (or enamelled iron pot). + +2. Weigh out sodium chloride, 26.5 grammes; potassium chloride, 0.75 +gramme; magnesium chloride, 3.25 grammes; and dissolve in 500 c.c. +distilled water. Add the solution to the fish in the beaker. + +3. Place the beaker in a water-bath and proceed as in preparing meat +extract--i. e., heat gently at 40 deg. C. for twenty minutes, then rapidly +raise the temperature to, and maintain at, the boiling-point for ten +minutes. + +4. Strain the mixture through butter muslin into a clean flask. + +5. Weigh out peptone, 5 grammes, and emulsify with about 200 c.c. of the +hot fish water; incorporate thoroughly with the remainder of the fish +water in the flask. + +6. Heat in the steamer at 100 deg. C. for twenty minutes to complete the +solution of the peptone. + +7. Filter through Swedish filter paper. + +8. When the fish bouillon is cold, if it is to be used as fluid medium, +make up to 1000 c.c. by the addition of distilled water. If, however, it +is to be used as the basis for agar or gelatine media store it in the +"Double Strength" condition. + +9. Tube and sterilise as for nutrient bouillon. + +As an alternative method "Marvis" fish food (16 grammes) may be +substituted for the 500 grammes of fresh fish. + + +~Fish Gelatine.~-- + +1. Measure out double strength fish bouillon, 500 c.c., into a "tared" +2-litre flask. + +2. Add sheet gelatine, 100 grammes, cut into small pieces. + +3. Bubble live steam through the mixture for fifteen minutes to dissolve +the gelatine. + +4. Weigh the flask and its contents; adjust the weight to the calculated +figure for one litre of medium (1135.5 grammes) by the addition of +distilled water at 100 deg. C. (_vide_ page 166). + +5. Cool to below 60 deg. C., and clarify with egg. + +6. Filter through papier Chardin. + +7. Tube, and sterilise as for nutrient gelatine. + +Shake well after the final sterilisation, to aerate the medium. + + +~Fish Gelatine-Agar.~-- + +1. Weigh out powdered agar, 5 grammes, and emulsify it with 200 c.c. +double strength fish bouillon. + +2. Wash the emulsion into a "tared" 2-litre flask with 300 c.c. fish +bouillon. + +3. Weigh out sheet gelatine, 70 grammes, cut it into small pieces and +add it to the contents of the flask. + +4. Bubble live steam through the mixture to dissolve the gelatine and +agar. + +5. Weigh the flask and contents. Adjust the weight to the calculated +figure for one litre of medium (1110.5 grammes) by the addition of +distilled water at 100 deg. C. (_vide_ page 166). + +6. Cool to below 60 deg. C. and clarify with egg. + +7. Filter through papier Chardin. + +8. Tube, and sterilise as for nutrient gelatine. + +Shake well after the final sterilisation, to aerate the medium. + + +_Media for the Study of Yeasts and Moulds._ + + +~Pasteur's Solution.~-- + +(Reaction alkaline). + +1. Weigh out and mix the ash from 10 grammes of yeast; ammonium +tartrate, 10 grammes; cane sugar, 100 grammes. + +2. Dissolve the mixture in distilled water, 1000 c.c. + +3. Tube or flask, and sterilise as for nutrient bouillon. + + +~Yeast Water (Pasteur).~-- + +1. Weigh out pressed yeast, 75 grammes; place in a 2-litre flask and add +1000 c.c. distilled water. + +2. Heat in the steamer at 100 deg. C. for thirty minutes. + +3. Filter through papier Chardin. + +4. Tube or flask, and sterilise as for nutrient bouillon. + + +~Cohn's Solution.~-- + +1. Weigh out and mix + + Acid potassium phosphate (KH_{2}PO_{4}) 5.0 grammes + Calcium phosphate 0.5 gramme + Magnesium sulphate 5.0 grammes + Ammonium tartrate 10.0 grammes + +and dissolve in + + Distilled water 1000 c.c. + +2. Tube, or flask and sterilise as for nutrient bouillon. + + +~Naegeli's Solution.~-- + +1. Weigh out and mix + + Dibasic potassium phosphate (K_{2}HPO_{4}) 1.0 gramme + Magnesium sulphate 0.2 gramme + Calcium chloride 0.1 gramme + Ammonium tartrate 10.0 grammes + +and dissolve in + + Distilled water 1000 c.c. + +2. Tube or flask; sterilise as for nutrient bouillon. + + +~Plaster-of-Paris Discs.~-- + +1. Take large corks, 2.5 cm. diameter, and roll a piece of stiff +note-paper round each, so that about a centimetre projects as a ridge +above the upper surface of the cork, and secure in position with a pin +(Fig. 112). + +2. Mix plaster-of-Paris into a stiff paste with distilled water, and +fill each of the cork moulds with the paste. + +3. When the plaster has set, remove the paper from the corks, and raise +the plaster discs. + +4. Place the plaster discs on a piece of asbestos board and sterilise by +exposing in the hot-air oven to 150 deg. C. for half an hour. + +[Illustration: Fig. 112.--Cork and paper mould for plaster-of-Paris +disc.] + +5. Remove the sterile discs from the oven by means of sterile forceps, +place each inside a sterile capsule, and moisten with a little sterile +water. + +6. Sterilise in the steamer at 100 deg. C. for thirty minutes on each of +three consecutive days. + + +~Gypsum Blocks (Engel and Hansen).~-- + +These are in the form of truncated cones and for their preparation small +tin moulds are required, each having a diameter of 5.5 cm. at the base +and 4 cm. at the truncated apex. The height (or depth) of a mould is 4.5 +to 5 cm. + +1. Mix powdered calcined gypsum into a stiff paste with distilled water. + +2. Fill the paste into the moulds and allow it to set and dry by +exposure to air. + +3. Remove the block from the mould and transfer it to a double glass +dish of adequate size (7 cm. diameter x 7 cm. high). + +4. Sterilise block in its dish for one hour in the hot-air oven at +115 deg. C. + +5. Carefully open the dish and add sterile distilled water to moisten +the block and form a layer in the bottom of the dish 1 cm. deep. + + +~Wine Must.~--(Wine must is obtained from Sicily, in hermetically sealed +tins, in a highly concentrated form--as a thick syrup--but not +sterilised.) + +1. Weigh out "wine must," 200 grammes, place in a 2-litre flask and add +distilled water, 800 c.c. + +2. Weigh out ammonium tartrate, 5 grammes, and add to the dilute must. + +3. Place the flask in a water-bath regulated to 60 deg. C. for one hour +and incorporate the mixture thoroughly by frequent shaking. + +4. Filter through papier Chardin. + +5. Tube, and sterilise as for nutrient bouillon. + + +~Wheat Bouillon (Gasperini).~-- + +1. Weigh out and mix wheat flour, 150 grammes; magnesium sulphate, 0.5 +gramme; potassium nitrate, 1 gramme; glucose, 15 grammes. + +2. Dissolve the mixture in 1000 c.c. of water heated to 100 deg. C. + +3. Filter through papier Chardin. + +4. Tube, and sterilise as for nutrient bouillon. + + +~Bread Paste.~-- + +1. Grate stale bread finely on a bread-grater. + +2. Distribute the crumbs in sterile Erlenmeyer flasks, sufficient to +form a layer about one centimetre thick over the bottom of each. + +3. Add as much distilled water as the crumbs will soak up, but not +enough to cover the bread. + +4. Plug the flasks and sterilise in the steamer at 100 deg. C. for +thirty minutes on each of _four_ consecutive days. + + +_Media for the Study of Parasitic Moulds._ + + +~French Proof Agar (Sabouraud).~-- + +1. Weigh out Chassaing's peptone, 10 grammes, and emulsify it with 200 +c.c. distilled water previously heated to 60 deg. C. + +2. Weigh out powdered agar, 13 grammes, and emulsify with 200 c.c. cold +distilled water. + +3. Mix the two emulsions and wash into a tared 2-litre flask with 600 +c.c. distilled water. + +4. Bubble live steam through the mixture for twenty minutes, to dissolve +the agar. + +5. Cool to 60 deg. C. and clarify with egg as for nutrient agar (_vide_ +page 168). + +6. Filter through Papier Chardin, using the hot-water funnel. + +7. Weigh out _French_ maltose, 40 grammes, and dissolve in the agar. + +8. Tube, and sterilise as for nutrient agar. + +~English Proof Agar (Blaxall).~--Substitute Witte's peptone for that of +Chassaing, and proceed as for French proof agar. + +~French Mannite Agar, Sabouraud.~--(_For cultivation of Favus._) + +Proceed exactly as in preparing French Proof agar _vide supra_ +substituting Mannite (38 grammes) for maltose. + + +_Media for the Study of Milk Bacteria._ + + +~Gelatine Agar.~--This medium is prepared by adding to nutrient gelatine +sufficient agar to ensure the solidity of the medium when incubated at +temperatures above 22 deg. C. If it is intended to employ an incubating +temperature of 30 deg. C., 10 per cent. gelatine and 0.5 per cent. agar +must be dissolved in the meat extract before the addition of the peptone +and salt; while for incubating at 37 deg. C., 12 per cent. gelatine and +0.75 per cent. agar must be used. Avoid the addition of more agar than is +absolutely necessary, otherwise the action upon the medium of such +organisms as elaborate a liquefying ferment may be retarded or +completely absent. + +1. Measure out 400 c.c. double strength meat extract into a "tared" +2-litre flask, and add to it gelatine, 100 grammes. + +2. Weigh out powdered agar, 5 grammes, emulsify with 100 c.c., cold +distilled water and add to the contents of the flask. + +3. Dissolve the agar and gelatine by bubbling live steam through the +flask for twenty minutes. + +4. Weigh out peptone, 10 grammes; salt, 5 grammes; emulsify with 100 +c.c. double strength meat extract previously heated to 60 deg. C., and +add to the contents of the flask. + +5. Replace in the steamer for fifteen minutes. Then adjust the weight to +the calculated figure for one litre (in this instance 1120 grammes) by +the addition of distilled water at 100 deg. C. + +6. Estimate the reaction; control the result. Then add sufficient +caustic soda solution to render the reaction +10. + +7. Replace in the steamer at 100 deg. C. for twenty minutes. + +8. Cool to 60 deg. C. Clarify with egg as for nutrient agar. + +9. Filter through papier Chardin, using the hot-water funnel. + +10. Tube, and sterilise as for nutrient agar. + + +~Agar Gelatine (Guarniari).~-- + +1. Measure out double strength meat extract, 400 c.c., into a "tared" +2-litre flask, and add to it gelatine, 50 grammes. + +2. Weigh out powdered agar, 3 grammes; emulsify with cold distilled +water, 50 c.c., and add to the contents of the flask. + +3. Dissolve the agar and gelatine by bubbling live steam through the +flask for twenty minutes. + +4. Weigh out Witte's peptone, 25 grammes; salt, 5 grammes, and emulsify +with 100 c.c. double strength meat extract previously heated to 60 deg. +C., and add to the contents of the flask. + +5. Replace in the steamer for fifteen minutes. + +6. Weigh the flask and make up the medium mass to the calculated figure +for one litre (1083 grammes) by the addition of distilled water at +100 deg. C. + +7. Neutralise carefully to litmus paper by the successive additions of +small quantities of normal soda solution. + +8. Replace in the steamer at 100 deg. C. for twenty minutes. + +9. Cool to 60 deg. C. Clarify with egg as for nutrient agar. + +10. Filter through papier Chardin, using the hot-water funnel. + +11. Tube, and sterilise as for nutrient agar. + + +~Whey Gelatine.~-- + +1. Curdle fresh milk by warming to 60 deg. C., and adding rennet; filter +off the whey into a sterile "tared" flask. + +2. Estimate and note the reaction of the whey. + +3. Weigh out gelatine, 10 per cent., and add it to the whey in the +flask. + +4. Bubble live steam through the mixture fifteen minutes to dissolve the +gelatine; and weigh. + +5. Estimate the reaction of the medium mass; then add sufficient caustic +soda solution to restore the reaction of the medium mass (i. e., total +weight minus weight of flask) to the equivalent of the original whey. + +6. Cool to 60 deg. C. and clarify with egg as for nutrient gelatine +(_vide_ page 166). + +7. Filter through papier Chardin. + +8. Tube, and sterilise as for nutrient gelatine. + + +~Whey Agar.~-- + +1. Curdle fresh milk by warming to 60 deg. C., and adding rennet; filter +off the whey into a sterile flask. + +2. Weigh out agar, 1.5 or 2 per cent., and add it to the whey in the +flask. + +3. Bubble live steam through the mixture for twenty minutes, to dissolve +the agar. + +4. Cool to 60 deg. C.; clarify with egg as for nutrient agar (_vide_ page +168). + +5. Filter through papier Chardin, using the hot-water funnel. + +6. Tube, and sterilise as for nutrient agar. + + +~Litmus Whey.~-- + +1. Curdle fresh milk by warming to 60 deg. C. and adding rennet. + +2. Filter off the whey through butter muslin into a sterile flask. + +3. Neutralise to litmus by the cautious addition of citric acid solution +4 per cent. (Do not neutralise with _mineral_ acid.) + +4. Heat in the steamer at 100 deg. C. for one hour to coagulate all the +proteid. + +(If the whey is cloudy when removed from the steamer allow it to stand +for forty-eight hours in the ice chest and then decant off the clear +fluid--or filter through a Berkefeld filter candle.) + +5. Filter into a sterile flask. + +6. Tint the whey with litmus solution to a deep purple red. + +7. Tube, and sterilise as for milk. + + +~Litmus Whey (Petruschky).~-- + +1. Measure out into a flask + + Fresh milk 1000 c.c. + +2. Add + + Hydrochloric acid (or glacial acetic acid) 1.5 c.c. + +and boil. + +3. Filter off coagulated casein. + +4. Neutralise to litmus by the addition of n/1 caustic soda solution and +boil. Whey now cloudy and acid again. + +5. Again neutralise to litmus by addition of n/10 caustic soda solution. + +6. Filter. + +7. Tint the whey with neutral litmus solution to a deep purple colour. + +8. Tube and sterilise as for milk. + + +~Litmus Whey Gelatine.~-- + +1. Measure out milk 1000 c.c. into a tared 2-litre flask. + +2. Add hydrochloric acid (or glacial acetic acid) 1.5 c.c. and boil for +five minutes. + +3. Filter off the casein, and make the whey faintly alkaline to litmus. + +4. Weigh out + + Peptone 10 grammes + +and emulsify in a few cubic centimeters of the whey and return to the +flask. + +5. Weigh out + + Gelatine 50 grammes + +add it to the whey in the flask and incorporate the mixture by bubbling +through live steam. + +6. Clear with egg and filter. + +7. Make the weight of the medium mass to the calculated figure for one +litre (1060 grammes) by the addition of distilled water. + +8. Weigh out + + Dextrose 15 grammes + +and dissolve in the fluid whey gelatine. + +9. Add sterile litmus solution to the required tint. + +10. Tube and sterilise for twenty minutes in steamer at 100 deg. C. on +each of five successive days. + +This medium will remain semi-fluid at the room temperature, and may be +used for cultures in the cool or hot incubator. + + +~Litmus Whey Agar~ is prepared in a similar manner to Whey Gelatine, with +the substitution of 15 grammes of agar for the gelatine. + + +~Malt Extract Solution (Herschell).~-- + +1. Measure into a flask distilled water 1000 c.c. + +2. Weigh out + + Extractum malti (malt extract) 25 grammes + +and add to distilled water in flask. + +3. Boil for five minutes, allow to stand, and decant off clear fluid +from sediment. + +4. Tube and sterilise as for nutrient bouillon. + + +_Media for the Study of Earth Bacteria, Nitrogen Fixers._ + + +~Earthy Salts Agar (Lipman and Brown).~--(_For the enumeration of soil +organisms._) + +1. Measure out + + Agar 20 grammes. + +Emulsify in 200 c.c. distilled water. + +2. Wash the agar emulsion into a tared 2-litre flask with 400 c.c. +distilled water. + +3. Weigh out + + Peptone 0.5 gramme. + +Emulsify in 50 c.c. distilled water and add to the contents of the +flask. + +4. Bubble live steam through the mixture for twenty minutes to dissolve +the agar. + +5. Weigh out and mix + + Dextrose 10.0 grammes. + Potassium phosphate 0.5 gramme. + Magnesium sulphate 0.2 gramme. + Potassium nitrate 0.06 gramme. + +and add to the contents of the flask. + +6. Adjust the weight of the medium mass to the calculated figure for one +litre (1025 grammes) by the addition of distilled water at 100 deg. C. + +7. Titrate the medium mass and adjust the reaction to +5. + +8. Cool to 60 deg. C. Clarify with egg and filter. + +9. Tube in quantities of 10 c.c. and sterilise as for nutrient agar. + + +~Beyrinck's Solution. I.~--(_For the cultivation of nitrogen fixing +organisms._) + +1. Weigh out and mix 1 gramme potassium hydrogen phosphate, 0.2 gramme +magnesium sulphate, and 0.02 gramme sodium chloride. + +2. Dissolve in water 1000 c.c., in a 2-litre flask. + +3. Add 1 c.c. of a one per thousand aqueous solution of ferrous +sulphate. + +4. Add 1 c.c. of a one per thousand solution manganese sulphate. + +5. Weigh out 20 grammes dextrose and add to the contents of the flask +(dextrose up to 40 grammes may be used for the different organisms). + +6. Steam for twenty minutes, filter. + +7. Tube, and sterilise as for nutrient bouillon. + + +~Beyrinck's Solution. II.~--(_For growth of Azobacter._) + +Proceed as in preparing solution No. I, substituting mannite for +dextrose in step 5. + + +~Winogradsky's Solution (for Nitric Organisms).~-- + +1. Weigh out and mix. + + Potassium phosphate 1.0 gramme + Magnesium sulphate 0.5 gramme + Calcium chloride 0.01 gramme + Sodium chloride 2.0 grammes + +and dissolve in + + Distilled water 1000 c.c. + +2. Fill into flasks, in quantities of 20 c.c. and add to each a small +quantity of freshly washed magnesium carbonate. + +3. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +three consecutive days. + +4. Add to each flask containing 20 c.c. solution, 2 c.c. of a sterile 2 +per cent. solution of ammonium sulphate. + +5. Incubate at 37 deg. C. for forty-eight hours and eliminate any +contaminated culture flasks. Store the remainder for future use. + +~Winogradsky's Solution (for Nitrous Organisms).~-- + +1. Weigh out and mix + + Ammonium sulphate 1 gramme + Potassium sulphate 1 gramme + +and dissolve in + + Distilled water 1000 c.c. + +2. Add 5 to 10 grammes basic magnesium carbonate, previously sterilised +by boiling. + +3. Fill into flasks and sterilise, etc., as for previous solution. + + +~Silicate Jelly (Winogradsky).~-- + +1. Weigh out and mix + + Ammonium sulphate 0.40 gramme + Magnesium sulphate 0.05 gramme + Calcium chloride 0.01 gramme + +and dissolve in + + Distilled water 50 c.c. + +Label--Solution A. + +2. Weigh out and mix + + Potassium phosphate 0.10 gramme + Sodium carbonate 0.60 gramme + +and dissolve in + + Distilled water 50 c.c. + +Label--Solution B. + +3. Weigh out + + Silicic acid 3.4 grammes + +and dissolve in + + Distilled water 100 c.c. + +4. Pour the silicic acid solution into a large porcelain basin. + +5. Mix equal quantities of the solutions A and B; then add successive +small quantities of the mixed salts to the silicic acid solution, +stirring continuously with a glass rod, until a jelly of sufficiently +firm consistence has been formed. + +6. Spread a layer of this jelly over the bottom of each of several large +capsules or "plates." + +7. Sterilise in the steamer at 100 deg. C. for thirty minutes on each of +three consecutive days. + + +_Media for the Study of Water Bacteria._ + + +~Naehrstoff Agar (Hesse and Niedner).~--(_For enumeration of water +organisms._) + +1. Weigh out: agar, 12.5 grammes and emulsify in 250 c.c. distilled +water. + +2. Wash the agar emulsion into a tared 2-litre flask with a further 250 +c.c. distilled water. + +3. Dissolve by bubbling live steam through the mixture. + +4. Emulsify Naehrstoff-Heyden (albumose) 7.5 grammes in 200 c.c. cold +distilled water and add to melted agar. + +5. Adjust weight of medium mass to the calculated figure for one litre +(1020 grammes) by addition of distilled water at 100 deg. C. + +6. Clarify with white of egg and filter. + +7. Tube in quantities of 10 c.c. and sterilise in the steamer at 100 +deg. C. for twenty minutes on each of three successive days. + + +~Bile Salt Broth--Double Strength.~-- + +1. Weigh out Witte's peptone, 40 grammes, and emulsify with 300 c.c. +distilled water previously warmed to 60 deg. C. + +2. Wash the peptone emulsion into a litre flask with 600 c.c. distilled +water. + +3. Weigh out sodium taurocholate, 10 grammes, and glucose, 10 grammes; +dissolve in 100 c.c. distilled water and add to the peptone emulsion in +the flask. + +4. Heat in the steamer at 100 deg. C. for twenty minutes. + +5. Filter through Swedish filter paper into a sterile flask. + +6. Add sterile neutral litmus solution sufficient to colour the medium +to a deep purple. + +7. Fill into small Erlenmeyer flasks in quantities of 25 c.c. + +8. Sterilise as for nutrient bouillon. + + +_Media for the Study of Plant Bacteria._ + + ~Beetroot.~-- } + ~Carrot.~-- } are prepared tubes and sterilised in a manner + ~Turnip.~-- } precisely similar to that described for potato. + ~Parsnip.~-- } + + +~Hay Infusion.~-- + +1. Weigh out dried hay, 10 grammes, chop it up into fine particles and +place in a flask. + +2. Add 1000 c.c. distilled water, heated to 70 deg. C.; close the flask +with a solid rubber stopper. + +3. Macerate in a water-bath at 60 deg. C. for three hours. + +4. Replace the stopper by a cotton-wool plug, and heat in the steamer at +100 deg. C. for one hour. + +5. Filter through Swedish filter paper. + +6. Tube, and sterilise as for nutrient bouillon. + + +~Haricot Bouillon.~--(_For cultivation of bacteria from tubercles of +Legumes._) + +1. Measure out 1000 c.c. distilled water into a 2-litre flask. + +2. Weigh out 250 grammes haricot beans and add to the water in the +flask. + +3. Weigh out 10 grammes sodium chloride and add to the contents of the +flask. + +4. Add 1 c.c. of a 1 per cent. solution of sodium bicarbonate. + +5. Place in the steamer at 100 deg. C. for thirty minutes. + +6. Filter. + +7. Weigh out 20 grammes saccharose and add to the filtrate. + +8. Tube, and sterilise as for nutrient bouillon. + + +~Haricot Agar.~-- + +1. Measure out 400 c.c. distilled water into a "tared" 2-litre flask. + +2. Weigh out 15 grammes agar and mix into a thick paste with 100 c.c. +cold distilled water, and add to the flask. + +3. Dissolve the agar by bubbling live steam through the mixture as in +making nutrient agar. + +4. Weigh out 250 grammes haricot beans, place in the flask with the agar +mixture. + +5. Add 1 c.c. of 1 per cent. aqueous solution sodium bicarbonate. + +6. Weigh out 10 grammes sodium chloride and add to the contents of the +flask. + +7. Place in the steamer at 100 deg. C. for thirty minutes. + +8. Adjust the weight of the medium mass to 1030 grammes (the figure per +litre obtained experimentally) by the addition of distilled water at +100 deg. C. + +9. Cool to 60 deg. C., clarify with egg and filter. + +10. Weigh out 20 grammes saccharose and add to the contents of the +flask. + +11. Tube, and sterilise as for nutrient agar. + + +~Wood Ash Agar.~-- + +1. Measure 400 c.c. distilled water into a tared 2-litre flask. + +2. Weigh out 10 grammes agar and make into a thick paste with 100 c.c. +cold distilled water. + +3. Add this agar paste to the distilled water in the flask. + +4. Dissolve the agar by passing live steam through it, as in preparing +nutrient agar. + +5. Weigh out 5 grammes clean wood ash and place in a second flask +containing 200 c.c. distilled water with some sterile glass beads: shake +thoroughly in a mechanical shaker for ten minutes. + +6. Heat in steamer at 100 deg. C., for thirty minutes. + +7. After removal from the steamer dry the outside of the flask +thoroughly, place it over a Bunsen flame and boil for one minute. + +8. Filter directly into the flask containing the melted agar mixture. + +9. Weigh out 4 grammes maltose. Add to the contents of the flask. + +10. Adjust the weight of the medium mass to the calculated figure for +one litre (1019 grammes) by the addition of distilled water at 100 +deg. C. + +11. Replace the flask in the steamer for twenty minutes, cool to 60 +deg. C., and clarify with egg and filter. + +12. Tube, and sterilise as for nutrient agar. + + +_Media for the Study of Special Bacilli._ + +_B. Acnes._ + + +~Oleic Acid Agar (Fleming).~-- + +1. Measure out into a sterile stout glass bottle which already contains +about 10 sterile glass beads + + Ascitic fluid 250 c.c. + +2. Weigh out + + Oleic acid 25 grammes + +and add it to the ascitic fluid in the bottle. + +3. Emulsify evenly by shaking (either by hand or in a shaking machine) +for ten minutes. + +4. Liquefy and measure out into a flask + + Nutrient agar 750 c.c. + +then cool to 55 deg. C. + +5. Mix the oleic acid emulsion with the agar. + +6. Add 10 c.c. sterile neutral red, 1 per cent. aqueous solution. + +7. Tube in quantities of 10 c.c., slant, and allow to set. + +8. Incubate for forty-eight hours at 37 deg. C. and reject any +contaminated tubes. Store the sterile tubes for future use. + + +_Coli-typhoid Group._ + +~Parietti's Bouillon.~-- + +1. Measure out pure hydrochloric acid, 4 c.c., and add to it carbolic +acid solution (5 per cent.), 100 c.c. Allow the solution to stand at +least a few days before use. + +2. This solution is added in quantities of 0.1, 0.2. and 0.3 c.c. +(delivered by means of a sterile graduated pipette) to tubes each +containing 10 c.c. of previously sterilised nutrient bouillon (_vide_ +page 163). + +3. Incubate at 37 deg. C. for forty-eight hours to eliminate contaminated +tubes. Store the remainder for future use. + +~Carbolised Bouillon.~-- + +1. Prepare nutrient bouillon (_vide_ page 163, sections 1 to 6). Measure +out 1000 c.c. + +2. Weigh out carbolic acid, 1 gramme (2.5 or 5 grammes may be needed for +special purposes), and dissolve it in the medium. + +3. Tube, and sterilise as for bouillon. + +~Carbolised Gelatine.~-- + +1. Prepare nutrient gelatine (_vide_ page 164, sections 1 to 7). Measure +out 1000 c.c. + +2. Weigh out carbolic acid, 5 grammes (= 0.5 per cent.), and dissolve it +in the gelatine. + +3. Filter if necessary through papier Chardin. + +4. Tube, and sterilise as for nutrient gelatine. + +One or 2.5 grammes of carbolic acid (= 0.1 per cent. or 0.25 per cent.) +are occasionally used in place of the 5 grammes to meet special +requirements. + + +~Carbolised Agar.~-- + +1. Prepare nutrient agar (_vide_ page 167, sections 1 to 8). Measure out +1000 c.c. + +2. Weigh out 1 gramme pure phenol and dissolve in the medium. + +3. Filter if necessary through papier Chardin. + +4. Tube, and sterilise as for nutrient agar. + +~Litmus Gelatine.~-- + +1. Prepare nutrient gelatine (_vide_ page 164, sections 1 to 8). + +2. Add sterile litmus solution, sufficient to tint the medium a deep +lavender colour. + +3. Tube, and sterilise as for nutrient gelatine. + + +~Lactose Litmus Bouillon (Lakmus Molke).~-- + +1. Weigh out peptone, 4 grammes, and emulsify it with 200 c.c. meat +extract (_vide_ page 148), previously heated to 60 deg. C. + +2. Weigh out salt, 2 grammes, and lactose, 20 grammes, and mix with the +emulsion. + +3. Wash the mixture into a sterile litre flask with 200 c.c. meat +extract and add 600 c.c. distilled water. + +4. Heat in the steamer at 100 deg. C. for thirty minutes, to completely +dissolve the peptone, etc. + +5. _Neutralise carefully to litmus paper_ by the successive additions of +small quantities of decinormal soda solution. + +6. Replace in the steamer for twenty minutes to precipitate phosphates, +etc. + +7. Filter through two thicknesses of Swedish filter paper. + +8. Add sterile litmus solution, sufficient to colour the medium a deep +purple. + +9. Tube, and sterilise as for bouillon. + + +~Lactose Litmus Gelatine (Wurtz).~-- + +1. Prepare nutrient gelatine (_vide_ page 164, sections 1 to 4). + +2. Render the reaction of the medium mass -5. + +3. Replace in the steamer at 100 deg. C. for twenty minutes. + +4. Clarify with egg as for gelatine. + +5. Weigh out lactose, 20 grammes (= 2 per cent.), and dissolve it in the +medium. + +6. Filter through papier Chardin. + +7. Add sufficient sterile litmus solution to colour the medium pale +lavender. + +8. Tube, and sterilise as for nutrient gelatine. + + +~Lactose Litmus Agar (Wurtz).~-- + +1. Prepare nutrient agar (_vide_ page 167, sections 1 to 4). + +2. Render the reaction of the medium mass -5. + +3. Replace in the steamer at 100 deg. C. for twenty minutes. + +4. Cool to 60 deg. C. and clarify with egg as for nutrient agar. + +5. Weigh out lactose, 20 grammes (= 2 per cent.), and dissolve it in the +medium. + +6. Filter through papier Chardin, using the hot-water funnel. + +7. Add sterile litmus solution, sufficient to colour the medium a pale +lavender. + +8. Tube, and sterilise as for nutrient agar. + + +~Glycerine Potato Bouillon.~-- + +1. Take 1 kilo of potatoes, wash thoroughly in water, peel, and grate +finely on a bread-grater. + +2. Weigh the potato gratings, place them in a 2-litre flask, and add +distilled water in the proportion of 1 c.c. for every gramme weight of +potato. Allow the flask to stand in the ice-chest for twelve hours. + +3. Strain the mixture through butter muslin and filter through Swedish +filter paper into a graduated cylinder. Note the amount of the filtrate. + +4. Place the filtrate in a flask, add an equal quantity of distilled +water, and heat in the steam steriliser for sixty minutes. + +5. Add glycerine, 4 per cent., mix thoroughly, and again filter. + +6. Tube and sterilise as for nutrient bouillon. + +~Potato Gelatine (Elsner).~-- + +1. Take 1 kilo of potatoes, wash thoroughly in water, peel, and finally +grate finely on a bread-grater. + +2. Weigh the potato gratings, place them in a 2-litre flask, and add +distilled water in the proportion of 1 c.c. for every gramme weight of +potato. Allow the flask to stand in the ice-chest for twelve hours. + +3. Strain the mixture through butter muslin, and filter through Swedish +filter paper into a graduated cylinder. + +4. Add 15 per cent. gelatine to the potato decoction and bubble live +steam through the mixture for ten minutes. + +5. Estimate the reaction; adjust the reaction of the medium mass to +25. + +6. Cool the medium to below 60 deg. C.; clarify with egg as for nutrient +gelatine (_vide_ page 166). + +7. Add 1 per cent. potassium iodide (powdered) to the medium. + +8. Filter through papier Chardin. + +9. Tube and sterilise as for nutrient gelatine. + +~Aesculin Agar.~--(B. coli and allied organisms give black colonies +surrounded by black halo.) + +1. Measure out 400 c.c. distilled water into a tared 2-litre flask. + +2. Weigh out + + Agar 15 grammes + Peptone 10 grammes + Sodium taurocholate 5 grammes + +and make into a thick paste with 150 c.c. distilled water. + +3. Add this paste to the distilled water in the flask. + +4. Dissolve the ingredients by bubbling live steam through the mixture. + +5. Weigh out + + Aesculin 1.0 gramme + Ferric citrate 0.5 gramme + +and dissolve in a second flask containing 100 c.c. distilled water. + +6. Mix the contents of the two flasks--adjust the weight to the +calculated medium figure (in this case 1031.5 grammes) by the addition +of distilled water at 100 deg. C. + +7. Clarify with egg and filter. + +8. Tube and sterilise as for nutrient agar. + +~Bile Salt Agar (MacConkey).~-- + +1. Weigh out powdered agar, 15 grammes (= 1.5. per cent.), and emulsify +with 200 c.c. _cold tap_ water. + +2. Weigh out peptone, 20 grammes (= 2 per cent.), and emulsify with 200 +c.c. _tap_ water previously warmed to 60 deg. C. + +3. Mix the peptone and agar emulsions thoroughly. + +4. Weigh out sodium taurocholate, 5 grammes (= 0.5 per cent.), dissolve +it in 300 c.c. _tap_ water, and use the solution to wash the +agar-peptone emulsion into a tared 2-litre flask. + +5. Bubble live steam through the mixture for twenty minutes. + +6. Adjust the weight of the medium mass to the calculated figure for one +litre (1040 grammes). + +7. Cool to 60 deg. C. and clarify with egg as for nutrient agar (_vide_ +page 168). + +8. Filter through papier Chardin, using the hot-water funnel. + +9. Weigh out lactose, 10 grammes (= 1 per cent.), and dissolve it in the +agar. + +If desired, add 5 c.c. of a 1 per cent. (= 0.5 per cent.) aqueous +solution of neutral red. + +10. Tube, and sterilise as for nutrient agar. + + +~Litmus Nutrose Agar (Drigalski-Conradi).~-- + +This medium should be prepared in precisely the same manner as the +Nutrose agar described on page 172 substituting meat extract for serum +water, and increasing the percentage of agar added per litre to 3 per +cent. + + +~Fuchsin Agar (Braun).~-- + +1. Liquefy and measure out into a sterile flask: + + Nutrient agar 1000 c.c. + +2. Weigh out: lactose 10 grammes and dissolve in the fluid agar. + +3. Adjust the reaction to -5 and filter. + +4. Measure out and mix thoroughly with agar: + + Fuchsin, alcoholic solution 5 c.c. + +The fuchsin solution is prepared by mixing: + + Fuchsin (basic) 3 grammes. + Absolute alcohol 60 c.c. + +Allow to stand twenty-four hours, then centrifugalise thoroughly and +decant the supernatant fluid into a well-stoppered bottle. + +5. Measure out and add to the nutrient agar, sodium sulphite, 10 per +cent. aqueous solution, freshly prepared 25 c.c. + +6. Tube and sterilise as for nutrient agar. + +7. Store in a dark cupboard. + + +~Fuchsin Sulphite Agar (Endo).~-- + +1. Liquefy and measure out into a sterile flask: + + Nutrient agar 1000 c.c. + +2. Weigh out + + Lactose 10 grammes. + +and dissolve in the fluid agar. + +3. Adjust the reaction to +3 and filter. + +4. Measure out and mix thoroughly with the fluid agar. + + Fuchsin, alcoholic solution (_vide supra_) 5 c.c. + +5. Measure out and add to the medium + + Sodium sulphite, 10 per cent. aqueous solution 25 c.c. + +6. Tube and sterilise as for nutrient agar. + + +~Brilliant Green Agar (Conradi).~-- + +1. Liquefy and measure out into a sterile flask + + Nutrient agar 1000 c.c. + +2. Adjust reaction to +30 by the addition of normal phosphoric acid; and +filter. + +3. Measure out and mix thoroughly with the fluid medium + + Brilliant green (Hoechst) 1 per thousand aqueous solution 6.5 c.c. + +4. Measure out and add to the medium + + Picric acid (Gruebler), 1 per cent. aqueous solution 6.5 c.c. + +5. Tube and sterilise as for nutrient agar. + + +~Brilliant Green Bile Salt Agar (Fawcus).~-- + +1. Weigh out agar 20 grammes and emulsify in 100 c.c. cold distilled +water. + +2. Wash the emulsion into a "tared" 2-litre flask with 500 c.c. +distilled water. + +3. Dissolve the agar by bubbling live steam through the flask. + +4. Cool, clarify with egg and filter. + +5. Weigh out + + Sodium taurocholate 5 grammes + Peptone 20 grammes + +and add to the medium in the flask. + +6. Weigh out + + Lactose 5 grammes + +and add to the medium in the flask. + +7. Adjust reaction to +15 and filter if necessary. + +8. Measure out + + Brilliant green, 1 per thousand aqueous solution 20 c.c. + +and mix thoroughly with the fluid agar. + +9. Measure out and add to the medium + + Picric acid, 1 per cent. aqueous solution 20 c.c. + +10. Tube and sterilise as for nutrient agar. + + +~China Green Agar (Werbitski).~-- + +1. Liquefy and measure out into a sterile flask + + Nutrient agar 1000 c.c. + +2. Adjust the reaction accurately to +13 and filter. + +3. Measure out and mix thoroughly with the fluid agar + + China green 0.2 per cent. aqueous solution 15 c.c. + +4. Tube and sterilise as for nutrient agar. + + +~Malachite Green Agar (Loeffler).~-- + +1. Liquefy and measure out into a sterile flask + + Nutrient agar 1000 c.c. + +2. Weigh out + + Dextrose 10 grammes. + +and dissolve in nutrient agar. + +3. Adjust the reaction to +3, and filter. + +4. Measure out and mix thoroughly in the fluid agar + + Malachite green, 0.1 per cent. aqueous solution 16 c.c. + for ~"weak"~ medium. + +_4a._ To the filtered agar add + + Malachite green, 2 per cent. aqueous solution 25 c.c. + for ~"strong"~ medium. + +5. Tube and sterilise as for nutrient agar. + +~Double Sugar Agar (Russell).~-- + +1. Liquefy and measure out into a sterile flask + + Nutrient agar 1000 c.c. + +2. Add 100 c.c. litmus solution to the fluid agar. + +3. Weigh out and dissolve in the fluid agar. + + Lactose 10 grammes + Dextrose 10 grammes. + +4. Render the reaction of the medium neutral to litmus paper by the +cautious addition of normal caustic soda. + +5. Tube in quantities of 10 c.c. and sterilise in the steamer at 100 +deg. C. for twenty minutes on each of three successive days. + +6. Store for use in a cool dark place. + + +_B. Diphtheriae._ + +~Glycerine Blood-serum.~-- + +1. Prepare blood-serum as described, page 168, sections 1 to 4. + +2. Add 5 per cent. pure glycerine. + +3. Complete as described above for ordinary blood-serum, sections 5 to +7. + + NOTE.--Different percentages of glycerine--from 4 per cent. + to 8 per cent.--are used for special purposes. Five per + cent. is that usually employed. + + +~Blood-serum (Loeffler).~-- + +1. Prepare nutrient bouillon (_vide_ page 163), using meat extract made +from veal instead of beef. + +2. Add 1 per cent. glucose to the bouillon, and allow it to dissolve +completely. + +3. Now add 300 c.c. clear blood-serum (_vide_ page 168, sections 1 to 4) +to every 100 c.c. of this bouillon. + +4. Fill into sterile tubes and complete as for ordinary blood-serum. + + +~Blood-serum (Lorrain Smith).~-- + +1. Collect blood-serum (_vide_ page 168, sections 1 to 4), as free from +haemoglobin as possible. + +2. Weigh out 0.15 per cent. sodium hydrate and dissolve it in the fluid +(or add 0.375 c.c. of dekanormal soda solution for every 100 c.c. of +serum). + +3. Tube, and stiffen at 100 deg. C. in the serum inspissator. + +4. Incubate at 37 deg. C. for forty-eight hours to eliminate any +contaminated tubes. Store the remainder for future use. + + +~Blood Serum (Councilman and Mallory).~-- + +1. Collect blood serum in slaughterhouse, coagulate, remove serum and +tube (_vide_ page 168). + +Great care must be taken to avoid the inclusion of air bubbles--indeed +if only a few tubes are filled at one time, it is a good plan to stand +them upright in the receiver of an air pump and to exhaust as completely +as possible before transferring to the serum inspissator. + +2. Heat the tubes in a slanting position in hot-air steriliser at 90 deg. +C. till firmly coagulated, say half an hour. + +3. Sterilise in steam steriliser at 100 deg. C. for 20 minutes on each of +three successive days. + +Resulting medium not translucent, but opaque and firm. + + +_B. Tuberculosis._ + +~Egg Medium (Lubenau).~-- + +This modification of Dorset's egg medium (_quod vide_ page 174) is +preferred by some for the growth of the tubercle bacillus of the human +type. It consists in the addition of one part of 6 per cent. glycerine +in normal saline solution, to the egg mixture between steps 4 and 5. + + +~Glycerine Bouillon.~-- + +1. Measure out nutrient bouillon, 1000 c.c. (_vide_ page 163, sections 1 +to 6). + +2. Measure out glycerine, 60 c.c. (= 6 per cent.), and add to the +bouillon. + +3. Tube, and sterilise as for bouillon. + + +~Glycerine Agar.~-- + +1. Prepare nutrient agar (_vide_ page 167, sections 1 to 8). Measure out +1000 c.c. + +2. Measure out pure glycerine, 60 c.c. (= 6 per cent.), and add to the +agar. + +3. Tube, and sterilise as for nutrient agar. + + +~Glycerine Blood-serum.~-- + +1. Prepare blood-serum as described, page 168, sections 1 to 4. + +2. Add 5 per cent. pure glycerine. + +3. Complete as described above for ordinary blood-serum, sections 5 to +7. + + NOTE.--Different percentages of glycerine--from 4 per cent. + to 8 per cent.--are used for special purposes. Five per + cent. is that usually employed. + + +~Glycerinated Potato.~-- + +1. Prepare ordinary potato wedges (_vide_ page 174, sections 1 to 4). + +2. Soak the wedges in 25 per cent. solution of glycerine for fifteen +minutes. + +3. Moisten the cotton-wool pads at the bottom of the potato tubes with a +25 per cent. solution of glycerine. + +4. Insert a wedge of potato in each tube and replug the tubes. + +5. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +_five_ consecutive days. + + +~Animal Tissue Media (Frugoni).~-- + +1. Take a number of sterile test-tubes 16 x 3 or 4 cm., plugged with +cotton wool, and into each insert a 2 cm. length of stout glass tubing +(about 1 cm. diameter); fill in glycerine (6 per cent.) bouillon to the +upper level of the piece of glass tubing. Sterilise in the steamer at +100 deg. C. for twenty minutes on each of three successive days. + +2. Kill a small rabbit by means of chloroform vapour. + +3. Under strictly aseptic precautions remove the lungs, liver and other +solid organs and transfer them to a sterile double glass dish. + +4. With the help of sterile scissors and forceps divide the organs into +roughly rectangular blocks 3 x 1.5 x 1 cm. + +5. Pour into the dish a sufficient quantity of sterile glycerine +solution (6 per cent. in normal saline), cover, and allow to stand for +one hour. + +6. Introduce a block of tissue into each tube so that it rests upon the +upper end of the piece of glass tubing. (The surface of the tissue will +now be kept moist by capillary attraction and condensation). + +7. Sterilise in the autoclave at 120 deg. C. for thirty minutes. + +8. Cap the tubes and store them in the ice chest for future use. + +Tissues obtained at postmortems can also be used after preliminary +sterilisation by boiling or autoclaving. + + +_Media for the Study of Special Cocci._ + +_Diplococcus Gonorrhoeae._ + + +~Ascitic Bouillon (Serum Bouillon).~-- + +1. Collect ascitic fluid (pleuritic fluid, hydrocele fluid, etc.), by +aspiration directly into sterile flasks, under strictly aseptic +precautions. + +2. Mix the serum with twice its bulk of sterile nutrient bouillon +(_vide_ page 163). + +3. If considered necessary (on account of the presence of blood, +crystals, etc.), filter the serum bouillon through porcelain filter +candle. + +4. Tube, and sterilise in the water bath at 56 deg. C. for half an hour +on each of five consecutive days. + +5. Incubate at 37 deg. C. for forty-eight hours and eliminate +contaminated tubes. Store the remainder for future use. + + +~Serum Agar (Heiman).~-- + +1. Prepare nutrient agar (_vide_ page 167), to following formula: + + Agar 2.0 per cent. + Peptone 1.5 per cent. + Salt 0.5 per cent. + Meat extract _quantum sufficit._ + +2. Make reaction of medium + 10. + +3. Filter; tube in quantities of 6 c.c. + +4. Sterilise as for nutrient agar. + +5. After the third sterilisation cool the tubes to 42 deg. C., and add +to each 3 c.c. of sterile hydrocele fluid, ascitic fluid, or pleuritic +effusion (previously sterilised, if necessary, by the fractional +method); allow the tubes to solidify in a sloping position. + +6. When solid, incubate at 37 deg. C. for forty-eight hours, and eliminate +any contaminated tubes. Store the remainder for future use. + + +~Serum Agar (Wertheimer).~-- + +1. Prepare nutrient agar (_vide_ page 167), to the following formula: + + Agar 2.0 per cent. + Peptone 2.0 per cent. + Salt 0.5 per cent. + Meat extract _quantum sufficit._ + +2. Make reaction of medium +10. + +3. Filter; tube in quantities of 5 c.c. + +4. Sterilise as for nutrient agar. + +5. After the last sterilisation cool to 42 deg. C., then add 5 c.c. +sterile blood-serum from human placenta (sterilised, if necessary, by +the fractional method) to each tube; slope the tubes. + +6. When solid, incubate at 37 deg. C. for forty-eight hours, and eliminate +any contaminated tubes. Store the remainder for future use. + + +~Serum Agar (Kanthack and Stevens).~-- + +1. Collect ascitic, pleuritic, or hydrocele fluid in sterile flasks and +allow to stand in the ice-chest for twelve hours to sediment. + +2. Decant 1000 c.c. of the clear fluid into a measuring cylinder and +transfer to sterile litre flask. + +3. Add 0.5 c.c. dekanormal NaOH solution for every 100 c.c. serum (_i. +e._, 5.0 c.c.), and mix thoroughly. + +4. Heat in the steamer for twenty minutes. + +5. Weigh out 15 grammes agar, emulsify in a separate vessel with 200 +c.c. of the alkaline fluid previously cooled to about 20 deg. C., and +then add to the remainder of the fluid in the flask. + +6. Bubble live steam through the mixture for twenty minutes to dissolve +the agar. + +7. Filter through papier Chardin, using a hot-water funnel. + +8. Weigh out glucose 10 grammes (= 1 per cent.), and dissolve it in the +clear agar. + +8a. If desired, add glycerine, 5 per cent., to the clear agar. + +9. Tube, and sterilise as for nutrient agar. + + +~Serum Agar (Libman).~-- + +1. Prepare nutrient agar (_vide_, page 167) using, however, 1.5 per +cent. peptone (that is 15 grammes per litre instead of 10 grammes). + +2. Adjust the reaction to 0 (i. e., neutral to phenolphthalein). + +3. Filter and transfer 1000 c.c. liquefied medium to a sterile flask. + +4. Weigh out dextrose 20 grammes and dissolve in the fluid agar. + +5. Tube in quantities of 6 c.c.; and sterilise in the steamer at 100 +deg. C. for thirty minutes on each of three consecutive days. + +6. After the third sterilisation cool to 42 deg. C. and add to each tube +3 c.c. of sterile hydrocele fluid, ascitic fluid or pleuritic effusion +(previously sterilised, if necessary, by the fractional method); allow +the tubes to solidify in a sloping position. + +7. When solid, incubate at 37 deg. C. for forty-eight hours, and eliminate +any contaminated tubes. Store the remainder for future use. + + +~Egg-albumen, Inspissated.~-- + +1. Break several fresh eggs (hens', ducks', or turkeys' eggs), and +collect the "whites" in a graduated cylinder, taking care to avoid +admixture with the yolks. + +2. Add 40 per cent. distilled water, and incorporate the mixture +thoroughly by the aid of an egg-whisk. + +3. Weigh out 0.15 per cent. sodium hydrate and dissolve it in the fluid +(or add the amount of dekanormal caustic soda solution calculated to +yield the required percentage of soda in the total bulk of the +fluid--i. e., 0.375 c.c. of dekanormal NaOH solution per 100 c.c. of +the mixture). + +_3a._ Glucose to the extent of 1 to 2 per cent. may now be added, if +desired. + +4. Strain the mixture through butter muslin and filter through a +porcelain filter candle into a sterile filter flask. + +5. Tube, and stiffen at 100 deg. C. in the serum inspissator. + +6. Incubate at 37 deg. C. for forty-eight hours and eliminate any +contaminated tubes; store the remainder for future use. + + +~Egg-albumen (Tarchanoff and Kolesnikoff).~-- + +1. Place unbroken hens' eggs in dekanormal caustic soda solution for ten +days. (After this time the white becomes firm like gelatine.) + +2. Carefully remove the shell and cut the egg into fine slices. + +3. Wash for two hours in running water. + +4. Place the egg slices in a large beaker and sterilise in the steamer +at 100 deg. C. for one hour. + +5. Transfer each slice of egg by means of a pair of sterilised forceps +to a Petri dish or large capsule. + +6. Sterilise in the steamer at 100 deg. C. for twenty minutes on each of +three consecutive days. + + +~Egg Albumin Broth (Lipschuetz).~-- + +1. Weigh out + + Egg albumin (extra fine powder, Merck). 4 grammes + +and place in a 2-litre flask with a number of sterile glass beads. + +2. Measure out distilled water 200 c.c. into a half-litre flask and warm +to 37 deg. C. in the incubator. + +3. Add the water to the flask containing the albumin and beads and +dissolve by shaking. + +4. Add n/10-NaOH, 40 c.c. Allow the mixture to stand for thirty minutes +with frequent shaking. + +5. Filter through Swedish filter paper. + +6. Sterilise by boiling two or three times at intervals of two hours. + +7. Add ordinary nutrient bouillon 600 c.c. + +8. Fill into small Erlenmeyer flasks in quantities of 50 c.c. + +9. Incubate for forty-eight hours at 37 deg. C.--discard any contaminated +flasks and store the remainder for future use. + + +~Egg Albumin Agar.~-- + +1. Prepare egg albumin solution as above 1-6. + +2. Liquefy and measure out ordinary nutrient agar 600 c.c. and add to +the egg albumin solution (in place of the nutrient broth). + +3. Complete as above 8-9. + + +_Diplococcus Meningitidis Intracellularis._ + +~Ascitic Fluid Agar (Wassermann)~ _Synonym_ ~N-as-gar (Mervyn Gordon).~ + +1. Liquefy and measure out into a sterile flask: + + Nutrient agar 600 c.c. + +2. Measure out into a half litre flask + + Distilled water 210 c.c. + +and add to it + + Ascitic fluid 90 c.c. + Nutrose 6 grammes + +3. Heat over a bunsen flame, shaking constantly until the fluid boils, +and the nutrose is dissolved. + +4. Add the nutrose ascitic solution to the fluid agar. + +5. Heat in the steamer for thirty minutes, then filter. + +6. Tube and sterilise as for nutrient agar. + + NOTE.--The finished medium in this case measures 900 c.c. + only since inconvenient fractions would be introduced in + making up to one litre exactly. + + +_Diplococcus Pneumoniae._ + +~Blood Agar (Washbourn).~-- + +1. Melt up several tubes of nutrient agar (_vide_ page 167) and allow +them to solidify in the oblique position. + +2. Place the tubes, in the horizontal position, in the "hot" incubator +for forty-eight hours, to evaporate off some of the condensation water. + +3. Kill a small rabbit with chloroform and nail it out on a board (as +for a necropsy). Moisten the hair thoroughly with 2 per cent. solution +of lysol. + +4. Sterilise several pairs of forceps, scissors, etc., by boiling. + +5. Reflect the skin over the thorax with sterile instruments. + +6. Open the thoracic cavity by the aid of a fresh set of sterile +instruments. + +7. Open the pericardium with another set of sterile instruments. + +8. Sear the surface of the left ventricle with a red-hot iron and remove +fluid blood from the heart by means of sterile pipettes (e. g., those +shown in Fig. 13, c). + +9. Deliver a small quantity of the blood on the slanted surface of the +agar in each of the tubes, and allow it to run over the entire surface +of the medium. + +10. Place the tubes in the slanting position and allow the blood to +coagulate. + +11. Return the "blood agar" to the hot incubator for forty-eight hours +and eliminate any contaminated tubes. Store the remainder for future +use. + + +_Media for the Study of Mouth Bacteria Generally._ + +~Potato Gelatine (Goadby).~-- + +1. Prepare glycerine potato broth (see page 203, sections 1 to 5). + +2. Add 10 per cent. gelatine to the potato decoction and bubble live +steam through the mixture for ten minutes. + +3. Estimate the reaction; adjust the reaction of the medium to +5. + +4. Cool the medium to below 60 deg. C., clarify with egg as for nutrient +gelatine. + +5. Filter through papier Chardin. + +6. Tube, and sterilise as for nutrient gelatine. + + +_Media for the Study of Protozoa._ + +~Tissue Medium (Noguchi).~--_For spirochaetes (cultivations must be grown +anaerobically)._ + +1. Plug and sterilise test-tubes 20 x 2 cm. + +2. Kill a small rabbit with chloroform vapour. Open the abdomen with +all aseptic precautions, remove kidneys and testicles and transfer to a +sterile glass dish. Cut up the organs with sterile scissors into small +pieces--say 4 millimetre cubes. The four organs should yield from 25 to +30 pieces of tissue. + +3. Drop a small piece of sterile tissue into the bottom of each +sterilised tube. + +4. Take a flask containing about 400 c.c. nutrient agar (+10 reaction), +liquefy the medium by heat and cool in a water bath to 50 deg. C. + +5. Add 200 c.c. ascitic or hydrocele fluid (horse or sheep serum may be +employed, but is not so good) to the liquid agar and mix carefully to +avoid formation of air bubbles. + +6. Fill about 20 c.c. of the ascitic agar into each of the sterilised +tubes which already contains a piece of sterile rabbit's tissue, stand +all the tubes upright in racks or a jar, and allow agar to set. + +7. After solidification pour sterile paraffin oil on the surface of the +medium in each tube to the depth of 3 centimetres. + +8. Incubate tubes at 37 deg. C. for several days and discard any which +prove to be contaminated. + +9. Store such tubes as are sterile for future use. + + + + +XIII. INCUBATORS. + + +[Illustration: FIG. 113.--Incubator.] + +An incubator (Fig. 113) consists essentially of a chamber for the +reception of cultivations, etc., surrounded by a water jacket, the walls +of which are of metal, usually copper, and outside all an asbestos or +felt jacket, or wooden casing. The water in the jacket is heated by gas +or electricity and maintained at some constant temperature by a +thermo-regulator. The cellular incubator (Fig. 114) which was made for +me[7] some years ago is of the greatest practical utility. Here the +central cavity is subdivided by five double-walled partitions (in which +water circulates in connection with the water tanks at the top and base +of the incubator) and again by iron shelves to form twenty-four pigeon +holes. Into each of these slides an iron drawer 35 cm. long x 12 cm. +wide x 22 cm. high forming a self-contained incubator. The drawer is +fitted with a wooden form to which is fixed a handle and a numbered +label. The thermo-regulating apparatus is the well-known Hearson +capsule. + +[Illustration: FIG. 114.--Cellular incubator.] + +Two incubators at least are required in the laboratory, for the +cultivation of bacteria the one regulated to maintain a temperature of +37 deg. C., and known as the "hot" incubator; the other, 20 deg. C. to +22 deg. C., and known as the "cool" or "cold" incubator. + +Two other incubators, regulated to 42 deg. C. and 60 deg. C. respectively, +whilst not absolutely, necessary very soon justify their purchase. + +~Thermo-regulators.~--The thermo-regulator is the most essential portion +of the incubator, as upon its efficient working depends the maintenance +of a constant temperature in the cultivation chamber. It is also used in +the fitting up of water and paraffin baths, and for many other purposes. + +[Illustration: FIG. 115.--Reichert's thermo-regulator.] + +Of the many forms and varieties of thermo-regulator (other than +electrical), two only are of sufficiently general use to need mention. +In one of these the flow of gas to the gas-jet is controlled by the +expansion or contraction of mercury within a glass bulb; in the other, +by alterations in the position of the walls of a metallic capsule +containing a fluid, the boiling-point of which corresponds to the +temperature at which the incubator is intended to act. They are: + +(a) _Reichert's_ (Fig. 115), consists of a bulb containing mercury +which is to be suspended in the medium, whether air or water, the +temperature of which it is desired to regulate. Gas enters at A, and +passes out to the jet by B. As the temperature rises the mercury expands +and cuts off the main gas supply. As the temperature falls the mercury +contracts and reopens the narrow tube C. By means of a thumbscrew D +(which mechanically raises or lowers the column of mercury irrespective +of the temperature) and the aid of a thermometer the apparatus can be +set to keep the incubator at any desired temperature. With this form a +special gas burner is required, with separate supply of gas to a pilot +jet at the side. + +(b) _Hearson's capsule regulator_ consists of a metal capsule +hermetically sealed and filled with a liquid which boils at the required +temperature, this is adjusted in the interior of the incubator. Soldered +to the upper side of the capsule is a thick piece of metal having a +central cup to receive the lower end of a rigid rod, through which the +movements of the walls of the capsule are transmitted to the gas valve +fixed outside the incubator. + +The gas valve or governor is shown in figure 116. A is the inlet for +gas, C the outlet to burner heating the water jacket, B D a lever +pivoted to standards at G, and acted upon by the capsule, through the +rigid rod which enters the socket below the screw P. + +[Illustration: FIG. 116.--Capsule thermo-regulator.] + +The construction of the valve is such that, whenever the short arm of +the lever B D presses on the disc below the end B, the main supply of +gas is entirely cut off. At such times, however, a very small portion of +gas passes from A to C, through an aperture inside the valve, the size +of which aperture can be adjusted by the screw needle S, hence the gas +flame below the incubator is never extinguished. + +The expansion of the metal walls of the capsule, which takes place upon +the boiling of its contents, provides the motive force, transmitted +through the rigid rod to raise the long arm of the lever B D, and as +this expansion only takes place at a predetermined temperature, the +lever will only be acted upon when the critical temperature is reached, +no sensible effect being produced at even 1 deg. C. below that at which +the capsule is destined to act. + +W is a weight sliding on the lever rod D; by increasing the distance +between the weight and the fulcrum of the lower increased pressure is +brought to bear upon the walls of the capsule with the result that the +boiling-point of the liquid in the capsule is slightly raised, and a +range of about two degrees can thus be obtained with any particular +capsule. + +FOOTNOTES: + +[7] Made by the firm of Chas. Hearson & Co., 235 Regent St., London, W. + + + + +XIV. METHODS OF CULTIVATION. + + +Cultivations of micro-organisms are usually prepared in the laboratory +in one of three ways: + + ~Tube cultures.~ + ~Plate cultures.~ + ~Hanging-drop cultures.~ + +These may be incubated either ~aerobically~ (i. e., in the presence of +oxygen) or ~anaerobically~ (i. e., in the absence of oxygen, or in the +presence of an indifferent gas, such as hydrogen, nitrogen, or carbon +dioxide). + +With regard to the temperature at which the cultivations are grown, it +may be stated as a general rule that all media rendered solid by the +addition of gelatine are incubated at 20 deg. C., or at any rate at a +temperature not exceeding 22 deg. C. (that is, in the "cold" incubator); +whilst fluid media and all other solid media are incubated at 37 deg. C. +(that is, in the "hot" incubator). Exceptions to this rule are numerous. +For instance, in studying the growth of the psychrophylic bacteria, the +yeasts and the moulds, the cold incubator is employed for all media. + +Tube cultivations are usually packed in the incubator in small tin +cylinders, such as those in which American cigarettes are sold, or in +square tin boxes. Beakers or tumblers may be used for the same purpose, +but being fragile are not so convenient. Metal test-tube racks, long +enough to just fit into the interior of the incubator and each +accommodating two rows of tubes, are also exceedingly useful. + + +~AEROBIC.~ + +~The Preparation of Tube Cultivations.~ + + +The preparation of a tube cultivation consists in: + +(a) Inoculating a tube of sterile nutrient medium with a portion of +the material to be examined. + +(b) Incubating the inoculated tube at a suitable temperature. + +The details of the first of these processes must be varied somewhat +according to whether the tubes of nutrient media are inoculated or +"planted" from-- + +1. Pre-existing cultivations. + +2. Morbid material previously collected (_vide_ page 373). + +3. Fluids, tissues, etc., or from the animal body direct. + +The method of preparing tube cultivations from pre-existing cultivations +is as follows: + +[Illustration: FIG. 117.--Inoculating tubes, seen from the front.] + +~1. Fluid Media~ (e. g., Nutrient Bouillon).-- + +1. Flame the cotton-wool plug of the tube containing the cultivation and +also that of the tube of sterile bouillon. + +2. Hold the two tubes, side by side, between the left thumb and the +first and third fingers, allowing the sealed ends to rest on the dorsum +of the hand, and separating the mouths of the tubes (which are pointed +to the right) by the tip of the second finger. Keep the tubes as nearly +horizontal as is possible without allowing the fluid in the bouillon +tube to reach the cotton-wool plug (Fig. 117). + +3. Sterilise the platinum loop and allow it to cool.[8] + +4. Grasp the plug of the tube containing the cultivation between the +little finger and palm of the hand and remove it from the tube. + +5. Grasp the plug of the bouillon tube between the fourth finger and the +ball of the thumb and remove it from the tube. + +6. Pass the platinum loop into the tube containing the culture--do not +allow the loop to touch the sides of the tube, or the handle to touch +the medium--and remove a small portion of the growth; withdraw the loop +from the tube, keeping the infected side of the loop downward. + +7. Pass the loop into the bouillon tube almost down to the level of the +fluid, reverse the loop so that the infected side faces upward, emulsify +the portion of the growth in the moisture adhering to the side of the +tube which is uppermost. Withdraw the loop. + +8. Replug both tubes. + +9. Sterilise the platinum loop. + +10. Label the bouillon tube with (a) the name of the organism and +(b) the date of inoculation. + +11. Incubate. + +~2. Solid Media.~--Solid media are stored in tubes in one of two ways: + +1. Oblique tube or slanted tube (Fig. 118), in which the medium has been +allowed to solidify whilst the tube was retained in an inclined +position, so forming an extensive surface of medium extending from the +bottom of the tube almost to its mouth. + +This is employed for "streak" or "smear" cultivations (_Strichcultur_). + +2. Straight tube (Fig. 119), in which the medium forms a cylindrical +mass in the lower portion of the tube and presents an upper surface +which is at right angles to the long axis of the tube. + +This is employed for "stab" or "stick" cultivations (_Stichcultur_), or +by inoculating the medium whilst fluid, and allowing to solidify in this +position, for "shake" cultivations. + + +_Streak Culture._-- + +1. Flame the plugs, sterilise the platinum loop (or spatula). Open the +tubes and charge the loop as in previous inoculation. + +2. Pass the infected loop to the bottom of the tube to be inoculated and +draw it, as lightly as possible, along the centre of the surface of the +medium, terminating the "streak" over the thin layer of medium near the +mouth of the tube. + +3. Replug the tubes, sterilise the platinum loop. + +4. Label the newly inoculated tube and incubate. + +_Smear Culture._--Proceed generally as in streak culture, but rub the +infected loop all over the surface of the medium, instead of restricting +the inoculation to a narrow line. + + NOTE.--Gelatine and agar oblique tubes should be freshly + "slanted" before use. + + +_Stab Culture._-- + +1. Flame the plugs, open the tubes, sterilise the platinum needle and +charge it with the inoculum as in the previous cultivations. + +2. Pass the platinum needle into the tube to be inoculated until it +touches the centre of the surface of the medium. Now thrust it deeply +into the substance of the medium, keeping the needle as nearly as +possible in the axis of the cylinder of medium. Then withdraw the +needle. + +3. Replug the tubes. Sterilise the platinum needle. + +4. Label the newly planted tube and incubate. + + NOTE.--When gelatine is stored for some time the upper + surface of the cylinder becomes concave owing to + evaporation. Tubes showing this appearance should be + liquefied and again allowed to set before use for stab + culture, otherwise when the needle enters the medium, the + surface tension will cause the gelatine cylinder to split. + +[Illustration: FIG. 118.--Sloped or slanted medium for streak or smear +culture.] + +[Illustration: FIG. 119.--Straight tube.] + +_Shake Culture._-- + +1. Liquefy a tube of nutrient gelatine (or agar, or other similar +medium), by heating in a water-bath (Fig. 121). + +2. Inoculate the liquefied medium and label it, etc., precisely as if +dealing with a tube of bouillon. + +3. Place the newly planted tube in the upright position (e. g., in a +test-tube rack) and allow it to solidify. + +4. Label the tube; when solid, incubate. + + _Esmarch's Roll Cultivation._-- + + 1. Liquefy three tubes of gelatine by heat. + + 2. Prepare three dilutions of the inoculum (as described for + plate cultivations, page 228, steps 4 to 7). + + 3. Roll the tubes, held almost horizontally, in a groove + made in a block of ice, until the gelatine has set in a thin + film on the inner surface of tube (Fig. 120); or under the + cold-water tap. + + [Illustration: FIG. 120. Esmarch's roll culture on block of + ice.] + + In order that the medium may adhere firmly to the glass, the + agar used for roll cultivation should have 1 per cent. + gelatine or 1 per cent. gum arabic added to it before + sterilisation. + + Roll cultivations, which served a most important purpose in + the days before the introduction of Petri dishes for plate + cultivations, are now obsolete in modern laboratories and + are merely mentioned for the benefit of students, since + examiners who are interested in the academic and historical + aspects of bacteriology sometimes expect candidates to be + acquainted with the method of preparing them. + + +The Preparation of Plate Cultures. + +If a small number of bacteria are suspended in liquefied gelatine, agar, +or other similar medium, and the infected medium spread out in an even +layer over a flat surface and allowed to solidify, each individual +micro-organism becomes fixed to a certain spot and its further +development is restricted to the vicinity of this spot. After a variable +interval the growth of this organism becomes visible to the naked eye +as a "colony." This is the principle upon which the method of plate +cultivation is based and its practice enables the bacteriologist to +study the particular manner of development affected by each species of +microbe when growing (a) unrestricted upon the surface of the medium, +(b) in the depths of the medium. The method itself is as follows: + + ~Apparatus Required.~-- + + 1. Tripod levelling stand. + + 2. Large shallow glass dish, with a square sheet of plate + glass to cover it. + + 3. Spirit level. + + 4. Case of sterile Petri dishes. + + 5. Tubes of sterile nutrient media, gelatine (or agar) + previously liquefied by heating in the water-bath and cooled + to 42 deg. C., otherwise the heat of the medium would destroy + many, if not all, of the bacteria introduced. + + 6. Tube of cultivation to be planted from. + + 7. Platinum loop. + + 8. Bunsen burner. + + 9. Grease pencil. + +[Illustration: FIG. 121.--Handy form of water-bath for melting tubes of +agar and gelatine previous to slanting them; or to making shake cultures +or pouring plates.] + + +Method of "Pouring" Plates.-- + +1. Place the glass dish on the levelling tripod (Figs. 122, 123); if +gelatine plates are to be poured fill the dish with ice water--gelatine +solidifies so slowly that it is necessary to hasten the process; if agar +is to be used fill with water at 50 deg. C.--agar sets almost immediately +at the room temperature and by slightly retarding the process lumpiness +is avoided; cover the dish with the square sheet of glass. + +2. Place the spirit level on the sheet of glass and by means of the +levelling screws adjust the surface of the glass to the horizontal. + +This leveling is an important matter since the development of a colony +is to some extent proportionate to the supply of medium available for +its nutrition. Thus in a "smear" on sloped tube culture, the colonies at +the upper part of the medium are stunted and small but increase in size +and luxuriance of growth the nearer they approach to the bottom of the +tube, where there is the greatest depth of medium. + +[Illustration: FIG. 122.--Plate-levelling stand.] + +3. Place three sterile Petri dishes in a row on the surface of the glass +plate and number them 1, 2, and 3, from left to right. + +[Illustration: FIG. 123.--Plate-levelling stand, side view.] + +4. Number the previously liquefied tubes of nutrient media 1, 2, and 3. +Flame the plugs and see that each plug can be readily removed from the +mouth of its tube. + +5. Add one loopful of the inoculum to tube No. 1, treating the +liquefied medium as bouillon. After replugging, grasp the tube near its +mouth by the thumb and first finger of the right hand, and with an even +circular movement of the whole arm, diffuse the inoculum throughout the +medium; avoid jerky movements, as these cause bubbles of air to form in +the medium. + +[Illustration: FIG. 124.--Mixing emulsion for plates.] + +The knack of mixing evenly without producing air bubbles, is not always +easily acquired, by this method. An alternative plan is to hold the +inoculated tube vertically upright between the opposed palms and to +rotate it between them by rapid backward and forward movements of the +two hands (Fig. 124). + +[Illustration: FIG. 125.--Pouring plates.] + +6. Sterilise the platinum loop, and add two loopfuls of diluted inoculum +to tube No. 2, and mix as before. + +7. In a similar manner transfer three loopfuls of liquefied medium from +tube No. 2 to tube No. 3, and mix thoroughly. + +8. Flame the plug of tube No. 1, remove it, then flame the lips of the +tube; slightly raise the cover of Petri dish No. 1, introduce the mouth +of the tube; then, elevating the bottom of the tube, pour the liquefied +medium into the Petri dish, to form a thin layer. Remove the mouth of +the tube and close the "plate." If the medium has failed to flow evenly +over the bottom of the plate, raise the plate from the levelling +platform and by tilting in different directions rectify the fault. + +9. Pour plates No. 2 and No. 3, in a similar manner, from tubes Nos. 2 +and 3. + +10. Label the plates with the distinctive name or number of the +inoculum, also the date; the number of the dilution having been +previously indicated (step 3). + +11. Place in the cool incubator for three or more days, as may be +necessary. + +In this way colonies may be obtained quite pure and separate from each +other. + +In plate No. 1, probably, the colonies will be so numerous and crowded, +and therefore so small, as to render it useless. In plate No. 2 they +will be more widely separated, but usually No. 3 is the plate reserved +for careful examination, as in this the colonies are usually widely +separated, few in number, and large in size. + +_Agar plates_ are poured in a similar manner, but the agar must be +melted in boiling water and then allowed to cool to 45 deg. C. or 42 deg. +C. in a carefully regulated water-bath before being inoculated, and the +entire process must be carried out very rapidly, otherwise the agar will +have solidified before the operation is completed. + + NOTE.--In pouring plates, since tube No. 1 (for the first + dilution) rarely gives a plate that is of any practical + value it is frequently replaced by a tube of bouillon or + sterile salt solution, and in such case plate No. 1 is not + poured. + + +~Surface Plates.~-- + +This method of pouring what may be termed "whole" plates (since colonies +may appear both on the surface and in the depths of the medium) is +essential to the accurate study of the formation of colonies under +various conditions, but when the main object of the separation of the +bacteria is to obtain subcultivations from a number of individual +bacteria, "surface" plates must be prepared, since here colony formation +is restricted to the surface of the medium. The method adopted varies +slightly according to whether the medium employed is gelatine or agar, +or one of the derivatives or variants of the latter. + + +(a) ~Gelatine Surface Plates.~-- + +1. Liquefy three tubes of nutrient gelatine. + +2. Pour each tube into a separate Petri dish and allow it to solidify. +Then turn each plate and its cover upside down. + +[Illustration: FIG. 126.--Surface plate spreader.] + +3. When quite cold raise the bottom of plate 1, revert it and deposit a +drop of the inoculum (whether a fluid culture or an emulsion from solid +culture) upon the surface of the gelatine with a platinum loop--close to +one side of the plate; replace the bottom half of the Petri dish in its +cover. + +4. Take a piece of thin glass rod, stout platinum wire or best of all a +piece of aluminium wire (say 2 mm. diameter) about 28 cm. long. Bend the +terminal 4 cm. at right angles to the remainder, making an L-shaped rod +(Fig. 126). Sterilise the short arm and adjacent portion of the long +arm, in the Bunsen flame, and allow it to cool. + +5. Now raise the bottom of the Petri dish in the left hand, leaving the +cover on the laboratory bench, and holding it vertically, smear the drop +of inoculum all over the surface of the gelatine with the short arm of +the spreader by a rotatory motion, (Fig. 127). Replace the dish in its +cover. + +6. Raise the bottom of plate 2 and rub the infected spreader all over +the surface of the gelatine--then go on in like manner to the third +plate in the series. + +7. Sterilise the spreader. + +8. Label and incubate the plates. + +[Illustration: FIG. 127.--Spreading surface plate.] + +After incubation, plate No. 1 will probably yield an enormous number of +colonies; plate 2 will show fewer colonies, since only those bacteria +adhering to the rod after rubbing over plate 1 would be deposited on its +surface, and by the time the rod reached plate 3 but very few organisms +should remain upon it. So that the third plate as a rule will only show +a very few scattered colonies, eminently suitable for detailed study. + + +(b) ~Agar Surface Plates.~-- + +1. Liquefy three tubes of nutrient agar--nutrose agar or the like. + +2. Pour each tube into a separate Petri dish and allow it to solidify. + +3. When quite solid invert each dish, raise the bottom half and rest it +obliquely on its inverted cover (Fig. 128) and place it in this position +in an incubator at 60 deg. C. for forty-five minutes (or in an incubator +at 42 deg. C. for two hours). This evaporates the water of condensation +and gives the medium a firm, dry surface. + +4. On removing the plates from the incubator close each dish and place +it--still upside down--on the laboratory bench. + +[Illustration: FIG. 128.--Drying surface plate of agar.] + +5. Inoculate the plates in series of three, as described for gelatine +surface plates 3-8. + + +Hanging-drop Cultivation. + + ~Apparatus Required.~-- + + Hanging-drop slides. + Cover-slips. + Section rack (Fig. 75). + Blotting paper. + Bell glass to cover slides. + Original culture. + Tubes of broth, or liquefied gelatine or agar. + Forceps. + Platinum loop. + Bunsen burner. + Grease pencil. + Sterile vaseline. + Lysol. + + +(a) ~Fluid Media.~-- + +1. Prepare first and second dilutions of the inoculum as directed for +plate cultivations (_vide_ pages 228-229, sections 4 to 6), substituting +tubes of nutrient broth for the liquefied gelatine. + +2. Sterilise a hanging-drop slide by washing thoroughly in water and +drying, then plunging it into a beaker of absolute alcohol, draining off +the greater part of the spirit, grasping the slide in a pair of forceps, +and burning off the remainder of the alcohol in the flame. + +3. Place the hanging-drop slide on a piece of blotting paper moistened +with 2 per cent. lysol solution and cover it with a small bell glass +that has been rinsed out with the same solution and _not dried_. + +4. Raise the bell glass slightly and smear sterile vaseline around the +rim of the metal cell by means of a sterile spatula of stout platinum +wire. + +5. Remove a clean cover-slip from the alcohol pot with sterile forceps +and burn off the alcohol; again raise the bell glass and place the +sterile cover-slip on the blotting paper by the side of the hanging-drop +slide. + +6. Remove a drop of the broth from the second dilution tube with a large +platinum loop; raise the bell glass and deposit the drop on the centre +of the cover-slip. Sterilise the loop. + +7. Raise the bell glass sufficiently to allow of the cover-slip being +grasped with forceps, inverted, and adjusted over the cell of the +hanging-drop slide. Remove the bell glass altogether and press the +cover-slip firmly on to the cell. + +8. Either incubate and examine at definite intervals, or observe +continuously with the microscope, using a warm stage if necessary (Fig. +53). + +(b) ~Solid Media.~--Observing precisely similar technique, a few drops of +liquefied gelatine or agar from the second dilution tube may be run over +the surface of the sterile cover-slip and a hanging-drop plate +cultivation thereby prepared. + +This method is extremely useful in connection with the study of yeasts, +when the circular cell on the hanging-drop slide should be replaced by a +rectangular cell some 38 by 19 mm., and the gelatine spread over a +cover-slip of similar size. After sealing down the preparation, the +upper surface of the cover-slip may be ruled into squares by the aid of +the grease pencil or a writing diamond and numbered to facilitate the +subsequent identification of the colonies which are observed to develop +from solitary germs. + + +~Hanging-block Culture~ (Hill).-- + +_Apparatus required_: As for hanging-drop cultivation with the addition +of a scalpel. + +Carry out the method as far as possible under cover of a bell glass, to +avoid aerial contamination. + +1. Liquefy a tube of nutrient agar (or gelatine) and pour into a Petri +dish to the depth of about 4 mm. and allow to set. + +2. With a sharp scalpel cut out a block some 8 mm. square, from the +entire thickness of the agar layer. + +3. Raise the agar block on the blade of the scalpel and transfer it, +under side down, to the centre of a sterile slide. + +4. Spread a drop of fluid cultivation (or an emulsion of growth from a +solid medium) over the upper surface of the agar block as if making a +cover-slip film. + +5. Place the slide and block covered by the bell glass in the incubator +at 37 deg. C. for ten minutes to dry slightly. + +6. Take a clean dry sterile cover-slip in a pair of forceps, and with +the help of a second pair of forceps lower it carefully on the +inoculated surface of the agar (avoiding air bubbles), so as to leave a +clear margin of cover-slip overlapping the agar block. + +7. Invert the preparation and with the blade of the scalpel remove the +slide from the agar block. + +8. With a platinum loop run a drop or two of melted agar around the +edges of the block. This solidifies at once and seals the block to the +cover-slip. + +9. Prepare a sterile hanging-drop slide, and smear hard vaseline or +melted white wax on the rim of the metal cell. + +10. Invert the cover-slip with the block attached on to the hanging-drop +slide, and seal the cover-slip firmly in place. + +11. Observe as for hanging-drop cultivations. + + +ANAEROBIC CULTIVATIONS. + +Numerous methods have been devised for the cultivation of anaerobic +bacteria, the majority requiring the employment of special apparatus. +The principle upon which any method is based and upon which it depends +for its success falls under one or another of the following headings: + +(a) ~Exclusion of air~ from the cultivation. + +(b) ~Exhaustion of air~ from the vessel containing the cultivation by +means of an air pump--i. e., cultivation _in vacuo_. + +(c) ~Absorption of oxygen~ from the air in contact with the cultivation +by means of pyrogallic acid rendered alkaline with caustic soda--i. e., +cultivation in an atmosphere of nitrogen. + +(d) ~Displacement of air~ by an indifferent gas, such as hydrogen or coal +gas--i. e., cultivation in an atmosphere of hydrogen. + +(e) A combination of two or more of the above methods. + +A selection of the simplest and most generally useful methods is given +here. + +Whenever possible, the nutrient media that are employed in any of the +processes should contain some easily oxidisable substance, such as +sodium formate (0.4 per cent.) or sodium sulphindigotate (0.1 per +cent.), which will absorb all the available oxygen held in solution by +the medium. The further addition of glucose, 2 per cent., favors the +growth of anaerobic bacteria (_vide_, pages 189-190). + +Further, it is advisable to seal all joints between india-rubber +stoppers and tubulures or the mouths of the tubes with melted paraffin; +glass stoppers and taps should be lubricated with resin ointment or a +mixture of beeswax 1 part, olive oil 4 parts. + + +(A) ~Method I~ (Hesse's Method).-- + +1. Make a stab culture in gelatine or agar, choosing for the purpose a +straight tube containing a deep column of medium, and thrusting the +inoculating needle to the bottom of the tube. + +2. Pour a layer of sterilised oil (olive oil, vaseline, or petroleum), 1 +or 2 cm. deep, upon the surface of the medium. + +3. Incubate. + + +~Method II.~--This method is only available when dealing with pure +cultivations. + +1. Liquefy a tube of gelatine (or agar) by heat, pour it into a Petri +dish, and allow it to solidify. + +2. Inoculate the surface of the medium in one spot only. + +3. Remove a cover-slip from the pot of absolute alcohol with sterile +forceps; burn off the alcohol in the gas flame. + +4. Lower the now sterile cover-slip carefully on to the inoculated +surface of the medium, carefully excluding air bubbles, and press it +down firmly with the points of the forceps. (A sterile disc of mica may +be substituted for the cover-slip.) + +5. Incubate. + + +~Method III~ (Roux's Physical Method).-- + +1. Prepare tube cultures of fluid media (or solid media rendered fluid +by heat) in the usual way. + +2. Aspirate some of the inoculated media into capillary pipettes. + +3. Seal both ends of each pipette in the blowpipe flame. + +4. Incubate. + + +~Method IV~ (Roux's Biological Method).-- + +1. Plant a deep stab, as in method I. + +2. Pour a layer, 1 or 2 cm. deep, of broth cultivation of a vigourous +aerobe--e. g., B. aquatilis sulcatus or B. prodigiosus--upon the +surface of the medium; or an equal depth of liquefied gelatine, which is +then inoculated with the aerobic organism. + +3. Incubate. + +The growth of the aerobe will use up all the oxygen that reaches it and +will not allow any to pass through to the medium below, which will +consequently remain in an anaerobic condition. + + +(B) ~Method V.~-- + +1. Prepare tube or flask cultivations in the usual way. + +2. Replace the cotton-wool plug by an india-rubber stopper perforated +with one hole and fitted with a length of glass tubing which has a +constriction about 3 cm. above the stopper and is then bent at right +angles (Fig. 129). The stopper and glass tubing are sterilised by being +boiled in a beaker of water for five minutes. + +[Illustration: FIG. 129.--Vacuum culture.] + +3. Connect the tube leading from the culture vessel with a water or air +pump, interposing a Wulff's bottle fitted as a wash-bottle and +containing sulphuric acid. + +4. Exhaust the air from the culture vessel. + +5. Before disconnecting the apparatus, seal the glass tube from the +culture vessel at the constriction, using the blowpipe flame. + +6. Incubate. + + +(C) ~Method VI~ (Buchner's Method). + +~Apparatus and Solutions Required.~-- + + Buchner's tube (a stout glass test-tube 23 cm. long and 4 + cm. in diameter, fitted with india-rubber stopper, Fig. + 130). + + Pyrogallic acid in compressed tablets each containing 1 + gram. + + Dekanormal solution of caustic soda. + +METHOD.-- + +1. Prepare the tube cultivation in the usual way. + +2. Moisten the india-rubber stopper of the Buchner's tube with water and +see that it fits the mouth of the tube accurately. + +3. Remove the stopper from the caustic soda bottle. + +4. Drop one of the pyrogallic acid tablets[9] into the Buchner's tube +(roughly, use 1 gramme pyrogallic acid for every 100 c.c. air capacity +of the receiving vessel). + +5. Add about 1 c.c. of the soda solution. + +6. Place the inoculated tube inside the Buchner's tube. The pyrogallic +tablet acts as a buffer and prevents damage to either the inoculated +tube or the Buchner's tube even should it be slipped in hurriedly. + +7. Fit the india-rubber stopper tightly into the mouth of the Buchner's +tube. + +[Illustration: FIG. 130.--Buchner's tube.] + +The pyrogallic acid tablet dissolves slowly in the soda solution and its +oxidation proceeds very slowly at first so that ample time is available +when this method is adopted. + +8. Restopper the caustic soda bottle. + +9. Place Buchner's tube in a wire support, and incubate. + + +~Method VII~ (Wright's Method).-- + +1. Prepare tube cultivation in the usual way. + +2. Cut off that portion of the cotton-wool plug projecting above the +mouth of the tube with scissors, then push the plug into the tube for a +distance of 2 or 3 cm. + +3. By means of a pipette drop about 1 c.c. of pyrogallic acid 10 per +cent. aqueous solution on to the plug. It will immediately be absorbed +by the cotton-wool. + +4. With another pipette run in an equal quantity of the caustic soda +solution. + +5. Quickly close the mouth of the tube with a tightly fitting +india-rubber stopper. + +6. Incubate. + +[Illustration: FIG. 131.--McLeod's anaerobic plate base with half petri +dish inverted _in situ_] + + +~Method VIII~ (McLeod's Method).-- + +~Apparatus and Solutions Required.~-- + + McLeod's plate base (a hollow glazed earthenware disc 9 cm. + in diameter and 2 cm. deep: the upper surface is pierced by + a central hole, 2 cm. in diameter, giving access to the + interior, the lower part of which is divided into two by a + low partition. A shallow groove encircles the upper surface + near to the edge). + + Plasticine. + Pyrogallic acid (1 gramme) compressed tablets. + Sodic hydroxide (0.4 gramme) compressed tablets. + Wash bottle of distilled water. + Surface plates of one or other agar medium (in petri dishes + of 8 cm. diameter). + Surface plate spreader. + +METHOD.-- + +1. Roll out a long cylinder of plasticine and fit it into the groove on +the upper surface of the earthenware base. + +2. Place a tablet of pyrogallic acid in one division of the interior of +the plate base, and two tablets of sodic hydroxide in the other. + +3. Prepare surface plate culture of the organism to be cultivated. + +4. Run a few cubic centimetres of distilled water into that division of +the plate base containing the sodic hydroxide. + +5. Invert the bottom half of the surface plate over the plate base and +press its edges firmly down into the plasticine filling the groove. + +6. Label and incubate. + + +(D) ~Method IX.~-- + +~Apparatus Required.~-- + + Small Ruffer's or Woodhead's flask (Fig. 33). + Sterile india-rubber stopper. + India-rubber tubing. + Glass tubing. + Metal screw clips. + Cylinder of compressed hydrogen; or hydrogen gas apparatus + +METHOD.-- + +1. Sterilise a glass vessel, shaped as in a Ruffer's or Woodhead's +flask, in the hot-air oven. (The tubulure and the side tubes are plugged +with cotton-wool.) After sterilisation, fix a short piece of rubber +tubing occluded by a metal clip to each side tube. + +2. Inoculate a large quantity (e. g., 200 c.c.) of the medium. Where +solid media are employed they must first be liquefied by heat. + +3. Remove the cotton-wool plug from the tubulure and pour the inoculated +medium into the glass vessel. + +4. Close the tubulure by means of an india-rubber stopper previously +sterilised by boiling in a beaker of water. + +[Illustration: FIG. 132.--Kipp's hydrogen apparatus, (a) connected up +to two washing bottles containing (b) lead acetate 10 per cent. +solution, to remove H_{2}S and (c) silver nitrate solution to remove +AsH_{3}. A third washing bottle containing pyrogallic acid 10 per cent. +solution, rendered alkaline, to remove any trace of oxygen, is sometimes +introduced.] + +[Illustration: FIG. 133.--Improved gas apparatus; the metal is contained +in a perforated glass tube which is submerged in acid when the +triangular bottle is upright (a), but is above the level of the liquid +when the bottle is turned on its side (b).] + +5. Connect up the india-rubber tubing on one of the side tubes with a +cylinder of compressed hydrogen (or the delivery tube of a Kipp's Fig. +132 or other hydrogen apparatus, Fig. 133), interposing a short piece of +glass tubing; and in like manner connect a long piece of rubber tubing +which should be led into a basin of water, to the opposite side tube. + +6. Open both metal clips and pass hydrogen through the vessel until the +atmospheric air is replaced by hydrogen. This is determined by +collecting some of the gas which bubbles through the water in the basin +in a test-tube and testing it by means of a lighted taper. + +7. Close the metal clip on the tube through which the gas is entering; +close the clip on the exit tube. + +8. Disconnect the gas apparatus. + +9. Incubate. + + +~Method X~ (Botkin's Method).-- + +~Apparatus Required.~-- + + Large glass dish 20 cm. diameter and 8 cm. deep. Flat leaden + cross slightly shorter than the internal diameter of the glass dish. + Bell glass about 15 cm. diameter and 20 to 25 cm. high. + Metal frame for plate cultivations. + _Or_, glass battery jar for tube cultivations. + Cylinder of compressed hydrogen. + Rubber tubing. + Two pieces of ~U~-shaped glass tubing (each arm 8 cm. in length). + Half a litre of glycerine (or metallic mercury). + +METHOD.-- + +1. Place the leaden cross inside the glass dish, resting on the bottom. + +2. Prepare the cultivations in the usual way. + +3. Place the tube cultivations in a glass battery jar (or the plate +cultivations on a metal frame), resting on the centre of the leaden +cross. + +4. Cover the cultivations with the bell jar. + +5. Adjust the U-shaped pieces of glass tubing in a vertical position on +opposite sides of the bell jar, one arm of each inside the jar, the +other outside. These tubes are best held in position by embedding the +U-shaped bends in two lumps of plasterine stuck on the bottom of the +glass dish. Fix a short length of rubber tubing clamped with a metal +clip to each of the outside arms (Fig. 134). + +6. Fill the glass dish with glycerine or metallic mercury to a depth of +about 5 cm. + +[Illustration: FIG. 134.--Botkin's apparatus.] + +7. Connect up one U-shaped tube with the hydrogen cylinder (or gas +apparatus) by means of rubber tubing. Replace the atmospheric air by +hydrogen, as in method IX. + +8. Clamp the tubes and disconnect the gas apparatus. + +9. Incubate. + + +~Method XI~ (Novy's Method).-- + +~Apparatus Required.~-- + + Jar for plate cultivations (Fig. 135). + _Or_, jar for tube cultivations (Fig. 136). + Lubricant for stopper of jar. + Rubber tubing. + Cylinder of compressed hydrogen. + +METHOD.-- + +1. Prepare cultivations in the usual way. + +2. Place these inside the jar. + +3. Lubricate the stopper and insert it in the mouth of the jar, with the +handle in a line with the two side tubes. + +4. Connect up the delivery tube a with the hydrogen gas supply by +means of rubber tubing. + +[Illustration: FIG. 135.--Novy's jar for plate cultivations.] + +[Illustration: FIG. 136.--Novy's jar for tube cultivations.] + +5. Attach a piece of rubber tubing to the exit tube b and collect +samples of the issuing gas (over water) and test from time to time. + +6. When the air is completely displaced by hydrogen, turn the handle of +the stopper at right angles to the line of entry and exit tubes; this +seals the orifice of both tubes. + +7. Disconnect the gas apparatus and incubate. + + +(E) ~Method XII~ (Bulloch's Method).-- + +~Apparatus Required.~-- + + Bulloch's jar. + Pot of resin ointment. + Small glass dish 14 cm. diameter by 5 cm. deep. + Vessel for tube cultures or metal rack for plate cultures. + Pyrogallic acid tablets. + Cylinder of compressed hydrogen. + Geryk or other air pump. + Rubber pressure tubing. + 10 c.c. pipette. + Glass tubing. + Dry granulated caustic soda or compressed tablets each, containing + 0.4 grammes sodic hydroxide. + Small beaker of water. + +METHOD.-- + +1. Prepare the cultivations in the usual way. + +2. Place the glass dish in the centre of the glass slab, and stand the +cultivations inside this. + +3. Place a sufficient number of pyrogallic acid tablets at one side of +the glass dish (i. e., 1 tablet for each 100 cubic centimeters air +capacity of the bell jar). Place a small heap of dry granulated soda (or +half a dozen tablets of sodic hydroxide) by the side of the pyro +tablets. + +4. Smear the flange of the bell jar with resin ointment and apply the +jar firmly to the glass slab, covering the cultivations--so arranged +that the long tube passes with its lower end into the glass dish at a +point directly opposite to the pyrogallic acid tablets. Lubricate the +two stop-cocks with resin ointment (Fig. 137). + +5. Connect up the short tube a with the gas-supply by means of rubber +pressure tubing and open both stop-cocks. + +6. Connect a long, straight piece of glass tubing to the long tube b +by means of a piece of rubber tubing interposing a screw clamp: and +collect samples of the issuing gas from time to time and test. + +7. When the air is displaced, shut off the stop-cock of the entry tube, +then that of the exit tube b. Screw down the clamp and remove the +glass tube from the rubber connection and connect up the short tube a +to the air pump by means of pressure tubing. + +8. Open the stop-cock of tube a and with two or three strokes of the +air pump, aspirate a small quantity of gas, so creating a slight vacuum. +Then shut off the stop-cock and disconnect the air pump. + +9. Fill the 10 c.c. bulb pipette with water; insert its point into the +rubber tubing on the long tube b as far as the screw clamp. Open the +screw clamp and run in water until stopped by the internal pressure. +Shut off stop-cock. (The water dissolves the soda and pyrogallic acid +converting the latter into alkaline pyro. and so bringing its latent +capacity for oxygen into action). + +[Illustration: FIG. 137.--Bulloch's jar.] + +10. Reverse the tubes from the tubulures so that they meet, out of +harm's way, over the top of the bell glass; again see that all joints +are tight and transfer the apparatus to the incubator. + +This last method is the most satisfactory for anaerobic cultivations, as +by its means complete anaerobiosis can be obtained with the least +expenditure of time and trouble. + +FOOTNOTES: + +[8] See also method of opening and closing culture tubes, pages 74-76. + +[9] If compressed tablets of pyrogallic acid cannot be obtained make up +a stock "acid pyro" solution + + Pyrogallic acid, 10 grammes + Hydrochloric acid, 1.5 c.c. + Distilled water, 100 c.c. + +and at step 4, run in 10 c.c. of the solution. + + + + +XV. METHODS OF ISOLATION. + + +The work in the preceding sections, arranged to demonstrate the chief +biological characters of bacteria in general, is intended to be carried +out by means of cultivations of various organisms previously isolated +and identified and supplied to the student in a state of purity. A +cultivation which comprises the progeny of a single cell is termed a +"pure culture"; one which contains representatives of two or more +species of bacteria is spoken of as an "impure," or "mixed" +"cultivation," and it now becomes necessary to indicate the chief +methods by which one or more organisms may be isolated in a state of +purity from a mixture; whether that mixture exists as an impure +laboratory cultivation, or is contained in pus and other morbid +exudations, infected tissues, or water or food-stuffs. + +[Illustration: FIG. 138.--Haematocytometer cell, showing, a, section +through the centre of the cell, and b, a magnified image of the cell +rulings.] + +Before the introduction of solid media the only method of obtaining pure +cultivations was by "dilution"--by no means a reliable method. +"Dilution" consisted in estimating approximately the number of bacteria +present in a given volume of fluid (by means of a graduated-celled slide +resembling a haematocytometer, Fig. 138), and diluting the fluid by the +addition of sterile water or bouillon until a given volume (usually 1 +c.c.) of the dilution contained but one organism. By planting this +volume of the fluid into several tubes or flasks of nutrient media, it +occasionally happened that the resulting growth was the product of one +individual microbe. A method so uncertain is now fortunately replaced by +many others, more reliable and convenient, and in those methods selected +for description here, the segregation and isolation of the required +bacteria may be effected-- + +A. ~By Mechanical Separation.~ + +1. By surface plate cultivation: + + (a) Gelatine. + (b) Agar. + (c) Serum agar. + (d) Blood agar. + (e) Hanging-drop or block. + +[2. By Esmarch's roll cultivation: + +This archaic method (see page 226) is no longer employed for the +isolation of bacteria.] + +3. By serial cultivation. + +B. ~By Biological Differentiation.~ + +4. By differential media. + + (a) Selective. + (b) Deterrent. + +5. By differential incubation. + +6. By differential sterilisation. + +7. By differential atmosphere cultivation. + +8. By animal inoculation. + +The selection of the method to be employed in any specific instance will +depend upon a variety of circumstances, and often a combination of two +or more will ensure a quicker and more reliable result than a rigid +adherence to any one method. Experience is the only reliable guide, but +as a general rule the use of either the first or the third method will +be found most convenient, affording as each of them does an opportunity +for the simultaneous isolation of several or all of the varieties of +bacteria present in a mixture. + +~1. Surface Plate Cultivations.~-- + +(a) _Gelatine_ (_vide_ page 164). + +(b) _Agar_ (_vide_ page 167). + +(c) _Alkaline serum agar_ (_vide_ page 211). + +These plates are prepared in a manner precisely similar to that adopted +for nutrient gelatine and agar surface plates (_vide_ pages 231-233). + +(d) _Serum Agar._-- + +1. Melt three tubes of nutrient agar, label them 1, 2, and 3, and place +them, with three tubes of sterile fluid serum, also labelled 1a, 2a, +and 3a, in a water-bath regulated at 45 deg. C.; allow sufficient time to +elapse for the temperature of the contents of each tube to reach that of +the water-bath. + +2. Take serum tube No. 1a and agar tube No. 1. Flame the plugs and +remove them from the tubes (retaining the plug of the agar tube in the +hand); flame the mouths of the tubes, pour the serum into the tube of +liquefied agar and replace the plug of the agar tube. + +3. Mix thoroughly and pour plate No. 1 _secundum artem_. + +4. Treat the remaining tube of agar and serum in a similar fashion, and +pour plates Nos. 2 and 3. + +5. Dry the serum agar plates in the incubator running at 60 deg. C. for +one hour (see page 232). + +6. Inoculate the plates in series as described for gelatine surface +plates (page 231). + +(e) _Blood Agar, Human._-- + +1. Melt a tube of sterile agar and pour it into a sterile plate; let it +set. + +2. Collect a few drops of human blood, under all aseptic conditions, in +a sterile capillary teat pipette. + +3. Raise the cover of the Petri dish very slightly, insert the extremity +of the capillary pipette, and deposit the blood on the centre of the +agar surface. Close the dish. + +4. Charge a platinum loop with a small quantity of the inoculum. Raise +the cover of the plate, introduce the loop, mix its contents with the +drop of blood, remove the loop, close the dish and sterilise the loop. + +5. Finally smear the mixture over the surface of the agar with a +sterilised L-shaped rod. + +6. Label and incubate. + +(If considered necessary, two, three, or more similar plates may be +inoculated in series.) + +(f) _Blood Agar, Animal._-- + +When preparing citrated blood agar (page 171) it is always advisable to +pour several blood agar tubes into plates, which can be stored in the +ice chest ready for use at any moment for surface plate cultures. + +(g) Hanging-drop or block culture, (_vide_ page 233). + +~3. Serial Cultivations.~--These are usually made upon agar or +blood-serum, although gelatine may also be used. + +The method is as follows: + +1. Take at least four "slanted" tubes of media and number them +consecutively. + +2. Flame all the plugs and see that each can be readily removed. + +3. Charge the platinum loop with a small quantity of the inoculum, +observing the usual routine, and plant tube No. 1, smearing thoroughly +all over the surface. If any water of condensation has collected at the +bottom of the tube, use this as a diluent before smearing the contents +of the loop over the surface of the medium. + +4. Without sterilising or recharging the loop, inoculate tube No. 2, by +making three parallel streaks from end to end of the slanted surface. + +5. Plant the remainder of the tubes in the series as "smears" like tube +No. 1. + +6. Label with distinctive name or number, and date; incubate. + +The growth that ensues in the first two or three tubes of the series +will probably be so crowded as to be useless. Toward the end of the +series, however, discrete colonies will be found, each of which can be +transferred to a fresh tube of nutrient medium without risk of +contamination from the neighbouring colonies. + + +~"Working" up Plates.~-- + +Having succeeded in obtaining a plate (or tube cultivation) in which the +colonies are well grown and sufficiently separated from each other, the +process of "working up," "pricking out," or "fishing" the colonies in +order to obtain subcultures in a state of purity from each of the +different bacteria present must now be proceeded with. + +Occasionally it happens that this is quite a simple matter. For example, +the original mixed cultivation when examined microscopically was found +to contain a Gram positive micrococcus, a Gram positive straight +bacillus and a Gram negative short bacillus. The third gelatine plate +prepared from this mixture, on inspection after four day's incubation, +showed twenty-five colonies--seven moist yellow colonies, each sinking +into a shallow pit of liquefied gelatine, fourteen flat irridescent +filmy colonies, and four raised white slimy colonies. A film preparation +(stained Gram) from each variety examined microscopically showed that +the yellow liquefying colony was composed of Gram positive micrococci; +the flat colony of Gram positive bacilli and the white colony of gram +negative bacilli. One of each of these varieties of colonies would be +transferred by means of the sterilised loop to a fresh gelatine culture +tube, and after incubation the growth in each subculture would +correspond culturally and microscopically with that of the plate colony +from which it was derived,--the object aimed at would therefore be +achieved. + +Usually, however, the colonies cannot be thus readily differentiated, +and unless they are "worked up" in an orderly and systematic manner much +labour will be vainly expended and valuable time wasted. The following +method minimises the difficulties involved. + + +(A) Inspection. + +a. Without opening the plate carefully study the various colonies with +the naked eye, with the assistance of a watchmaker's lens or by +inverting the plate on the stage of the microscope and viewing with the +1-inch objective through the bottom of the plate and the layer of +medium. + +b. If gross differences can be detected mark a small circle on the +bottom of the plate around the site of each of the selected colonies, +with the grease pencil. + +c. If no obvious differences can be made out choose nine colonies +haphazard and indicate their positions by pencil marks on the bottom of +the plate. + + +(B) Fishing Colonies.-- + +a. Take a sterile Petri dish and invert it upon the laboratory bench. +Rule two parallel lines on the bottom of the dish with a grease pencil, +and two more parallel lines at right angles to the first pair--so +dividing the area of the dish into nine portions. Number the top +right-hand portion 1, and the central bottom portion 8 (Fig. 139). +Revert the dish. The numbers 1 and 8 can be readily recognised through +the glass and by their positions enable any of the other divisions to be +localised by number. This is the stock dish. + +b. Slightly raise the cover of the dish, and with a sterile +teat-pipette deposit a small drop of sterile water in the centre of each +of the nine divisions. + +c. With the sterilised platinum spatula raise one of the marked +colonies from the "plate 3" and transfer it to the first division in the +ruled plate and emulsify it in the drop of water awaiting it. Repeat +this process with the remaining colonies, emulsifying a separate colony +in each drop of water. + + +(C) Preliminary Differentiation of Bacteria.-- + +a. Prepare a cover-slip film preparation from each drop of emulsion in +the "stock dish" and number to correspond to the division from which it +was taken. Stain by Gram's method. + +b. Examine microscopically, using the oil immersion lens and note the +numbers of those cover-slips which morphologically and by Gram results +appear to be composed of different species of bacteria. + +[Illustration: FIG. 139.--Diagram for stock plate.] + + +(D) Preparing Isolation Subcultures.-- + +a. Inoculate an agar slope and a broth tube from the emulsion in the +stock dish corresponding to each of these specially selected numbers. + +b. Ascertain whether the cover-slips from the nine emulsions in the +stock dish include all the varieties represented in the cover-slip film +preparation made from the original mixture before plating. + +c. If some varieties are missing prepare a second stock dish from +other colonies on plate 3, and repeat the process until each +morphological form or tinctorial variety has been secured in subculture. + +_d._ Place the stock dishes in the ice chest to await the results of +incubation. (If any of the subcultures fail, further material can be +obtained from the corresponding emulsion; or if it has dried, by +moistening it with a further drop of sterile distilled water.) + +_e._ Incubate all the subcultures and identify the organisms picked out. + + +4. Differential Media.-- + +(a) _Selective._--Some varieties of media are specially suitable for +certain species of bacteria and enable them to overgrow and finally +choke out other varieties; e. g., wort is the most suitable +medium-base for the growth of torulae and yeasts and should be employed +when pouring plates for the isolation of these organisms. To obtain a +pure cultivation of yeast from a mixture containing bacteria as well, it +is often sufficient to inoculate wort from the mixture and incubate at +37 deg. C. for twenty-four hours. Plant a fresh tube of wort from the +resulting growth and incubate. Repeat the process once more, and from +the growth in this third tube plant a streak on wort gelatine, and +incubate at 20 deg. C. The resulting growth will almost certainly be +a pure culture of the yeast. + +(b) _Deterrent._--The converse of the above also obtains. Certain +media possess the power of inhibiting the growth of a greater or less +number of species. For instance, media containing carbolic acid to the +amount of 1 per cent. will inhibit the growth of practically everything +but the Bacillus coli communis. + + +~5. Differential Incubation.~-- + +In isolating certain bacteria, advantage is taken of the fact that +different species vary in their optimum temperature. A mixture +containing the Bacillus typhosus and the Bacillus aquatilis sulcatus, +for example, may be planted on two slanted agar tubes, the one incubated +at 40 deg. C., and the other at 12 deg. C. After twenty-four hours' +incubation the first will show a pure cultivation of the Bacillus +typhosus, whilst the second will be an almost pure culture of the +Bacillus aquatilis. + + +6. Differential Sterilisation.-- + +(a) _Non-sporing Bacteria._--Similarly, advantage may be taken of the +varying thermal death-points of bacteria. From a mixture of two +organisms whose thermal death-points differ by, say, 4 deg. C.--e. g., +Bacillus pyocyaneus, thermal death-point 55 deg. C., and Bacillus +mesentericus vulgatus, thermal death-point 60 deg. C.--a pure cultivation +of the latter may be obtained by heating the mixture in a water-bath to +58 deg. C. and keeping it at that point for ten minutes. The mixture is +then planted on to fresh media and incubated, when the resulting growth +will be found to consist entirely of the B. mesentericus. + +(b) _Sporing Bacteria._--This method finds its chief practical +application in the differentiation of a spore-bearing organism from one +which does not form spores. In this case the mixture is heated in a +water-bath at 80 deg. C. for fifteen to twenty minutes. At the end of this +time the non-sporing bacteria are dead, and cultivations made from the +mixture will yield a growth resulting from the germination of the spores +only. + +Differential sterilisation at 80 deg. C. is most conveniently carried out +in a water-bath of special construction, designed by Balfour Stewart (Fig. +140). It consists of a double-walled copper vessel mounted on legs, and +provided with a tubulure communicating with the space between the walls. +This space is nearly filled with benzole (boiling-point 80 deg. C.; pure +benzole, free from thiophene must be employed for the purpose, otherwise +the boiling-point gradually and perceptibly rises in the course of +time), and to the tubulure is fitted a long glass tube, some 2 metres +long and about 0.75 cm. diameter, serving as a condensing tube (a tube +half this length if provided with a condensing bulb at the centre will +be equally efficient). The interior of the vessel is partly filled with +water and covered with a lid which is perforated for a thermometer. This +latter dips into the water and records its temperature. A very small +Bunsen flame under the apparatus suffices to keep the benzole boiling +and the water within at a constant temperature of 80 deg. C. The bath is +thus always ready for use. + +METHOD.--To use the apparatus. + +1. Place some of the mixture itself, if fluid, containing the spores, or +an emulsion of the same if derived from solid material, in a test-tube. + +2. Immerse the test-tube in the water contained in the benzole bath, +taking care that the upper level of the liquid in the tube is at least 2 +cm. beneath the surface of the water in the copper vessel. + +3. The temperature of the water, of course, falls a few degrees after +opening the bath and introducing a tube of colder liquid, but after a +few minutes the temperature will have again reached 80 deg. C. + +4. When the thermometer again records 80 deg. C., note the time, and +fifteen minutes later remove the tube containing the mixture from the +bath. + +5. Make cultures upon suitable media; incubate. + +[Illustration: FIG. 140.--Benzole bath.] + + +7. Differential Atmosphere Cultivation.-- + +(a) By adapting the atmospheric conditions to the particular organism +it is desired to isolate, it is comparatively easy to separate a strict +aerobe from a strict anaerobe, and _vice versa_. In the first case, +however, it is important that the cultivations should be made upon +solid media, for if carried out in fluid media the aerobes multiplying +in the upper layers of fluid render the depths completely anaerobic, and +under these conditions the growth of the anaerobes will continue +unchecked. + +(b) When it is desired to separate a facultative anaerobe from a +strict anaerobe, it is generally sufficient to plant the mixture upon +the sloped surface agar, incubate aerobically at 37 deg. C., and examine +carefully at frequent intervals. At the first sign of growth, +subcultivations must be prepared and treated in a similar manner. As a +result of these rapid subcultures, the facultative anaerobe will be +secured in pure culture at about the third or fourth generation. + +(c) If, on the other hand, the strict anaerobe is the organism +required from a mixture of facultative and strict anaerobes, pour plates +of glucose formate agar (or gelatine) in the usual manner, place them in +a Bulloch's or Novy's jar, and incubate at a suitable temperature. Pick +off the colonies of the required organism when the growth appears, and +transfer to tubes of the various media. + +Incubate under suitable conditions as to temperature and atmosphere. + + +~8. Animal Inoculation.~-- + +Finally, when dealing with pathogenic organisms, it is often advisable +to inoculate some of the impure culture (or even some of the original +_materies morbi_) into an animal specially chosen on account of its +susceptibility to the particular pathogenic organism it is desired to +inoculate. Indeed, with some of the more sensitive and strictly +parasitic bacteria this method of animal inoculation is practically the +only method that will yield a satisfactory result. + + + + +XVI. METHODS OF IDENTIFICATION AND STUDY. + + +In order to identify an organism after isolation, tube, plate, and other +cultivations must be prepared, incubated under suitable conditions as to +temperature and environment, and examined from time to time (a) +~macroscopically~, (b) by ~microscopical methods~, (c) by ~chemical +methods~, (d) by ~physical methods~, (e) by ~inoculation methods~, and +the results of these examinations duly recorded. + +It must be stated definitely that no micro-organism can be identified by +any _one_ character or property, whether microscopical, biological or +chemical, but that on the contrary its entire life history must be +carefully studied and then its identity established from a consideration +of the sum total of these observations. + +In order to give to the recorded results their maximum value it is +essential that they should be exact and systematic, therefore some such +scheme as the following should be adhered to; and especially is this +necessary in describing an organism not previously isolated and studied. + + +SCHEME OF STUDY. + +Designation: + +Originally isolated by (_observer's name_) in (_date_), from (_source of +organism_). + + ~1. Cultural Characters.~--(_Vide_ Macroscopical Examination + of Cultivation, page 261.) + + Gelatine plates, } + Gelatine streak, } at 20 deg. C. + Gelatine stab, } + Gelatine shake, } + + Agar plates, } + Agar streak or smear, } + Agar stab, } + Inspissated blood-serum, } at 20 deg. C. and 37 deg. C. + Bouillon, } + Litmus milk, } + Potato, } + + Special media for the purpose of demonstrating + characteristic appearances. + + ~2. Morphology~.--(_Vide_ Microscopical Examination of + Cultivations, page 272.) + + Vegetative forms: + Shape. + Size. + Motility. + Flagella (if present). + Capsule (if present). + Involution forms. + Pleomorphism (if observed). + Sporing forms (if observed). Of which class? + Staining reactions. + + ~3. Chemical Products of Growth.~--(_Vide_ Chemical + Examination of Cultivations, page 276.) + + Chromogenesis. + Photogenesis. + Enzyme formation. + Fermentation of carbohydrates: + Acid formation. + Alkali formation. + Indol formation. + Phenol formation. + Reducing and oxidising substances. + Gas formation. + + ~4. Biology.~--(_Vide_ Physical Examination of Cultures, page + 295.) + + Atmosphere. + Temperature. + + Reaction of nutrient media. + Resistance to lethal agents: + Physical: + Desiccation. + Light. + Colours. + Chemical germicides. + Vitality. + + ~5. Pathogenicity:~ + + Susceptible animals, subsequently arranged in order of susceptibility. + Immune animals. + Experimental inoculation, symptoms of disease. + Post-mortem appearances. + Virulence: + Length of time maintained. + Optimum medium? + Minimal lethal dose. + Exaltation and attenuation of virulence? + Toxin formation. + + +MACROSCOPICAL EXAMINATION OF CULTIVATIONS. + +In describing the naked-eye and low-power appearances of the bacterial +growth the descriptive terms introduced by Chester (and included in the +following scheme) should be employed. + +SOLID MEDIA. + +~Plate Cultures.~-- + +_Gelatine._--Note the presence or absence of liquefaction of the +surrounding medium. If liquefaction is present, note shape and character +(_vide_ page 269, "stab" cultures). + +_Agar._--No liquefaction takes place in this medium. The liquid found on +the surface of the agar (or at the bottom of the tube in agar tube +cultures) is merely water which has been expressed during the rapid +solidification of the medium and has subsequently condensed. + +_Gelatine and Agar._--Examine the colonies at intervals of twenty-four +hours. + +(a) With the naked eye. + +(b) With a hand lens or watchmaker's glass. + +(c) Under a low power (1 inch) of the microscope, or by means of a small +dissecting microscope. + +Distinguish superficial from deep colonies and note the characters of +the individual colonies. + +(A) ~Size.~--The diameter in millimetres, at the various ages. + +(B) ~Shape.~-- + +Punctiform: Dimensions too slight for defining form by naked eye; +minute, raised, hemispherical. + +Round: Of a more or less circular outline. + +Elliptical: Of a more or less oval outline. + +Irregular: Outlines not conforming to any recognised shape. + +Fusiform: Spindle-shaped, tapering at each end. + +Cochleate: Spiral or twisted like a snail shell (Fig. 141, a). + +[Illustration: FIG. 141.--Types of colonies: a, Cochleate; b, +amoeboid; c, mycelioid.] + +Amoeboid: Very irregular, streaming (Fig. 141, b). + +Mycelioid: A filamentous colony, with the radiate character of a mould +(Fig. 141, c). + +Filamentous: An irregular mass of loosely woven filaments (Fig. 142, +a). + +Floccose: Of a dense woolly structure. + +Rhizoid: Of an irregular, branched, root-like character (Fig. 142, b). + +Conglomerate: An aggregate of colonies of similar size and form (Fig. +142, c). + +Toruloid: An aggregate of colonies, like the budding of the yeast plant +(Fig. 142, d). + +Rosulate: Shaped like a rosette. + +[Illustration: FIG. 142.--Types of colonies: a, Filamentous; b, +rhizoid; c, conglomerate; d, toruloid.] + +(C) ~Surface Elevation.~-- + +1. _General Character of Surface as a Whole_: + +Flat: Thin, leafy, spreading over the surface (Fig. 143, a). + +Effused: Spread over the surface as a thin, veily layer, more delicate +than the preceding. + +Raised: Growth thick, with abrupt terraced edges (Fig. 143, b). + +Convex: Surface the segment of a circle, but very flatly convex (Fig. +143, c). + +Pulvinate: Surface the segment of a circle, but decidedly convex (Fig. +143, d). + +Capitate: Surface hemispherical (Fig. 143, e). + +Umbilicate: Having a central pit or depression (Fig. 143, f). + +Conical: Cone with rounded apex (Fig. 143, g). + +Umbonate: Having a central convex nipple-like elevation (Fig. 143, h). + +2. _Detailed Characters of Surface_: + +Smooth: Surface even, without any of the following distinctive +characters. + +Alveolate: Marked by depressions separated by thin walls so as to +resemble a honeycomb (Fig. 144). + +Punctate: Dotted with punctures like pin-pricks. + +Bullate: Like a blistered surface, rising in convex prominences, rather +coarse. + +Vesicular: More or less covered with minute vesicles due to gas +formation; more minute than bullate. + +[Illustration: FIG. 143.--Surface elevation of colonies: a, Flat; b, +raised; c, convex; d, pulvinate; e, capitate; f, umbilicate; +g, conical; h, umbonate.] + +[Illustration: FIG. 144.--Types of colonies--alveolate.] + +Verrucose: Wart-like, bearing wart-like prominences. + +Squamose: Scaly, covered with scales. + +Echinate: Beset with pointed prominences. + +Papillate: Beset with nipple or mamma-like processes. + +Rugose: Short irregular folds, due to shrinkage of surface growth. + +Corrugated: In long folds, due to shrinkage. + +Contoured: An irregular but smoothly undulating surface, resembling the +surface of a relief map. + +Rimose: Abounding in chinks, clefts, or cracks. + +(D) ~Internal Structure of Colony~ (_Microscopical_).-- + +Refraction Weak: Outline and surface of relief not strongly defined. + +Refraction Strong: Outline and surface of relief strongly defined; +dense, not filamentous colonies. + +[Illustration: FIG. 145.--Types of colonies: a, Grumose; b, +moruloid; c, clouded.] + +1. _General_: + +Amorphous: Without any definite structure, such as is specified below. + +Hyaline: Clear and colourless. + +Homogeneous: Structure uniform throughout all parts of the colony. + +Homochromous: Colour uniform throughout. + +2. _Granulations or Blotchings_: + +Finely granular. + +Coarsely granular. + +Grumose: Coarser than the preceding, with a clotted appearance, and +particles in clustered grains (Fig. 145, a). + +Moruloid: Having the character of a mulberry, segmented, by which the +colony is divided in more or less regular segments (Fig. 145, b). + +Clouded: Having a pale ground, with ill-defined patches of a deeper tint +(Fig. 145, c). + +[Illustration: FIG. 146.--Types of colonies: a, Reticulate; b, +gyrose; c, marmorated.] + +3. _Colony Marking or Striping_: + +Reticulate: In the form of a network, like the veins of a leaf (Fig. +146, a). + +Areolate: Divided into rather irregular, or angular, spaces by more or +less definite boundaries. + +Gyrose: Marked by wavy lines, indefinitely placed (Fig. 146, b). + +Marmorated: Showing faint, irregular stripes, or traversed by vein-like +markings, as in marble (Fig. 146, c). + +Rivulose: Marked by lines like the rivers of a map. + +Rimose: Showing chinks, cracks, or clefts. + +[Illustration: FIG. 147.--Types of colonies--curled.] + +4. _Filamentous Colonies:_ + +Filamentous: As already defined. + +Floccose: Composed of filaments, densely placed. + +Curled: Filaments in parallel strands, like locks or ringlets (Fig. +147). + +(E) ~Edges of Colonies.~-- + +Entire: Without toothing or division (Fig. 148, a). + +Undulate: Wavy (Fig. 148, b). + +Repand: Like the border of an open umbrella (Fig. 148, c). + +Erose: As if gnawed, irregularly toothed (Fig. 148, d). + +[Illustration: FIG. 148.--Edges of colonies: a, Entire; b, undulate; +c, repand; d, erose.] + +Lobate. + +Lobulate: Minutely lobate (Fig. 149, e). + +Auriculate: With ear-like lobes (Fig. 149, f). + +Lacerate: Irregularly cleft, as if torn (Fig. 149, g). + +Fimbriate: Fringed (Fig. 149, h). + +Ciliate: Hair-like extensions, radiately placed (Fig. 149, j). + +Tufted. + +Filamentous: As already defined. + +Curled: As already defined. + +[Illustration: FIG. 149.--Edges of colonies: e, Lobar-lobulate; f, +auriculate; g, lacerate; h, fimbriate; i, ciliate.] + +(F) ~Optical Characters~ (after Shuttleworth).-- + +1. _General Characters_: + +Transparent: Transmitting light. + +Vitreous: Transparent and colourless. + +Oleaginous: Transparent and yellow; olive to linseed-oil coloured. + +Resinous: Transparent and brown, varnish or resin-coloured. + +Translucent: Faintly transparent. + +Porcelaneous: Translucent and white. + +Opalescent: Translucent; greyish-white by reflected light. + +Nacreous: Translucent, greyish-white, with pearly lustre. + +Sebaceous: Translucent, yellowish or greyish-white. + +Butyrous: Translucent and yellow. + +Ceraceous: Translucent and wax-coloured. + +Opaque. + +Cretaceous: Opaque and white, chalky. + +Dull: Without lustre. + +Glistening: Shining. + +Fluorescent. + +Iridescent. + +2. _Chromogenicity_: + +Colour of pigment. + +Pigment restricted to colonies. + +Pigment restricted to medium surrounding colonies. + +Pigment present in colonies and in medium. + + +~Streak or Smear Cultures.~-- + +_Gelatine and Agar._--Note general points as indicated under plate +cultivations. + +_Inspissated Blood-serum._--Note the presence or absence of liquefaction +of the medium. (The presence of condensation water at the bottom of the +tube must not be confounded with liquefaction of the medium.) + +_All Oblique Tube Cultures._-- + +1. Colonies Discrete: Size, shape, etc., as for plate cultivations +(_vide_ page 261). + +2. Colonies Confluent: Surface elevation and character of edge, as for +plate cultivations (_vide_ page 263). + +Chromogenicity: As for plate cultures. + + +~Gelatine Stab Cultures.~-- + +(A) _Surface Growth._--As for individual colonies in plate cultures +(_vide_ page 261). + +[Illustration: FIG. 150.--Stab cultivations--types of growth: a, +Filiform; b, beaded; c, echinate; d, villous; e, arborescent.] + +(B) _Line of Puncture._-- + +Filiform: Uniform growth, without special characters (Fig. 150, a). + +Nodose: Consisting of closely aggregated colonies. + +Beaded: Consisting of loosely placed or disjointed colonies (Fig. 150, +b). + +Papillate: Beset with papillate extensions. + +Echinate: Beset with acicular extensions (Fig. 150, c). + +Villous: Beset with short, undivided, hair-like extensions (Fig. 150, +d). + +Plumose: A delicate feathery growth. + +[Illustration: FIG. 151.--Stab cultivations--types of growth: f, +Crateriform; g, saccate; h, infundibuliform; j, napiform; k, +fusiform; l, stratiform.] + +Arborescent: Branched or tree-like, beset with branched hair-like +extensions (Fig. 150, e). + +(C) _Area of Liquefaction_ (if present).-- + +Crateriform: A saucer-shaped liquefaction of the gelatine (Fig. 151, +f). + +Saccate: Shape of an elongated sack, tubular cylindrical (Fig. 151, +g). + +Infundibuliform: Shape of a funnel, conical (Fig. 151, h). + +Napiform: Shape of a turnip (Fig. 151, j). + +Fusiform: Outline of a parsnip, narrow at either end, broadest below the +surface (Fig. 151, k). + +Stratiform: Liquefaction extending to the walls of the tube and downward +horizontally (Fig. 151, l). + +(D) _Character of the Liquefied Gelatine._-- + +1. Pellicle on surface. + +2. Uniformly turbid. + +3. Granular. + +4. Mainly clear, but containing flocculi. + +5. Deposit at apex of liquefied portion. + + +(E) _Production of Gas Bubbles._ + + +~Shake Cultures.~-- + +1. Presence or absence of liquefaction. + +2. Production of gas bubbles. + +3. Bulk of growth at the surface--aerobic. + +4. Bulk of growth in depths--anaerobic. + + +~Fluid Media.~ + + +~1. Surface of the Liquid.~-- + +Presence or absence of froth due to gas bubbles. + +Presence or absence of pellicle formation. + +Character of pellicle. + + +~2. Body of the Liquid.~-- + +Uniformly turbid. + +Flocculi in suspension. + +Granules in suspension. + +Clear, with precipitate at bottom of tube. + +Colouration of fluid, presence or absence of. + + +~3. Precipitate.~-- + +Character. + +Amount. + +Colour. + + +~Carbohydrate Media.~-- + +Growth. + +Reaction. + +Gas formation. + +Coagulation or not of serum albumen (when serum water media are +employed). + + +~Litmus Milk Cultivations.~-- + + + {Unaltered. + 1. Reaction: {Acid. + {Alkaline. + 2. Odour. + + 3. Formation of gas. + + {Unaltered. + 4. Consistency: {Peptonised (character of solution). + {Coagulated. + + {hard: solid. + 5. Clot: Character {soft: floculent. + {ragged and broken up by gas + {bubbles. + +(a) Coagulum undissolved. + +(b) Coagulum finally peptonised, completely: incompletely. + +Resulting solution, clear: turbid. + + {Abundant. + {Scanty. + 6. Whey: {Clear. + {Turbid. + {Coagulated by boiling, or not. + + +~BY MICROSCOPICAL METHODS.~ + +As a council of perfection preparations must be made from pure +cultivations 4, 6, 8, 12, 18, and 24 hours; and subsequently at +intervals of, say, twenty-four hours, during the entire period they are +under observation, and examined-- + +(A) ~Living.--1.~ In ~hanging drop~, to determine _motility_ or +_non-motility_. + +In this connection it must be remembered that under certain conditions +as to environment (e. g., when examined in an unsuitable medium, +atmosphere, temperature, etc.) motile bacilli may fail to exhibit +activity. No organism, therefore, should be recorded as non-motile from +one observation only; a series of observations at different ages and +under varying conditions should form the basis of an opinion as to the +absence of true locomotion. + +_Size._--In the case of non-motile or sluggishly motile organisms, +endeavour to measure several individuals in each hanging drop by means +of the eyepiece micrometer or the eikonometer (_vide_ page 63), and +average the results. + +If the organism is one which forms spores, observe-- + +(a) _Spore Formation._--Prepare hanging-drop cultivations (_vide_ page +78) from vegetative forms of the organism, adding a trace of magenta +solution (0.5 per cent.) or other intra vitam stain (see page 77) to the +drop, on the point of the platinum needle, to facilitate the observation +of the phenomenon by rendering the bacilli more distinct. + +Place the preparation on the stage of the microscope; if necessary, +using a warm stage. + +Arrange illumination, etc., and select a solitary bacillus for +observation, by the help of the 1/6-inch lens. + +Substitute the 1/12-inch oil-immersion lens for the sixth, and observe +the formation of the spore; if possible, measure any alteration in size +which may occur by means of the Ramsden micrometer. + +(b) _Spore Germination._--Prepare hanging-drop cultivations from old +cultivations in which no living vegetative forms are present, and +observe the process of germination in a similar manner. + +The comfort of the microscopist is largely enhanced in those cases where +the period of observation is at all lengthy, by use of some form of eye +screen before the unemployed eye, such as is figured on page 58 (Fig. +49). + +If it is impossible to carry out the method suggested above, proceed as +follows: + +(a) _Spore Formation._--Plant the organism in broth and incubate under +optimum conditions. + +At regular intervals, say every thirty minutes, remove a loopful of the +cultivation and prepare a cover-slip film preparation. + +Fix, while still wet, in the corrosive sublimate fixing solution. + +Stain with aniline gentian violet, and partially decolourise with 2 per +cent. acetic acid. + +Mount and number consecutively; then examine. + +(b) _Spore Germination._--Expose a thick emulsion of the spores to a +temperature of 80 deg. C. for ten minutes in the differential steriliser +(_vide_ page 257). + +Transfer the emulsion to a tube of sterile nutrient broth and incubate. + +Remove specimens from the tube culture at intervals of, say, five +minutes. + +Fix, stain, etc., wet, as under (a), and examine. + +(B) ~Fixed.--2.~ In ~stained preparations~. + +(a) To determine points in _morphology_: + +_Shape_ (_vide_ classification, page 131). + +_Size_: + +(a) Prepare cover-slip film preparations at the various ages, and fix +by exposure to a temperature of 115 deg. C. for twenty minutes in hot-air +oven. + +(b) Stain the preparations by Gram's method (if applicable) or with +dilute carbol-fuchsin, and mount in the usual way. + +(c) Measure (_vide_ page 66) some twenty-five individuals in each film +by means of the Ramsden's or the stage micrometer and average the +result. + +_Pleomorphism_; If noted, record-- + + The predominant character of the variant forms. + On what medium or media they are observed. + At what period of development. + +(b) To demonstrate details of _structure_: + +_Flagella_: If noted, record-- + + Method of staining (_vide_ page 101). + Position and arrangement (_vide_ page 136). + Number. + +_Spores_: If noted, record-- + + Method of staining. + Shape. + Size. + Position within the parent cell. + Condition, as to shape, of the parent cell (_vide_ + page 139). + Optimum medium and temperature. + Age of cultivation. + Conditions of environment as to temperature, + atmosphere. + Method of germination (_vide_ page 140). + +_Involution Forms_: If noted, record-- + + Method of staining. + Character (e. g., if living or dead). + Shape. + On what medium they are observed. + Age of medium. + Environment. + +_Metachromatic Granules_: If noted, record-- + + Method of staining. + Character of granules. + Number of granules. + Colour of granules. + +~3. Staining Reactions.~-- + +1. _Gram's Method._--Positive or negative. + +2. _Neisser's Method._--If granules are noted, record-- + + 1. Position. + 2. Number. + +3. _Ziehl-Neelsen's Method._--Acid-fast or decolourised. + +4. _Simple Aniline Dyes._--(Noting those giving the best results, with +details of staining processes.) + + Methylene-blue } + Fuchsin } and their modifications. + Gentian violet } + Thionine blue } + + +BY BIOCHEMICAL METHODS. + +Test cultivations of the organism for the presence of-- + +Soluble enzymes--proteolytic, diastatic, invertase. + +Organic acids--(a) quantitatively--i. e., estimate the total acid +production; (b) qualitatively for formic, acetic, propionic, butyric, +lactic. + +Ammonia. + +Neutral volatile substances--ethyl alcohol, aldehyde, acetone. + +Aromatic products--indol, phenol. + +Soluble pigments. + +Test the power of reducing (a) colouring matters, (b) nitrates to +nitrites. + +Investigate the gas production--H_{2}S, CO_{2}, H_{2}. Estimate the +ratio between the last two gases. + +Prepare all cultivations for these methods of examination under +_optimum_ conditions, previously determined for each of the organisms it +is intended to investigate, as to + + (a) Reaction of medium; + (b) Incubation temperature; + (c) Atmospheric environment; + +and keep careful records of these points, and also of the age of the +cultivation used in the final examination. + +Examine the cultivations for the various products of bacterial +metabolism after forty-eight hours' growth, and ~never omit to examine +"control" (uninoculated) tube or flask of medium from the same batch, +kept for a similar period under identical conditions~. + +If the results are negative, test further cultivations at three days, +five days, and ten days. + + +~1. Enzyme Production.~-- + +(A) _Proteolytic Enzymes._--(Convert proteins into proteose, peptone +and further products of hydrolysis; e. g., B. pyocyaneus.) + + _Media Required_: + + Blood-serum and milk-serum which have been carefully + filtered through a porcelain candle. + + _Reagents Required_: + + Ammonium sulphate. + Thirty per cent. caustic soda solution. + Copper sulphate, 0.5 per cent. aqueous solution. + One per cent. acetic acid solution. + Millon's reagent. + Glyoxylic acid solution. + Concentrated sulphuric acid. + +METHOD.-- + +1. Prepare cultivations in bulk (50 c.c.) in a flask and incubate. + +2. Make the liquid faintly acid with acetic acid, then boil. (This +precipitates the unaltered proteins.) + +3. Filter. + +4. Take 10 c.c. of the filtrate in a test-tube and add 1 c.c. of the +caustic soda, then add the copper sulphate drop by drop. + + Pink colour which becomes violet with more copper sulphate = + proteose and peptone. + +5. Saturate the rest of the filtrate with ammonium sulphate. + +Precipitate = proteose. + +6. Filter and divide the filtrate into three parts a, b and c. + +a. Repeat the copper sulphate test, using excess of caustic soda to +displace the ammonia from the ammonium sulphate. + +Pink colour = peptone. + +b. Boil with Millon's reagent. + +Red colour = tyrosine. + +c. Add glyoxylic acid solution and run in concentrated sulphuric acid. + +Violet ring at upper level of acid = tryptophane. + +Both the tyrosine and tryptophane may be either in the free state or in +combination as polypeptid or peptone. + +(B) _Diastase._--(Converts starch into sugar; e. g., B. subtilis.) + + _Medium Required_: + + Inosite-free bouillon. + + _Reagents Required_: + + Starch. + Thymol. + Fehling's solution. + +METHOD.-- + +1. Prepare tube cultivation and incubate. + +2. Prepare a thin starch paste and add 2 per cent. thymol to it. + +3. Mix equal parts of the cultivation to be tested and the starch paste, +and place in the incubator at 37 deg. C. for six to eight hours. + +4. Filter. + +Test the filtrate for sugar. + +Boil some of the Fehling's solution in a test-tube. + +Add the filtrate drop by drop until, if necessary, a quantity has been +added equal in amount to the Fehling's solution employed, keeping the +mixture at the boiling-point during the process. + +Yellow or orange precipitate = sugar. + +(C) _Invertase._--(Convert saccharose into a mixture of dextrose and +laevulose e. g., B. fluorescens liquefaciens.) + + _Medium Required_: + Inosite-free bouillon. + + _Reagents Required_: + Cane sugar, 2 per cent. aqueous solution. + Carbolic acid. + +METHOD.-- + +1. Prepare tube cultivations and incubate. + +2. Add 2 per cent. of carbolic acid to the sugar solution. + +3. Mix equal quantities of the carbolised sugar solution and the +cultivation in a test-tube; allow the mixture to stand for several +hours. + +4. Filter. + +Test the filtrate for reducing sugar as in the preceding section. + +(D) _Rennin and "Lab" Enzymes._--(Coagulate milk independently of the +action of acids; e. g., B. prodigiosus.) + + _Media Required_: + Inosite-free bouillon. + Litmus milk. + +METHOD.-- + +1. Prepare tube cultivations and incubate. + +2. After incubation heat the cultivation to 55 deg. C. for half an hour, +to sterilise. + +3. By means of a sterile pipette run 5 c.c. of the cultivation into each +of three tubes of litmus milk. + +4. Place in the cold incubator at 22 deg. C. and examine each day for +ten days. + +Absence of coagulation at the end of that period will indicate absence +of rennin ferment formation. + + +Fermentation Reactions. + +As tested upon carbohydrate substances and organic salts. + +_Media Required_: + +Peptone water containing various percentages (generally 2 per cent.) of +each of the substances referred to under "sugar" media (page 177), also +tubes of peptone water containing 1 per cent. respectively of each of +the following: + + Organic salts: Sodium citrate, formate, lactate, malate, + tartrate. + +METHOD.-- + +1. Prepare tube cultivations in each of the above media. + +2. Observe from day to day up to the expiration of ten days if +necessary. + +3. Note growth, reaction, gas production. + + +2. Acid Production. + + (a) _Quantitative._-- + + _Medium Required_: + Sugar (glucose) bouillon of known "optimum" reaction. + + _Apparatus and Reagents Required_: + As for estimating reaction of media (_vide_ page 150). + +METHOD.-- + +1. Prepare cultivation in bulk (100 c.c.) in a flask; also "control" +flask of medium from same batch. + +2. After suitable incubation, heat both flasks in the steamer at 100 +deg. C. for thirty minutes to sterilise. + +3. Determine the _titre_ of the medium in "inoculated" and "control" +flasks as described in the preparation of nutrient media (_vide_ page +151). + +4. The difference between the titre of the medium in the two flasks +gives the total acid production of the bacterium under observation in +terms of normal NaOH. + + NOTE.--If the growth is very heavy it may be a difficult + matter to determine the end-point. The cultivation should + then be filtered through a Berkefeld filter candle previous + to step 2, and the filtrate employed in the titration. + + (b) _Qualitative_ (of all the organic acids present).-- + + _Medium Required_: + Sugar (glucose or lactose) bouillon as in quantitative examination. + + _Reagents Required_: + Hydrochloric acid, concentrated. + Hydrochloric acid, 25 per cent. + Sulphuric acid, concentrated (pure). + Phosphoric acid, concentrated solution. + Ammonia. + Ammonium sulphate. + Baryta water. + Sodium carbonate, saturated aqueous solution. + Absolute alcohol. + Ether. + Calcium chloride. + Calcium chloride solution. + Zinc carbonate. + Copper sulphate saturated aqueous solution. + Alcoholic thiophene solution (0.15 c.c. in 100 c.c.). + Animal charcoal. + Five per cent. sodium nitroprusside solution. + Potassium bichromate. + Schiff's reagent. + Arsenious oxide. + Ferric chloride, 4 per cent. aqueous solution. + Silver nitrate, 1 per cent. aqueous solution. + Lugol's iodine. + Ten per cent. caustic soda solution. + Hard paraffin wax (melting-point about 52 deg. C.). + +METHOD.-- + +1. Prepare cultivation in bulk (500 c.c.) in a litre flask and add +sterilised precipitated chalk, 10 grammes. Incubate at the optimum +temperature. + +2. After incubation throw a piece of paraffin wax (about a centimetre +cube) into the cultivation and connect up the flask with a condenser. + +The paraffin, which liquefies and forms a thin layer on the surface of +the fluid, is necessary to prevent the cultivation frothing up and +running unaltered through the condenser during the subsequent process of +distillation. + +3. Distill over 200 to 300 c.c. + +Use a rose-top burner to minimise the danger of cracking the flask; and +to the same end, well agitate the contents of the flask to prevent the +chalk settling. + +The distillate "A" will contain alcohol, etc. (_vide_ page 285); the +residue "a" will contain the volatile and fixed acids. + +4. Disconnect the flask and filter. The residue "a" then = filtrate B +and residue b. + +[Illustration: FIG. 152.--Arrangement of distillation apparatus for +acids, etc.] + +5. Residue b. Wash the residue from the filter paper, dissolve by +heating with dilute hydrochloric acid, and add calcium chloride solution +and ammonia until alkaline. + +White precipitate insoluble in acetic acid = oxalic acid. + +6. Make up filtrate B to 500 c.c. with distilled water and divide into +two parts. + +7. Acidify 250 c.c. with 20 c.c. concentrated phosphoric acid (this +liberates the volatile acids) and distil to small bulk. + +The distillate "B" may contain formic, acetic, propionic, butyric and +benzoic acids. + + DISTILLATE "B." + (Volatile Acids.) + | + | + 1. Add baryta water till alkaline, + and evaporate to dryness. + + 2. Add 50 c.c. absolute alcohol and allow + to stand, with frequent stirring, for + two to three hours. + + 3. Filter and wash with alcohol. + | + | + |---------------------------------------| + | | + | | + FILTRATE RESIDUE + | | + | | + may contain barium propionate, may contain barium acetate, + barium butyrate. barium formate, barium benzoate. + | | + | | + 1. Evaporate to dryness. 1. Evaporate off alcohol and + dissolve up the residue on + 2. Dissolve residue in 150 the filter in hot water and + c.c. water. neutralise. + + 3. Acidify with phosphoric 2. Divide the solution into + acid and distil. four portions: + + 4. Saturate distillate with (a) Add ferric chloride solution. + calcium chloride and distill + over a few c.c. ~Brown~ colour = _acetic_ or + _formic_ acids. + 5. Test distillate for butyric + acid: ~Buff ppt.~ = _benzoic_ acid + (see ether soluble acids). + Add 3 c.c. alcohol and 4 drops + concentrated sulphuric acid. (b) Add silver nitrate + solution; then add one drop + ~Smell of pineapple~ = _butyric_ ammonia water, and boil. + acid. + ~Black~ precipitate of metallic + Propionic acid in small silver = _formic_ acid. + quantities cannot be + distinguished from butyric (c) Evaporate to dryness; mix + acid by tests within the with equal quantity of + scope of the bacteriological arsenious oxide and heat + laboratory. on platinum foil. + + Unpleasant ~smell of cacodyl~ + = _acetic_ acid. + + (d) Add a few drops of + mercuric chloride solution + in test-tube, and heat to + 70 deg. C. + + ~Precipitate~ of mercurous + chloride which is slowly + reduced to mercury = + _formic_ acid. + +8. If the distillation of "B" is continued as long as acid comes over +(distilled water being occasionally added to the distilling flask) the +distillate can be measured and 50 c.c. used for titration. This will +give the amount of volatile acid formation. + +9. The second part of the filtrate "B" (see page 282) should be examined +for lactic, oxalic, succinic, benzoic, salicylic, gallic and tannic +acids, as follows: + + +~Ether Soluble Acids.~-- + +1. Evaporate to a thin syrup, acidify strongly with phosphoric acid. + +2. Extract with five times its volume of ether by agitation in a +separatory funnel. + +3. Evaporate the ethereal extract to a thin syrup. + +4. Add 100 c.c. water and mix thoroughly. + +5. To a small portion of this solution add slight excess of sodium +carbonate, evaporate to dryness on the water-bath, dissolve in 5-10 c.c. +pure sulphuric acid, add 2 drops saturated copper sulphate solution, +place in a test-tube and heat in a boiling water-bath for 2 minutes, +cool, add 2 or 3 drops of the alcoholic thiophene and warm gently. + +Cherry red colour = lactic acid. + +If a brown colour is produced on the addition of sulphuric acid, another +sample should be taken and boiled with animal charcoal before +evaporating. + +6. If lactic acid is definitely present, prepare zinc lactate by boiling +part of the solution of the ether extract with excess of zinc carbonate, +filtering and evaporating to crystallise. The crystals so obtained have +a characteristic form, and if dried at 110 deg. C, should contain 26.87 +per cent. of zinc. + +7. Test a portion of the rest of the solution of the ether extract for +oxalic acid (page 282, step 5). Carefully neutralise the remainder and +add ferric chloride solution. + +Red brown gelatinous precipitate = succinic acid. + +Buff precipitate = benzoic acid, and other acids related to benzoic +acid. + +Violet colour = salicylic acid. + +Inky black colour or precipitate = gallic acid or tannic acid. + +For further identification the melting-points of the crystalline acids, +and the percentage of silver in their silver salts should be determined. + + +~3. Ammonia Production.~-- + + _Medium Required_: + Nutrient bouillon. + + _Reagent Required_: + Nessler reagent. + +METHOD.-- + +1. Prepare cultivation in bulk (100 c.c.) in a 250 c.c. flask and +incubate together with a control flask. + +Test the cultivation and the control for ammonia in the following +manner: + +2. To each flask add 2 grammes of calcined magnesia, then connect up +with condensers and distil. + +3. Collect 50 c.c. distillate, from each, in a Nessler glass. + +4. Add 1 c.c. Nessler reagent to each glass by means of a clean pipette. + +Yellow colour = ammonia. + +The depth of colour is proportionate to the amount present. + + +~4. Alcohol, etc., Production.~--Divide the distillate "A" obtained in the +course of a previous experiment (_vide_ page 282, step 3) into four +portions and test for the production of alcohol, acetaldehyde, acetone. + +1. Add Lugol's iodine, then a little NaOH solution, and stir with a +glass rod till the colour of the iodine disappears. + +Pale-yellow crystalline precipitate of iodoform, with its characteristic +smell, appearing in the cold, indicates acetaldehyde, or acetone; +appearing only on warming indicates alcohol. + +The precipitate may be absent even when the odour is pronounced. + +2. Add Schiff's reagent. + +Violet or red colour = aldehyde. + +3. To 10 c.c. of solution add 2.5 c.c., 25 per cent. sulphuric acid, and +a crystal or two of potassium bichromate and distil. Reduction of the +bichromate to a green colour and a distillate, which smells of +acetaldehyde and reacts with Schiff's reagent, shows the presence of +alcohol in the original liquid. + +4. Add a few drops of sodium nitroprusside solution, make alkaline with +ammonia, then saturate with ammonium sulphate crystals. Acetone gives +little colour on the addition of ammonia, but after the addition of +ammonium sulphate a deep permanganate colour, which takes ten minutes to +reach its full intensity. Aldehyde gives a carmine red unaltered by +ammonium sulphate. + + +~5. Indol Production.~-- + + _Media Required_: + + Inosite-free bouillon (_vide_ page 183). + Or peptone water (_vide_ page 177). + + _Reagents Required_: + + Potassium persulphate, saturated aqueous solution. + Paradimethylamino-benzaldehyde solution. This is prepared by mixing: + + Paradimethylamino-benzaldehyde 4 grammes + Absolute alcohol 380 c.c. + Hydrochloric acid, concentrated 80 c.c. + +METHOD.-- + +Prepare several test-tube cultivations of the organism to be tested, and +incubate. + +Test for indol by means of the Rosindol reaction in the following +manner. (If the culture has been incubated at 37 deg. C., it must be +allowed to cool to the room temperature before applying the test.) + +1. Remove 2 c.c. of the cultivation by means of a sterile pipette and +transfer to a clean tube, then, + +2. Add 2 c.c. paradimethylamino-benzaldehyde solution. + +3. Add 2 c.c. potassium persulphate solution. + +The presence of indol is indicated by the appearance of a delicate +rose-pink colour throughout the mixture which deepens slightly on +standing. + + Indol is tested for in many laboratories by the ordinary + nitrosoindol reaction which, however, is not so delicate a + method as that above described. The test is carried out as + follows: + + 1. Remove the cotton-wool plug from the tube, and run in 1 + c.c. pure concentrated sulphuric acid down the side of the + tube by means of a sterile pipette. Place the tube upright + in a rack, and allow it to stand, if necessary, for ten + minutes. + + A rose-pink or red colour at the junction of the two liquids + = indol (_plus a nitrite_). + + 2. If the colour of the medium remains unaltered, add 2 c.c. + of a 0.01 per cent. aqueous solution sodium nitrite, and + again allow the culture to stand for ten minutes. + + Red colouration = indol. + + NOTE.--In place of performing the test in two stages as + given above, 2 c.c. concentrated _commercial_ sulphuric, + hydrochloric, or nitric acid (all of which hold a trace of + nitrite in solution), may be run into the cultivation. The + development of a red colour within twenty minutes will + indicate the presence of indol. + + +~5a. Phenol Production.~-- + + _Medium Required_: + + Nutrient bouillon. + + _Reagents Required_: + + Hydrochloric acid, concentrated. + Millon's reagent. + Ferric chloride, 1 per cent. aqueous solution. + +METHOD.-- + +1. Prepare cultivation in a Bohemian flask containing at least 50 c.c. +of medium, and incubate. + +Test for phenol in the following manner: + +2. Add 5 c.c., 25 per cent. sulphuric acid to the cultivation and +connect up the flask with a condenser. + +3. Distil over 15 to 20 c.c. Divide the distillate into three portions +a, b and c. + +4. Add to (a) 0.5 c.c. Millon's reagent and boil. + +Red colour = phenol. + +5. Add to (b) about 0.5 c.c. ferric chloride solution. Violet colour = +phenol. + +(If the distillate be acid the reaction will be negative.) + +6. Add to (c) bromine water. Crystalline white ppt. of tribromo-phenol += phenol. + + NOTE.--If both indol and phenol appear to be present in + cultivations of the same organism, it is well to separate + them before testing. This may be done in the following + manner: + +1. Prepare inosite-free bouillon cultivation, say 200 or 300 c.c., in a +flask as before. + +2. Render definitely acid by the addition of acetic acid and connect up +the flask with a condenser. + +3. Distil over 50 to 70 c.c. + +Distillate will contain both indol and phenol. + +4. Render the distillate strongly alkaline with caustic potash and +redistil. + +Distillate will contain indol; residue will contain phenol. + +5. Test the distillate for indol (_vide ante_). + +6. Saturate the residue, when cold, with carbon dioxide and redistil. + +7. Test this distillate for phenol (_vide ante_). + + +~6. Pigment Production.~-- + +1. Prepare tube cultivations upon the various media and incubate under +varying conditions as to temperature (at 37 deg. C. and at 20 deg. C.), +atmosphere (aerobic and anaerobic), and light (exposure to and +protection from). + +Note the conditions most favorable to pigment formation. + +2. Note the solubility of the pigment in various solvents, such as water +(hot and cold), alcohol, ether, chloroform, benzol, carbon bisulphide. + +3. Note the effect of acids and alkalies respectively upon the pigmented +cultivation, or upon solutions of the pigment. + +4. Note spectroscopic reactions. + + +~7. Reducing Agent Formation.~-- + +(a) _Colour Destruction._-- + +1. Prepare tube cultivations in nutrient bouillon tinted with litmus, +rosolic acid, neutral red, and incubate. + +2. Examine the cultures each day and note whether any colour change +occurs. + +(b) _Nitrates to Nitrites._-- + + _Medium Required_: + + Nitrate bouillon (_vide_ page 185). + Or nitrate peptone solution (_vide_ page 186). + + _Reagents Required_: + + Sulphuric acid (25 per cent.). + Metaphenylene diamine, 5 per cent. aqueous solution. + +METHOD.-- + +1. Prepare tube cultivations and incubate together with control tubes +(i. e., uninoculated tubes of the same medium, placed under identical +conditions as to environment). + +This precaution is necessary as the medium is liable to take up nitrites +from the atmosphere, and an opinion as to the absence of nitrites in the +cultivation is often based upon an equal colouration of the medium in +the control tube. + +Test both the culture tube and the control tube for the presence of +nitrites. + +2. Add a few drops of sulphuric acid to the medium in each of the tubes. + +3. Then run in 2 or 3 c.c. metaphenylene diamine into each tube. +Brownish-red colour = nitrites. + +The depth of colour is proportionate to the amount present. + + +~8. Gas Production.~-- + +(A) _Carbon Dioxide and Hydrogen._-- + + _Apparatus Required_: + + Fermentation tubes (_vide_ page 161) containing sugar + bouillon (glucose, lactose, etc.). The medium should be + prepared from inosite-free bouillon (_vide_ page 183). + + _Reagent Required_: + + n/2 caustic soda. + +METHOD.-- + +1. Inoculate the surface of the medium in the bulb of a fermentation +tube and incubate. + +2. Mark the level of the fluid in the closed branch of the fermentation +tube, at intervals of twenty-four hours, and when the evolution of gas +has ceased, measure the length of the column of gas with the millimetre +scale. + +Express this column of gas as a percentage of the entire length of the +closed branch. + +3. To analyse the gas and to determine roughly the relative proportions +of CO_{2} and H_{2}, proceed as follows: + +Fill the bulb of the fermentation tube with caustic soda solution. + +Close the mouth of the bulb with a rubber stopper. + +Alternately invert and revert the tube six or eight times, to bring the +soda solution into intimate contact with the gas. + +Return the residual gas to the end of the closed branch, and measure. + +The loss in volume of gas = carbon dioxide. + +The residual gas = hydrogen. + +Transfer gas to the bulb of the tube, and explode it by applying a +lighted taper. + +(B) _Sulphuretted Hydrogen._-- + + _Media Required_: + + Iron peptone solution (_vide_ page 185). + Lead peptone solution. + +1. Inoculate tubes of media, and incubate together with control tubes. + +2. Examine from day to day, at intervals of twenty-four hours. + +The liberation of the H_{2}S will cause the yellowish-white precipitate +to darken to a brownish-black, or jet black, the depth of the colour +being proportionate to the amount of sulphuretted hydrogen present. + +Quantitative: For exact quantitative analyses of the gases produced by +bacteria from certain media of definite composition, the methods devised +by Pakes must be employed, as follows: + +[Illustration: FIG. 153.--Gas-collecting apparatus.] + + _Apparatus Required_: + + Bohemian flask (300 to 1500 c.c. capacity) containing from + 100 to 400 c.c. of the medium. The mouth of the flask is + fitted with a perforated rubber stopper, carrying an + L-shaped piece of glass tubing (the short arm passing just + through the stopper). To the long arm of the tube is + attached a piece of pressure tubing some 8 cm. in length, + plugged at its free end with a piece of cotton-wool. Measure + accurately the total capacity of the flask and exit tube, + also the amount of medium contained. Note the difference. + + Gas receiver. This is a bell jar of stout glass, 14 cm. high + and 9 cm. in diameter. At its apex a glass tube is fused in. + This rises vertically 5 cm., and is then bent at right + angles, the horizontal arm being 10 cm. in length. A + three-way tap is let horizontally into the vertical tube + just above its junction with the bell jar. + + An iron cylinder just large enough to contain the bell jar. + + About 15 kilos of metallic mercury. + + Melted paraffin. + +An Orsat-Lunge working with mercury instead of water, provided with two +gas tubes of extra length (capacity 120 and 60 c.c. respectively and +graduated throughout, both being water-jacketed) or other gas analysis +apparatus, capable of dealing with CO_{2}, O_{2}, H_{2}, and N_{2}. + +METHOD.-- + +1. Inoculate the medium in the flask in the usual manner, by means of a +platinum needle, taking care that the neck of the flask and the rubber +stopper are thoroughly flamed before and after the operation. + +[Illustration: FIG. 154.--Orsat-Lunge gas analysis apparatus.] + +2. Fill the iron cylinder with mercury. + +3. Place the bell jar mouth downward in the mercury--first seeing that +there is free communication between the interior of the jar and the +external air--and suck up the mercury into the tap; then shut off the +tap. + +4. Plug the open end of the three-way tap with melted wax. + +5. Connect up the horizontal arm of the culture flask with that of the +gas receiver by means of the pressure tubing (after removing the +cotton-wool plug from the rubber tube), as shown in Fig. 153. + +6. Give the three-way tap half turn to open communication between flask +and receiver, and seal _all_ joints by coating with a film of melted +wax. When the tap is turned, the mercury in the receiver will naturally +fall. + +7. Place the entire apparatus in the incubator. (Two hours later, by +which time the temperature of the apparatus is that of the incubator, +mark the height of the mercury on the receiver.) + +8. Examine the apparatus from day to day and mark the level of the +mercury in the receiver at intervals of twenty-four hours. + +9. When the evolution of gas has ceased, remove the apparatus from the +incubator; clear out the wax from the nozzle of the three-way tap (first +adjusting the tap so that no escape of gas shall take place) and connect +it with the Orsat. + +10. Remove, say, 100 c.c. of gas from the receiver, reverse the tap and +force it into the culture flask. Remove 100 c.c. of mixed gases from the +culture flask and replace in the receiver. + +Repeat these processes three or four times to ensure thorough admixture +of the contents of flask and receiver. + +11. Now withdraw a sample of the mixed gases into the Orsat and analyse. + +In calculating the results be careful to allow for the volume of air +contained in the flask at the commencement of the experiment. + +For the collection of gases formed under anaerobic conditions a slightly +different procedure is adopted: + +1. Fix a culture flask (500 c.c. capacity) with a perforated rubber +stopper carrying an ~L~-shaped piece of manometer tubing, each arm 5 cm. +in length. + +2. Prepare a second ~L~-shaped piece of tubing, the short arm 5 cm. and +the long arm 20 cm., and connect its short arm to the horizontal arm of +the tube in the culture flask by means of a length of pressure tubing, +provided with a screw clamp. + +3. Fill the culture flask completely with boiling medium and pass the +long piece of tubing through the plug of an Erlenmeyer flask (150 c.c. +capacity) which contains 100 c.c. of the same medium. + +4. Sterilise these coupled flasks by the discontinuous method, in the +usual manner. + +Immediately the last sterilisation is completed, screw up the clamp on +the pressure tubing which connects them, and allow them to cool. + +As the fluid cools and contracts it leaves a vacuum in the neck of the +flask below the rubber stopper. + +5. To inoculate the culture flask, withdraw the long arm of the bent +tube from the Erlenmeyer flask and pass it to the bottom of a test-tube +containing a young cultivation (in a fluid medium similar to that +contained in the culture flask) of the organism it is desired to +investigate. + +6. Slightly release the clamp on the pressure tubing to allow 4 or 5 +c.c. of the culture to enter the flask. + +7. Clamp the rubber tube tightly; remove the bent glass tube from the +culture tube and plunge it into a flask containing recently boiled and +quickly cooled distilled water. + +8. Release the clamp again and wash in the remains of the cultivation +until the culture flask and tubing are completely filled with water. + +9. Clamp the rubber tubing tightly and take away the long-armed glass +tubing. + +10. Prepare the gas receiver as in the previous method (in this case, +however, the mercury should be warmed slightly) and fill the horizontal +arm of the receiver with hot water. + +11. Connect up the culture flask with the horizontal arm of the gas +receiver. + +12. Remove the screw clamp from the rubber tubing, adjust the three-way +tap, seal all joints with melted wax, and incubate. + +13. Complete the investigation as described for the previous method. + + +BY PHYSICAL METHODS. + +Examine cultivations of the organism with reference to its growth and +development under the following headings: + +Atmosphere: + +(a) In the presence of oxygen. + +(b) In the absence of oxygen. + +(c) In the presence of gases other than oxygen. + +Temperature: + +(a) Range. + +(b) Optimum. + +(c) Thermal death-point: + + Moist: Vegetative forms. + + Spores. + + Dry: Vegetative forms. + + Spores. + +Reaction of medium. + +Resistance to lethal agents: + +(a) Desiccation. + + (b) Light: Diffuse. + + Direct. + + Primary colours. + +(c) Heat. + +(d) Chemical antiseptics and disinfectants. + +Vitality in artificial cultures. + +~I. Atmosphere.~--The question as to whether the organism under +observation is (a) an obligate aerobe, (b) a facultative anaerobe, or +(c) an obligate anaerobe is roughly decided by the appearance of +cultivations in the fermentation tubes. Obvious growth in the closed +branch as well as in the bulb or in the inverted gas tube as well as in +the bulk of the medium will indicate that it is a facultative anaerobe; +whilst growth only occurring in the bulb or in the closed branch shows +that it is an obligate aerobe or anaerobe respectively. This method, +however, is not sufficiently accurate for the present purpose, and the +examination of an organism with respect to its behaviour in the absence +of oxygen is carried out as follows: + + _Apparatus Required:_ + + Buchner's tubes. + Bulloch's apparatus. + Exhaust pump. + Pyrogallic acid. + Dekanormal caustic soda. + + _Media Required:_ + + Glucose formate agar. + Glucose formate gelatine. + Glucose formate bouillon. + +METHOD.-- + +1. Prepare four sets of cultivations: + +(A) Sloped glucose formate agar, and incubate aerobically at 37 deg. C. + +Sloped glucose formate gelatine, and incubate aerobically at 20 deg. C. + +(B) Sloped glucose agar to incubate anaerobically at 37 deg. C. + +Sloped glucose formate gelatine to incubate anaerobically at 20 deg. C. + +(C) Sloped glucose formate agar to incubate anaerobically at 37 deg. C. + +Glucose formate bouillon to incubate anaerobically at 37 deg. C. + +(D) Sloped glucose formate gelatine to incubate anaerobically at +20 deg. C. + +Glucose formate bouillon to incubate anaerobically at 20 deg. C. + +2. Seal the cultures forming set B in Buchner's tubes (_vide_ page 239). + +3. Seal the cultures forming set C in Bulloch's apparatus; exhaust the +air by means of a vacuum pump, and provide for the absorption of any +residual oxygen by the introduction of pyrogallic acid and caustic soda +in solution (_vide_ page 245). Treat set D in the same way. + +4. Observe the cultivations macroscopically and microscopically at +intervals of twenty-four hours until the completion, if necessary, of +seven days' incubation. + +5. Control these results. + +_Gases Other than Oxygen._-- + + +_Apparatus Required:_ + + Bulloch's apparatus. + Sterile gas filter (_vide_ page 40). + Gasometer containing the gas it is desired to test (SO_{2}, N_{2}O, NO, + CO_{2}, etc.) or gas generator for its production. + +METHOD.-- + +1. Prepare at least seven tube cultivations upon solid media and deposit +them in Bulloch's apparatus. + +2. Connect up the inlet tube of the Bulloch's jar with the sterile gas +filter, and this again with the delivery tube of the gasometer or gas +generator. + +3. Open both stop-cocks of the Bulloch's apparatus and pass the gas +through until it has completely replaced the air in the bell jar as +shown by the result of analyses of samples collected from the exit tube. + +4. Incubate under optimum conditions as to temperature. + +5. Examine the cultivations at intervals of twenty-four hours, until the +completion of seven days. + +6. Remove one tube from the interior of the apparatus each day. If no +growth is visible, incubate the tube under optimum conditions as to +temperature _and_ atmosphere, and in this way determine the length of +exposure to the action of the gas necessary to kill the organisms under +observation. + +7. Control these results. + +~II. Temperature.~-- + +(A) _Range._-- + +1. Prepare a series of ten tube cultivations, in fluid media, of optimum +reaction. + +2. Arrange a series of incubators at fixed temperatures, varying 5 deg. C. +and including temperatures between 5 deg. C. and 50 deg. C. + +(In the absence of a sufficient number of incubators utilise the +water-bath employed in testing the thermal death-point of vegetative +forms.) + +3. Incubate one tube cultivation of the organism aerobically or +anaerobically, as may be necessary, in each incubator, and examine at +half-hour intervals for from five to eighteen hours. + +4. Note that temperature at which growth is first observed +macroscopically (Optimum temperature). + +5. Continue the incubation until the completion of seven days. Note the +extremes of temperature at which growth takes place (Range of +temperature). + +6. Control these results--if considered necessary arranging the series +of incubators to include each degree centigrade for five degrees beyond +each of the extremes previously noted. + +(B) _Optimum._-- + +1. Prepare a second series of ten tube cultivations under similar +conditions as to reaction of medium. + +2. Incubate in a series of incubators in which the temperature is +regulated at intervals of 1 deg. C. for five degrees on either side of +optimum temperature observed in the previous experiment (A, step 4). + +3. Observe again at half-hour intervals and note that temperature at +which growth is first visible to the naked eye = Optimum temperature. + +(C) _Thermal Death-point (t. d. p.)_-- + +Moist--Vegetative Forms: + +The _t. d. p._ here is that ~temperature~ which with certainty kills a +watery suspension of the organisms in question after an exposure of ~10 +minutes~. + +[Illustration: FIG. 155.--Hearson's water-bath.] + + _Apparatus Required:_ + + Water-bath. For the purpose of observing the thermal + death-point a special water-bath is necessary. The + temperature of this piece of apparatus is controlled by + means of a capsule regulator that can be adjusted for + intervals of half a degree centigrade through a range of + 30 deg., from 50 deg. C. to 80 deg. C. by means of a spring, + actuated by the handle a, which increases the pressure + in the interior of the capsule. A hole is provided for the + reception of the nozzle of a blast pump, so that a current + of air may be blown through the water while the bath is in + use, and thus ensure a uniform temperature of its contents. + Through a second hole is suspended a certified centigrade + thermometer, the bulb of which although completely immersed + in the water is raised at least 2 cm. above the floor of + the bath. + + Sterile glass capsules. + + Flask containing 250 c.c. sterile normal saline solution. + + Case of sterile pipettes, 10 c.c. (in tenths of a cubic + centimetre). + + Special platinum loop. + + Test-tubes, 18 by 1.5 cm., of thin German glass. + + Case of sterile petri dishes. + + Tubes of agar or gelatine. + +METHOD.-- + +1. Prepare tube cultivations on solid media of optimum reaction; +incubate forty-eight hours under optimum conditions as to temperature +and atmosphere. + +2. Examine preparations from the cultivation microscopically to +determine the absence of spores. + +3. Pipette 5 c.c. salt solution into each of twelve capsules. + +4. Suspend three loopfuls of the surface growth (using a special +platinum loop, _vide_ page 316) in the normal saline solution by +emulcifying evenly against the moist walls of each capsule. + +5. Transfer emulsion from each capsule to sterile 250 c.c. flask, and +mix. + +6. Pipette 5 c.c. emulsion into each of twelve sterile test-tubes +numbered consecutively. + +7. Adjust the first tube in the water-bath, regulated at 40 deg. C, by +means of two rubber rings around the tube, one above and the other below +the perforated top of the bath, so that the upper level of the fluid in +the tube is about 4 cm. below the surface of the water in the bath, and +the bottom of the tube is a similar distance above the bottom of the bath. + +8. Arrange a control test-tube containing 5 c.c. sterile saline solution +under similar conditions. Plug the tube with cotton-wool and pass a +thermometer through the plug so that its bulb is immersed in the water. + +9. Close the unoccupied perforations in the lid of the water-bath by +means of glass balls. + +10. Watch the thermometer in the test-tube until it records a +temperature of 40 deg. C. Note the time. Ten minutes later remove the tube +containing the suspension, and cool rapidly by immersing its lower end +in a stream of running water. + +11. Pour three gelatine (or agar) plates containing respectively 0.2, +0.3, and 0.5 c.c. of the suspension, and incubate. + +12. Pipette the remaining 4 c.c. of the suspension into a culture flask +containing 250 c.c. of nutrient bouillon, and incubate. + +13. Observe these cultivations from day to day. "No growth" must not be +recorded as final until after the completion of seven days' incubation. + +14. Extend these observations to the remaining tubes of the series, but +varying the conditions so that each tube is exposed to a temperature 2 +deg. C. higher than the immediately preceding one--i. e., 42 deg. C., +44 deg. C., 46 deg. C., and so on. + +15. Note that temperature, after exposure to which no growth takes place +up to the end of seven days' incubation, = the thermal death-point. + +16. If greater accuracy is desired, a second series of tubes may be +prepared and exposed for ten minutes to fixed temperatures varying only +0.5 deg. C., through a range of 5 deg. C. on either side of the previously +observed death-point. + +Moist--Spores: The thermal death-point in the case of spores is that +~time exposure~ to a ~fixed temperature of 100 deg. C.~ necessary to +effect the death of all the spores present in a suspension. + + NOTE.--If it is desired to retain the ~time constant 10 + minutes~ and investigate the temperature necessary to destroy + the spores, varying amounts of calcium chloride must be + added to the water in the bath, when the boiling-point will + be raised above 100 deg. C. according to the percentage of + calcium in solution. In such case use the bath figured on + page 227; the bath figured on page 299 can only be used if + the capsule is first removed. + +It is determined in the following manner + + _Apparatus Required:_ + + Steam-can fitted with a delivery tube and a large bore + safety-valve tube. + + Water-bath at 100 deg. C. + + Erlenmeyer flask, 500 c.c. capacity, containing 140 c.c. + sterile normal saline solution and fitted with rubber + stopper perforated with four holes. + + The rubber stopper is fitted as follows: + + (a) Thermometer to 120 deg. C., its bulb immersed in the normal + saline. + + (b) Straight entry tube, reaching to the bottom of the + flask, the upper end plugged with cotton-wool. + + (c) Bent syphon tube, with pipette nozzle attached by means + of rubber tubing and fitted with pinch-cock. + + The nozzle is protected from accidental contamination by + passing it through the cotton-wool plug of a small + test-tube. + + (d) A sickle-shaped piece of glass tubing passing just + through the stopper, plugged with cotton-wool, to act as a + vent for the steam. + + Sterile plates. + + Sterile pipettes. + + Sterile test-tubes graduated to contain 5 c.c. + + _Media Required:_ + + Gelatine or agar. + + Culture flasks containing 200 c.c. nutrient bouillon. + +[Illustration: FIG. 156.--Apparatus arranged for the determination of +the death-point of spores.] + +METHOD.-- + +1. Prepare twelve tube cultivations upon the surface (or two cultures in +large flat culture bottles--_vide_ page 5) of nutrient agar and +incubate under the optimum conditions (previously determined), for the +formation of spores. + +Examine preparations from the cultures microscopically to determine the +presence of spores. + +2. Pipette 5 c.c. sterile normal saline into each culture tube or 30 +c.c. into each bottle and by means of a sterile platinum spatula +emulsify the entire surface growth with the solution. + +3. Add the 60 c.c. emulsion to 140 c.c. normal saline contained in the +fitted Erlenmeyer flask. + +4. Place the flask in the water-bath of boiling water. + +5. Connect up the straight tube, after removing the cotton-wool plug, +with the delivery tube of the steam can; remove the plug from the vent +tube. + +6. When the thermometer reaches 100 deg. C., open the spring clip on the +_syphon_, discard the first cubic centimeter of suspension that syphons +over (i. e., the contents of the syphon tube); collect the next 5 c.c. +of the suspension in the sterile graduated test-tube and pour plates and +prepare flask cultures therefrom as in the previous experiments. + +7. Repeat this process at intervals of twenty-five minutes' steaming. + +8. Observe the inoculated plates and flasks up to the completion, if +necessary, of seven days' incubation. + +9. Control these experiments, but in this instance syphon off portions +of the suspension at intervals of one-half to one minute during the five +or ten minutes preceding the previously determined death-point. + +_Thermal Death-point._-- + +Dry--Vegetative Forms: The thermal death-point in this case is that +~temperature~ which with certainty kills a thin film of the organism in +question after a time exposure of ~ten minutes~. + + _Apparatus Required:_ + + Hot-air oven, provided with thermo-regulator. + + Sterile cover-slips. + + Flask containing 250 c.c. sterile normal saline solution. + + Case of sterile pipettes, 10 c.c. (in tenths of a cubic + centimetre). + + Case of sterile capsules. + + Crucible tongs. + +METHOD.-- + +1. Prepare an emulsion with three loopfuls from an optimum cultivation +in 5 c.c. normal saline in a sterile capsule and examine microscopically +to determine the absence of spore forms. + +2. Make twelve cover-slip films on sterile cover-slips; place each in a +sterile capsule to dry. + +3. Expose each capsule in turn in the hot-air oven for ten minutes to a +different fixed temperature, varying 5 deg. C. between 60 deg. C. and +120 deg. C. + +4. Remove each capsule from the oven with crucible tongs immediately +after the ten minutes are completed; remove the cover-glass from its +interior with a sterile pair of forceps. + +5. Deposit the film in a flask containing 200 c.c. nutrient bouillon. + +6. Prepare subcultivations from such flasks as show evidence of growth, +to determine that no accidental contamination has taken place but that +the organism originally spread on the film is responsible for the +growth. + +7. Control the result of these experiments. + +Dry--Spores: The thermal death-point in this case is that ~temperature~ +which with certainty kills the spores of the organism in question when +present in a thin film after a time exposure of ~10 minutes~. + + _Apparatus Required:_ + + As for vegetative forms. + +METHOD.-- + +1. Prepare a sloped agar tube cultivation and incubate under optimum +conditions as to spore formations. + +2. Pipette 5 c.c. sterile normal saline into the culture tube and +emulsify the entire surface growth in it. Examine microscopically to +determine the presence of spores in large numbers. + +3. Spread thin even films on twelve sterile cover-slips and place each +cover-slip in a separate sterile capsule. + +4. Expose each capsule in turn for ten minutes to a different fixed +temperature, varying 5 deg. C, between 100 deg. C. and 160 deg. C. + +5. Complete the examination as for vegetative forms. + + +~III. Reaction of Medium.~ + +(A) _Range._-- + +1. Prepare a bouillon culture of the organism and incubate, under +optimum conditions as to temperature and atmosphere, for twenty-four +hours. + +2. Pipette 0.1 c.c. of the cultivation into a sterile capsule; add 9.9 +c.c. sterile bouillon and mix thoroughly. + +3. Prepare a series of tubes of nutrient bouillon of varying reactions, +from +25 to -30 (_vide_ page 155), viz.: +25, +20, +15, +10, +5, +neutral, -5, -10, -15, -20, -25, -30. + +4. Inoculate each of the bouillon tubes with 0.1 c.c. of the diluted +cultivation by means of a sterile graduated pipette and incubate under +optimum conditions. + +5. Observe the cultures at half-hourly intervals from the third to the +twelfth hours. Note the reaction of the tube or tubes in which growth is +first visible macroscopically (probably optimum reaction). + +6. Continue the incubation until the completion, if necessary, of seven +days. Note the extremes of acidity and alkalinity in which macroscopical +growth has developed (Range of reaction). + +7. Control the result of these observations. + +(B) _Optimum Reaction._--The optimum reaction has already been +roughly determined whilst observing the range. It can be fixed within +narrower limits by inoculating in a similar manner a series of tubes of +bouillon which represent smaller variations in reaction than those +previously employed (say, 1 instead of 5) for five points on either side +of the previously observed optimum. For example, the optimum reaction +observed in the set of experiments to determine the range was +10. Now +plant tubes having reactions of +15, +14, +13, +12, +11, +10, +9, +8, ++7, + 6, +5, and observe as before. + + +~IV. Resistance to Lethal Agents.~-- + +(A) _Desiccation._-- + + _Apparatus Required:_ + + Mueller's desiccator. This consists of a bell glass fitted + with an exhaust tube and stop-cock (d), which can be + secured to a plate-glass base (c) by means of wax or + grease. It contains a cylindrical vessel of porous clay + (a) into the top of which pure sulphuric acid is poured + whilst the material to be dried is placed within its walls + on a glass shelf (b). The air is exhausted from the + interior and the acid rapidly converts the clay vessel into + a large absorbing surface (Fig. 157). + + Exhaust pump. + + Pure concentrated sulphuric acid. + + Sterile cover-slips. + + Sterile forceps. + + Culture flask containing 200 c.c. nutrient bouillon. + + Sterile ventilated Petri dish. This is prepared by bending + three short pieces of aluminium wire into V shape and + hanging these on the edge of the lower dish and resting the + lid upon them (Fig. 158). + +METHOD.-- + +1. Prepare a surface cultivation on nutrient agar in a culture bottle +and incubate under optimum conditions for forty-eight hours. + +2. Examine preparations from the cultivation, microscopically, to +determine the absence of spores. + +3. Pipette 5 c.c. sterile normal saline solution into the flask and +suspend the entire growth in it. + +4. Spread the suspension in thin, even films on sterile cover-slips and +deposit inside sterile "plates" to dry. + +5. As soon as dry, transfer the cover-slip films to the ventilated Petri +dish by means of sterile forceps. + +[Illustration: FIG. 157.--Mueller's desiccator.] + +6. Place the Petri dish inside the Mueller's desiccator; fill the upper +chamber with pure sulphuric acid, cover with the bell jar, and exhaust +the air from its interior. Ten minutes later connect up the desiccator +to a sulphuric acid wash-bottle interposing an air filter so that only +dry sterile air enters. + +[Illustration: FIG. 158.--Petri dish for drying cultivations.] + +7. At intervals of five hours open the apparatus, remove one of the +cover-slip films from the Petri dish, and transfer it to the interior of +a culture flask, with every precaution against contamination. Reseal the +desiccator and again exhaust, and subsequently admit dry sterile air as +before. + +8. Incubate the culture flask under optimum conditions until the +completion of seven days, if necessary; and determine the time exposure +at which death occurs. + +9. Pour plates from those culture flasks which grow, to determine the +absence of contamination. + +10. Repeat these observations at hourly intervals for the five hours +preceding and succeeding the death time, as determined in the first set +of experiments. + +(B) _Light._-- + +(a) Diffuse Daylight: + +1. Prepare a tube cultivation in nutrient bouillon, and incubate under +optimum conditions, for forty-eight hours. + +[Illustration: FIG. 159.--Plate with star for testing effect of light.] + +2. Pour twenty plate cultivations, ten of nutrient gelatine and ten of +nutrient agar, each containing 0.1 c.c. of the bouillon culture. + +3. Place one agar plate and one gelatine plate into the hot and cold +incubators, respectively, as _controls_. + +4. Fasten a piece of black paper, cut the shape of a cross or star, on +the centre of the cover of each of the remaining plates (Fig. 159). + +5. Expose these plates to the action of diffuse daylight (not direct +sunlight) in the laboratory for one, two, three, four, five, six, eight, +ten, twelve hours. + +6. After exposure to light, incubate under optimum conditions. + +7. Examine the plate cultivations after twenty-four and forty-eight +hours' incubation, and compare with the two controls. Record results. If +growth is absent from that portion of the plate unprotected by the black +paper, continue the incubation and daily observation until the end of +seven days. + +8. Control the results. + +(b) Direct Sunlight: + +1. Prepare plate cultivations precisely as in the former experiments and +place the two controls in the incubators. + +2. Arrange the remaining plates upon a platform in the direct rays of +the sun. + +3. On the top of each plate stand a small glass dish 14 cm. in diameter +and 5 cm. deep. + +4. Fill a solution of potash alum (2 per cent. in distilled water) into +each dish to the depth of 2 cm. to absorb the heat of the sun's rays and +so eliminate possible effects of temperature on the cultivations. + +5. After exposures for periods similar to those employed in the +preceding experiment, incubate and complete the observation as above. + +(c) Primary Colours: Each colour--violet, blue, green and red--must be +tested separately. + +1. Prepare plate cultivations, as in the previous "light" experiments, +and incubate controls. + +2. Fasten a strip of black paper, 3 cm. wide, across one diameter of the +cover of each plate. + +3. Coat the remainder of the surface of the cover with a film of pure +photographic collodion which contains 2 per cent. of either of the +following aniline dyes, as may be necessary: + + Chrysoidin (for red). + Malachite green (for green). + Eosin, bluish (for blue). + Methyl violet (for violet). + +4. Expose the plates, thus prepared, to bright daylight (but not direct +sunlight) for varying periods, and complete the observations as in the +preceding experiments. The bactericidal action of light appears to +depend upon the more refrangible rays of the violet end of the spectrum +and is noted whether the red yellow rays are transmitted or not. + +5. Control the results. + + NOTE.--The ultra-violet rays obtained from a quartz mercury + vapour lamp destroy bacterial life with great rapidity under + laboratory conditions. + +(C) _Heat._--(_Vide_ Thermal Death-point, page 298.) + +(D) _Antiseptics and Disinfectants._--The resistance exhibited by any +given bacterium toward any specified disinfectant or germicide should be +investigated with reference to the following points: + +(A) ~Inhibition coefficient~--i. e., that _percentage of the +disinfectant_ present in the nutrient medium which is sufficient to +prevent the growth and multiplication of the bacterium. + +(B) ~Inferior lethal coefficient~--i. e., the _time exposure_ necessary +to kill _vegetative forms_ of the bacterium suspended in water at +20 deg. to 25 deg. C, in which the disinfectant is present in _medium_ +concentration (concentration insufficient to cause plasmolysis). And if +the bacterium is one which forms spores, + +(C) ~Superior lethal coefficient~--i. e., the _time exposure_ necessary +to kill the _spores_ of the bacterium under conditions similar to those +obtaining in B. + +The example here detailed only specifically refers to certain of the +disinfectants: + + viz:--Bichloride of mercury; + Formaldehyde; + Carbolic acid; + +investigated with regard to B. anthracis, but the technique is +practically similar for all other chemical disinfectants. + +~Inhibition Coefficient.~-- + + _Apparatus Required:_ + + Case of sterile pipettes, 10 c.c. (in tenths). + + Case of sterile pipettes, 1 c.c. (in tenths). + + Sterile tubes or capsules for dilutions. + + Tubes of nutrient bouillon each containing a measured 10 + c.c. of medium. + + Twenty-four-hour-old agar culture of a recently isolated B. + Anthracis. + + _Germicides:_ + + 1. Five per cent. aqueous solution of carbolic acid. + + 2. One per cent. aqueous solution of perchloride of mercury. + + 3. One-tenth per cent. aqueous solution of formaldehyde. + +METHOD.-- + +1. Number six bouillon tubes consecutively 1 to 6. Inoculate each from +the stock cultivation of B. anthracis and at once add varying +quantities[10] of the carbolic acid solution, viz.: + + To tube 1 add 2.0 c.c. (= 1:100) + To tube 2 add 1.0 c.c. (= 1:200) + To tube 3 add 0.6 c.c. (= 1:300) + To tube 4 add 0.5 c.c. (= 1:400) + To tube 5 add 0.4 c.c. (= 1:500) + To tube 6 add 0.2 c.c. (= 1:1,000) + +2. Prepare a similar series of tube cultivations numbered consecutively +7 to 12 and add varying quantities of the mercuric perchloride solution, +viz.: + + To tube 7 add 0.1 (= 1:1,000) + To tube 8 add 0.05 (= 1:2,000) + To tube 9 add 0.03 (= 1:3,000) + To tube 10 add 0.025 (= 1:4,000) + To tube 11 add 0.02 (= 1:5,000) + To tube 12 add 0.01 (= 1:10,000) + + +3. Prepare a similar series of tube cultivations numbered consecutively +13 to 18 and add varying quantities of the formaldehyde solution, viz.: + + To tube No. 13 add 1.0 c.c. (= 1:1,000) + To tube No. 14 add 0.4 c.c. (= 1:2,500) + To tube No. 15 add 0.2 c.c. (= 1:5,000) + To tube No. 16 add 0.1 c.c. (= 1:10,000) + To tube No. 17 add 0.075 c.c. (= 1:15,000) + To tube No. 18 add 0.05 c.c. (= 1:20,000) + +4. Incubate all three sets of cultivations under optimum conditions as +to temperature and atmosphere. + +5. Examine each of the culture tubes from day to day, until the +completion of seven days, and note those tubes, if any, in which growth +takes place. + +6. From such tubes as show growth prepare subcultivations upon suitable +media, and ascertain that the organism causing the growth is the one +originally employed in the test and not an accidental contamination. + + +~Inferior Lethal Coefficient.~-- + + _Apparatus Required:_ + + Highly concentrated solutions of the disinfectants. + + Sterile test-tubes in which to make dilutions from the + concentrated solutions of the disinfectants. + + Hanging-drop slides. + + Cover-slips. + + Erlenmeyer flask containing 100 c.c. sterile distilled + water. + + Case of sterile pipettes, 10 c.c. (in tenths of a cubic + centimetre). + + Case of sterile pipettes, 1 c.c. (in tenths of a cubic + centimetre). + +METHOD.-- + +1. Prepare a surface cultivation of the "test" organism B. anthracis +upon nutrient agar in a culture bottle and incubate under optimum +conditions for twenty-four hours; then examine the cultivation +microscopically to determine the absence of spores. + +2. Prepare solutions of different percentages of each disinfectant. + +3. Make a series of hanging-drop preparations from the agar culture, +using a loopful of disinfectant solution of the different percentages to +prepare the emulsion on each cover-slip. + +4. Examine microscopically and note the strongest solution which does +not cause plasmolysis and the weakest solution which does plasmolyse the +organism. + +5. Make control preparations of these two solutions and determine the +percentage to be tested. + +6. Pipette 10 c.c. sterile water into the culture bottle and suspend the +entire surface growth in it. + +7. Transfer the suspension to the Erlenmeyer flask and mix it with the +90 c.c. of sterile water remaining in the flask. + +8. Pipette 10 c.c. of the diluted suspension into each of ten sterile +test-tubes. + +9. Label one of the tubes "Control" and place it in the incubator at +18 deg. C. + +10. Add to each of the remaining tubes a sufficient quantity[11] of a +concentrated solution of the disinfectant to produce the percentage +previously determined upon (_vide_ step 5). + +11. Incubate the tubes at 18 deg. C. to 20 deg. C. + +12. At hourly intervals remove the control tube and one of the tubes +with added disinfectant from the incubator. + +13. Make a subcultivation from both the control and the test suspension, +upon the surface of nutrient agar; incubate under optimum conditions. + +14. Observe these culture tubes from day to day until the completion of +seven days, and determine the shortest exposure necessary to cause the +death of vegetative forms. + + +~Superior Lethal Coefficient.~-- + +1. Prepare surface cultivations of the "test" organisms upon nutrient +agar in a culture bottle, and incubate under optimum conditions, for +three days, for the formation of their spores. + +2. Transfer the emulsion to a sterile test-tube and heat in the +differential steriliser for ten minutes at 80 deg. C. to destroy all +vegetative forms. + +3. Employing that percentage solution of the disinfectant determined in +the previous experiment, and complete the investigations as detailed +therein, steps 7 to 14, increasing the interval between planting the +subcultivations to two, three, or five hours if considered advisable. + + NOTE.--Where it is necessary to leave the organisms in + contact with a strong solution of the disinfectant for + lengthy periods, some means must be adopted to remove every + trace of the disinfectant from the bacteria before + transferring them to fresh culture media; otherwise, + although not actually killed, the presence of the + disinfectant may prevent their development, and so give rise + to an erroneous conclusion. Consequently it is essential in + all germicidal experiments to determine first of all the + inhibition coefficient of the germicide employed. Under the + circumstances referred to above it is usually sufficient to + prepare the subcultures in such a volume of fluid nutrient + medium as would suffice to reduce the concentration of the + germicide to about one hundredth of the inhibition + percentage, assuming that the entire bulk of inoculum was + made up of that strength of germicide employed in the test. + In some cases it is a simple matter to neutralise the + germicide and render it inert by washing the organisms in + some non-germicidal solution (such for example as ammonium + sulphide when using mercurial salts as the germicide). When, + however, it is desired to remove the last traces of + germicide proceed as follows: + + 1. Transfer the suspension of bacteria to sterile + centrifugal tubes; add the required amount of disinfectant, + and allow it to remain in contact with the bacteria for the + necessary period. + + 2. Centrifugalise thoroughly, pipette off the supernatant + fluid; fill the tube with sterile water and distribute the + deposit evenly throughout the fluid. + + 3. Centrifugalise again, pipette off the supernatant fluid; + fill the tube with sterile water; distribute the deposit + evenly throughout the fluid, and transfer the suspension to + a litre flask. + + 4. Make up to a litre by the addition of sterile water; + filter the suspension through a sterile porcelain candle. + + 5. Emulsify the bacterial residue with 5 c.c. sterile + bouillon. + + 6. Prepare the necessary subcultivations from this emulsion. + + +PATHOGENESIS. + +_Living Bacteria._-- + +(a) Psychrophilic Bacteria: When the organism will only grow at or below +18 deg. to 20 deg. C., + +1. Prepare cultivations in nutrient broth and incubate under optimum +conditions. + +2. After seven days' incubation inject that amount of the culture +corresponding to 1 per cent. of the body-weight of a healthy frog, into +the reptile's dorsal lymph sac. + +3. Observe until death takes place, or, in the event of a negative +result, until the completion of twenty-eight days (_vide_ Chapter +XVIII). + +4. If, and when, death occurs, make a careful post-mortem examination +(_vide_ Chapter XIX). + +(b) Mesophilic Bacteria: When the organism grows at 35 deg. to 37 deg. C., + +1. Prepare cultivations in nutrient broth and incubate under optimum +conditions for forty-eight hours. + +2. Select two white mice, as nearly as possible of the same age, size, +and weight. + +3. Inoculate the first mouse, subcutaneously at the root of the tail, +with an amount of cultivation equivalent to 1 per cent. of its +body-weight. + +4. Inoculate the second mouse intraperitoneally with a similar dose. + +5. Observe carefully until death occurs, or until the lapse of +twenty-eight days. + +6. If the inoculated animals succumb, make complete post-mortem +examination. + +If death follows shortly after the injection of cultivations of +bacteria, the inoculation experiments should be repeated two or three +times. Then, if the organism under observation invariably exhibits +pathogenic effects, steps should be taken to ascertain, if possible, the +minimal lethal dose (_vide infra_) of the growth upon solid media for +the frog or white mouse respectively. Other experimental animals--_e. +g._, the white rat, guinea-pig, and rabbit--should next be tested in a +similar manner. + +7. If the inoculated mice are unaffected, test the action of the +organism in question upon white rats, guinea-pigs, rabbits, etc. + +_Minimal Lethal Dose_ (_m. l. d._); If the purpose of the inoculation is +to determine the minimal lethal dose, a slightly different procedure +must be followed. For this and other exact experiments a special +platinum loop is manufactured, some 2.5 mm. by 0.75 mm., with parallel +sides, and calibrated by careful weighing, to determine approximately +the amount of moist bacterial growth, the loop will hold when filled. + +1. The cultivation must be prepared on a solid medium of the optimum +reaction, incubated at the optimum temperature, and injected at the +period of greatest activity and vigour, of the particular organism it is +desired to test. + +2. Arrange four sterile capsules in a row and label them I, II, III, and +IV. Into the first deliver 10 c.c. sterile bouillon by means of a +sterile graduated pipette; and into each of the remaining three, 9.9 +c.c. + +3. Remove one loopful of the bacterial growth from the surface of the +medium in the culture tube, observing the usual precautions against +contamination, and emulsify it evenly with the bouillon in the first +capsule. Each cubic centimetre of the emulsion will now contain +one-tenth of the organisms contained in the original loopful (written +shortly 0.1 loop). + +4. Remove 0.1 c.c. of the emulsion in the first capsule by means of a +sterile graduated pipette and transfer it to the second capsule and mix +thoroughly. Drop the infected pipette into a jar of lysol solution. This +makes up the bulk of the fluid in the second capsule to 10 c.c., and +therefore every cubic centimetre of bouillon in capsule II contains +0.001 loop. + +5. Similarly, 0.1 c.c. of the mixture is transferred from capsule II to +capsule III (1 c.c. of bouillon in capsule III contains 0.00001 loop), +and then from capsule III to capsule IV (1 c.c. of bouillon in capsule +IV contains 0.0000001 loop). + +The dilutions thus prepared may be summarised in a table; + +Capsule I = 1 loopful + 10 c.c. water [.'.] 1 c.c.=0.1 loop. +Capsule II = 0.1 c.c. capsule I + 9.9 c.c. water [.'.] 1 c.c.=0.001 loop. +Capsule III = 0.1 c.c. capsule II + 9.9 c.c. water [.'.] 1 c.c.=0.00001 loop. +Capsule IV = 0.1 c.c. capsule III + 9.9 c.c. water + [.'.] 1 c.c. = 0.0000001 loop. + +6. With sterile graduated pipettes remove the necessary quantity of +bouillon corresponding to the various divisors of ten of the loop from +the respective capsules, and transfer each "dose" to a separate sterile +capsule and label; and to such doses as are small in bulk, add the +necessary quantity of sterile bouillon to make up to 1 c.c. + +7. Multiples of the loop are prepared by emulsifying 1, 2, 5, or 10 +loops each with 1 c.c. sterile bouillon in separate sterile capsules. + +8. Inoculate a series of animals with these measured doses, filling the +syringe first from that capsule containing the smallest dose, then from +the capsule containing the next smallest, and so on. If care is taken, +it will not be found necessary to sterilise the syringe during the +series of inoculations. + +9. Plant tubes of gelatine or agar, liquefied by heat, from each of the +higher dilutions, say from 0.0000001 loop to 0.01 loop; pour plates and +incubate. When growth is visible enumerate the number of organisms +present in each, average up and calculate the number of bacteria present +in one loopful of the inoculum. + +10. The smallest dose which causes the infection and death of the +inoculated animal is noted as the minimal lethal dose. + +_Toxins._-- + +Prepare flask cultivations of the organism under observation in glucose +formate broth, and incubate for fourteen days under optimum conditions. + +(a) Intracellular or Insoluble Toxins: + +1. Heat the fluid culture in a water-bath at 60 deg. C. for thirty +minutes. (The resulting sterile, turbid fluid is often spoken of as +"killed" culture,) + +2. Inoculate a tube of sterile bouillon with a similar quantity, and +incubate under optimum conditions. This "control" then serves to +demonstrate the freedom of the toxin from living bacteria. + +[Illustration: FIG. 160.--Apparatus arrange for toxin filtration.] + +3. Inject intraveneously that amount of the cultivation corresponding to +1 per cent. of the body-weight of the selected animal, usually one of +the small rodents. + +4. Observe during life or until the completion of twenty-eight days, and +in the event of death occurring during that period, make a complete +post-mortem examination. + +5. Repeat the experiment at least once. In the event of a positive +result estimate the minimal lethal dose of "killed" culture for each of +the species of animals experimented upon. + +(b) Extracellular or Soluble Toxins: + +1. Filter the cultivation through a porcelain filter candle (Berkefeld) +into a sterile filter flask, arranging the apparatus as in the +accompanying figure (Fig. 160). + +2. Inoculate mice, rats, guinea-pigs, and rabbits subcutaneously with +that quantity of toxin corresponding to 1 per cent. of the body-weight +of each respectively, and observe, if necessary, until the completion of +one month. + +3. Inoculate a "control" tube of bouillon with a similar quantity and +incubate, to determine the freedom of the filtered toxin from living +bacteria. + +4. In the event of a fatal termination make complete and careful +post-mortem examinations. + +5. Repeat the experiments and, if the results are positive, ascertain +the minimal lethal dose of toxin for each of the susceptible animals. + +The estimation of the _m. l. d._ of a toxin is carried out on lines +similar to those laid down for living bacteria (_vide_ page 316) merely +substituting 1 c.c. of toxin as the unit in place of the unit "loopful" +of living culture. + +It frequently happens, during the course of casual investigations that a +bouillon-tube culture is available for a toxin test whilst a flask +cultivation is not. In such cases, Martin's small filter candle and tube +(Fig. 161) specially designed for the filtration of small quantities of +fluid, is invaluable. This consists of a narrow filter flask just large +enough to accommodate an ordinary 18 x 2 cm. test-tube. The mouth of the +tubular Chamberland candle 15 x 1.5 cm. is closed by a perforated rubber +cork into which fits the end of the stem of a thistle headed funnel, +whilst immediately below the butt of the funnel is situated a rubber +cork to close the mouth of the filter flask. When the apparatus is fixed +in position and connected to an exhaust pump, the cultivation is poured +into the head of the funnel and owing to the relatively large filtering +surface the germ free filtrate is rapidly drawn through into the +test-tube receiver. + +~Raising the Virulence of an Organism.~--If it is desired to raise or +"exalt" the virulence of a feebly pathogenic organism, special methods +of inoculation are necessary, carefully adjusted to the exigencies of +each individual case. Among the most important are the following: + +1. _Passage of Virus._--The inoculation of pure cultivations of the +organism into highly susceptible animals, and passing it as rapidly as +possible from animal to animal, always selecting that method of +inoculation-e. g., intraperitoneal--which places the organism under +the most favorable conditions for its growth and multiplication. + +[Illustration: FIG. 161--Martin's filtering apparatus for small +quantities of fluid.] + +2. _Virus Plus Virulent Organisms._--The inoculation of pure +cultivations of the organism together with pure cultivations of some +other microbe which in itself is sufficiently virulent to ensure the +death of the experimental animal, either into the same situation or into +some other part of the body. By this association the organism of low +virulence will frequently acquire a higher degree of virulence, which +may be still further raised by means of "passages" (_vide supra_). + +3. _Virus Plus Toxins._--The inoculation of pure cultivations of the +organism into some selected situation, together with the subcutaneous, +intraperitoneal, or intravenous injection of a toxin--e. g., one of +those elaborated by the proteus group--either simultaneously with, +before, or immediately after, the injection of the feeble virus. By +this means the natural resistance of the animal is lowered, and the +organism inoculated is enabled to multiply and produce its pathogenic +effect, its virulence being subsequently exalted by means of "passages." + +~Attenuating the Virulence of an Organism.~--Attenuating or lowering the +virulence of a pathogenic microbe is usually attained with much less +difficulty than the exaltation of its virulence, and is generally +effected by varying the environment of the cultivations, as for example: + +1. Cultivating in such media as are unsuitable by reason of their (a) +composition or (b) reaction. + +2. Cultivating in suitable media, but at an unsuitable temperature. + +3. Cultivating in suitable media, but in an unsuitable atmosphere. + +4. Cultivation in suitable media, but under unfavorable conditions as to +light, motion, etc. + +Attenuation of the virus can also be secured by + +5. Passage through naturally resistant animals. + +6. Exposure to desiccation. + +7. Exposure to gaseous disinfectants. + +8. By a combination of two or more of the above methods. + + +IMMUNISATION. + +The further study of the pathogenetic powers of any particular bacterium +involves the active immunisation of one or more previously normal +animals. This end may be attained by various means; but it must be +remembered that immunisation is not carried out by any hard and fast +rule or by one method alone, but usually by a combination of methods +adapted to the exigencies of each particular case. The ordinary methods +include: + + A. Active Immunisation. + + I. By inoculation with dead bacteria (i. e., bacteria + killed by heat; the action of ultra-violet rays, of chemical + germicides, or by autolysis). + + II. By the inoculation of attenuated strains of bacteria. + + III. By the inoculation of living virulent bacteria (exalted + in virulence if necessary). + + B. Combined Active and Passive Immunisation: + + IV. By the inoculation of toxin-antitoxin mixtures. + + +ACTIVE IMMUNISATION. + +The immunisation of the rabbit against the Diplococcus pneumoniae may be +instanced as an example of the general methods of immunisation of +laboratory animals. + +1. Take a full grown rabbit weighing not less than 1200 to 1500 grammes +(large rabbits of 2000 grammes and over are the most suitable for +immunising experiments). Observe weight and temperature carefully during +the few days occupied in the following steps. + +2. Inoculate a small rabbit intraperitoneally with one or two loopfuls +of a twenty-four-hour-old blood agar cultivation of a _virulent_ strain +of Diplococcus pneumoniae. + +Death should follow within twenty-four hours, and in any case will not +be delayed beyond forty-eight hours. + +3. Under aseptic precautions, at the post-mortem, transfer a loopful of +heart blood to an Erlenmeyer flask containing 50 c.c. sterile nutrient +broth. Incubate at 37 deg. C. for twenty-four hours. + +4. Prepare also several blood agar cultures from the heart blood of the +rabbit, label them all O.C. (original culture). After twenty-four hours +incubation at 37 deg. C. place an india-rubber cap over the plugged mouth +of the tube of all but one of these cultures and paint the cap with Canada +balsam or shellac varnish, dry, and replace in the hot incubator. + +This will prevent evaporation, and cultures thus sealed will remain +unaltered in virulence for a considerable time. + +5. Make a fresh subcultivation on blood agar from the uncapped O.C. +cultivation and after twenty-four hours incubation at 37 deg. C. +determine the minimal lethal dose of this strain upon a series of mice +(see page 316). + +6. Suspend the flask containing the twenty-four-hour-old broth culture +(step 3) in the water-bath at 60 deg. C. for one hour. Cool the flask +rapidly under a stream of cold water. + +7. Determine the sterility of this (?) killed cultivation by +transferring one cubic centimetre to each of several tubes of nutrient +broth, and incubate at 37 deg. C. for twenty-four hours. If growth of +Diplococcus pneumoniae occurs, again heat culture in water-bath at 60 +deg. C. for one hour and again test for sterility. + +8. Inject the selected rabbit intravenously (see page 363) with 2 c.c. +of the killed cultivation, and inject a further 10 c.c. into the +peritoneal cavity. + +During the next few days the animal will lose some weight and perhaps +show a certain amount of pyrexia. + +9. When the temperature and weight have again returned to +normal--generally about seven days after the inoculation--again inject +killed cultivation, this time giving a dose of 5 c.c. intravenously and +20 c.c. intraperitoneally. A temperature and weight reaction similar to, +but less marked than that following the first injection will probably be +observed, but after about a week's interval the animal will be ready for +the next injection. + +10. When ready to give the third injection prepare a fresh blood agar +subculture from another O.C. tube and after twenty-four hours incubation +prepare a minimal lethal dose (as determined in 5) and inject it +subcutaneously into the rabbit's abdominal wall. + +A slight local reaction will probably be observed as well as the weight +and temperature reactions. + +11. A week to ten days later inject a similar minimal lethal dose into +the peritoneal cavity. + +12. Observe the weight and temperature of the rabbit very carefully, and +regulating the dates of inoculation by the animal's general condition, +continue to inject living cultivations of the pneumococcus into the +peritoneal cavity, gradually increasing the dose by multiples of ten. + +13. At intervals of two months samples of blood may be collected from +the posterior auricular vein and the serum tested for specific +antibodies. + +14. Under favourable conditions it will be found after some six months +steady work that the rabbit may be injected intraperitoneally with an +entire blood agar cultivation without any ill effects being apparent; +and this characteristic--resistance to the lethal effects of large doses +of the virus--is the sole criterion of _immunity_. Further, the serum +separated from blood withdrawn from the animal about a week after an +injection, if used in doses of .01 c.c., will protect a mouse against +the lethal effects of at least ten minimal lethal doses of living +pneumococci. + +In the foregoing illustration it has been assumed that complete acquired +active immunity has been conferred upon the experimental rabbit in +consequence of the formation of antibody, specific to the diplococcus +pneumoniac, sufficient in amount to ensure the destruction of enormous +doses of the living cocci--the _antigen_ (that is the substance injected +in response to which _antibody_ has been elaborated) in this particular +case being the bacterial protoplasm of the pneumococcus with its +endo-toxins. + +But provided death does not immediately follow the injection of the +antigen, specific antibody is always formed in greater or lesser amount; +and in experimental work a sufficient amount of any required antibody +can often be obtained without carrying the process of immunisation to +its logical termination. + +For instance, if the immunisation of a rabbit toward Bacillus typhosus +is commenced on the lines already set out it will often be found, after +a few injections of "killed" cultivation that the blood serum of the +animal (even when diluted with several hundred times its volume of +normal saline) contains specific agglutinin for B. typhosus--and if the +sole object of the experiment has been the preparation of agglutinin the +inoculations may well be stopped at this point, although the animal is +not yet immune in the strict meaning of the word. + +Again, antibodies may be formed in response to antigens other than +infective particles--thus the injection into suitable animals of foreign +proteins such as egg albumin, heterologous blood sera or red blood discs +from a different species of animal, will result in the formation of +specific antibodies possessing definite affinities for their respective +antigens. + +The most important antibody of this latter type is Haemolysin, a +substance that makes its appearance in the blood serum of an animal +previously injected with washed blood cells from an animal of a +different species. The serum from such an animal possesses the power of +disintegrating red blood discs of the variety employed as antigen and +causing the discharge of their contained haemoglobin, and is specific in +its action to the extent of failing to exert any injurious effect upon +the red blood cells of any other species of animal. + +The action of this serum is due to the presence of two distinct bodies, +complement and haemolysin. + +_Complement_ (or alexine) is a thermo-labile readily oxidised body +present in variable but unalterable amount in the normal serum of every +animal. It is a substance which exerts a lytic effect upon all foreign +matter introduced into the blood or tissues; but by itself is a +comparatively inert body, and is only capable of exerting its maximum +lytic effect in the presence of and in combination with a specific +antibody, or immune body. + +Complement is obtained (unmixed with antibody) by collecting fresh blood +serum from any healthy normal (that is uninoculated) animal. +Guinea-pigs' serum is that most frequently employed for experimental +work. + +_Haemolysin_ (immune body, copula, sensitising body, amboceptor) is a +_thermostable_ antibody formed in response to the injection of red cells +which although in itself inert is capable of linking up complement +present in the normal serum to the red cells of the variety used as +antigen--a combination resulting in haemolysis. + +Haemolysin is obtained by collecting fresh blood serum from a suitably +inoculated animal and exposing it to a temperature of 56 deg. C. (to +destroy the thermo-labile complement) for 15 to 30 minutes before use. +It is then referred to as _inactivated_, and is _reactivated_ by the +addition of fresh normal serum--that is serum containing complement. + +Haemolysin is of importance academically owing to the fact that many of +the problems of immunity have been elucidated by its aid; but its +present practical importance lies in the application of the _haemolytic +system_ (that is haemolysin, corresponding erythrocyte solution and +complement) to certain laboratory methods having for their object either +the identification of the infective entity or the diagnosis of the +existence of infection. + +For use in these laboratory methods of diagnosis it is most convenient +to prepare haemolytic serum specific for human blood--whether the +laboratory is isolated or attached to a large hospital. Ox blood, sheep +blood or goat blood if readily obtainable, may however be used instead, +and although the following method is directed to the preparation of +human haemolysin the same procedure serves in all cases. + + +THE PREPARATION OF HAEMOLYTIC SERUM. + +_Apparatus Required:_ + + Small centrifuge, preferably electrically driven, with two + receptacles for tubes, and enclosed in a safety shield (Fig. 162). + Sterile centrifuge tubes (10 c.c. capacity), Fig. 163. + Sterile pipettes (10 c.c. graduated) in case. + Sterile glass capsules (in case). + Sterile test-tubes. + Sterile all glass syringe (5 c.c. or 10 c.c. capacity) + and needle. + +[Illustration: FIG. 162.--Small electrical centrifuge.] + +[Illustration: FIG. 163.--Centrifuge tube.] + +_Reagents Required:_ + + Normal saline solution. + 10 per cent. sodium citrate solution in normal saline. + Human blood (_vide infra_). + +METHOD.-- + +1. Select a healthy full-grown rabbit of not less than 2500 grammes +weight in accordance with the directions already given (page 322) and +prepare it for intraperitoneal inoculation. + +2. Measure out 2 c.c. citrated human blood (collected at a surgical +operation or a venesection, or withdrawn by venipuncture from the median +basilic or median cephalic vein of a normal adult) into a centrifuge +tube and centrifugalise thoroughly. + +3. Wash with three changes of normal saline (_vide_ also page 388). + +4. Transfer the washed cells to a sterile capsule by means of a sterile +pipette. Add 5 c.c. of normal saline and mix thoroughly. + +5. Take up the mixture of cells and saline in the all-glass syringe and +inject into the peritoneal cavity of the rabbit. + +6. Seven days later inject intraperitoneally the washed cells from 5 +c.c. human blood mixed with 5 c.c. normal saline. + +7. Seven days later inject the washed cells from 10 c.c. human blood +mixed with 5 c.c. normal saline. + +8. After a further interval of seven days repeat the injection of washed +cells from 10 c.c. human blood mixed with 5 c.c. normal saline. + + NOTE.--Better results are obtained if the second and + subsequent injections are made intravenously, even when + smaller quantities of washed red cells are employed. If, + however, the intravenous route is selected exceeding great + care must be exercised to avoid the introduction of air into + the vein--an accident which is followed, within a few + minutes, by the death of the rabbit from pulmonary embolism. + +9. Allow five days to elapse, then collect a preliminary sample of +blood, say about 2 c.c., from the rabbit's ear. Allow it to clot, +separate off the serum and transfer to a sterile test-tube. Place the +test-tube in a water-bath at 56 deg. C. for fifteen minutes (to +inactivate) and test the serum quantitatively for haemolytic properties +in the following manner: + + +THE TITRATION OF HAEMOLYTIC SERUM. + +_Apparatus Required:_ + + Electrical centrifuge. + Sterile centrifuge tubes. + Water-bath regulated at 56 deg. C. + Sterilised pipettes 10 c.c. graduated in tenths. + Sterilised pipettes 1 c.c. graduated in tenths. + Sterile test-tubes, 16 x 2 cm. + Small sterile test-tubes, 9 x 1 cm. + Small test-tube rack, or roll of plasticine. + Capillary teat pipettes. + Stout rubber band or length of small rubber tubing. + +_Reagents Required and Method of Preparation:_ + + 1. Normal saline solution. + + 2. Haemolytic serum inactivated by preliminary heating to 56 deg. + C. for 15 minutes (_vide supra_) in test-tube labelled H. S. + + 3. Complement. Fresh guinea-pig serum in test-tube labelled + C. + + Kill a normal guinea-pig with chloroform vapour. + + Open the thorax with all aseptic precautions, and collect as + much blood as possible from the heart with a sterile Pasteur + pipette. + + Transfer it to a sterile centrifuge tube and place the tube + in the incubator at 37 deg. C. Two hours later separate the clot + from the sides of the tube, and centrifugalise thoroughly. + + Pipette off the clear serum to a clean sterilised test-tube. + + 4. Erythrocyte solution, in test-tube labelled E. + + Collect and wash human red blood cells (see page 388, 1-8). + Measure the volume of red cells available and prepare a 2 + per cent. suspension in normal saline solution. + +METHOD.-- + +1. Take two test-tubes and number them 1 and 2, and pipette into each 9 +c.c. of normal saline solution. + +2. Add 1 c.c. of haemolytic rabbit serum to tube No. 1 and mix +thoroughly: take up 1 c.c. of the mixture and add it to tube No. 2; mix +thoroughly. + +3. Set up ten small test-tubes in test-tube rack or in roll of +plasticine, and number 1 to 10. + + 4. Pipette into tube No. 1 0.5 c.c. = 0.5 c.c.} + haemolytic serum } From tube + Pipette into tube No. 2 0.1 c.c. = 0.1 c.c. } H. S. + haemolytic serum } + + Pipette into tube No. 3 0.5 c.c. = 0.05 c.c. } + haemolytic serum } + Pipette into tube No. 4 0.3 c.c. = 0.03 c.c. } + haemolytic serum } From + Pipette into tube No. 5 0.2 c.c. = 0.02 c.c. } tube 1. + haemolytic serum } + pipette into tube No. 6 0.1 c.c. = 0.01 c.c. } + haemolytic serum } + + Pipette into tube No. 7 0.5 c.c. = 0.005 c.c. } + haemolytic serum } + Pipette into tube No. 8 0.3 c.c. = 0.003 c.c. } + haemolytic serum } From + Pipette into tube No. 9 0.2 c.c. = 0.002 c.c. } tube 2. + haemolytic serum } + Pipette into tube No. 10 0.1 c.c. = 0.001 c.c. } + haemolytic serum } + +5. To each tube add 1 c.c. of erythrocyte solution. + +6. When necessary (that is to say in tubes 2, 4, 5, 6, 8, 9 and 10) add +normal saline solution to the mixture in the test-tubes till the column +of fluid in each reaches to the same level. + +7. Shake each tube in turn, so as to thoroughly mix its contents. Plug +the mouth of each tube with cotton wool, and place entire set in the +incubator at 37 deg. C. for one hour. + +8. Remove the tubes from the incubator and into each tube pipette 0.1 +c.c. complement (guinea-pig's serum) and replace tubes in incubator at +37 deg. C. for further period of one hour. + +9. Remove the tubes from the incubator, and if complete haemolysis has +not taken place in every tube, stand on one side, preferably in the ice +chest, for an hour. + +10. Then examine the tubes. + + Complete haemolysis is indicated by a clear red solution, + with no deposit of red cells at the bottom of the test-tube. + + Absence of haemolysis is indicated by a clear or turbid + colourless fluid, with a deposit of red cells at the bottom + of the test-tubes. + +The smallest amount of haemolytic serum that has caused complete +haemolysis is known as the minimal haemolytic dose (_M. H. D._) and if +haemolysis has occurred in all the tubes down to No. 7--the m. h. d. of +this particular serum is .005 c.c. = 200 minimal haemolytic doses per +cubic centimetre. Such a serum is strong enough for experimental work; +indeed, for many purposes, complete haemolysis down to tube 6 will +indicate a serum sufficiently strong(= 100 m. h. d. per cubic +centimetre). If, however, only the first one or two tubes are completely +haemolysed, this is an indication that the rabbit should receive further +injections in order to raise the haemolytic power to a sufficiently high +level. + + +STORAGE OF HAEMOLYSIN. + +If, and when the haemolysin content of the rabbit's serum is found to be +sufficient, destroy the animal by chloroform vapour. + +Remove as much of its blood as possible from the heart under aseptic +precautions into sterilized centrifuge tubes. + +Transfer the tubes of blood to the incubator at 37 deg. C. for two +hours--then centrifugalize thoroughly. + +Pipette off the clear serum, and fill in quantities of 1 c.c., into +small glass ampoules or pipettes, and hermetically seal in the blowpipe +flame, care being taken to avoid scorching the serum. + +Place the ampoules when filled with serum and sealed, in a water-bath at +56 deg. C. for 30 minutes. This destroys the complement, i. e., +inactivates the serum, and at the same time, provided the various +operations have been carried out under aseptic precautions, ensures its +sterility. A longer exposure reduces the haemolytic power. + +Place the ampoules in a closed metal box and store in the ice chest for +future use. + +FOOTNOTES: + +[10] The quantities here given are not absolutely correct. If exactitude +is essential the student must calculate the amount required by the aid +of the Percentage Formula, Appendix, page 496. + +[11] See Percentage Formula, Appendix, page 496. + + + + +XVII. EXPERIMENTAL INOCULATION OF ANIMALS. + + +The use of living animals for inoculation experiments may become a +necessary procedure in the Bacteriological Laboratory for some one or +more of the following reasons: + +A. ~Determination of Pathogenetic Properties of Bacteria already Isolated +in Pure Culture~ (see page 315). + +The exact study of the conditions influencing the virulence (including +its maintenance, exaltation and attenuation) of an organism, and precise +observations upon the pathogenic effects produced by its entrance into, +and multiplication within the body tissues can obviously only be carried +out by means of experimental inoculation; whilst many points relating to +vitality, longevity, etc., can be most readily elucidated by such +experiments. + +B. ~Isolation of Pathogenetic Bacteria.~ + +Certain highly parasitic bacteria (which grow with difficulty upon the +artificial media of the laboratory) can only be isolated with +considerable difficulty from associated saprophytic bacteria when +cultural methods alone are employed; but if the mixture of parasite and +saprophytes is injected into an animal susceptible to the action of the +former, the pathogenic organism can readily be isolated from the tissues +of the infected animal. The pneumococcus for example occurs in the +sputum of patients suffering from acute lobar pneumonia, but usually in +association with various saprophytes derived from the mouth and pharynx. +The optimum medium for the growth of the pneumococcus, blood agar, is +also an excellent pabulum for the saprophytes of the mouth, and plate +cultures are rapidly overgrown by them to the destruction of the more +delicate pneumococcus. But inoculate some of the sputum under the skin +of a mouse and three or four days later the pneumococcus will have +entered the blood stream (leaving the saprophytes at the seat of +inoculation) and killed the animal. Cultivations made at the post-mortem +(see page 398) from the mouse's heart blood will yield a pure growth of +the pneumococcus. + +C. ~Identification of Pathogenetic Bacteria.~ + +The resemblances, morphological and cultural, existing between certain +pathogenetic bacteria are in some cases so great as to completely +overwhelm the differences; again the same bacterium may under varying +conditions assume appearances so different from those regarded as +typical or normal as to throw doubt on its identity. In each case a +simple inoculation experiment may decide the point at once. As a +concrete example may be instanced an autopsy on an animal dead from an +unknown infection. Cultivations from the heart blood gave a pure growth +of a typical (capsulated) pneumococcus. Cultivations from the liver gave +a pure growth of what appeared to be a typical (non-capsulated) +Streptococcus pyogenes longus. The latter inoculated into a rabbit +caused the death of the animal from pneumococcic septicaemia, and +cultures from the rabbit's blood gave a pure growth of a typical +(capsulated) pneumococcus. + +~D. Study of the Problems of Immunity.~ + +It is only by a careful and elaborate study of the behaviour of the +animal cell and the body fluids vis-a-vis with the infecting bacterium +that it becomes possible to throw light upon the complex problem whereby +the cell opposes successful resistance to the diffusion of the invading +microbe, or succeeds in driving out the microbe subsequently to the +occurrence of that diffusion. + +At the moment, however, our attention is directed to the first of these +broad headings, for it is by the application of the knowledge acquired +in its pursuit that we are able to deal with problems arising under any +of the remainder. + +For whatever purpose the inoculation is performed, it is essential that +the experiment should be planned to secure the maximum amount of +information and the minimum of discomfort to the animal used. Every care +therefore must be taken to ensure that the virus is introduced into the +exact tissue or organ selected; and the operation itself must be carried +out with skill and expedition, and under strictly aseptic conditions. + +In the course of inoculation studies many instances of natural immunity, +both racial and individual, will be met with; but it must be recollected +that natural immunity is relative only and never absolute, and care be +taken not to label an organism as _non-pathogenic_ until many different +methods of inoculation have been performed upon different species of +animals, combined when necessary with various procedures calculated to +overcome any apparent immunity, and have invariably given negative +results. + +In some countries experiments upon animals are only permitted under +direct license from the Government, and then only within premises +specially licensed for the purpose. In England this license is in the +grant of the Home Secretary, and confers the permission to experiment +upon animals under general anaesthesia, provided that after the +experiment is completed the animal must be destroyed before regaining +consciousness. If it is intended to carry out simple hypodermic +inoculations and superficial venesections, Certificate A, granting this +specific permission and dispensing with the necessity for general +anaesthesia must be obtained _in addition to the license_; whilst if the +inoculation entails more extensive operative procedures, and it is +necessary to observe the subsequent course of the infection, should such +occur, the license must be _coupled with Certificate B_--since this +certificate removes the compulsion to destroy the animal whilst under +the anaesthetic. Further special certificates and combinations of +certificates are required if cats, dogs, horses, asses or cattle are to +be the subjects of experiment. Under every certificate it is expressly +stipulated that if the animal shows signs of pain it must be destroyed +immediately. + +The animals generally employed in the study of the pathogenic properties +of the various micro-organisms are: + + _Cold Blooded._ _Warm Blooded._ _Hot Blooded._ + Frog. Mouse. Fowl. + Toad. Rat. Pigeon. + Lizard. Guinea pig. + Rabbit. + Monkey. + +~Preparation.~--Before inoculation, the experimental animals should be +carefully examined, to avoid the risk of employing such as are already +diseased: since it must be remembered that in a state of nature, as well +as in captivity, the animals employed for laboratory inoculations are +subject to infection by various animal and vegetable parasites, and in +some instances such infection presents no symptoms which are obvious to +the casual examination; the sex should be noted, the weight recorded, +and the rectal temperature taken. The remaining items of importance are +the time of the inoculation, the material that is inoculated, and the +method of inoculation, and finally under what authority the experiment +is performed. In the author's laboratory these data are entered upon a +pink card which forms part of a card index system. The card further +provides space for notes on the course of the resulting infection, and +carries on the reverse the weight and temperature chart (Figs. 164 and +165). + +[Illustration: Fig. 164.--Front of inoculation card.] + +~Preliminary Inspection and Examination.~--The preliminary examination +should comprise observation of the animal at rest and in motion; the +appearance of the fur, feathers or scales, inspection of the eyes, and +of external orifices of the body; tactile examination of the body and +limbs, and palpation of the groins and abdomen; and in many cases the +microscopical examination of fresh and stained blood-films. + +Some of the commoner forms of naturally acquired infection may be +briefly mentioned, without however touching upon the various fleas, lice +and ticks which at times infect the ordinary laboratory animals. + +[Illustration: FIG. 165.--Back of inoculation card.] + +~The Rabbit~, particularly in captivity, is subject to attacks of Psoric +Acari, and the infection is readily transmitted to rabbits in +neighbouring cages and also to guinea pigs, but not to rats and mice. +One species (_Sarcoptes minor_ var. _cuniculi_) gives rise to the +ordinary mange. The infection first shows itself as thick yellowish +scales and crusts around the nose, mouth and eyes, spreads to the bases +and outer surfaces of the ears (never to the inside of the concha), to +the fore and hind legs and into the groins and around the genitals. The +acari can be readily demonstrated microscopically in scrapings of the +skin, treated with liquor potassae. Another form of scabies (due to +Psoroptes _communis cuniculi_) commences at the bottom of the concha, +which is filled with whitish-yellow masses consisting of dried crusts, +scales, faeces, and dead acari. The base of the ear is hard and swollen, +and lifting the animal by the ears--as is usually done--gives rise to +considerable pain; indeed this symptom may be the one which first +attracts attention to an infection, which causes progressive wasting and +terminates in death. A mixed infection--sarcoptic plus psorotic +acariasis--is sometimes seen. + +If it is decided to try and save animals suffering from infection by +these parasites, they must be segregated, the scabs carefully cleaned +from the infected areas and the denuded surfaces washed with 5 per cent. +solution of Potassium persulphate (a few drops being allowed to run into +the concha), or with a preparation containing equal parts of soft +paraffin and vaseline with a few drops of lysol. This treatment should +be repeated daily until the acarus is destroyed and the animal has +regained its normal condition. The cages should be disinfected and all +neighbouring animals carefully examined, and any which show signs of +infection should be treated in a similar manner. Favus also attacks the +rabbit, and the typical spots are first noted around the base of the +ear. + +Infection by _Coccidium oviforme_ is very common, without however +presenting any symptoms by which the infection may be recognised. +Usually the condition is only noted post-mortem, when the liver is found +to be studded with numerous cascating tubercles, which on examination +prove to be cystic areas crowded with coccidia. Sometimes too the liver +of a rabbit dead from some intentional or accidental bacterial infection +is found at the post-mortem to be marked by fine yellowish streaks and +small tubercles due to the embryos of _Taenia serrata_, while the cystic +form (_Cysticercus pisiformis_) is often noted free in the peritoneal +cavity, or invading the mesentery. + +Abscess formation from infection with ordinary pyogenic bacteria occurs +naturally in the rabbit, and frequently the animal house of a laboratory +is decimated by an infective septicaemia due to _B. cuniculicida_. + +The ~Mouse~ and ~Rat~ suffer from septicaemia, and from the cysticercus +form of _Taenia murina_; the cystic form (_Cysticercus fasciolaris_) of +_T. crassicollis_ has its habitat in their livers. These small rodents are +frequently infected with scabies, but if freely provided with clean +straw will clean themselves by rubbing through it. The mouse is also +attacked by favus, and the rat is often infected with _Trypanosoma +Lewisi_. + +The ~Guinea pig~, like the rabbit, suffers from scabies and coccidiosis. +In addition it is often naturally infected with _B. tuberculosis_, and +it is a wise precaution to test animals as soon as they reach the +laboratory by injecting Koch's Old Tuberculin--0.5 c.c. causing death in +the tuberculous cavy within 48 hours. + +The ~Monkey~ is naturally prone to tuberculosis, and should be injected +with 1 c.c. Old Tuberculin on arrival in the laboratory. The tissues of +the monkey also serve as the habitat for a Nematode worm parasitic in +cattle (_Oesophagostoma inflatum_) resembling the Anchylostomum, and +this parasite frequently bores through the intestinal wall, and +provokes the formation of small cysts in the immediately adjacent +mesentery. The presence of these cysts may give rise to considerable +speculation at the post-mortem. + +The ~Pigeon~ may be infected by _Haemosporidia_, and its blood show the +presence of halteridia. This bird may also be the subject of a bacterial +infection known as pigeon diphtheria; while the fowl may be subject to +scabies and ringworm, or suffer from fowl cholera or fowl +septicaemia--infections due to members of the haemorrhagic septicaemia +group. + +~Weighing.~--The larger animals are most conveniently weighed in a decimal +scale provided with a metal cage for their reception instead of the +ordinary pan (Fig. 166). Mice and rats are weighed in a modification of +the letter balance, weighing to 250 grammes, which has a conical wire +cage, (carefully counterpoised) substituted for its original pan (Fig. +167). + +[Illustration: FIG. 166.--Rabbit scales.] + +~Temperature.~--To take the rectal temperature of any of the laboratory +animals, the animal should be carefully and firmly held by an assistant. +Introduce the bulb of an ordinary clinical thermometer, well greased +with vaseline, just within the sphincter ani. Allow it to remain in this +position for a few seconds, and then push it on gently and steadily +until the entire bulb and part of the stem, as far as the constriction, +have passed into the rectum. Three to five minutes later, the time +varying of course with the sensibility of the thermometer used, withdraw +the instrument and take the reading. The thermometers employed for +recording temperature should be verified from time to time by comparison +with a standard Kew certified Thermometer kept in the laboratory for +that purpose. + +[Illustration: FIG. 167.--Mouse scales] + +~Cages.~--During the period which elapses between inoculation and death, +or complete recovery, the experimental animals must be kept in suitable +receptacles which can easily be kept clean and readily disinfected. + +The _mouse_ is usually stored in a glass jar (Fig. 168) 11 cm. high and +11 cm. in diameter, closed by a wire gauze cover which is weighted with +lead or fastened to the mouth of the jar by a bayonet catch. A small +oblong label, 5 cm. by 2.5 cm., sand-blasted on the side of the +cylinder, is a very convenient device as notes made upon this with an +ordinary lead pencil show up well and only require the use of a damp +cloth to remove them (Fig. 168). + +The _rat_ is kept under observation in a glass jar similar, but larger, +to that used for the mouse. + +[Illustration: FIG. 168.--Mouse jar.] + +[Illustration: FIG. 169.--Tripod.] + +A layer of sawdust at the bottom of the jar absorbs any moisture and +cotton-wool or paper shavings should be provided for bedding. The food +should consist of bran and oats with an occasional feed of +bread-and-milk sop. + +The use of a metal tripod, on the platform of which are soldered two +small cups for the reception of the food, inside the cage, prevents +waste of food or its contamination with excreta (Fig. 169). + +After use the jars and tripods are sterilised either by chemical +reagents or by autoclaving. + +The _rabbit_ and the _guinea-pig_ are confined in cages of suitable +size, made entirely of metal (Fig. 170). The sides and top and bottom +are of woven wire work; beneath the cage is a movable metal tray filled +with sawdust, for the reception of the excreta. The cage as a whole is +raised from the ground on short legs. The sides, etc., are generally +hinged so that the cage packs up flat, for convenience of storing and +also of sterilising. + +The ordinary rat cage, a rectangular wire-work box, 30 cm. from front to +back, 20 cm. wide, and 14 cm. high, makes an excellent cage for +guinea-pigs if fitted with a shallow zinc tray, 35 cm. by 24 cm., for it +to stand upon. + +[Illustration: FIG. 170.--Metal rabbit rage.] + +A plentiful supply of straw should be provided for bedding and the food +should consist of fresh vegetables, cabbage leaves, carrot and turnip +tops and the like for the morning meal and broken animal biscuits for +the evening meal. Occasionally a little water may be placed in the cage +in an earthenware dish. + +The tray which receives the dejecta should be cleaned out and supplied +with fresh sawdust each day, and the soiled sawdust, remains of food, +etc., should be cremated. + +These cages are sterilised after use either by autoclaving or spraying +with formalin. + +As ~animal inoculation~ is purely a surgical operation, the necessary +instruments will be similar to those employed by the surgeon, and, like +them, must be sterile. In the performance of the inoculation strict +attention must be paid to asepsis, and suitable precautions adopted to +guard against accidental contamination of the material to be introduced +into the animal. In addition, the hands of the operator should be +carefully disinfected. + +The list of apparatus used in animal inoculations given below comprises +practically everything needed for any inoculation. Needless to remark, +all the apparatus will never be required for any one inoculation. + +[Illustration: FIG. 171.--Hypodermic syringe with finger rests.] + + Apparatus Required for Animal Inoculation: + + 1. Water steriliser (_vide_ page 33). It is also convenient + to have a second water steriliser, similar but smaller (23 + by 7 by 5 cm.), for the sterilisation of the syringes. + + 2. Injection syringe. The best form is one of the ordinary + hypodermic pattern, 1 c.c. capacity graduated in twentieths + of a cubic centimeter (0.05 c.c.), fitted with finger rests, + but with the leather washers and the packing of the piston + replaced by those made of asbestos (Fig. 171). The + instrument must be easily taken to pieces, and spare parts + should be kept on hand to replace accidental breakage or + loss. Other useful syringes are those of 2 c.c., 5 c.c., 10 + c.c., and 20 c.c. capacity. A good supply of needles must be + kept on hand, both sharp-pointed and with blunt ends. To + sterilise the syringe, fill it with water, loosen the + packing of the piston and all the screw joints, place it in + the steriliser and boil for at least five minutes. Disinfect + the syringe _after use_, in a similar manner. The needles, + which are exceedingly apt to rust after being boiled, should + be stored in a pot of absolute alcohol when not in use. + + 3. Operating table. + + 4. Surgical instruments. Sterilise these before use by + boiling, and disinfect them _after use_ by the same means. + Wipe perfectly dry immediately after the disinfection is + completed. + + Scissors, probe and sharp-pointed. + + Dissecting forceps of various patterns. + + Pressure forceps. + + Retractors (small self retaining Fig. 172). + + Aneurism needles, sharp and blunt. + + Scalpels, } Keratomes, } with metal handles. Trephines, } + + Michel's steel clips and special forceps for applying the + same. These small steel clips enable the operator to easily + and rapidly close skin incisions and are most satisfactory + for animal operations. + + Surgical needles. + + Needle holder. + + Soft rubber catheters, various sizes. + + Gum elastic oesophageal bougies with connection to fit + syringe. + +[Illustration: FIG. 172. Small self retaining retractors.] + +5. Anaesthetic. + +(a) General: The safest general anaesthetic for animals is an A. C. E. +mixture, freshly prepared, containing by volume alcohol 1 part, +chloroform 2 parts, ether 6 parts, and should be administered on a +"cone" formed by twisting up one corner of a towel and placing a wad of +cotton-wool inside it, or from a saturated cotton-wool pad packed into +the bottom of a small beaker. + +(b) Local: + + 1. Cocaine hydrochloride, 2 per cent. in adrenalin 1 per mille + solution. + 2. Beta-eucaine, 2 per cent. in adrenalin, 1 per mille solution. + 3. Ethyl chloride jet. + +6. Sterile glass capsules of various sizes. + +7. Cases of sterile pipettes { 10 c.c. (in tenths of a cubic centimetre). + { 1 c.c. (in hundredths of a cubic + centimetre). + +8. Flasks (75 c.c.) containing sterilised normal saline solution (or +sterile bouillon). + +9. Sterilised cotton-wool. Cotton-wool (absorbent) is packed loosely in +a copper cylinder similar to that used for storing capsules, and +sterilised in the hot-air oven. + +10. Sterilised gauze. Gauze is sterilised in the same way as +cotton-wool. + +11. Sterilised silk and catgut for sutures. These are sterilised, as +required, by boiling for some ten minutes in the water steriliser. + +12. Flexible collodion (or compound tincture of benzoin). + +13. Grease pencil. + +14. Tie-on celluloid labels, to affix to the cages. + +15. Razor. + +16. Small pot of warm water. + +17. Liquid soap. Liquid soap is prepared as follows: Measure out 100 +grammes of soft soap and add to 500 c.c. of 2 per cent. lysol solution +in a large glass beaker; dissolve by heating in a water-bath at about +90 deg. C. Bottle and label "Liquid Soap." + +18. In place of the liquid soap and razor it is sometimes convenient to +use a Depilatory powder. + + Barium sulphide 1 part + Rice starch 3 parts + +Dust the powder thickly over the area to be denuded of hair, sprinkle +with water and mix into a thin paste _in situ_; allow the paste to act +for three minutes, then scrape off with a bone spatula--the hair comes +away with the paste and leaves a perfectly bare patch. This process is +preferably carried out, the day previous to the operation. + +~Material Utilised for Inoculation.~--The material inoculated may be +either-- + +1. Cultures of bacteria--grown in fluid media, or on solid media. + +2. Metabolic products of bacterial activity--e. g., toxins in +solution. + +3. Pathological products (fluid secretions and excretions, solid +tissues). + +~The Preparation of the Inoculum.~-- + +(a) _Cultivations in Fluid Media._-- + +1. Flame the plug of the culture tube. + +2. Remove the plug and flame the mouth of the tube. + +3. Slightly raise the lid of a sterile capsule, insert the mouth of the +culture tube into the aperture and pour some of the cultivation into the +capsule. + +4. Remove the mouth of the culture tube from the capsule, replace the +lid of the latter, flame the mouth of the tube, and replug. + +5. Remove the syringe from the steriliser, squirt out the water from its +interior, and allow to cool. + +6. Raise the lid of the capsule sufficiently to admit the needle of the +syringe and draw the required amount of the cultivation into the barrel +of the syringe. + +(Or, remove a definite measured quantity of the cultivation directly +from the tube or flask by means of a sterile graduated pipette, +discharge the measured amount into a sterile capsule, and fill into the +syringe; or take up the required quantity of the cultivation directly +into the graduated syringe from the tube or flask.) + +[Illustration: FIG. 173.--Conical separatory funnel, fitted for +injection of fluid cultivations.] + +If it is necessary to introduce a large bulk of fluid into the animal, +the cultivation should be transferred with aseptic precautions, to a +sterile separatory funnel, preferably of the shape shown in figure 173, +and graduated if necessary. This is supported on a retort stand and +raised sufficiently above the level of the animal to be injected, so as +to secure a good "fall." A piece of sterilised rubber tubing of suitable +length, fitted with an injection needle and provided with a screw clamp, +is now attached to the nozzle of the funnel and the operation completed +according to the requirements of the particular case. + +This method is quite satisfactory when the injection is made into the +pleural or abdominal cavities or directly into a vein but if the +injection has to be made into the subcutaneous tissue the "fall" may not +be sufficient to force the fluid in. In this case it will be necessary +to transfer the culture to a sterile wash-bottle and fasten a rubber +hand bellows to the air inlet tube (interposing an air filter) and +attach the tubing with the injection needle to the outlet tube (Fig. +174). By careful use sufficient force can be obtained to drive the +injection in. + +(b) _Cultivations on Solid Media (e. g., Sloped Agar)._-- + +1. By means of a sterile graduated pipette introduce a suitable small +quantity of sterile bouillon (or sterile normal saline solution) into +the culture tube. + +[Illustration: FIG. 174.--Arrangement of pressure injection apparatus.] + +2. With a sterile platinum loop or spatula scrape the bacterial growth +off the surface of the medium, and emulsify it with the bouillon. It +then becomes to all intents and purposes a fluid inoculum. + +3. Pour the emulsion into a sterile capsule and fill the syringe +therefrom. + +(c) _Toxins._--Prepared by previously described methods (_vide_ page +318), are manipulated in a similar manner to cultivations in fluid +media. + +(d) _Pathological Products._--Fluid secretions, excretions, etc., such +as serous exudation, pus, blood, etc., are treated as fluid +cultivations; but if the material is very thick or viscous, a small +quantity of sterile bouillon or normal saline solution may be used to +dilute it, and thorough incorporation effected by the help of a sterile +platinum rod. + +Solid tissues, such as spleen, lymph glands, etc., may be divided into +small pieces by sterile instruments and rubbed up in a sterilised agate +mortar (using an agate pestle), with a small quantity of sterile +bouillon, and the syringe filled from the resulting emulsion. + +[Illustration: FIG. 175.--Holding rabbit for shaving.] + +If it is desired to inoculate tissue _en masse_, remove from the +material a small cube of 1 or 2 mm. and introduce it into a wound made +by sterile instruments in a suitable situation, and occlude the wound by +means of Michel's steel clips and a sealed dressing. + +~Method of Securing Animals During Inoculation.~-- + +For the majority of inoculations, especially when no anaesthetic is +administered, it is customary to employ an assistant to hold the animal +(see Fig. 175). + +If working single handed Voge's holder for guinea-pigs, is a useful +piece of apparatus the method of using which is readily seen from the +accompanying figures (Figs. 176, 177). + +The instrument itself consists of a hollow copper cylinder, one end of +which is turned over a ring of stout copper wire, and from this open end +a slot is cut extending about half way along one side of the cylinder. +The opposite end is closed by a "pull-off" cap and is perforated around +its edge by a row of ventilating holes, which correspond with holes cut +in the rim of the cap. In the event of the animal resisting attempts to +remove it from the holder backwards, this cap is taken off and the +holder placed on the table and the guinea-pig allowed to walk out. + +[Illustration: FIG. 176.--Taking guinea-pig's temperature.] + +To provide for different-sized animals, two sizes of this holder will be +found useful: + +1. Length, 16 cm.; breadth, 6 cm.; size of slot, 8 cm. by 2.5 cm. + +2. Length, 20 cm.; breadth, 8 cm.; size of slot, 10 cm. by 2.5 cm. + +A convenient holder for mice and even small rats is shown in figure 178, +the tail being securely held by the spring clip. Needless to say, the +holder should be entirely of metal, and the wire cage detachable and +easily renewed. + +[Illustration: FIG. 177.--Voge's holder.] + +When the animal is anaesthetised, it is more convenient to secure it +firmly to some simple form of operating table, such as Tatin's (Fig. +179), which will accommodate rabbits, guinea-pigs, and rats: or to the +more elaborate table devised by the author (Fig. 180). + +[Illustration: FIG. 178.--Mouse holder.] + +[Illustration: FIG. 179.--Tatin's operation table.] + +~Operation Table.~--This is a table of the "aseptic" type, composed of +steel tubing, nickel-plated or enamelled. The table-top frame is +sufficiently large to accommodate rabbits, dogs and monkeys; and is +supported upon telescopic uprights, so that it is adjustable as to +height; in its long axis it can be inclined (at either end) to 45 deg. +from the horizontal. Further it can be completely rotated about its long +axis. The table-top itself is composed of a sheet of copper wire gauze +loosely suspended from the long sides of the tubular frame. The +slackness of the gauze bed permits of an india rubber hot water bottle, +or an electrotherm being placed under the animal, and if during the +course of an experiment it is necessary to reverse the animal, the +table-top frame is completely rotated, the device adopted for suspending +the gauze is detached and the gauze reversed also, so that it again +supports the animal from below. + +[Illustration: FIG. 180.--Author's operating table[12].] + + +METHODS OF INOCULATION. + +The following methods of inoculation apply more particularly to the +rabbit, but from them it will readily be seen what modifications in +technique, if any, are necessary in the case of the other experimental +animals. + +~1. Cutaneous Inoculation.~--(_Anaesthetic, none._) + +1. Have the animal firmly held by an assistant (or secured to the +operating table). + +2. Apply the liquid soap to the fur, over the area selected for +inoculation, with a wad of cotton-wool, and lather freely by the aid of +warm water; shave carefully and thoroughly; or apply the depilatory +powder. + +3. Wash the denuded area of skin thoroughly with 2 per cent. lysol +solution. + +4. Wash off the lysol with ether and allow the latter to evaporate. + +5. Make numerous short, parallel, superficial incisions with the point +of a sterile scalpel. + +6. When the oozing from the incisions has ceased, rub the inoculum into +the scarifications by means of the flat of a scalpel blade, or a sterile +platinum spatula. + +7. Cover the inoculated area with a pad of sterile gauze secured _in +situ_ by strips of adhesive plaster or by sealing down the edges of the +gauze with collodion. + +8. Release the animal, place it in its cage, and affix a label upon +which is written: + + (a) Distinctive name or number of the animal. + (b) Its weight. + (c) Particulars as to source and dose of inoculum. + (d) Date of inoculation. + +~2. Subcutaneous Inoculation.~-- + +(a) _Fluid Inoculum._--(_Anaesthetic, none._) + +Steps 1-4. As for cutaneous inoculation. + +5. Pinch up a fold of skin between the forefinger and thumb of the left +hand; take the charged hypodermic syringe in the right hand, enter the +needle into a ridge of skin raised by the left finger and thumb, and +push it steadily onward until about 2 cm. of the needle are lying in the +subcutaneous tissue. Now release the grasp of the left hand and slowly +inject the fluid contained in the syringe. + +6. Withdraw the needle, and at the same moment close the puncture with a +wad of cotton wool, to prevent the escape of any of the inoculum. The +injected fluid, unless large in amount, will be absorbed within a very +short time. + +7. Label, etc. + +(b) _Solid Inoculum.--(Anaesthetic, none; or Ethyl chloride spray.)_ + +Steps 1-4. As for cutaneous inoculation. + +5. Raise a small fold of skin in a pair of forceps, and make a small +incision through the skin with a pair of sharp-pointed scissors or with +the point of a scalpel. + +6. Insert a probe through the opening and push it steadily onward in the +subcutaneous tissue, and by lateral movements separate the skin from the +underlying muscles to form a funnel-shaped pocket with its apex toward +the point of entrance. + +7. By means of a pair of fine-pointed forceps introduce a small piece of +the inoculum into this pocket and deposit it as far as possible from the +point of entrance. + +[Illustration: FIG. 181.--Glass tube syringe for subcutaneous "solid" +inoculation.] + +Or, improvise a syringe by sliding a piece of glass rod (to serve as a +piston) into the lumen of a slightly shorter length of glass tubing and +secure in position by a band of rubber tubing. Sterilise by boiling. +Withdraw the rod a few millimetres and deposit the piece of tissue +within the orifice of the tube, by means of sterile forceps. Now pass +the tube into the depths of the "pocket," push on the glass rod till it +projects beyond the end of the tube, and withdraw the apparatus, leaving +the tissue behind in the wound. + +8. Close the wound in the skin with Michel's clips and a dressing of +gauze sealed with collodion (or Tinct. benzoin). + +9. Label, etc. + +~3. Intramuscular.~-- + +(a) _Fluid Inoculum.--(Anaesthetic, none.)_ + +Steps 1-4. As for cutaneous inoculation. + +5. Steady the skin over the selected muscle or muscles with the slightly +separated left forefinger and thumb. + +6. Thrust the needle of the injecting syringe boldly into the muscular +tissue and inject the inoculum slowly. + +7. Label, etc. + +(b) _Solid Inoculum.--(Anaesthetic, A. C. E.)_ + +1. Secure the animal to the operation table and anaesthetise. + +2. Shave and disinfect the skin at the seat of operation. + +3. Surround the field of operation by strips of gauze wrung out in 2 per +cent. lysol solution. + +4. Incise skin, aponeurosis, and muscle in turn. + +5. Deposit the inoculum in the depths of the incision. + +6. Close the wound in the muscle with buried sutures and the cutaneous +wound with either continuous or interrupted sutures or with Michel's +steel clips. + +7. Apply a sealed dressing of gauze and collodion. + +8. Remove the animal from the operating table. + +9. Label, etc. + + +~4. Intraperitoneal.~-- + +(a) _Fluid Inoculum.--(Anaesthetic, none.)_ + +Steps 1-4. As for cutaneous inoculation. Shave a fairly broad transverse +area, stretching from flank to flank. + +5. Place the left forefinger on one flank and the thumb on the opposite, +and pinch up the entire thickness of the abdominal parietes in a +triangular fold. Now, by slipping the peritoneal surfaces (which are in +apposition) one over the other, ascertain that no coils of intestine are +included in the fold. + +6. Take the syringe in the right hand and with the needle transfix the +fold near its base (Fig. 182). + +7. Now release the fold, but hold the syringe steady; as the parietes +flatten out, the point of the needle is left free in the peritoneal +cavity (see Fig. 183). + +[Illustration: FIG. 182.--Intraperitoneal inoculation--fluid.] + +8. Inject the fluid from the syringe. + +9. Label, etc. + +[Illustration: FIG. 183.--Section of abdominal wall, etc., showing point +of needle lying free in the peritoneal cavity above the coils of +intestine.] + +Second Method: + +Steps 1-4. As in the first method. + +5. Anaesthetise a small selected area of skin by spraying it with ethyl +chloride. + +6. Heat platinum searing wire (0.5 mm. wire, twisted to the shape +indicated in figure 184, mounted in an aluminium handle) to redness, and +with it burn a hole through the anaesthetic area of skin and abdominal +muscle down to, but not through, the visceral peritoneum. + +7. Fix a blunt-ended needle on to the charged syringe, and by pressing +the rounded end firmly against the peritoneum it can easily be pushed +through into the peritoneal cavity. + +8. Inject the fluid from the syringe. + +9. Label, etc. + +This method is especially useful when it is desired to collect samples +of the peritoneal fluid from time to time during the period of +observation, as fluid can be removed from the peritoneal cavity, at +intervals, through this aperture in the abdominal parietes, by means of +a sterile capillary pipette. + +[Illustration: FIG. 184.--Platinum wire for burning hole through +parietes.] + +(b) _Solid Inoculum_ (or the implantation of capsules containing fluid +cultivations).--(_Anaesthetic, A. C. E._) + +1. Anaesthetise the animal and secure it to the operating table. + +2. Shave a large area of the abdominal parietes. + +3. Make an incision through the skin in the middle line about 2 cm. in +length, midway between the lower end of the sternum and the pubes. + +4. Divide the aponeuroses between the recti upon a director. + +5. Divide the peritoneum upon a director. + +6. Introduce the inoculum into the peritoneal cavity. + +7. Close the peritoneal cavity with Lembert's sutures. + +8. Close the skin and aponeurosis incisions together with interrupted +sutures or Michel's steel clips, and apply a sealed dressing. + +9. Release the animal from the operating table. + +10. Label, etc. + +Suitable sacs may be readily prepared by either of the following +methods: + +A. ~Collodion Sacs.~ + +1. Dip a small test-tube (5 by 0.5 cm.), bottom downward, into a beaker +of collodion, and dry in the air; repeat this process three or four +times. + +2. Dip the tube, with its coating of collodion, alternately into a +beaker of alcohol and one of water. This loosens the collodion and +allows it to be peeled off in the shape of a small test-tube. + +3. Take a 20 cm. length of glass tubing, of about the diameter of the +test-tube used in forming the sac, and insert one end into the open +mouth of the sac. + +4. Suspend the glass tube with attached sac, inside a larger test-tube, +by packing cotton-wool in the mouth of the test-tube around the glass +tubing, and place in the incubator at 37 deg. C. for twenty-four hours. +When removed from the incubator, the sac will be firmly adherent to the +extremity of the glass tubing. + +5. Plug the open end of the glass tubing with cotton-wool, and sterilise +the test-tube and its contents in the hot-air oven. + +To use the sac, remove the plug from the glass tubing, partly fill the +sac with cultivation to be inoculated, by means of a sterile capillary +pipette, and replug the tubing. When the abdominal cavity has been +opened, remove the tubing and attached sac from the protecting +test-tube, close the sac by tying a sterilised silk thread tightly +around it a little below the end of the glass tubing, and separate it +from the tubing by cutting through the collodion above the ligature, and +the sac is ready for insertion in the peritoneal cavity. + +B. ~Celloidin Sacs~ (_Harris_). + +_Materials Required._ + + Quill glass tubing. + + Gelatine capsules such as pharmacists prepare for the + exhibition of bulky powders. + + Various grades of celloidin, thick and thin, in wide-mouthed + bottles. + +1. Take a piece of quill glass tubing some 4 cm. long by 5 mm. diameter; +heat one end in the bunsen flame. + +2. Thrust the heated end of the tube just through one end of a gelatine +capsule and allow it to cool (Fig. 185). + +3. Remove any gelatine from the lumen of the tube with a heated platinum +needle; paint the joint between capsule and tube with moderately thick +celloidin and allow to dry. + +[Illustration: FIG. 185.--Making celloidin capsules.] + +4. Dip the capsule into a beaker containing thin celloidin, beyond the +junction with the glass and after removal rotate it in front of the +blowpipe air blast to dry it evenly. Repeat these manoeuvres until a +sufficiently thick coating is obtained. + +5. Apply thick celloidin to the tube-capsule joint, the opposite end of +the capsule, and the line of junction of the capsule with its cap; dry +thoroughly. + +6. With a teat pipette fill the capsule (through the attached tube) with +hot water, and stand the capsule in a beaker of boiling water for a few +minutes to melt the gelatine. + +7. Remove the solution of gelatine from the interior of the celloidin +case with a pipette. + +8. Fill the sac with nutrient broth and place it, _glass tube downward_, +in a tube containing sufficient sterile nutrient broth to cover the sac +to the depth of 1 cm. Plug the tube and sterilise in the steamer in the +usual manner. + +9. To prepare the sac for use, empty it out of the broth tube into a +sterile glass dish. + +10. Grasp the tube near its junction with the sac in the jaws of sterile +forceps, and with a teat pipette remove sufficient of the contained +broth to leave a small space in the sac. Introduce the inoculum in the +form of an emulsion by means of another pipette. + +11. Still holding the tube in the forceps, draw it out and seal off near +the sac in the blowpipe flame. + +12. When cool wash the sac in sterile water, then transfer to a tube of +nutrient broth and incubate over night to determine its impermeability +to bacteria. + +13. If the broth outside the sac remains sterile, insert the sac in the +peritoneal cavity of the experimental animal. + +~5. Intracranial.~--(_Anaesthetic, A. C. E._) + +[Illustration: FIG. 186.--Guarded trephine.] + +_Trephines and Surgical Engine._--The most useful instrument for +intracranial operations upon animals is the small nasal trephine +(Curtis) having a tooth cutting circle of 7 mm. The addition of an +adjustable collar guard--secured by a screw--prevents accidental +laceration of the dura mater or brain substance[13] (Fig. 186). This +size is suitable for monkeys, dogs, cats and large rabbits. Other +smaller sizes which will be found useful for guinea pigs and other small +animals cut circles of 6 and 4 mm.; for very small animals--young guinea +pigs and rats--a small dental drill or screw will make a sufficiently +large hole to admit the syringe needle. The trephine can be set in +ordinary metal handles and rotated by hand, but a surgical engine of +some kind is much preferable on the score of rapidity and safety to the +animal. The Guy's electrical Dental engine[14] (Fig. 187) which can be +connected to a lamp socket or wall plug, and is operated by a foot +switch, although inexpensive is eminently satisfactory. + + NOTE.--A fine dental drill attached to the dental engine + renders the manufacture of aluminium handles needles (see + page 71) quite an easy matter. + + + +(a) _Subdural._ + +1. Anaesthetise the animal and secure it to the operating table, dorsum +uppermost. + +2. Shave a portion of the scalp immediately in front of the ears. + +[Illustration: FIG. 187.--Guy's electrical dental engine.] + +3. Mark out with a sharp scalpel a crescentic flap of skin muscle, etc., +convexity forward, commencing 0.5 cm. in front of the root of one ear +and terminating at a similar spot in front of the other ear. Reflect the +marked flap. + +4. Make a corresponding incision through the periosteum and raise it +with a blunt dissector. + +5. With a small trephine (diameter 6 mm.) remove a circular piece of +bone from the parietal segment. The centre of the trephine hole should +be at the intersection of the median line and a line joining the +posterior canthi (Fig. 188). + +6. Introduce the inoculum by means of a hypodermic syringe, perforating +the dura mater with the needle and depositing the material immediately +below this membrane, at the same time taking care to avoid injuring the +sinuses. + +7. Turn back the flap of skin and secure it in position with Michel's +steel clips. + +8. Dress with sterile gauze and wool and seal the dressing with +collodion. + +9. Label, etc. + +(b) _Intracerebral._--This inoculation is performed precisely as for +subdural save in step 6 the needle after perforating the dura mater is +pushed onward into the substance of one or other cerebral hemispheres +before the contents are ejected. + +[Illustration: FIG. 188.--Intracranial inoculation of rabbit. The circle +indicates the situation of the trephine hole.] + +~6. Intraocular.~-- + +(a) _Fluid Inoculum._--(_Anaesthetic, cocaine._) + +1. Instil a few drops of a sterile solution of cocaine, and repeat the +instillation in two minutes. + +2. Five minutes later have the animal firmly held by an assistant as in +intravenous injection (see Fig. 189), the head being steadied by the +assistant's hands. + +3. Select two needles to accurately fit the same syringe and sterilise. + +4. Attach one needle to the syringe and take up the required dose of +inoculum and remove the needle. + +5. Steady the eye with fixation forceps; then pierce the cornea with the +other syringe needle and allow the aqueous to escape through the needle. + +6. Without removing the needle from the cornea attach the syringe and +make the injection into the anterior chamber. + +7. Irrigate the conjunctival sac with sterile saline solution. + +8. Label, etc. + +(b) _Solid Inoculum._--(_Anaesthetic, A. C. E._) + +1. Anaesthetise the animal and secure it firmly to the operating table. + +2. Irrigate the conjunctival sac thoroughly with sterile saline +solution. + +3. Make an incision through the upper quadrant of the cornea into the +anterior chamber by means of a triangular keratome. + +4. Separate the lips of the corneal wound with a flexible silver +spatula; seize the solid inoculum in a pair of iris forceps, introduce +it through the corneal wound, and deposit it on the anterior surface of +the iris; withdraw the forceps. + +5. Again irrigate the sac and the surface of the cornea. + +6. Release the animal from the operating table. + +7. Label, etc. + +~7. Intrapulmonary.~-- + +_Fluid Inoculum._--(_Anaesthetic, none._) + +1. Have the animal firmly held by an assistant. (In this case the +foreleg of the selected side is drawn up by the assistant and held with +the ear of that side.) + +2. Shave carefully in the axillary line and disinfect the denuded skin. + +3. Thrust the needle of the syringe boldly through the fifth or sixth +intercostal space into the lung tissue. + +4. Inject the contents of the syringe slowly. + +5. Label, etc. + +~8. Intravenous.~-- + +_Fluid Inoculum._--(_Anaesthetic, none._) + +The site selected for the injection in the rabbit is the posterior +auricular vein (see Fig. 192). Although this is smaller than the median +vein, it is firmly bound down to the cartilage of the ear by dense +connective tissue, and is therefore more readily accessible. (In the +guinea-pig the jugular vein must be utilised, and in order to perform +the inoculation satisfactorily a general anaesthetic must be +administered to the animal. In the monkey or the dog, the internal +saphenous vein is the most convenient and before puncturing should be +distended or rendered prominent by compressing the vein above the +selected site.) + +_Preparation of the Inoculum._--Care must be taken in preparing the +inoculum, as the injection of even small fragments may cause fatal +embolism. To obviate this risk the fluid should, if possible, be +filtered through sterile filter paper before filling into the syringe. + +Air bubbles, when injected into a vein, frequently cause immediate +death. To prevent this, the syringe after being filled should be held in +the vertical position, needle uppermost. A piece of sterile filter paper +is then impaled on the needle and the piston of the syringe pressed +upward until all the air is expelled from the barrel and needle. Should +any drops of the inoculum be forced out, they will fall on the filter +paper, which should be immediately burned. + +1. Have the animal firmly held by an assistant. The selected ear is +grasped at its root and stretched forward toward the operator. + +2. Shave the posterior border of the dorsum of the ear. + +3. Disinfect the skin over the vein, rubbing it vigourously with +cotton-wool soaked in lysol. The friction will make the vein more +conspicuous. Wash the lysol off with ether and allow the latter to +evaporate. + +4. Direct the assistant to compress the vein at the root of the ear. +This will cause its peripheral portion to swell up and increase in +calibre. + +5. Hold the syringe as one would a pen and thrust the point of the +needle through the skin and the wall of the vein till it enters the +lumen of the vein (Fig. 189). Now press it onward in the direction of +the blood stream--i. e., toward the body of the animal. + +6. Direct the assistant to cease compressing the root of the ear, and +_slowly_ inject the inoculum. (If the fluid is being forced into the +subcutaneous tissue, a condition which is at once indicated by the +swelling that occurs, the injection must be stopped and another attempt +made at a spot closer to the root of the ear or at some point on the +corresponding vein on the opposite ear.) + +7. Withdraw the needle and press a pledget of cotton-wool over the +puncture to ensure closure of the aperture in the vein wall. + +8. Label, etc. + +[Illustration: FIG. 189.--Intravenous inoculation.] + +~9. Inhalation.~-- + +(a) _Fluid Inoculum._--(_Anaesthetic, none._) + +1. Place the animal in a closed metal box. + +2. Through a hole in one side introduce the nozzle of some simple +spraying apparatus, such as is used for nasal medicaments. + +3. Fill the reservoir of the instrument (previously sterilised) with the +fluid inoculum, and having attached the bellows, spray the inoculum into +the interior of the box. + +4. On the completion of the spraying, open the box, spray the animal +thoroughly with a 10 per cent. solution of formaldehyde (to destroy any +of the virus that may be adhering to fur or feathers). + +5. Transfer the animal to its cage. + +6. Label, etc. + +7. Thoroughly disinfect the inhalation chamber. + +(b) _Fluid or Powdered Inoculum._--_Anaesthetic, A. C. E._ + +1. Anaesthetise the animal and secure it firmly to the operating table. + +[Illustration: FIG. 190.--Gag for rabbits.] + +2. Prop open the mouth by means of some form of gag; seize the tongue +with a pair of forceps and draw it forward. + +The most convenient form of gag for the rabbit or cat is that shown in +Fig. 190. It is simply a strip of hard wood shaped at the middle and +provided with a square orifice through which a tracheal or oesophageal +tube can be passed. + +3. Pass a previously sterilised glass tube (17 cm. long, 0.5 cm. +diameter, with its terminal 2 cm. slightly curved) down through the +larynx into the trachea. + +4. Connect the straight portion of a ~Y~-shaped piece of tubing to the +upper end of the sterilised tube and couple one branch of the ~Y~ to a +separatory funnel containing the fluid inoculum, or insufflator +containing the powdered inoculum, and the other to a hand bellows. + +5. Allow the fluid inoculum to run into the lungs by gravity, or blow in +the powdered inoculum by means of a rubber-ball bellows. + +6. Remove the intratracheal tube; release the animal from the table. + +7. Label, etc. + +As an alternative method in the case of fairly large animals, such as +rabbits, etc., a sterile piece of glass tubing of suitable diameter may +be passed through the larynx down the trachea almost to its +bifurcation. Fluid cultivations may then be literally poured into the +lungs, or cultivations, dried and powdered, may be blown into the lung +by the aid of a small hand bellows or even a teat pipette. + +~10. Intragastric Inoculation.~--_Fluid or semi-fluid inoculum. +(Anaesthetic none.)_ + +The method of performing the operation is varied slightly according to +the size of the experimental animal. + +_A. Monkey, Rabbit, Guinea-pig._ + +1. Secure the animal to the operating table ventral surface uppermost. + +2. Prop the mouth open with a gag; draw the tongue forward with forceps. + +3. Sterilise a soft rubber catheter (No. 10 or 8 English scale, or No. +18 or 15 French) and lubricate it with sterile glycerine. + +4. Pass it to the back of the pharynx, keeping the end in the middle +line. + +5. Gently assist the progress of the catheter down the oesophagus +until it passes the cardiac orifice of the stomach. Do not use any +force. + +6. Take up the required dose of inoculum into a sterilised pipette. +Insert the point of the pipette into the open end of the catheter and +allow the fluid to run down into the stomach. Remove the pipette and +drop it into a jar of lysol. + +7. With another sterile pipette run one cubic centimetre of sterile +saline solution through the catheter to wash out the last traces of the +inoculum. + +8. Withdraw the catheter. + +9. Label, etc. + +_B. Rats and Mice (Mark's Method)._ + +1. Secure the animal in the vertical position. + +(a) _Rat._--Take a pair of catch sinus forceps about 22 cm. in length +and seize the animal by the loose skin of the head as far forward as +possible--fix the forceps, and holding the instrument vertically upward, +transfer to the left hand of an assistant who secures the animal's tail +between the fingers grasping the handle of the forceps. (See Fig. 191.) + +[Illustration: FIG. 191.--Intragastric inoculation of rat.] + +(b) _Mouse._--An assistant grasps the loose skin between the ears as far +forwards as possible between the forefinger and thumb of the left hand. +He now grasps the tail with the right hand, draws the mouse straight and +passes the tail between the fourth and little fingers of the left hand +and secures it there. + +2. The assistant takes a closed pair of thin-bladed forceps in his right +hand, passes the ends into the animal's mouth, then allows the blades to +separate. This opens the animal's jaw and serves as a gag. + +3. Moisten the sterilised oesophageal tube with sterile water. (This +tube is of silk rubber, 6.5 cm. in length, with the distal end rounded, +the proximal end mounted in a syringe needle head, which fits the +nozzles of the two sterile syringes to be used.) + +4. Grasp the tube about its middle and pass it into the animal's mouth, +downwards and a little to one side or the other until its length is lost +in the digestive tract and mouth. Gentle guidance is alone necessary. Do +not use any force. + +5. Take up the required dose of inoculum into the syringe; insert the +nozzle of the syringe into the needle-mount, and force the piston down. + +6. Steadying the needle-mount with the left hand, detach the syringe. + +7. Draw up some sterile water in the second (sterile) syringe, and +inserting its nozzle into the needle-mount force a few drops of water +through the tube to wash it out. + +8. With one quick upward movement remove the tube from the animal's +mouth. + +9. Label, etc. + +One other method of inoculation remains to be described, which does not +require operative interference. + +~11. Feeding.~-- + +1. _Fluid Inoculum._--Small pieces of sterilised bread or sop +(sterilised in the steamer at 100 deg. C.) are soaked in the fluid +inoculum and offered to the animals in a sterile Petri dish or capsule. + +2. _Solid Inoculum._--Small pieces of tissue are placed in sterile +vessels and offered to the animals. + +FOOTNOTES: + +[12] This table is made by Messrs. Down Bros., St. Thomas's Street, +London, S. E. + +[13] This modification is made for the author by Messrs. Down Bros., St. +Thomas's Street, London, S. E. + +[14] Manufactured by Messrs. Francis Lepper, 56, Great Marlborough +Street, London, W. + + + + +XVIII. THE STUDY OF EXPERIMENTAL INFECTIONS DURING LIFE. + + +The possession of pathogenetic properties by an organism under study is +indicated by the "infection" of the experimental animal--a term which is +employed to summarise the condition resulting from the successful +invasion of the tissues of the experimental animal by the +micro-organisms inoculated and by their multiplication therein. +Infection is considered to have taken place: + +1. When the death of the animal is produced as a direct consequence of +the inoculation. + +2. When without necessarily producing death the inoculation causes local +or general changes of a pathological character. + +3. When either with or without death, or local or general changes +occurring, certain substances make their appearance in the body fluids, +which can be shown (_in vitro_ or _in vivo_) to exert some profound and +specific effect when brought into contact with subcultivations of the +organism originally inoculated. + +The important factors in the production of infection are: + +A. Seed. Virulence of organism. + Dose of organism. + +B. Soil. Resistance offered by the cells of the experimental animal. + +The first two factors, although variable, are to a certain extent under +the control of the experimenter. Thus by suitable means the virulence of +an organism can be exalted or attenuated, whilst the size of the dose +may be increased or diminished. The third factor also varies, not only +amongst different species of animals, but also amongst different +individuals of the same species. The essential causes of this variation +are not so obvious, so that beyond selecting the animals intended for +similar experiments with regard to such points as age, size or sex, but +little can be done to standardise cell resistance. + +Immediately an animal has been inoculated a period of clinical +observation must be entered upon, which should only terminate with the +death of the animal. The general observations should at first and if the +infection is an acute one, be made daily--later, and if the animal +appears to be unaffected or if the infection is chronic, both general +and special observations should be carried out at weekly intervals. If +the animal appears to be still unaffected, it should be killed with +chloroform vapour at the end of two or three months and a complete +post-mortem carried out. + +A. The ~general observations~ should take cognisance of: + +1. _General appearance._ The experimental animal should be inspected +daily, not only with a view to detecting symptoms due to the +experimental infection, but also to prevent any intercurrent infection, +naturally acquired, from escaping notice (_vide_ page 337). + +2. _The weight_ of the inoculated animal should be observed and recorded +each day during the course of an experimental infection at precisely the +same hour, preferably just before the morning feed. + +3. _The temperature_ should similarly be recorded daily, if not more +frequently, during the whole period the animal is under observation, and +carefully charted--individual variations will at once become apparent. +It should be borne in mind that the temperature regarded as normal for +man (37.5 deg. C.) is not the normal average temperature of any of the +lower animals save the rat and mouse. The accompanying table of normal +averages for the animals usually employed in bacteriological research +may be of use in preventing the erroneous assumption that pyrexia is +present in an animal, which merely shows its own normal temperature. + + NORMAL AVERAGES. +---------------------------------------------------- + | Rectal | Pulse. | Respirations. + Animal. | Temp. |------------------------ + | deg. C. | Rate per minute. +---------------------------------------------------- + | | | +Frog | 8.9-17.2 | 80 | 12 +Mouse | 37.4 | 120 | ... +Rat | 37.5 | ... | 210 +Guinea pig | 38.6 | 150 | 80 +Rabbit | 38.7 | 135 | 55 +Cat | 38.7 | 130 | 24 +Dog | 38.6 | 95 | 15 +Goat | 40.0 | 75 | 16 +Ox | 38.8 | 45 | .. +Horse | 37.9 | 38 | 11 +Monkey (Rhesus) | 38.4 | 100 | 19 +Pigeon | 40.9 | 136 | 30 +Fowl | 41.6 | 140 | 12 + | | | +---------------------------------------------------- + +B. ~Special observations~ comprise some or all of the following, according +to the method of inoculation and the character of the virus. + +1. _The site of inoculation_ should be minutely examined at least at +weekly intervals, and the neighbouring lymphatic glands palpated. + +2. Any _local reaction_ at the site of inoculation and any other readily +accessible lesion should be carefully investigated. Any suppurative +process which may occur, whether in the subcutaneous tissues or in +joints, should be explored and the pus carefully examined both +microscopically and culturally. + +Fluid secretions and excretions, such as pus or serous exudates when +accessible are collected direct from the body in sterile capillary +pipettes (_vide_ Fig. 13a,) in the following manner: + +1. Open the case containing the pipettes, grasp one by the plugged end, +remove it from the case, and replace the lid of the latter. + +2. Attach a rubber teat (_vide_ page 10) to the plugged end of the +pipette and use the teat as the handle of the pipette. + +3. Pass the entire length of the pipette twice or thrice through the +flame of the Bunsen burner. + +4. Snap off the sealed end of the pipette with a pair of sterile +forceps. + +5. Compress the india-rubber teat, thrust the point of the pipette into +the secretion; now relax the pressure on the teat and allow the pipette +to fill. + +6. Remove the point of the pipette from the secretion, allow the fluid +to run a short distance up the capillary stem and seal the point of the +pipette in the flame. (If using a pipette with a constriction below the +plugged mouthpiece (Fig 13b), this portion of the pipette may also be +sealed in the flame.) + +When ready to examine the morbid material snap off the sealed end of the +pipette with sterile forceps and eject the contents of the pipette into +a sterile capsule. The material can now be utilized for cover-slip +preparations, cultivations and inoculation experiment. + +3. _The peripheral blood_ should be examined from time to time for from +this tissue is often obtained the fullest information as to the course +and progress of an infection. + +a. The ~histological examination of the blood~ should be directed +chiefly to observations on the number and kind of white cells; and since +but few bacteriologists are at the same time expert comparative +haematologists, some notes on the normal characters of the blood of the +commoner laboratory animals, contrasted with those of man, are inserted +for reference. These have been very kindly compiled for me by my friend +and one time colleague Dr. Cecil Price Jones. + + +COMPARATIVE HAEMOCYTOLOGY OF LABORATORY ANIMALS. + +-------------------------------------------------------------------- + | Totals | Percentages + |------------------------------------------------------------ +Animal | | | Hb, |Lympho-|Large |Poly- |Eosin-| Mast + |Red cells |White | per | cytes,|monos,|morph,| oph, |cells, + | | cells|cent.| per | per | per | per | per + | | | | cent. | cent.| cent.|cent. |cent. +-------------------------------------------------------------------- +Frog | 490,000| 8,000| 58 | 40 | 10.0 | 22.0 |15 | 13 +Mouse | 8,700,000| 8,000| 78 | 60 | 21.5 | 17.0 | 1.4 | 0.1 +Rat | 9,000,000| 9,000| 85 | 54 | 7.0 | 37.5 | 1.3 | 0.2 +Guinea-| | | | | | | | + pig | 5,700,000|10,000| 99 | 55 | 9.0 | 32.8 | 3.0 | 0.2 +Rabbit | 6,000,000| 7,000| 70 | 50 | 2.0 | 46.0 | 0.6 | 1.4 +Rhesus | 4,500,000|13,000| 77 | 43 | 5.0 | 50.0 | 1.3 | 0.7 +Goat |14,600,000|15,000| 58 | 35 | 6.3 | 56.7 | 1.25 | 0.75 +Fowl | 3,500,000|30,000| 100 | 49 | 3.0 | 42.0 | 1.0 | 5.0 +Pigeon | 3,500,000|20,000| 101 | 43 | 9.0 | 43.0 | 3.0 | 2.0 +-------------------------------------------------------------------- +Man | | | | | | | | +(adult)| 5,000,000| 7,500| 100 | 25 | 5.5 | 65 | 4.0 | 0.5 +Normal | (4.5-5) | (7-9)|(95- |(20-30)| (4-8)|(55- |(3-5) |(0.5-2) +limits.| millions.| thou-| 101)| | | 68) | | + | |sands.| | | | | | +-------------------------------------------------------------------- + +The above table represents in each case the average of a large number of +counts. + + +REMARKS. + +_Frog._--The _red cells_ are large oval nucleated (20-25 mu by 12-15 mu) +discs, the nucleus relatively small and irregularly elongated or oval, +about 10 mu in length. Many primitive and developing forms are usually +observed--also free nuclei and many cells in various stages of +degeneration. Haemoglobin estimation is difficult owing to turbidity of +the blood after dilution with water. The _polymorphonuclear_ leucocytes +are large cells, about 20 mu; no definite granules can be observed. The +_eosinophile_ cells contain large deeply staining coccal-shaped +granules. + +_Mouse._--The granules of the _polymorphonuclear_ leucocytes are usually +not stained, or only very faintly so. The nucleus of the _eosinophile +cell_ is ring-shaped or much divided, and the granules are coccal and +stain oxyphile. The remarkable character of the blood is the high +percentage of large _mononuclear_ cells. + +_Rat._--The fine rod-shaped granules of the _polymorphonuclear_ +leucocytes are usually very faintly stained. The granules of +_eosinophile_ cells are well stained and coccal-shaped, the nucleus is +often ring shaped. The _basophile_ granular cells are few--but the +granules are large, and stain deeply basophile. + +_Guinea-pig._--Polychromasia and punctate basophilia of _red cells_ are +very commonly observed--nucleated red cells are also frequent. The large +_mononuclear_ cells often contain vacuoles--"Kurlow cells"--possibly of +a parasitic nature. + +_Rabbit._--It is not uncommon to find nucleated _red cells_ in films +from quite healthy animals. The granules of the _polymorphonuclear_ +leucocytes stain oxyphile. The coarse granules of the _eosinophile_ +cells appear to stain less deeply oxyphile, probably owing to the +basophile staining of the cytoplasm. + +_Rhesus monkey._--The blood cells resemble those met with in human +blood. The minute neutrophile granules of the _polymorphonuclear_ +leucocytes are often very scanty, and sometimes apparently absent. The +_eosinophile_ cells are not so densely packed with coarse oxpyhile +granules as in the human eosinophile, and the nuclei of these cells are +usually much divided, or polymorphous. + +_Goat._--The _red cells_ are small, nonnucleated discs, only about 4.5 +mu diameter, not much more than half that of the human red cell. The +_polymorphonuclear_ leucocytes have only a few very minute +coccal-shaped oxyphile granules, the nucleus is polymorphous. The +_eosinophile_ cells are large cells up to 20 mu, the cytoplasm is +basophile and contains coarse coccal-shaped oxyphile granules, and the +nucleus is often much divided. + +_Fowl._--The _red cells_ are oval nucleated discs about 12 mu by 6 mu, the +nucleus being relatively small (about 4 mu long), irregularly elongated or +oval; round, more deeply stained cells with round or diffuse nuclei, +also free nuclei and degenerated forms of red cells are often present. +The granules of the cells corresponding to the _polymorphonuclear_ +leucocytes are rod-shaped, often beaded or with clubbed ends. The +nucleus is not polymorphous, but usually divided into two, though it may +be single. The cells probably corresponding to _eosinophile_ leucocytes +have fine coccal-shaped granules, faintly staining eosinophile or +neutrophile. The basophile granules of the "mast" cells are +coccal-shaped, of various size--often quite powdery. + +_Pigeon._--_Red cells_ resemble those of the fowl, and similar varieties +of appearance may be noted. The granules of those cells which correspond +to _polymorphonuclear_ leucocytes are rod-shaped, but smaller and finer +than in the fowl, and do not show clubbed appearances. The nucleus is +not polymorphous, and only occasionally divided. The coccal-shaped +granules of the _eosinophile_ cells are stained more deeply oxyphile +than those of the corresponding cells of the fowl. + +_The preparation of dried films_ for this histological examination of +the blood is carried out as follows: + +1. Small samples of blood for the preparation of blood films are most +conveniently obtained from the veins of the ear in most of the ordinary +laboratory animals, viz., monkey, goat, dog, cat, rabbit, guinea-pig; in +the pigeon and fowl the axillary vein should be punctured; in the rat +and mouse either a vein in the ear or preferably by wounding the tip of +the tail; in the frog, the web of the foot should be selected. + +2. Puncture the selected vein with a sharp needle. A flat Hagedorn +needle (size No. 8) with a cutting edge is the most useful for this +purpose. If the vein cannot be distended by proximal compression, +vigourous friction with a piece of dry lint may have the desired +effect--or a test-tube full of water at about 40 deg. C. may be placed +close to the vein. Failing these methods, a drop or two of xylol may be +dropped on the skin just over the vein, left on for a few seconds and +then wiped off with a piece of dry lint. + +3. One of the short ends of a 3 by 1 glass slip is brought into contact +with the exuding drop of blood, so that it picks up a small drop. + +4. The slide is then lowered transversely on to the surface of a second +3 by 1 slip, which rests on the bench near to one end at an angle of +about 45 deg., and retained in this position for a few seconds, while the +drop of blood spreads along the whole of the line of contact (see also +Fig. 69). + +5. Draw the first slide firmly and evenly along the entire length of the +lower slide, leaving a thin regular film which will probably show the +blood cells only one layer thick. + +6. Allow the film to dry in the air. + +7. Stain with one of the polychrome blood stains (see page 97). + +8. Examine microscopically. + +b. The ~bacteriological examination of the blood~ is directed solely to +the demonstration of the presence in the circulating blood of the +organisms previously injected into the animal. For this purpose several +cubic centimetres of blood should be taken in an all-glass syringe from +an accessible vein corresponding to one of those suggested as the site +of intravenous inoculation--and under similar aseptic precautions. + +1. Sterilise an all-glass syringe of suitable size, and when cool draw +into the syringe some sterile sodium citrate solution and moisten the +whole of the interior of the barrel; then eject all the citrate solution +if less than 5 c.c. blood are to be withdrawn; if more than 5 c.c. are +required retain about half a cubic centimetre of the fluid in the +syringe. This prevents coagulation of the blood. + +The sodium citrate solution is prepared by dissolving: + + Sodium citrate 10 gramme. + Sodium chloride 0.75 grammes. + In distilled water 100 c.c. + +Sterilise by boiling. + +2. Prepare the animal as for intravenous inoculation (see page 363) and +introduce the syringe needle into the lumen of the selected vein. + +3. Slowly withdraw the piston of the syringe. When sufficient blood has +been collected direct the assistant to release the proximal compression +of the vein; and withdraw the needle. + +4. Remove the needle from the nozzle of the syringe and deliver the +citrated blood into a small Ehlenmeyer flask containing about 250 c.c. +of nutrient broth. + +5. Label, incubate and examine daily until growth occurs or until the +expiration of ten days. + +c. The ~serological examination of the blood~ is directed to the +demonstration of the presence of certain specific antibodies in the sera +of experimentally infected animals, and within certain limits to an +estimation of their amounts. + +The chief of these bodies are: + + Antitoxin. + Agglutinin. + Precipitin. + Opsonin. + Immune body or Bacteriolysin. + +None of these substances are capable of isolation in a state of purity +apart from the blood serum, consequently special methods have been +elaborated to permit of their recognition. In every instance the +behaviour of serum from the experimental animal, which may be termed +"specific" serum, is studied in comparison with that of serum from an +uninoculated animal of the same species, and which is termed "normal" +serum. In view of minor differences in constitution exhibited by the +serum of various individuals of the same series, it is usual to employ a +mixture of sera obtained from several different normal animals of the +same species as the inoculated animal, under the term "pooled serum." +The method of collecting blood (e. g., from the rabbit) for +serological tests is as follows: + +~Collection of Serum.~ + +_Apparatus required:_ + + Razor. + Liquid soap. + Cotton-wool. + Lysol 2 per cent. solution, in drop bottle. + Ether in drop bottle. + Flat Hagedorn needles. + Blood pipettes (Fig. 16, page 12). + Centrifugal machine. + Centrifuge tubes. + Glass cutting knife. + Bunsen flame. + Writing diamond or grease pencil. + +METHOD. + +1. Shave the dorsal surface of the ear over the course of the posterior +auricular vein (see Fig. 192). + +2. Sterilise the skin by washing with lysol. + +The lysol should be applied with sterile cotton-wool and the ear +vigourously rubbed, not only to remove superficial scales of epithelium, +but also to render the ear hyperaemic and the vein prominent. + +3. Remove the lysol with ether dropped from a drop bottle, and allow the +ether to evaporate. + +4. Puncture the vein with a sterile Hagedorn needle. + +5. Take a small blood-collecting pipette (Fig. 161) and hold it at an +angle to the ear, one end touching the issuing drop of blood, the other +depressed. + +The blood will now enter the pipette at first by capillarity; afterward +gravity will also come into play and the pipette can be two-thirds +filled without difficulty. + +6. Hold the tube by the end containing the blood, the clean end pointing +obliquely upward--warm this end at the bunsen flame to expel some of the +contained air; then seal the clean point in the flame. + +[Illustration: FIG. 192.--Collecting blood from rabbit.] + +7. Place the pipette down on a cool surface (e. g., a glass slide). +The rapid cooling of the air in the clean end of the pipette creates a +negative pressure, and the blood is sucked back into the pipette, +leaving the soiled end free from blood. Seal this end in the bunsen +flame. + +8. Mark the distinctive title of the specimen (e. g., animal's number) +upon the pipette with a writing diamond or grease pencil. + +9. When the sealed ends are cold and the blood has clotted, place the +pipette on the centrifuge, clean end downward; counterpoise and +centrifugalise thoroughly. On removing the pipette from the centrifuge, +the red cells will be collected in a firm mass at one end, and above +them will appear the clear serum. + +10. By marking the blood pipette above the level of the serum with the +glass cutting knife and snapping the tube at that point, the blood-serum +becomes readily accessible for testing purposes. + +If larger quantities of blood are required, the animal, after puncturing +the vein, should be inverted, an assistant holding it up by the legs. +Blood to the volume of several cubic centimetres will now drop from the +punctured vein, and should be caught in a tapering centrifuge tube, the +tube transferred to the incubator at 37 deg. C. for two hours, then +placed in the centrifugal machine, counterpoised and centrifugalised +thoroughly. The three most important of the antibodies referred to which +can be demonstrated with a certain amount of facility are agglutinin, +opsonin and bacteriolysin; and the methods of testing for these bodies +will now be considered. + + +AGGLUTININ. + +Agglutinin is the name given to a substance present in the blood-serum +of an animal that has successfully resisted inoculation with a certain +micro-organism. This substance possesses the power of collecting +together in clumps and masses, or agglutinating watery suspensions of +that particular microbe. + + +~Dilution of the Specific Serum~: + +_Apparatus required_: + +Sterile graduated capillary pipettes to contain 10 c. mm. (Fig. 17). +Sterile graduated capillary pipettes to contain 90 c. mm. (Fig. 17). +Small sterile test-tubes 5 x 0.5 cm. +Normal saline solution in flask or test-tube. +Pipette of specific serum. +Glass cutting knife, or three-square file. +Glass capsule, nearly full of dry silver sand, or roll of plasticine. +Grease pencil. + +METHOD.-- + +1. Take three sterile test-tubes and number them 1, 2 and 3. + +2. Pipette 0.9 c.c. sterile normal saline solution into each tube, and +stand tubes upright in the sand in the capsule, or in the plasticine +block. + +3. Make a scratch with the glass cutting knife on the blood pipette +above the upper level of the clear serum, and snap off and discard the +empty portion of the tube. + +4. Remove 0.1 c.c. of the serum from the blood pipette tube, and mix it +thoroughly with the fluid in tube No. 1; and label ~s.s.~, (specific +serum), 10 per cent. + +5. Remove 0.1 c.c. of the solution from tube No. 1 by means of a fresh +pipette, and mix it with the contents of tube No. 2; and label ~s.s.~, 1 +per cent. + +6. Remove 0.1 c.c. of the solution from tube No. 2 by means of a fresh +pipette, and mix it with the contents of tube No. 3; and label ~s.s.~, 0.1 +per cent. + +When the yield of serum from the specimen of blood which has been +collected, or is available, is small, the above method of diluting is +not practicable, and the dilution should be carried out by Wright's +method in a capillary teat pipette. + + +~Dilution of Serum by Means of a Teat Pipette.~ + +_Materials required:_ + + Blood pipette containing sample of specific serum after + centrifugalisation. + Capsule of diluting fluid--normal saline solution. + Supply of Pasteur pipettes (Fig. 13a). + India-rubber teats. + Small test-tubes. + A block of plasticine to act as a test-tube stand. + Grease pencil. + +METHOD: + +1. Mark three small test-tubes 10 per cent., 1 per cent. and 0.1 per +cent. respectively, and stand them upright in the plasticine block. + +2. Take a Pasteur pipette, nick the capillary stem just above the sealed +end with a glass cutting knife, and snap off the sealed end with a quick +movement so that the fracture is clean cut and at right angles to the +long axis of the capillary stem--cut "square", in fact. Prepare several, +say a dozen, in this manner. + +3. Fit a rubber teat to the barrel of each of the pipettes. + +4. Make a mark with the grease pencil on the stem of one of the pipettes +about 2 or 3 cm. from the open extremity. + +[Illustration: FIG. 193.--Filling the capillary teat pipette.] + +5. Compress the teat between the finger and thumb (Fig. 193) to such an +extent as to drive out the greater part of the contained air. + +6. Maintaining the pressure on the teat pass the stem of the pipette +into the capsule holding the saline solution, until the open end of the +pipette is below the level of the fluid. + +7. Now cautiously relax the pressure on the teat and let the fluid enter +the pipette and rise in the stem until it reaches the level of the +grease pencil mark. As soon as this point is reached, check the movement +of the column of fluid by maintaining the pressure on the teat, neither +relaxing nor increasing it. + +8. Withdraw the point of the pipette clear of the fluid, and again relax +the pressure on the teat very slightly. The column of saline solution +rises higher in the stem, and a column of air will now enter the pipette +and serve as an index to separate the first volume of fluid drawn into +the stem from the next succeeding one. + +9. Again introduce the end of the pipette into the fluid and draw up a +second volume of saline to the level of the grease pencil mark, and +follow this with a second air index. + +10. In like manner take up seven more equal volumes of saline solution +and their following air bubbles. There are now nine equal volumes of +normal saline in the pipette. + +11. Now pass the point of the pipette into the blood tube and dip the +open end below the surface of the serum. Proceeding as before, aspirate +a volume of serum into the capillary stem up to the level of the pencil +mark. + +12. Eject the contents of the pipette into the small tube marked 10 per +cent. by compressing the rubber teat between thumb and finger. + +13. Mix the one volume of serum with the nine volumes of saline solution +very thoroughly by repeatedly drawing up the whole of the fluid into the +pipette and driving it out again into the test-tube. + +14. Now take a clean pipette and proceed precisely as before, 4 to 10. + +15. Having aspirated nine equal volumes of saline into this second +pipette, now take up one similar volume of the fluid in the "10 per +cent. tube." + +16. Eject the contents of this pipette into the second tube marked 1 per +cent. and mix thoroughly as before. + +17. In similar fashion make the 0.1 per cent. solution and transfer to +the third tube. + +18. Further dilutions in multiples of ten can be prepared in the same +way, and by varying the number of volumes of diluting fluid or serum any +required dilution can be made (see Appendix, Dilution Tables). + + NOTE.--The saline diluting fluid _must always_ be taken into + the pipette first, otherwise if the serum contains a very + large amount of agglutinin the traces of this serum added to + the saline solution may be sufficient to entirely vitiate + the subsequent observations--whilst if more than one sample + of serum is diluted from the same saline solution serious + errors may be introduced into the experiments. + + +~The Microscopical Reaction:~ + +_Apparatus Required:_ + + Five hanging-drop slides (or preferably two slide), with two + cells mounted side by side on each (Fig. 62, a), and one + slide with one cell only. + + Vaseline. + + Cover-slips. + + Platinum loop. + + Grease pencil. + + Eighteen to twenty-four-hour-old bouillon cultivation of the + organism to be tested (e. g., Bacillus typhi abdominalis) + + Pipette end with the remainder of the specific serum + labelled ~s.s.~ + + Tubes containing the three solutions of the specific serum, + 10, 1, and 0.1 per cent. respectively. + + Pipette end with pooled normal serum labelled ~p.s.~ + +METHOD.-- + +1. Make five hanging-drop preparations, thus: + +(a) One loopful of bouillon cultivation + one loopful pooled serum; +label "Control." + +(b) One loopful culture + one loopful undiluted specific serum; label +50 per cent. + +Mount these two cover-slips on a double-celled slide. + +(c) One loopful bouillon culture + one loopful 10 per cent. serum; +label 5 per cent. + +Mount this on single-cell slide. + +(d) One loopful bouillon culture + one loopful 1 per cent. serum; +label 0.5 per cent. + +(e) One loopful bouillon culture + one loopful 0.1 per cent. serum; +label 0.05 per cent. + +Mount these two cover-slips on a double-celled slide. + +2. Note the time: Examine the control to determine that the bacilli are +motile and uniformly scattered over the field--not collected into +masses. + +3. Next examine the 50 per cent. serum preparation. + +If agglutinin is present and the test is giving a positive reaction, the +bacilli _will_ be collected in large clumps. + +If the test is giving a negative reaction, the bacilli _may_ be +collected in large clumps owing to the viscosity of the concentrated +serum. + +4. Observe the 5 per cent. preparation microscopically. + +If the bacilli are aggregated into clumps, positive reaction. + +If the bacilli are _not_ aggregated into clumps, observe until thirty +minutes from the time of preparation before recording a negative +reaction. + +5. Examine the 0.5 and 0.05 per cent. preparations. + +These may or may not show agglutination when the result of the +examination of the 5 per cent. preparation is positive, according to the +potency of the specific serum; and by the examination of a series of +dilutions a quantitative comparison of the valency of specific sera from +different sources, or of serum from the same animal at different periods +during the course of active immunisation may be obtained. + + NOTE.--The graduated pipettes supplied with Thoma's + haematocytometer (intended for the collection of the specimen + of blood required for the enumeration of leucocytes), giving + a dilution of 1 in 10--i. e., 10 per cent.--may be + substituted for the graduated capillary pipettes referred to + above, if the vessel in which the serum has been separated + is of sufficiently large diameter to permit of their use. + + +~The Macroscopical Reaction:~ + + Sterile graduated capillary pipettes to contain 90 c. mm. + + Eighteen to twenty-four-hours-old bouillon cultivation of + the organism to be tested. + + Three test-tubes containing the 10, 1, and 0.1 per cent. + solutions of specific serum (about 90 c. mm. remaining in + each). + + Tube containing 50 per cent. solution of pooled serum. + + Sedimentation pipettes (_vide_ page 17) or teat pipettes. + +METHOD. + +1. Pipette 90 c. mm. of the bouillon culture into each of the tubes +containing the diluted serum; and the same quantity into the tube +containing the pooled serum. + +2. Fill a sedimentation tube (by aspirating) or a teat pipette from the +contents of each tube. Seal off the lower ends of the sedimentation +tubes in the Bunsen flame. + +3. Label each tube with the dilution of serum that it contains--viz., 5, +0.5, and 0.05 per cent. + +4. Place the pipettes in a vertical position, in a beaker, in the +incubator at 37 deg. C., for one or two hours. + +5. Observe the granular precipitate which is thrown down when the +reaction is positive, and the uniform turbidity of the negative reaction +as compared with the appearances in the control pooled serum. + + +OPSONIN. + +Opsonin is the term applied by Wright to a substance, present in the +serum of an inoculated animal, which is able to act upon or sensitise +bacteria of the species originally injected, so as to render them an +easy prey to the phagocytic activity of polymorphonuclear leucocytes. In +the method for demonstrating opsonin about to be described, a comparison +is made between the opsonic "power" of the pooled serum and the specific +serum. + + _Apparatus:_ + + Small centrifuge and tubes for same (made from the barrels + of broken capillary pipettes by sealing the conical ends in + the bunsen flame). + + Capillary Pasteur pipettes. + + India-rubber teats. + + Grease pencil. + + Bunsen burner with peep flame. + + Electrical signal clock (see page 39) stop watch, or watch. + + Rectangular glass box or tray to hold pipettes. + + Incubator regulated at 37 deg. C. + + 3 x 1 slides. + + Piece of light rubber tubing. + + Rectangular block of plasticine. + + Flask of normal saline solution. + + Flask of sodium citrate (1.5 per cent.) in normal saline + solution. + + _Materials required_, and their preparation: + + Small tube of "washed cells" (red blood discs and + leucocytes); human cells are used in estimating the + opsonising power of the serum of experimental animals. + + Small tube of emulsion of bacteria of the species + responsible for the infection of the experimental animal. + + Blood pipette containing specific serum. + + Blood pipette containing "pooled" serum. + +_Washed Cells._-- + +1. Take a small centrifuge tube and half fill it with sodium citrate +solution. Mark with the grease pencil the upper limit of the fluid. + +2. Cleanse the skin of the distal phalanx of the second finger of the +left hand above the root of the nail with lint and ether. Wind the +rubber tubing tightly round the second phalanx; puncture with a sterile +Hagedorn needle through the cleansed area of skin. + +3. Take up a sufficiency of the issuing blood (more or less according to +the number of tests to be performed) with a teat pipette, transfer it to +the tube of citrate solution and mix thoroughly. Make a second mark on +the tube at the upper level of the mixed citrate solution and blood. + +4. Place the tube in the centrifuge, counterpoise accurately and +centrifugalise until the blood cells are thrown down in a compact mass +occupying approximately the same volume as is included between the two +pencil marks. + +The column of fluid in the tube now shows clear supernatant fluid +(citrate solution and blood plasma) separated from the sharp cut upper +surface of the red deposit of corpuscles by a narrow greyish layer of +leucocytes. + +5. Remove the supernatant column of citrate solution by means of a teat +pipette, fill normal saline solution into the tube up to the upper +pencil mark, and distribute the blood cells throughout the saline by +means of the teat pipette. Centrifugalise as before. + +6. Again remove the supernatant fluid and fill in a fresh supply of +saline solution and centrifugalise once more. + +7. Remove the supernatant saline solution as nearly down to the level of +the leucocytes as can be safely done without removing any of the +leucocytes. + +8. Next distribute the leucocytes evenly throughout the mass of red +cells by rotating the tube between the palms of the hands--just as is +done with a tube of liquefied medium prior to pouring a plate. + +9. Set the tube upright in the plasticine block near to one end. + +_Bacterial Emulsion._-- + +1. Take an 18- to 24-hour culture of the required bacterium (e. g., +Diplococcus pneumoniae) grown upon sloped blood agar at 37 deg. C. Pour +over the surface of the medium some 5 c.c. of normal saline solution. + +2. With a platinum loop emulsify the growth from the surface of the +medium as evenly as possible in the saline solution. + +3. Allow the tube to stand for a few minutes so that the large masses of +growth may settle down; transfer the upper portion of the saline +suspension to a centrifuge tube and centrifugalise thoroughly. + +4. Examine a drop of the supernatant opalescent emulsion microscopically +to determine its freedom from clumps and masses. If unsatisfactory +prepare another emulsion, this time scraping up the surface growth with +a platinum spatula, transferring it to an agate mortar and grinding it +up with successive small quantities of normal saline. If satisfactory +insert the tube in the plasticine block next to that containing the +washed cells. + + +~Specific Serum.~-- + +~Pooled Serum.~-- + +These sera are collected and treated as already described (see page +379), and the portions of the blood pipettes containing them are +arranged in the remaining space in plasticine block. + +[Illustration: FIG. 194.--Plasticine block with materials arranged for +opsonin estimations.] + +The plasticine block now presents the appearances shown in Fig. 194. + +METHOD FOR DETERMINING THE OPSONIC INDEX.-- + +1. Take a capillary pipette fitted with a teat, cut the distal end +_square_ and make a pencil mark about 2 cm. from the end. + +2. Aspirate into the pipette one volume of washed cells, air index, one +volume of bacterial emulsion, air index, and one volume of specific +serum (see Fig. 195). + +[Illustration: FIG. 195. Opsonin pipette.] + +3. Mix thoroughly on a 3 by 1 slide by compressing the teat and ejecting +the contents of the pipette on to the surface of the slide, relaxing the +pressure and so drawing the fluid up into the pipette again. These two +processes should be repeated several times; finally take up the mixture +in an unbroken column to the central portion of the capillary stem. + +4. Seal the point of the pipette in the peep flame of the bunsen burner +and remove teat. + +5. Mark the pipette (with the grease pencil) with the distinctive number +of the serum and place it in the glass box or tray. + +6. Take another similarly prepared pipette and aspirate into it equal +volumes of washed cells, bacterial emulsion and pooled serum. Treat +precisely as in 3 and 4, label it "control" or "N.S." (normal serum) and +place in the box by the side of the specific serum preparation. + +7. Place the box with the pipettes in the incubator and set the signal +clock to ring at 15 minutes (or start the stop watch). + +8. At the expiration of the incubation time remove the pipettes from the +incubator. + +9. Cut off the sealed end of the specific serum preparation. Mix its +contents thoroughly as in step 3, and then divide the mixture between +two 3 by 1 slips and carefully spread a blood film (_vide_ page 376) on +each in such a way that only one-half of the surface of each slide is +covered with blood--the free edge of the blood film approximating to the +longitudinal axis of the slide. + +Allow films to dry and label the slides with writing diamond. + +10. Treat the contents of the control pipette in similar fashion. + +11. Select the better film from each pair for fixing and staining. + +12. Fixing and staining must be carried out under strictly comparable +conditions, and to this end the slides are best handled by placing in a +glass staining rack which can be lowered in turn into each of a series +of glass troughs containing the various reagents (Fig. 196). Place the +rack in the first trough which contains the alcoholic solution of +Leishman's stain for two minutes to fix. + +Transfer to the second trough containing the diluted stain for ten +minutes. + +Transfer to the third trough containing distilled water, and holding the +trough over a sink, run in a stream of distilled water until washing is +complete. Remove slides from the rack and dry. + +Leishman's stain is the best for routine work for all bacteria other +than B. tuberculosis. Films containing tubercle bacilli must of course +be stained by the Ziehl Neelsen method. + +[Illustration: FIG. 196. Glass staining trough for blood films.] + +13. Examine specific serum slide microscopically with 1/12 inch oil +immersion. Find the edge of the blood film--along this the bulk of the +leucocytes will be collected. Starting at one end of the film move the +slide slowly across the microscope stage and as each leucocyte comes +into view count and record the number of ingested bacteria. The sum of +the contents of the first 50 consecutive polymorphonuclears that are +encountered is marked down. (The _average_ number of bacilli ingested +per leucocyte = the "_phagocytic index_.") + +14. In precisely similar manner enumerate the bacteria present in the +first 50 cells of the control preparation. This number is recorded as +the denominator of a vulgar fraction of which the numerator is the +number recorded for the specific serum. This fraction, expressed as a +percentage of unity = the _opsonic index_. + + +IMMUNE BODY. + +Immune body or amboceptor is the name given to a substance present in +the serum of an infected animal that has successfully resisted +inoculation with some particular micro-organism, and which possesses the +power of linking the complement normally present in the serum to +bacteria of the species used as antigen in such a manner that the +micro-organisms are rendered innocuous, and ultimately destroyed. The +presence of the immune body in the serum can be demonstrated _in vitro_ +by the reaction elaborated by Bordet and Gengou, known as the complement +fixation test, the existence or the absence of the phenomenon of +complement fixation being rendered obvious macroscopically by the +absence or presence of haemolysis on the subsequent addition of +"sensitised" red blood corpuscles, (e. g., a mixture of crythrocyte +solution and the appropriate haemolysin--two of the three essentials in +the haemolytic system, _vide_ page 326). + + + _Apparatus Required:_ + + Sterile pipettes 1 c.c., (graduated in tenths). + + 16 x 2 cm. test-tubes. + + 9 x 1 cm. test-tubes. + + Test-tube racks for each size of test-tube. + + + _Reagents Required:_ + + Normal saline solution. + + Erythrocyte solution (human red cells, page 329) = E. + + Haemolytic serum (for human cells) = H.S. + + Complement (fresh guinea-pig serum) = C. + + Specific serum from inoculated animal, inactivated = S.S. + + Control pooled serum from normal animals of same species, + Inactivated = P.S. + + _Antigen_ (cultivation upon solid medium of the organism + (e. g., B. typhosus) which has already served as antigen + in the inoculation of the experimental animal) = A. + +To prepare the antigen for use, emulsify the whole of the bacterial +growth in 5 c.c. normal saline solution. + +Shake the emulsion in a test-tube with some sterilised glass beads to +ensure a homogenous emulsion, and sterilise by heating to 60 deg. C. in +a water-bath for one hour. + +METHOD.-- + +1. Take five small test-tubes, and number them 1 to 5 with a grease +pencil. + +2. Into tubes Nos. 1, 3, 4 and 5 pipette 0.1 c.c. of complement. + +3. Into tubes Nos. 1 and 2 pipette 0.2 c.c. of the serum to be tested. + +4. Into tube No. 4 pipette 0.2 c.c. of control serum. + +5. Into tubes Nos. 1, 2, 3 and 4 pipette 1 c.c. of the bacterial +emulsion which forms the antigen. + +6. Place the whole set of tubes in the incubator at 37 deg. C. for a +period of one hour. + +7. Remove the tubes from the incubator and pipette 1 c.c. erythrocyte +solution and 4 minimal haemolytic doses of the corresponding haemolysin +into each tube. + +8. Mix thoroughly and return the tubes to the incubator at 37 deg. C. +for further period of one hour. + +9. At the expiration of that time transfer the tubes to the ice chest, +and allow them to stand for three hours. + +10. Examine the tubes. + +Tubes 3, 4 and 5 should show complete haemolysis; tube 2 should give no +evidence whatever of haemolysis. + +These tubes form the controls to the first tube, which contains the +serum to be tested. + +In tube No. 1 the absence of haemolysis would indicate the presence in +the serum of the inoculated animal of a specific antibody to the +micro-organism used in the inoculations; since it shows that the +complement has been bound by the immune body to the bacterial antigen, +and none has been left free to enter into the haemolytic system; on the +other hand the presence of haemolysis would show that no appreciable +amount of antibody has yet been formed in response to the inoculations. +In other words, there is an absence of infection, since the complement +remained unfixed at the time of the addition of the erythrocyte solution +and haemolytic serum, and was ready to combine with those reagents to +complete the haemolytic system. + +The method may be shown diagramatically as under using the symbols +already indicated + + Test-tubes. + + 1 2 3 4 5 + +0.1 c.c. C. ........ 0.1 c.c. C. 0.1 c.c. C. 0.1 c.c. C. + +0.2 c.c. S.S. 0.2 c.c. S.S. ......... 0.2 c.c. P.S. ........ + + A. A. A. A. ........ +-------------------------------------------------------------------------- + Incubate at 37 deg. C. for one hour. +-------------------------------------------------------------------------- + +1 c.c. E. 1. c.c. E. 1 c.c. E. 1 c.c. E. 1 c.c. E. + + H.S.^{4} H.S.^{4} H.S.^{4} H.S.^{4} H.S.^{4} +-------------------------------------------------------------------------- + Incubate at 37 deg. C. for one hour. +-------------------------------------------------------------------------- +(?) No haemolysis. |__________________________________| + + Haemolysis. + + NOTE.--It is sometimes more convenient to _sensitise_ the + erythrocytes just before they are needed. This is done + forty-five minutes after the experiment has been started + (page 394, step 6), that is to say, before the completion of + the first period of incubation, thus: + + 1. Measure out into a sterile test-tube (or flask) five c.c. + of erythrocyte solution. + + 2. Measure out twenty minimal haemolytic doses of haemolysin, + add to the erythrocyte solution on the test-tube. + + 3. Allow the erythrocyte and haemolysin to remain in contact + for fifteen minutes at room temperature. The red cells are + then sensitised and ready for use. + + 4. When the tubes are removed from the incubator at the end + of the first hour (i. e., step 7) add 1 c.c. sensitised + red cells to each tube by means of a graduated pipette. + + 5. Mix thoroughly, return the tubes to the incubator at + 37 deg. C. and complete the experiment as previously described + (steps 8 onward). + + + + +XIX. POST-MORTEM EXAMINATIONS OF EXPERIMENTAL ANIMALS. + + +The post-mortem examination should be carried out as soon as possible +after the death of the animal, for it must be remembered that even in +cold weather the tissues are rapidly invaded by numerous bacteria +derived from the alimentary tract or the cavities of the body, and from +external sources. + +The following outlines refer to a complete and exhaustive necropsy, and +in routine work the examination will rarely need to be carried out in +its entirety. + + NOTE.--Throughout the autopsy the searing irons must be + freely employed, and it must be recollected that one + instrument is only to be employed to seize or cut one + structure. This done, it must be regarded as contaminated + and a fresh instrument taken for the next step. + +~Apparatus Required~: + +Water steriliser. + + { Scalpels. + Surgical instruments: { Scissors. + { Forceps. + { Bone forceps. + +Spear-headed platinum spatula (Fig. 199). + +Searing irons (Fig. 198). + +Tubes of media--bouillon and sloped agar. + +Surface plates in petri dishes (of agar or one of its derivatives). + +Platinum loop. + +Aluminium "spreader." + +Grease pencil. + +Sterile capillary pipettes (Fig. 13, a). + +Sterile glass capsules, large and small. + +Cover-slips or slides. + +Bottles of fixing fluid (_vide_ page 114) for pieces of tissue intended +for sectioning. + +1. Place the various instruments, forceps, scissors, scalpels, etc., +needed for the autopsy inside the steriliser and sterilise by boiling +for ten minutes; then open the steriliser, raise the tray from the +interior and rest it crosswise on the edges. + +2. Heat the searing irons to redness in a separate gas stove. + +[Illustration: FIG. 197.--Apparatus for post-mortem examination, animal +on board.] + +3. Drench the fur (or feathers) with lysol solution, 2 per cent. This +serves the twofold purpose of preventing the hairs from flying about and +entering the body cavities during the autopsy, and of rendering +innocuous any vermin that may be present on the animal. + +[Illustration: FIG. 198.--Searing iron.] + +4. Examine the cadaver carefully. Recollect that laboratory animals are +not always hardy; death may be due to exposure to heat or cold, to +starvation or over- or improper feeding or to the attack of rats--and +not to the bacterial infection. + +5. Fasten the body of the animal, ventral surface upward (unless there +is some special reason for having the dorsum exposed), out on a board +by means of copper nails driven through the extremities. + +6. With sterile forceps and scalpel incise the skin in the middle line +from the top of the sternum to the pubes. Make other incisions at right +angles to the first out to the axillae and groins, and reflect the skin +in two lateral flaps. (Place the now infected instruments on the board +by the side of the body or support them on a porcelain knife rest.) + + +~Seat of Inoculation.~-- + +7. Inspect the seat of inoculation. If any local lesion is visible, sear +its exposed surface and with the platinum loop, remove material from the +deeper parts to make tube and surface plate cultivations and cover-slip +preparations. + +Collect specimens of pus or other exudation in capillary pipettes for +subsequent examination. + +8. Inspect the neighbouring lymphatic glands and endeavour to trace the +path of the virus. + +9. Sear the whole of the exposed surface of the thorax with the searing +irons. + + +~Pleural Cavity.~-- + +10. Divide the ribs on either side of the sternum and remove a +rectangular portion of the anterior chest wall with sterile scissors and +a fresh pair of forceps, exposing the heart. Place the infected +instruments by the side of the first set. + +11. Observe the condition of the anterior mediastinal glands, the thymus +and the lungs. Collect a quantity of pleuritic effusion, if such is +present, in a pipette for further examination later. + +12. Raise the pericardial sac in a fresh pair of forceps and burn +through this structure with a searing iron. + +Collect a sample of pericardial fluid in a pipette for microscopical and +cultural examination. + +13. Grasp the apex of the heart in the forceps and sear the surface of +the right ventricle. + +14. Plunge the open point of a capillary pipette through the seared area +into the ventricle and fill with blood. + +Make cultivations and cover-slip preparations of the heart blood. + +15. Collect a further sample of blood or serum for subsequent +investigation as to the presence of antibodies. + + +~Peritoneal Cavity.~-- + +16. Sear a broad track in the middle line of the abdominal wall; open +the peritoneal cavity by an incision in the centre of the seared line. +Observe the condition of the omentum, the mesentery, the viscera and the +peritoneal surface of the intestines. + +17. Collect a specimen of the peritoneal fluid (or pus, if present) in a +capillary pipette. Make cultivations, tube and surface plate, and +cover-slip preparations from this situation. + +18. Collect a specimen of the urine from the distended bladder in a +large pipette (in the manner indicated for heart blood), for further +examination, by cultivations, microscopical preparations, and chemical +analysis. + +19. Collect a specimen of bile from the gall bladder in similar manner. + +20. Excise the spleen and place it in a sterile capsule. Later, sear the +surface of this organ; plunge the spear-headed spatula through the +centre of the seared area, twist it round between the finger and thumb, +and remove it from the organ. Sufficient material will be brought away +in the eye in its head to make cultivations. A repetition of the process +will afford material for cover-slip preparations. + +21. Seize one end of the spleen with sterile forceps. Sear a narrow band +of tissue, right around the organ and divide the spleen in this +situation with a pair of scissors. Holding the piece of spleen in the +forceps, dab the cut surface on to a surface plate in a number of +different spots. + +22. In like manner examine the other organs--liver, lungs, kidneys, +lymphatic glands (mesenteric, hepatic, lumbar, etc), etc. Prepare +cultivations and cover-slip preparations. + +23. Dissect out a long bone from one upper and one lower limb and one of +the largest ribs. Prepare cultures from the bone marrow in each case. +Set aside these bones for the subsequent preparation of marrow films. + +24. Film preparations of bone marrow are best made by the Price-Jones +method. Seize the bone in a pair of pliers and squeeze out some of the +marrow; receive it in a platinum loop, and transfer to a watch glass of +dissociating fluid and emulsify. The dissociating fluid is a neutral 10 +per cent. solution of glycerine prepared as follows:-- + + Measure out 10 c.c. Price's best glycerine and 90 c.c. + sterile ammonia-free distilled water. Mix. Titrate against + n/10 sodic hydrate solution using phenolphthalein as the + indicator. The initial reaction is usually + 0.1 to + 0.5; + add the calculated amount of n/10 sodic hydrate solution to + neutralise. + +25. Place a loopful of fresh desiccating fluid on a 3 x 1 glass slide; +add a similar loopful of the marrow emulsion, and spread very gently +over the surface of the slip. + +26. Allow film to dry in the air (protected from dust) without heating. + +27. Stain with Jenner's polychrome stain (page 97) for two and a half +minutes. + +28. Wash with ammonia-free distilled water, dry thoroughly and mount in +xylol balsam. + + +~Cranial and Spinal Cavities.~-- + +29. In some instances it may be necessary (e. g., experimental +inoculation of rabies) to examine the cranial cavity or to remove the +spinal cord. Return the viscera to the abdominal cavity; draw the flaps +of skin together and secure with Michel's steel clips. Draw the copper +nails securing the limbs to the board, reverse the animal and again nail +the limbs down--the body now being dorsum uppermost. + +30. Make a longitudinal incision in the mesial line from snout to root +of tail, and four transverse incisions--one joining the roots of the two +ears, one across the body at the level of the spinis of the scapulae, +another at the level of the costal margin and the last across the upper +level of the pelvis. Reflect these flaps of skin. + +31. With forceps and scalpel dissect out the muscles lying in the furrow +on either side of the spinal processes. + +32. Cut through the bases of the transverse processes with bone forceps. +Cut away the vault of the skull, cut through the roots of the nerves and +remove the brain and spinal cord, place in a large glass dish for +examination. Prepare cultivations from the cerebro-spinal fluid. The +removal of the brain and cord is a tedious process and during the +dissection it is difficult to avoid injury to these structures. + +The operation is, however, carried out very expeditiously and neatly +with the aid of the surgical engine (_vide_ page 361). A small circular +saw is fitted to the hand piece. The bones of the skull are cut through +and the whole of the vault removed, exposing the entire vertex of the +brain. Similarly all the spinous processes can be removed in one string +by running the saw down first one side of the spinal column and then the +other. In this way ample space for the removal of the nervous tissues is +obtained with a minimum of labour. + +33. Having completed the preparation of cultures remove small portions +of various organs at leisure and place each in separate bottles of +fixing fluid for future sectioning. Affix to each bottle a label bearing +all necessary details as to its contents. + +34. If necessary, remove portions of the organs for preservation and +display as museum specimens (_vide_ page 404). + +35. Gather up all the infected instruments, return them to the +steriliser, and disinfect by boiling for ten minutes. + +[Illustration: FIG. 199.--Spear-headed platinum spatula (actual size.)] + +36. Sprinkle dry sawdust into the exposed body cavities to absorb blood +and fluid. Cover the body with blotting or filter paper, moistened with +2 per cent. lysol solution. Place in a galvanised iron pail, provided +with a lid, ready for transport to the crematorium. + +37. Cremate the cadaver together with the board upon which it is fixed. + +38. Stain the cover-slip preparations by suitable methods and examine +microscopically. + +39. Incubate the cultivations and examine carefully from day to day. + +40. Make full notes of the condition of the various body cavities and of +the viscera immediately the autopsy is completed; and add the result of +the microscopical and cultural investigation when available. + +As part of the card index system in use in the author's laboratory +already referred to (_vide_ page 335) there is a special yellow card for +P-M notes. On the face of the card are printed headings for various +data--some of which are sometimes unintentionally omitted--and on the +reverse is a schematic figure which can be utilised for indicating the +position of the chief lesions in the cadaver of any of the laboratory +animals. + +AUTOPSY CARD Laboratory No. _________ + +Date ________ + +Animal ______ No. in Series ______ [Symbols: male female] Weight ________ ++------------------------------------------------------------------------+ +Died (or killed) _____ o'clock ____ m. Autopsy made _____ o'clock ____ m. ++------------------------------------------------------------------------+ +Notes on Post Mortem Examinations. + +_General._ + +A. Seat of Inoculation. + +B. Thoracic Cavity. + +C. Abdominal Cavity. + +D. Cranial Cavity. + ++-------------------+---- -------------+--------------------------+ +_Bacteriological_ | _Histological_ | _Organs Preserved._ | + _Examination._ | _Examination._ | | +A. | | | + | | | +B. | | | + | | | +C. | | | + | | | +D. | | | + +[Illustration: FIG. 200.--Front of post-mortem card.] + +41. Finally, the results of the action of the organism or organisms +isolated may be correlated with the symptoms observed during life and +the observations summarised under the following headings: + +Tissue changes: + + 1. Local--i. e., produced in the neighbourhood of the bacteria. + + Position: (a) At primary lesion. + + (b) At secondary foci. + + Character: (a) Vascular changes and tissue } Acute + reactions. } or + (b) Degeneration and necrosis. } chronic. + + 2. General (i. e., produced at a distance from the bacteria, by + absorption of toxins): + + (a) In special tissues--e. g., nerve cells and fibres, secreting + cells, vessel walls, etc. + + (b) General effects of malnutrition, etc. + + Symptoms: + + (a) Associated with known tissue changes. + + (b) Without known tissue changes. + +[Illustration: FIG. 201.--Back of post-mortem card.] + + +~Permanent Preparations--Museum Specimens.~-- + +_I. Tissues._--The naked-eye appearances of morbid tissues may be +preserved by the following method: + +1. Remove the tissue or organ from the cadaver as soon after death as +possible, using great care to avoid distortion or injury. + +2. Place it in a wide-mouthed stoppered jar, large enough to hold it +conveniently, resting on a pad of cotton-wool, and arrange it in the +position it is intended to occupy (but if it is intended to show a +section of the tissue or organ, do not incise it yet). + +3. Cover with the Kaiserling fixing solution, and stopper the jar; allow +the tissues to remain in this solution for from forty-eight hours to +seven days (according to size) to fix. Make any necessary sections. + +Kaiserling modified solution is prepared as follows: + +Weigh out + + Potassium acetate 30 grammes. + Potassium nitrate 15 grammes. + +and dissolve in + + Distilled water 1000 c.c. + +then add + + Formalin 150 c.c. + +Filter. + +This fixing solution can be used repeatedly so long as it remains clear. +Even when it has become turbid, if simple filtration is sufficient to +render it clear, the filtrate may be used again. + +4. Transfer the tissue to a bath of methylated spirit (95 per cent.) for +thirty minutes to one hour. + +5. Remove to a fresh bath of spirit and watch carefully. When the +natural colours show in their original tints, average time three to six +hours, remove the tissues from the spirit bath, dry off the spirit from +the cut surfaces by mopping with a soft cloth, then transfer to the +mounting solution. + +Jore's mounting solution (modified) consists of + + Glycerine 500 c.c. + Distilled water 750 c.c. + Formalin 2 c.c. + +Equally good but much cheaper is Frost's mounting solution: + + Potassium acetate 160 grammes. + Sodium fluoride 80 grammes. + Chloral hydrate 80 grammes. + Cane sugar (Tate's cubes) 3,500 grammes. + Saturated thymol water 8,000 c.c. + +6. After twenty-four hours in this solution, or as soon as the tissue +sinks, transfer to a museum jar, fill with fresh mounting solution, and +seal. + +_6a._ Or transfer to museum jar and fill with liquefied gelatine, to +which has been added 1 per cent. formalin. Cover the jar and allow the +gelatine to set. When solid, seal the cover of the jar in place. + +7. To seal the museum preparation first warm the glass plate which forms +the cover. This is most conveniently done by placing the cleaned and +polished cover-plate upon a piece of asbestos millboard over a bunsen +flame turned low. + +8. Smear an even layer of hot cement over the flange of the jar. The +cement is prepared as follows: + +Weigh out and mix in an iron ladle + + Gutta percha (pure) 4 parts. + Asphaltum 5 parts. + +and melt together over a bunsen flame, stirring with an iron rod until +solution is complete. + +9. Invert the glass plate over the jar and press down firmly into the +cement. Place a piece of asbestos board on the top and on that rest a +suitable weight until the cement is cold and has thoroughly set. + +10. Trim off any projecting pieces of cement with an old knife, burr +over the joint between jar and cover-plate with a hot smooth piece of +metal (e. g., the searing iron). + +11. Paint a narrow band of Japan black to finish off, round the joint, +overlapping on to the cover-plate. + +_II. Tube Cultivations of Bacteria._--When showing typical appearances +these may be preserved, if not permanently, at least for many years, as +museum specimens, by the following method: + +1. Take a large glass jar 25 cm. high by 18 cm. diameter, with a firm +base and a broad flange, carefully ground, around the mouth. The jar +must be fitted with a disc of plate glass ground on one side, to serve +as a lid. + +2. Smear a thick layer of resin ointment (B.P.) on the flange around the +mouth of the jar. + +3. Cover the bottom of the jar with a layer of cotton-wool and saturate +it with formalin. + +4. Remove the cotton-wool plug from the culture tubes and place them, +mouth upward, inside the jar. (If water of condensation is present in +any of the culture tubes, it should be removed by means of a capillary +pipette before placing the tubes in the formalin chamber.) + +5. Adjust the glass disc, ground side downward, over the mouth of the +jar and secure it by pressing it firmly down into the ointment, with a +rotary movement. + +6. Remove the tubes from the formalin chamber after the lapse of a week, +and dry the exterior of each. + +[Illustration: FIG. 202.--Bulloch's tubes.] + +7. Seal the open mouth of each tube in the blowpipe flame and label. + +If the cultivations are intended for museum purposes when they are first +planted, it is more convenient to employ Bulloch's tubes. These are +slightly longer than the ordinary tubes, and are provided with a +constriction some 2 cm. below the mouth (Fig. 202)--a feature which +renders sealing in the blowpipe flame an easy matter. + + + + +XX. THE STUDY OF THE PATHOGENIC BACTERIA. + + +The student, who has conscientiously worked out the methods, etc., +previously dealt with, is in a position to make accurate observations +and to write precise descriptions of the results of such observations. +He is, therefore, now entrusted with pure cultivations of the various +pathogenic bacteria, in order that he may study the life-history of each +and record the results of his own observations--to be subsequently +corrected or amplified by the demonstrator. In this way he is rendered +independent of text-book descriptions, the statements in which he is +otherwise too liable to take for granted, without personally attempting +to verify their accuracy. + +During the course of this work attention must also be directed, as +occasion arises, to such other bacteria, pathogenic or saprophytic, as +are allied to the particular organisms under observation, or so resemble +them as to become possible sources of error, by working them through on +parallel lines--in other words the various bacteria should be studied in +"groups." In the following pages the grouping in use in the author's +elementary classes for medical and dental students and for candidates +for the Public Health service is adopted, since a fairly long experience +has completely vindicated the value and utility of this arrangement, and +by its means a fund of information is obtained with regard to the +resemblances and differences, morphological and cultural, of a large +number of bacteria. The fact that some bacteria appear in more than one +of these groups, so far from being a disadvantage, is a positive gain to +the student, since with repetition alone will the necessary familiarity +with the cultural characters of important bacteria be acquired. The +study of the various groups will of course vary in detail with +individual demonstrators, and with the student's requirements--the +general line it should take is indicated briefly in connection with the +first group only (pages 410-411). This section should be carefully +worked through before the student proceeds to the study of +bacterioscopical analysis. + +It is customary to commence the study of the pathogenic bacteria with +the Organisms of Suppuration. This is a large group, for all the +pathogenic bacteria possess the power, under certain conditions, of +initiating purely pyogenic processes in place of or in addition to their +specific lesions, (e. g., Bacillus tuberculosis, Streptococcus +lanceolatus, Bacillus typhosus, etc.). There are, however, a certain few +organisms which commonly express their pathogenicity in the formation of +pus. These are usually grouped together under the title of "pyogenic +bacteria," as distinct from those which only occasionally exercise a +pyogenic role. + +The organisms included in this group are: + + 1. Staphylococcus pyogenes albus. + 2. Staphylococcus pyogenes aureus. + 3. Staphylococcus pyogenes citreus. + 4. Streptococcus pyogenes longus. + 5. Micrococcus tetragenus. + 6. Bacillus pyocyaneus. + 7. Bacillus pneumoniae. + +and in certain special tissues + + 8. Micrococcus gonorrhoeae. + 9. Micrococcus intracellularis meningitidis (Meningococcus). + 10. Micrococcus catarrhalis. + 11. Bacillus aegypticus (Koch-Weeks Bacillus). + +The group may with advantage be subdivided as indicated in the following +pages: + +I. _Pyogenic cocci._ + + Staphylococcus pyogenes albus. + Staphylococcus pyogenes aureus. + Staphylococcus pyogenes citreus. + to contrast with + Micrococcus candicans. + Micrococcus agilis. + +1. Prepare subcultivations from each: + + Bouillon, } + Agar streak, } + Blood serum, } + Litmus milk. } and incubate at 37 deg. C. + Agar streak, } + Gelatine stab, } + Potato. } and incubate at 20 deg. C. + +Compare the naked-eye appearances of the cultures from day to day. Note +M. agilis refuses to grow at 37 deg. C. + +2. Make hanging-drop preparations from the bouillon and agar +cultivations after twenty-four hours' incubation. Examine +microscopically and compare. Note the locomotive activity of M. agilis +and the Brownian movement of the remaining micrococci. + +3. Prepare cover-slip films from the agar cultures, after twenty-four +hours' incubation. Stain for flagella by the modified Pitfield's method. +Note M. agilis is the only micrococcus showing flagella. + +4. Make microscopical preparations of each from all the various media +after twenty-four and forty-eight hours and three days' incubation. +Stain carbolic methylene-blue, carbolic fuchsin, and Gram's method. +Examine the films microscopically and compare. Note in the Gram +preparation, the Gram negative character of certain individual cocci in +each film prepared from the three days' growth--such cocci are dead. + +5. Stain section of kidney tissue provided (showing abscess formation +by Staphylococcus aureus) by Gram's method, and counterstain with cosin. + +6. Stain film preparation of pus from an abscess (containing +Staphylococcus pyogenes aureus) with carbolic methylene-blue and also by +Gram's method, counterstained with cosin. + +7. Inoculate[15] a white mouse subcutaneously with three loopfuls of a +forty-eight-hour agar cultivation of the Staphylococcus aureus, +emulsified with 0.2 c.c. sterile broth. + +Observe carefully during life, and when death occurs make a careful +post-mortem examination. + +II. _Pyogenic cocci._ + + Micrococcus gonorrhoeae. + Micrococcus intracellularis meningitidis (meningococcus). + Micrococcus catarrhalis. + Micrococcus tetragenus. + Micrococcus paratetragenus. + +III. _Pyogenic cocci._ + + Streptococcus pyogenes longus. + Streptococcus of bovine mastitis. + Streptococcus lanceolatus (Diplococcus pneumoniae or pneumococcus). + to contrast with + Streptococcus brevis. + Streptococcus lebensis. + +IV. _Pyogenic bacilli._ + + Bacillus pneumoniae (Friedlaender). + Bacillus rhinoscleromatis. + Bacillus lactis aerogenes. + +V. _Pyogenic bacilli._ + + Bacillus pyocyaneus. + to contrast with + Bacillus fluorescens liquefaciens. + Bacillus fluorescens non-liquefaciens. + +VI. _Pneumonia group._ + + Streptococcus lanceolatus (pneumococcus). + Bacillus pneumoniae (Friedlaender). + Streptococcus pyogenes longus. + +VII. _Diphtheroid group._ + + 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. + +15. Examine the growth in each tube carefully both macroscopically and +microscopically. If the growth is impure, replate on nutrose agar, pick +off colonies and subcultivate again. When the growth in a tube is pure, +add 5 c.c. sterile normal saline solution or sterile broth, and emulsify +the entire surface growth with it. + +16. Utilise the emulsion for the preparation of a series of +subcultivations upon the media enumerated below, using the ordinary loop +to make the subcultures upon solid media, but adding one-tenth of a +cubic centimetre of the emulsion to each of the fluid media by means of +a sterile pipette. + + Gelatine streak. + Agar streak. + Potato. + Nutrient broth. + Litmus milk. + Dextrose peptone solution. + Laevulose peptone solution. + Galactose peptone solution. + Maltose peptone solution. + Lactose peptone solution. + Saccharose peptone solution. + Raffinose peptone solution. + Dulcite peptone solution. + Mannite peptone solution. + Glycerin peptone solution. + Inulin peptone solution. + Dextrin peptone solution. + +17. Differentiate the bacilli after isolation by means of their cultural +reactions and biological characters into members of: + +I. The Escherich Group. + + B. coli communis. + B. coli communior. + B. lactis aerogenes. + B. cloacae. + +II. The Gaertner Group. + + Bacillus enteritidis (of Gaertner). + B. paratyphosus A. + B. paratyphosus B. + Bacillus cholerae suum. + +III. The Eberth Group. + + B. typhosus. + B. dysenteriae (Shiga). + B. dysenteriae (Flexner). + B. faecalis alcaligines. + +18. Confirm these results by testing the organisms isolated against +specific agglutinating sera obtained from experimentally inoculated +animals. + +If a positive result is obtained when using this method, it only needs a +simple calculation to determine the smallest quantity (down to 0.1 c.c.) +of the sample that contains at least one of the microbes of indication. +For instance, if growth occurs in all the tubes from 4 to 10, and that +growth is subsequently proved to be due to the multiplication of B. +coli, then it follows that at least one colon bacillus is present in +every 10 c.c. of the water sample, but not in every 5 c.c. If, on the +other hand, the presence of the B. coli can only be proved in flask No. +7, then the average number of colon bacilli present in the sample is at +least one in every 50 c.c. (i. e., twenty per litre), but not one in +every 25 c.c. and so on. + +The general outline of the method of identifying the members of the +coli-typhoid group is given in the form of an analytical schema--whilst +the full differential details are set out in tabular form. + +ANALYTICAL SCHEME FOR ISOLATION OF MEMBERS OF THE COLI AND TYPHOID +GROUPS. + + Nutrose agar. + | + ----------------------------------- + | | + Red colonies. Blue colonies. + Escherich group. Gaertner and Eberth groups. + || | + ====================--------------- + || + Lactose peptone solution. + || + ====================--------------- + || | + Gas. No gas. + || | +B. coli communis and its allies. | + || Gaertner and Eberth groups. +Acid and gas in glucose peptone solution. | +Acid and coagulation in milk. | +General turbidity and indol in bouillon. Glucose peptone solution. + | + ==================================| + || | + || | + Gas. No gas. + || | + Gaertner group. Eberth group. + || | + =================== ---------------- + || || | | + || || | | +Litmus milk. Peptone solution. Litmus milk. Peptone solution. + || || | | +Acid at first. General turbidity. Acid. General turbidity. +Alkaline later. No indol. No coagulation. No indol. +No coagulation. Serum reaction. Serum reaction. + +_B. Streptococci._ + +19. Pick off streptococcus colonies and subcultivate upon nutrient agar +exactly as directed in steps 14, 15 and 16. + +20. Differentiate the streptococci isolated into members of the +saprophytic group of short-chained cocci, or members of the parasitic +(pathogenic) group of long-chained cocci, by means of their cultural +characters, and record their numerical frequency in the manner indicated +for the members of the coli-typhoid group. + +DIFFERENTIAL TABLE OF COLI-TYPHOID GROUP + +Transcriber's note: Table split to fit 80 spaces. + ++-------------------------+---+-----+-----+-----+-----+-----+-----+-----+-----+ +| | M | D | L | G | M | L | S | R | D | +|A = acid reaction | o | e | a | a | a | a | a | a | e | +|G = gas formation | t | x | e | l | l | c | c | f | t | +| | i | t | v | a | t | t | c | f | r | +| | l | r | u | c | o | o | h | i | i | +| | i | o | l | t | s | s | a | n | n | +| | t | s | o | o | e | e | r | o | | +| | y | e | s | s | | | o | s | | +| | | | e | e | | | s | e | | +| | | | | | | | e | | | +| | +-----+-----+-----+-----+-----+-----+-----+-----+ +| | | A G | A G | A G | A G | A G | A G | A G | A G | ++-------------------------+---+-----+-----+-----+-----+-----+-----+-----+-----+ +|_The Escherich Group._ | | | | | | | | | | +| B. coli communis | + | + + | + + | + + | + + | + + | O | + + | + + | +| B. coli communior | + | + + | + + | + + | + + | + + | + + | + + | + + | +| B. lactis aerogenes | - | + + | + + | + + | + + | + + | O | O | + + | +| B. acidi lactici | - | + + | + + | + + | + + | + + | O | O | O | +| B. pneumoniae | - | + + | + + | + + | + + | + + | + + | + + | + + | +| B cloaceae(A) | + | + + | + + | + + | + + | + + | + + | + + | + + | +| | | | | | | | | | | +|_The Gaertner Group._ | | | | | | | | | | +| B. enteritidis | + | + + | + + | + + | + + | O | O | O | O | +| B. paratyphosus A | + | + + | + + | + + | + + | O | O | O | O | +| B. paratyphosus B | + | + + | + + | + + | + + | O | O | O | O | +| B. cholerae suum | + | + + | + + | + + | + + | O | O | | O | +| B. suipestifer | + | + + | + + | + + | + + | O | O | | O | +| | | | | | | | | | | +|_The Eberth Group._ | | | | | | | | | | +| B. typhosus | + | + | + | + | + | O | O | O | + | +| B. dysenteriae (Shiga) | - | + | + | + | O | O | O | O | O | +| B. dysenteriae (Flexner)| - | + | + | + | + | O | O | +/- | O | +| B. faecalis alkaligines | + | O | O | O | O | O | O | O | O | +| | | | | | | | | | | ++-------------------------+---+-----+-----+-----+-----+-----+-----+-----+-----+ +| Table Notes: |(B)| (C) | ++-------------------------+---+-----------------------------------------------+ + ++-------------------------+-----+-----+-----+-----+-----+-----+---+-----------+ +| | I | S | G | D | M | S | I |Litmus Milk| +|A=acid reaction | n | a | l | u | a | o | n | | +|G=gas formation | u | l | y | l | n | r | d | | +| | l | i | c | c | n | b | o +-----+-----+ +| | i | c | e | i | i | i | l |Early|Late | +| | n | i | r | t | t | t | | | | +| | | n | i | e | e | e | | | | +| | | | n | | | | | | | +| | | | | | | | | | | +| | | | | | | | | | | +| |-----+-----+-----+-----+-----+-----+ | | | +| | A G | A G | A G | A G | A G | A G | | | | ++-------------------------+-----+-----+-----+-----+-----+-----+---+-----+-----+ +|_The Escherich Group_ | | | | | | | | | | +| B. coli communis | O | O | + + | + + | + + | + + | + | + | + C | +| B. coli communior | O | O | + + | + + | + + | + + | + | + | + C | +| B. lactis aerogenes | O | O | O | O | + + | + + | - | + | + C | +| B. acidi lactici | O | O | O | + + | + + | + + | + | + | + C | +| B. pneumoniae | O | O | + + | + + | + + | + + | - | + | + C | +| B cloaceae[A] | O | O | + + | O | + + | - + | + | + | + C | +| | | | | | | | | | | +|_The Gaertner Group._ | | | | | | | | | | +| B. enteritidis | O | O | O | + + | + + | + + | - | +/- | - | +| B. paratyphosus A | O | +/- | O | + + | + + | + + | - | + | O | +| B. paratyphosus B | O | O | O | + + | + + | + + | - | + | - | +| B. cholerae suum | O | O | O | O | O | + + |+/-| + | - | +| B. suipestifer | O | O | O | + + | + + | + + | - | + | - | +| | | | | | | | | | | +|_The Eberth Group._ | | | | | | | | | | +| B. typhosus | O | O | O | O | + | + | - | + | + | +| B. dysenteriae (Shiga) | O | O | O | O | O | O | - | + | - | +| B. dysenteriae (Flexner)| O | O | O | O | + | O |+/-| + | - | +| B. faecalis alkaligines | O | O | O | O | O | O | - | - | - | +| | | | | | | | | | | ++-------------------------+-----+-----+-----+-----+-----+-----+---+-----+-----+ +| Table Notes: | |(D)| (E) | ++-------------------------+-----------------------------------+---+-----------+ + +Table Notes: + +(A) * Liquefies gelatine. + +(B) + = motile. - = non-motile. + +(C) + = acid or gas production. +/- = slight acid production. O = no +change. + +(D) + = indol production. +/- = slight indol production. - = no indol +formed. + +(E) + = acid production. - = alkali production. O = no change in +reaction. C = clot. + +21. Determine the pathogenicity for mice (subcutaneous inoculation) and +rabbits (intravenous inoculation) of the streptococci isolated. + +On the facing insert page is reproduced a blank from the author's +Laboratory Water Analysis Book, by means of which an exact record can be +kept, with a minimum of labour, of every sample examined. + + +B. ~Concentration Method.~ + +The remaining organisms referred to on page 426 are more conveniently +sought for by the concentration method. + +_Collection of the Sample._--The quantity of water required for this +method of examination is about 2000 c.c., and the vessel usually chosen +for its reception is an ordinary blue glass Winchester quart bottle, +sterilised in the hot-air oven, and over this a paper or parchment cap +fastened with string. The bottle may be packed in a wooden box or in an +ordinary wicker case. The method of collecting the sample is identical +with that described under the heading of Quantitative Examination; there +is, however, not the same imperative necessity to pack the sample in ice +for transmission to the laboratory. + +_Apparatus required_: + + Sterile Chamberland or Doulton "white" porcelain open mouth + filter candle, fitted with rubber washer. + + Rubber cork to fit mouth of the filter candle, perforated + with one hole. + + Kitasato serum flask, 2500 c.c. capacity. + + Geryk air pump or water force pump. + + Wulff's bottle, fitted as wash-bottle, and containing + sulphuric acid (to act as a safety valve between filter and + pump). + + Pressure tubing, clamps, pinch-cock. + + Retort stand, with ring and clamp. + + Rubber cork for the neck of Winchester quart, perforated + with two holes and fitted with one 6 cm. length of straight + glass tubing, and one V-shaped piece of glass tubing, one + arm 32 cm. in length, the other 52 cm., the shorter arm + being plugged with cotton-wool. The rubber stopper must be + sterilised by boiling and the glass tubing by hot air, + before use. + + Flask containing 250 c.c. sterile broth. + + Test-tube brush to fit the lumen of the candle, enclosed in + a sterile test-tube (and previously sterilised by dry heat + or by boiling). + + Case of sterile pipettes, 10 c.c. in tenths. + + Case of sterile pipettes, 1 c.c. in tenths. + + Case of sterile pipettes, 1 c.c. in hundredths. + + Tubes of various nutrient media (according to requirements). + + Twelve Buchner's tubes with rubber stoppers. + + Pyrogallic acid tablets. + + Caustic soda tablets. + +[Illustration: Sample form]] + +[Illustration: FIG. 209.--Water filtering apparatus. That portion of the +figure to the left of the vertical line is drawn to a larger scale than +that on the right, in order to show details of Sprengel's pump.] + +METHOD.-- + +1. Fit up the filtering apparatus as in the accompanying diagram (Fig. +209), interposing the wash-bottle with sulphuric acid between the +filter flask and the force-pump (in the position occupied in the diagram +by the central vertical line), and placing another screw clamp on the +rubber tubing connecting the lateral arm of the filter flask with the +wash-bottle. + +[Illustration: FIG. 210. Sterile test-tube brush.] + +2. Filter the entire 2000 c.c. of water through the filter candle. + +3. When the nitration is completed, screw up the clamps and so occlude +the two pieces of pressure tubing. + +4. Reverse the position of the glass tubes in the Wulff's bottle so that +the one nearest the air pump now dips into the sulphuric acid. + +5. Slowly open the metal clamps and allow air to gradually pass through +the acid, and enter filter flask, and so restore the pressure. + +6. Unship the apparatus, remove the cork from the mouth of the candle. + +7. Pipette 10 c.c. of sterile broth into the interior of the candle, and +by means of the sterile test-tube brush (Fig. 210) emulsify the slimy +residue which lines the candle, with the broth. + +Practically all the bacteria contained in the original 2000 c.c. of +water are now suspended in 10 c.c. of broth, so that 1 c.c. of the +suspension is equivalent, so far as the contained organisms are +concerned, to 200 c.c. of the original water. (Some bacteria will of +course be left behind on the walls of the filter and in its pores.) + +Up to this point the method is identical, irrespective of the particular +organism whose presence it is desired to demonstrate; but from this +point onward the methods must be specially adapted to the isolation of +definite groups of organisms or of individual bacteria. + +The Coli-Typhoid Group.-- + +1. Number nine tubes of bile salt broth (_vide_ page 180), consecutively +from 1 to 9. + +2. To No 1 add 1 c.c. } of the original water sample + 2 add 2 c.c. } before the nitration is commenced. + 3 add 5 c.c. } + +3. To the remaining tubes of bile salt broth add varying quantities of +the suspension by means of suitably graduated sterile pipettes, as +follows: + +No. 4 0.05 c.c. (equivalent to 10 c.c. of the original water sample). +No. 5 0.125 c.c. (equivalent to 25 c.c. of the original water sample). +No. 6 0.25 c.c. (equivalent to 50 c.c. of the original water sample). +No. 7 0.5 c.c. (equivalent to 100 c.c. of the original water sample). +No. 8 1.0 c.c. (equivalent to 200 c.c. of the original water sample). +No. 9 2.5 c.c. (equivalent to 500 c.c. of the original water sample). + +4. Put up each tube anaerobically in a Buchner's tube and incubate at +42 deg. C. + +5. The subsequent steps are identical with those described under the +Enrichment method (see page 428 to 431; Steps 8 to 18). + + _Alternative Methods._-- + + A few of the older methods for the isolation of the members + of the coli-typhoid groups are referred to but they are + distinctly inferior to those already described. + + (A) The Carbolic Method: + + 1. Take ten tubes of carbolised bouillon (_vide_ page 202) + and number them consecutively from 1 to 10. + + 2. Inoculate each tube with a different amount of the water + sample or suspension, as in the previous method. + + 3. Incubate aerobically at 37 deg. C. + + 4. Examine the culture tubes after twenty-four hours' + incubation. + + 5. From those tubes which shows signs of growth, pour plates + in the usual manner, using carbolised gelatine (_vide_ page + 202) in place of the ordinary gelatine, and incubate at 20 deg. + C. for three, four, or five days as may be necessary. + + 6. Subcultivate from any colonies that make their + appearance, and determine their identity on the lines laid + down in the previous method. + + (B) Parietti's Method: + + 1. Take nine tubes of Parietti's bouillon (_vide_ page + 202)--i. e., three each of those containing 0.1 c.c., 0.2 + c.c., and 0.5 c.c. of Parietti's solution respectively. + Mark plainly on the outside of each tube the quantity of + Parietti's solution it contains. + + 2. To each tube add a different amount of the original + water, or of the suspension, and incubate at 37 deg. C. + + 3. Examine the culture tubes after twenty-four and + forty-eight hours' incubation, and plate in nutrient + carbolised or potato gelatine from such as have grown. + + 4. Pick off suspicious colonies, if any such appear on the + plates, subcultivate them upon the various media, and + identify them. + + (C) Elsner's Method: This method simply consists in + substituting Elsner's potato gelatine (_vide_ page 204) for + ordinary nutrient gelatine in any of the previously + mentioned methods. + + (D) Cambier's Candle Method: + + Treat a large volume of the water sample by the + concentration method (_vide_ page 434). + + 1. Remove the rubber stopper from the mouth of the filter + candle, introduce 10 c.c. sterile bouillon into its + interior, and emulsify the bacterial sediment; replug the + mouth of the candle with a wad of sterile cotton-wool. + + 2. Remove the filter candle from the filter flask and insert + it into the mouth of a flask or a glass cylinder containing + sterile bouillon sufficient to reach nearly up to the rubber + washer on the candle. + + 3. Incubate for twenty-four to thirty-six hours at 37 deg. C. + + 4. From the now turbid bouillon in the glass cylinder pour + gelatine plates and incubate at 20 deg. C. + + 5. Subcultivate and identify any suspicious colonies that + appear. + + (The method depends upon the assumption that members of the + typhoid and coli groups find their way through the porcelain + filter from the interior to the surrounding bouillon at a + quicker rate than the associated bacteria.) + + +B. ~Enteritidis Sporogenes.~-- + +1. Transfer 5 c.c. of the emulsion from the filter candle to a sterile +test-tube and plug carefully. + +2. Place the test-tube in the interior of the benzole bath employed in +separating out spore-bearing organisms (_vide_ page 257), and expose to +a temperature of 80 deg. C. for twenty minutes. + +3. Number ten tubes of litmus milk consecutively from 1 to 10. + +4. Remove the test-tube from the benzole bath and shake well to +distribute the spores evenly through the fluid. + +5. To each tube of litmus milk add a measured quantity of the suspension +corresponding to the amounts employed in isolating the coli group +(_vide_ page 437). + +6. Incubate each tube anaerobically at 37 deg. C. Anaerobic conditions +can be obtained by putting the cultures up in Buchner's tubes or in +Bulloch's apparatus. If, however, whole milk has been used in making the +litmus milk the layer of cream that rises to the surface will be +sufficient to ensure anaerobiosis; whilst if separated milk has been +employed it will be sufficient to pour a layer of sterile vaseline or +liquid paraffin on the surface of the fluid. + +7. Examine after twenty-four hours' incubation. Note (if B. enteritidis +sporogenes is present)-- + +(a) Acid reaction of the medium as indicated by the colour of the +litmus or its complete decolourisation. + +(b) Presence of clotting, and the separation of clear whey. + +(c) Presence of gas, as indicated by fissures and bubbles in the +coagulum, and possibly masses of coagulum driven up the tube almost to +the plug. + +8. Replace the tubes which show no signs of growth in the incubator for +a further period of twenty-four hours and again examine with reference +to the same points. + +9. Remove those tubes which give evidence of growth from the Buchner's +tubes and carefully pipette off the whey; examine the whey +microscopically. + +10. Inoculate two guinea-pigs each subcutaneously with 0.5 c.c. of the +whey and observe the result. + + +~Vibrio Cholerae.~-- + +1. Number ten tubes of peptone water consecutively from 1 to 10. + +2. To each of the tubes of peptone water add a measured quantity of the +suspension, corresponding to those amounts employed in isolating the +members of the coli group (_vide_ page 437). + +3. Incubate aerobically at 37 deg. C. for twenty-four hours. Examine +the tubes carefully for visible growth, especially delicate pellicle +formation, which if present should be examined microscopically for +vibrios, both by stained preparations or by fresh specimens with dark +ground illumination. + +4. Inoculate fresh tubes of peptone water from such of the tubes as +exhibit pellicle formation--from the pellicle itself--and incubate at +37 deg. C. for twenty-four hours. + +5. Test the peptone water itself for the presence of indol and nitrite +by the addition of pure concentrated H_{2}SO_{4}. + +5. Prepare gelatine and agar plates in the usual way from such of these +tubes as show pellicle formation. + +6. Pick off from the plates any colonies resembling those of the Vibrio +cholerae and subcultivate upon all the ordinary laboratory media. + +7. Test the vibrio isolated against the serum of an animal immunised to +the Vibrio cholerae for agglutination. + + +~B. Anthracis.~-- + +1. Transfer 5 c.c. of the emulsion from the filter candle to a sterile +test-tube and plug carefully. + +2. Place the test-tube in the interior of the benzole bath employed in +separating out spore-bearing organisms (_vide_ page 257), and expose to +a temperature of 80 deg. C. for twenty minutes. + +3. Inoculate a _young_ white rat subcutaneously (on the inner aspect of +one of the hind legs) with 1 c.c. of the emulsion. Observe during life, +and, if the animal succumbs, make a complete post-mortem examination. + +4. Melt three tubes of nutrient agar in boiling water and cool to 42 +deg. C. + +5. Number the tubes 1, 2, and 3. To No. 1 add 0.2 c.c., to No. 2 add 0.3 +c.c., and to No. 3 add 0.5 c.c. of the suspension, and pour plates +therefrom. + +6. Incubate at 37 deg. C. for twenty-four or forty-eight hours. + +7. Pick off any colonies resembling those of anthrax and subcultivate on +all the ordinary laboratory media. + +8. Inoculate another young white rat as in 3, using two loopfuls of the +agar subcultivation emulsified with 1 c.c. sterile bouillon. Observe +during life, and if the animal succumbs, make a complete post-mortem +examination. + + +~B. Tetani.~-- + +1. Proceed as detailed above in steps 1 and 2 for the isolation of the +B. anthracis. + +2. Add 1 c.c. of the suspension to each of three tubes of glucose +formate broth, and incubate anaerobically in Buchner's tubes at 37 deg. C. + +3. From such of the tubes as show visible growth (with or without the +production of gas) after twenty-four hours' incubation inoculate +guinea-pigs, subcutaneously (under the skin of the abdomen), using 0.1 +c.c. of the bouillon cultivation as a dose. Observe carefully during +life, and, if death occurs, make a complete post-mortem examination. + +4. From the same tubes pour agar plates and incubate anaerobically in +Bulloch's apparatus, at 37 deg. C. + +5. Subcultivate suspicious colonies on the various media, incubate +anaerobically, making control cultivations on glucose formate agar, stab +and streak, to incubate aerobically and carry out further inoculation +experiments with the resulting growths. + + +EXAMINATION OF MILK. + +"One-cow" or "whole" milk, if taken from the apparently healthy animal +(that is, an animal without any obvious lesion of the udder or teats) +with ordinary precautions as to cleanliness, avoidance of dust, etc., +contains but few organisms. In dealing with one-cow milk, from a +suspected, or an obviously diseased animal, a complete analysis should +include the examination (both qualitative and quantitative) of samples +of (a) fore-milk, (b) mid-milk, (c) strippings, and, if possible, +from each quarter of the udder. "Mixed" milk, on the other hand, by the +time it leaves the retailer's hands, usually contains as many +micro-organisms as an equal volume of sewage and indeed during the +examination it is treated as such. + +It is possible however to collect and store mixed milk in so cleanly a +manner that its germ content does not exceed 5000 micro-organisms per +cubic centimetre. Such comparative freedom from extraneous bacteria is +usually secured by the purveyor only when he resorts to the process of +pasteurisation (heating the milk to 65 deg. C. for twenty minutes or to +77 deg. C. for one minute) or the simpler plan of adding preservatives to +the milk. Information regarding the employment of these methods for the +destruction of bacteria should always be sought in the case of mixed +milk samples, and in this connection the following tests will be found +useful: + +1. _Raw Milk_ (Saul). + +To 10 c.c. milk in a test tube, add 1 c.c. of a 1 per cent. aqueous +solution of ortol (ortho-methyl-amino-phenol sulphate), recently +prepared and mix. Next add 0.2 c.c. of a 3 per cent. peroxide of +hydrogen solution. The appearance of a brick red color within 30 seconds +indicates raw milk. Milk heated to 74 deg. C. for thirty minutes undergoes +no alteration in color; if heated to 75 deg. C. for ten minutes only, the +brick red color appears after standing for about two minutes. + +2. _Boric Acid._ + +Evaporate to dryness, 50 c.c. of the milk which has been rendered +slightly alkaline to litmus, then incinerate. + +Dissolve in distilled water, add slight excess of dilute hydrochloric +acid and again evaporate to dryness. + +Dissolve the residue in a small quantity of hot water and moisten a +piece of turmeric paper with the solution. Dry the turmeric paper. +_Rose_ or _cherry-red_ color = borax or boric acid. + +3. _Formaldehyde_ (Hehner). + +To 10 c.c. milk in a test tube add 5 c.c. concentrated _commercial_ +sulphuric acid slowly, so that the two fluids do not mix. Hold the tube +vertically and agitate very gently. _Violet zone_ at the junction of the +two liquids = formaldehyde. + +4. _Hydrogen Peroxide._ + +To 10 c.c. milk (diluted with equal quantities of water) in a test tube +add 0.4 c.c. of a 4 per cent. alcoholic solution of benzidine and 0.2 +c.c. acetic acid. _Blue coloration_ of the mixture = hydrogen peroxide. + +5. _Salicylic Acid._ + +Precipitate the caseinogen by the addition of acetic acid and filter. To +the filtrate add a few drops of 1 per cent. aqueous solution of ferric +chloride. _Purple coloration_ = salicylic acid. + +6. _Sodium Carbonate or Bicarbonate._ + +To 10 c.c. of the milk in a test tube add 10 c.c. of alcohol and 0.3 +c.c. of a 1 per cent. alcoholic solution of rosolic acid. _Brownish_ +color = pure milk; _rose_ color = preserved milk. + +[Illustration: FIG. 211.--Milk-collecting bottle and dipper in case.] + +Quantitative.-- + +_Collection of Sample._-- + +The apparatus used for the collection of a retail mixed milk sample +consists of a cylindrical copper case, 16 cm. high and 9 cm. in +diameter, provided with a "pull-off" lid, containing a milk dipper, also +made of copper; and inside this, again, a wide-mouthed, stoppered glass +bottle of about 250 c.c. capacity (about 14 cm. high by 7 cm. diameter), +having a tablet for notes, sand-blasted on the side. The copper cylinder +and its contents, secured from shaking by packing with cotton-wool, are +sterilised in the hot-air oven (Fig. 26). + +When collecting a sample, + +1. Remove the cap from the cylinder. + +2. Draw out the cotton-wool. + +3. Lift out the bottle and dipper together. + +4. Receive the milk in the sterile dipper, and pour it directly into the +sterile bottle. + +5. Enter the particulars necessary for the identification of the +specimen, on the tablet, with a lead pencil, or pen and ink. + +6. Pack the apparatus in the ice-box for transmission to the laboratory +in precisely the same manner as an ordinary water sample. + +"Whole" milk may with advantage be collected in the sterile bottle +directly since the mouth is sufficiently wide for the milker to direct +the stream of milk into it. + +~Condensed milk~ must be diluted with sterile distilled water in +accordance with the directions printed upon the label, then treated as +ordinary milk. + +_Apparatus Required_: + + Case of sterile capsules (25 c.c. capacity). + Case of sterile graduated pipettes, 10 c.c. + (in tenths of a cubic centimetre). + Case of sterile graduated pipettes, 1 c.c. + (in tenths of a cubic centimetre). + Flask containing 250 c.c. sterile bouillon. + Tall cylinder containing 2 per cent. lysol solution. + Plate-levelling stand. + Case of sterile plates. + Tubes nutrient gelatine or gelatine agar. + Tubes of wort gelatine. + Tubes of nutrient agar. + Water-bath regulated at 42 deg. C. + Bunsen burner. + Grease pencil. + +METHOD.-- + +1. Arrange four sterile capsules in a row; number them I, II, III, and +IV. + +2. Fill 9 c.c. sterile bouillon into the first, and 9.9 c.c. bouillon +into each of the three remaining capsules. + +3. Remove 1 c.c. milk from one of the bottles by means of a sterile +pipette and add it to the bouillon in capsule I; mix thoroughly by +repeatedly filling and emptying the pipette. + +4. Remove 0.1 c.c. of the milky bouillon from capsule I, add it to the +contents of capsule II, and mix as before. + +5. In like manner add 0.1 c.c. of the contents of capsule II to capsule +III; and then 0.1 c.c. of the contents of capsule III to capsule IV. + + Then 1 c.c. of dilution I contains 0.1 c.c. milk sample. + 1 c.c. of dilution II contains 0.001 c.c. milk sample. + 1 c.c. of dilution III contains 0.00001 c.c. milk sample. + 1 c.c. of dilution IV contains 0.0000001 c.c. milk sample. + +6. Melt the gelatine and the agar tubes in boiling water; then transfer +to the water-bath and cool them down to 42 deg. C. + +7. Number the gelatine tubes consecutively 1 to 12. + +8. Inoculate the tubes with varying quantities of the material as +follows: + + To tube No. 1 add 1.0 c.c. of the milk sample. + 2 add 0.1 c.c. of the milk sample. + { 3 add 1.0 c.c. from capsule I. + { 4 add 0.1 c.c. from capsule I. + { 5 add 1.0 c.c. from capsule II. + { 6 add 0.1 c.c. from capsule II. + { 7 add 0.5 c.c. from capsule III. + { 8 add 0.3 c.c. from capsule III. + { 9 add 0.2 c.c. from capsule III. + { 10 add 0.5 c.c. from capsule IV. + { 11 add 0.3 c.c. from capsule IV. + { 12 add 0.2 c.c. from capsule IV. + +9. Pour plates from the gelatine tubes; label, and incubate at 20 deg. C. + +10. Liquefy five wort gelatine tubes and to them add 1.0 c.c. of the +milk sample and a similar quantity of the diluted milk from capsules I, +II, and III and IV respectively. + +11. Pour plates from the wort gelatine; label, and incubate at 20 deg. C. + +12. Inoculate the liquefied agar tubes as follows: + + To tube No. 1 add 0.1 c.c. of the milk sample. + 2 add 0.1 c.c. from capsule I. + 3 add 0.1 c.c. from capsule II. + 4 add 0.1 c.c. from capsule III. + 5 add 1.0 c.c. from capsule IV. } + 6 add 0.1 c.c. from capsule IV. } + +13. Pour plates from the agar tubes; label, and incubate at 37 deg. C. + +14. After twenty-four hours' incubation "inspect," and after forty-eight +hours' incubation, "count" the agar plates and estimate the number of +"organisms growing at 37 deg. C." present per cubic centimetre of the +sample of milk. + +15. After three, four, or five days' incubation, "count" the gelatine +plates and estimate therefrom the number of "organisms growing at 20 deg. +C." present per cubic centimetre of the sample of milk. + +16. After a similar interval "count" the wort gelatine plates and +estimate the number of moulds and yeasts present per cubic centimetre of +the sample of milk. + + NOTE.--Many observers prefer to employ gelatine agar (see + page 193) for the quantitative examination. In this case + gelatine-agar plates should be poured from tubes containing + the quantities of material indicated in step 8, incubated at + 28 deg. C. to 30 deg. C. and after five days the "total number + of organisms developing at 28 deg. C." recorded. + +~Qualitative.~--The qualitative bacteriological examination of milk is +chiefly directed to the detection of the presence of one or more of the +following pathogenic bacteria and when present to the estimation of +their numerical frequency. + + Members of the Coli-typhoid group. + Vibrio cholerae. + Streptococcus pyogenes longus. + Micrococcus melitensis. + Staphylococcus pyogenes aureus. + Bacillus enteritidis sporogenes. + Bacillus diphtheriae. + Bacillus tuberculosis. + +Some of these occur as accidental contaminations, either from the water +supply to the cow farm, or from the farm employees, whilst others are +derived directly from the cow. + +In milk, as in water examinations, two methods are available, viz.: +Enrichment and Concentration--the former is used for the demonstration +of bacteria of intestinal origin, the latter for the isolation of the +micro-organisms of diphtheria and tubercle. The first essential in the +latter process is the concentration of the bacterial contents of a large +volume of the sample into a small compass; but in the case of milk, +thorough centrifugalisation is substituted for filtration. + + _Apparatus Required_: + + A large centrifugal machine. This machine, to be of real + service in the bacteriological examination of milk, must + conform to the following requirements: + + 1. The centrifugal machine must be of such size, and should + carry tubes or bottles of such capacity, as to enable from + 200 to 500 c.c. of milk to be manipulated at one time. + + 2. The rate of centrifugalisation should be from 2500 to + 3000 revolutions per minute. + + 3. The portion of the machine destined to carry the tubes + should be a metal disc, of sufficient weight to ensure good + "flank" movement, continuing over a considerable period of + time. In other words, the machine should run down very + gradually and slowly after the motive power is removed, thus + obviating any disturbance of the relative positions of + particulate matter in the solution that is being + centrifugalised. + + 4. The machine should preferably be driven by electricity, + or by power, but in the case of hand-driven machines-- + + (a) The gearing should be so arranged that the requisite + speed is obtained by not more than forty or fifty + revolutions of the crank handle per minute, so that it may + be maintained for periods of twenty or thirty minutes + without undue exertion. + + (b) The handle employed should be provided with a special + fastening (e. g., a clutch similar to that employed for + the free wheel of a bicycle), or should be readily + detachable so that, on ceasing to turn, the handle should + not, by its weight and air resistance, act as a brake and + stop the machine too suddenly. + + One of the few satisfactory machines of this class is shown + in figure 212. + +[Illustration: FIG. 212.--Electrically driven centrifugal machine, with +flexible (broken) spindle encircled by the field magnets of the motor.] + + Sterile centrifugal tubes, of some 60-70 c.c. capacity, + tapering to a point at the closed end, plugged with + cotton-wool. + + Small centrifugal machine to run two tubes of 10 c.c. + capacity at 2500 to 3000 revolutions per minute preferably + driven by electricity, of the type figured on page 327 (Fig. + 162). + + Sterile centrifugal tubes of 10 c.c. capacity with the + distal extremity contracted to a narrow tube and graduated + in hundredths of a cubic centimetre (Fig. 213). + + Sterilised cork borer. + + Case of sterile pipettes, 10 c.c. (in tenths of a cubic + centimetre). + + Case of sterile pipettes, 1 c.c. (in tenths of a cubic + centimetre). + + Sterile teat pipettes. + + Flask of sterile normal saline solution. + +METHOD.-- + +1. Fill 50 c.c. of the milk sample into each of four tubes, and replace +the cotton-wool plugs by solid rubber stoppers (sterilised by boiling), +and fit the tubes in the centrifugal machine. + + NOTE.--One or two cubic centimetres of paraffinum liquidum + introduced into the buckets of the centrifuge before the + glass tubes are inserted will obviate any risk of breakage + to the latter. + +[Illustration: FIG. 213.--Milk sedimenting tubes.] + +[Illustration: FIG. 214.--Milk in centrifuge tube.] + +2. Centrifugalise the milk sample for thirty minutes at a speed of 2500 +revolutions per minute. + +3. Remove the motive power and allow the machine to slow down gradually. + +4. Remove the tubes of milk from the centrifuge. Each tube will now show +(Fig. 214): + +(a) A superficial layer of cream (varying in thickness with different +samples) condensed into a semi-solid mass, which can be shown to +contain some organisms and a few leucocytes. + +(b) A central layer of separated milk, thin, watery, and opalescent, and +containing extremely few bacteria. + +(c) A sediment or deposit consisting of the great majority of the +contained bacteria and leucocytes, together with adventitious matter, +such as dirt, hair, epithelial cells, faecal debris, etc. + +5. Withdraw the rubber stopper and remove a central plug of cream from +each tube by means of a sterile cork borer; place these masses of cream +in two sterile capsules. Label C^{1} and C^{2}. + +6. Remove all but the last one or two c.c. of separated milk from each +tube, by means of sterile pipettes. + +7. Mix the deposits thoroughly with the residual milk, pipette the +mixture from each pair of tubes into one sterile 10 c.c. tube +(graduated) by means of sterile teat pipettes, then fill to the 10 c.c. +mark with sterile normal saline solution and mix together. Label D^{1} +and D^{2}. + +8. Place the two tubes of mixed deposit in the centrifuge, adjust by the +addition or subtraction of saline solution so that they counterpoise +exactly, and centrifugalise for ten minutes. + + NOTE.--Each tube now contains the deposit from 100 c.c. of + the milk sample and the amount can be read off in hundredths + of a centimetre. The multiplication of this figure by 100 + will give the amount of "Apparent Filth," in "parts per + million"--the usual method of recording this quality of + milk. + +9. Pipette off all the supernatant fluid and invert the tube to drain on +to a pad of sterilised cotton-wool, contained in a beaker. (This wool is +subsequently cremated.) + +10. Examine both cream (C^{1}) and deposit (D^{1}) microscopically-- + +(a) In hanging-drop preparations. + +(b) In film preparations stained carbolic methylene-blue, by Gram's +method, by Neisser's method, and by Ziehl-Neelsen's method. + +Note the presence or absence of altered and unaltered vegetable fibres; +pus cells, blood discs; cocci in groups or chains, diphtheroid bacilli, +Gram negative bacilli or cocci, spores and acid fast bacteria. + +11. Adapt the final stages of the investigation to the special +requirements of each individual sample, thus: + +~1. Members of the Coli-typhoid Group.~-- + +1. Emulsify the deposit from the second centrifugal tube (D^{2}) with 10 +c.c. sterile bouillon and inoculate three tubes of bile salt broth as +follows: + + To Tube No. 1 add 2.5 c.c. milk deposit emulsion + (=25 c.c. original milk.) + To Tube No. 2 add 1.0 c.c. milk deposit emulsion + (=10 c.c. original milk.) + To Tube No. 3 add 0.5 c.c. milk deposit emulsion + (= 5 c.c. original milk.) + +2. Inoculate tube of bile salt broth No. 4 with 1 c.c. of the original +milk. + +3. Inoculate further tubes of bile salt broth with previously prepared +dilutions (see page 445) as follows: + + To tube No. 5 add 1.0 c.c. from capsule I. + To tube No. 6 add 0.1 c.c. from capsule I. + To tube No. 7 add 1.0 c.c. from capsule II. + To tube No. 8 add 0.1 c.c. from capsule II. + To tube No. 9 add 1.0 c.c. from capsule III. + To tube No. 10 add 0.1 c.c. from capsule III. + To tube No. 11 add 1.0 c.c. from capsule IV. + To tube No. 12 add 0.1 c.c. from capsule IV. + +and incubate anaerobically (in Buchner's tubes) at 42 deg. C. for a +maximum period of forty-eight hours. + +4. If growth occurs complete the investigation as detailed under the +corresponding section of water examination (see pages 428 to 431). + + NOTE.--The B. coli communis, derived from the alvine + discharges of the cow, is almost universally present in + large or small numbers, in retail milk. Its detection, + therefore, unless in enormous numbers, (when it indicates + want of cleanliness), is of little value. + +~2. Vibrio Cholerae.~--Inoculate tubes of peptone water by using the same +amounts as in the search for members of the Coli-typhoid groups (_vide +ante_ 1-3); incubate aerobically at 37 deg. C. and complete the +examination as detailed under the corresponding section of water +examination (see page 439). + +~3. B. Enteritidis Sporogenes.~--Inoculate tubes of litmus milk with +similar amounts to those used in the previous searches, omitting tube +No. 1 (_vide ante_ 1-3) place in the differential steriliser at 80 deg. +C. for ten minutes and then incubate anaerobically at 37 deg. C. for a +maximum period of forty-eight hours. Complete the investigation as +detailed under the corresponding section of water examination (see +page 438). + +~4. B. Diphtheriae.~-- + +(A) 1. Plant three sets of serial cultivations, twelve tubes in each +set, from (a) cream C^{2}, (b) deposit D^{1} upon oblique +inspissated blood-serum, and incubate at 37 deg. C. + +2. Pick off any suspicious colonies which may have made their appearance +twelve hours after incubation, examine microscopically and subcultivate +upon blood-serum and place in the incubator; return the original tubes +to the incubator. + +3. Repeat this after eighteen hours' incubation. + +4. From the resulting growths make cover-slip preparations and stain +carbolic methylene-blue, Neisser's method, Gram's method. Subcultivate +such as appear to be composed of diphtheria bacilli in glucose peptone +solution. Note those in which acid production takes place. + +5. Inoculate guinea-pigs subcutaneously with one or two cubic +centimetres forty-eight-hour-old glucose bouillon cultivation derived +from the first subcultivation of each glucose fermenter, and observe the +result. + +6. If death, apparently from diphtheritic toxaemia, ensues, inoculate two +more guinea pigs with a similar quantity of the lethal culture. Reserve +one animal as a control and into the other inject 1000 units of +antidiphtheritic serum. If the control dies and the treated animal +survives, the proof of the identity of the organism isolated with the +Klebs-Loeffler bacillus becomes absolute. + +7. Inoculate guinea-pigs subcutaneously with filtered glucose bouillon +cultivations (toxins?) and observe the result. + +(B) 1. Emulsify the remainder of the deposit with 5 c.c. sterile +bouillon and inoculate two guinea-pigs, thus: guinea-pig a, +subcutaneously with 1 c.c. emulsion; guinea-pig b, subcutaneously with +2 c.c. emulsion; and observe the result. + +2. If either or both of the inoculated animals succumb, make complete +post-mortem examination and endeavour to isolate the pathogenic +organisms from the local lesion. Confirm their identity as in A5 and 6 +(_vide supra_). + +~5. Bacillus Tuberculosis.~-- + +(A) 1. Inoculate each of three guinea-pigs (previously tested with +tuberculin, to prove their freedom from spontaneous tuberculosis) +subcutaneously at the inner aspect of the bend of the left knee, with 1 +c.c. of the deposit emulsion remaining in one or other tube (D^{1} or +D^{2}). + +2. Introduce a small quantity of the cream into a subcutaneous pocket +prepared at the inner aspect of the bend of the right knee of each of +these three animals. Place a sealed dressing on the wound. + +3. Observe carefully, and weigh accurately each day. + +4. Kill one guinea-pig at the end of the second week and make a +complete post-mortem examination. + +5. If the result of the examination is negative or inconclusive, kill a +second guinea-pig at the end of the third week and examine carefully. + +[Illustration: FIG. 215.--Cadaver of guinea-pig experimentally infected +with B. tuberculosis.] + +6. If still negative or inconclusive, kill the third guinea-pig at the +end of the _sixth_ week. Make a careful post-mortem examination. +Examine material from any caseous glands microscopically and inoculate +freely on to Dorset's egg medium. + + NOTE.--Every post-mortem examination of animals infected + with tuberculous material should include the naked eye and + microscopical examination of the popliteal, superficial and + deep inguinal, iliac, lumbar and axillary glands on each + side of the body, also the retrohepatic, bronchial and + sternal glands, the spleen, liver and lungs (Fig. 215). + +(B) 1. Intimately mix all the available cream and deposit from the milk +sample, and transfer to a sterile Erlenmeyer flask. + +2. Treat the mixture by the antiformin method (_vide_ Appendix, page +502). + +3. Inoculate each of two guinea-pigs, intraperitoneally, with half of +the emulsion thus obtained. + +4. Kill one of the guinea-pigs at the end of the first week and examine +carefully. + +5. Kill the second guinea-pig at the end of the second week and examine +carefully. + +6. Utilise the remainder of the deposit for microscopical examination +and cultivations upon Dorset's egg medium. + + NOTE.--No value whatever attaches to the result of a + microscopical examination for the presence of the B. + tuberculosis unless confirmed by the result of inoculation + experiments. + +~6. Streptococcus Pyogenes Longus.~-- + +(A) 1. Spread serial surface plates upon nutrose agar. Also plant serial +cultivations upon sloped nutrient agar (six tubes in series). + +2. If the resulting growth shows colonies which resemble those of the +streptococcus, make subcultivations upon agar and in bouillon, in the +first instance, and study carefully. + +(B) 1. Plant a large loopful of the deposit D^{2} into each of three +tubes of glucose formate bouillon, and incubate anaerobically (in +Buchner's tubes) for twenty-four hours at 37 deg. C. + +2. If the resulting growth resembles that of the streptococcus, make +subcultivations upon nutrient agar. + +3. Prepare subcultivations of any suspicious colonies that appear, upon +all the ordinary media, and study carefully. + +If the streptococcus is successfully isolated, inoculate serum bouillon +cultivations into the mouse, guinea-pig, and rabbit, to determine its +pathogenicity and virulence. + +~7. Staphylococcus Pyogenes Aureus.~-- + +1. Examine carefully the growth upon the serial blood serum cultivations +prepared to isolate B. diphtheriae and the serial agar cultivations to +isolate streptococci after forty-eight hours' incubation. + +2. Pick off any suspicious orange coloured colonies, plant on sloped +agar, and incubate at 20 deg. C. Observe pigment formation. + +3. Prepare subcultivations from any suspicious growths upon all the +ordinary media, study carefully and investigate their pathogenicity. + +~8. Micrococcus Melitensis.~--The milk from an animal infected with M. +melitensis usually contains the organisms in large numbers and but few +other bacteria. + +1. Spread several sets of surface plates upon nutrose agar, each from +one loopful of the deposit in tube D^{1} or D^{2}. + +2. Spread several sets of surface plates upon nutrose agar, each from +one drop of the original milk sample. + +3. Incubate aerobically at 37 deg. C. and examine daily up to the end +of ten days. + +4. Pick off suspicious colonies, examine them microscopically and +subcultivate upon nutrose agar in tubes; upon glucose agar and in litmus +milk. + +5. Test the subsequent growth against the serum of an experimental +animal inoculated against M. melitensis to determine its +agglutinability. + +6. If apparently M. melitensis, inoculate growth from a nutrose agar +culture after three days incubation intracranially into the guinea-pig. + + +ICE CREAM. + +~Collection of the Sample.~-- + +1. Remove the sample from the drum in the ladle or spoon with which the +vendor retails the ice cream, and place it at once in a sterile copper +capsule, similar to that employed for earth samples (_vide_ page 471). + +2. Pack for transmission in the ice-box. + +3. On arrival at the laboratory place the copper capsules containing the +ice cream in the incubator at 20 deg. C. for fifteen minutes--that is, +until at least some of the ice cream has become liquid. + +~Qualitative and Quantitative Examination.~--Treat the fluid ice cream as +milk and conduct the examination in precisely the same manner as +described for milk (_vide_ page 443). + + +EXAMINATION OF CREAM AND BUTTER. + +~Collection of the Sample.~--Collect, store, and transmit samples to the +laboratory, precisely as is done in the case of ice cream. + +~Quantitative.~-- + +_Apparatus Required_: + + Sterile test-tube. + Sterilised spatula. + Water-bath regulated at 42 deg. C. + Case of sterile plates. + Case of sterile graduated pipettes, 1 c.c. (in hundredths). + Tubes of gelatine-agar (+10 reaction). + Plate-levelling stand, with its water chamber filled with water at + 42 deg. C. + +METHOD.-- + +1. Transfer a few grammes of the sample to a sterile test-tube by means +of the sterilised spatula. + +2. Place the tube in the water-bath at 42 deg. C. until the contents are +liquid. + +3. Liquefy eight tubes of gelatine-agar and place them in the water-bath +at 42 deg. C, and cool down to that temperature. + +4. Inoculate the gelatine-agar tubes with the following quantities of +the sample by the help of a sterile pipette graduated to hundredths of a +cubic centimetre--viz., + + To tube No. 1 add 1 c.c. liquefied butter. + 2 add 0.5 c.c. liquefied butter. + 3 add 0.3 c.c. liquefied butter. + 4 add 0.2 c.c. liquefied butter. + 5 add 0.1 c.c. liquefied butter. + 6 add 0.05 c.c. liquefied butter. + 7 add 0.03 c.c. liquefied butter. + 8 add 0.02 c.c. liquefied butter. + 9 add 0.01 c.c. liquefied butter. + +5. Pour a plate cultivation from each of the gelatine-agar tubes and +incubate at 28 deg. C. + +6. "Count" the plates after three days' incubation, and from the figures +thus obtained estimate the number of organisms present per cubic +centimetre of the sample. + +~Qualitative.~-- + +_Apparatus Required_: + + Sterile beaker, its mouth plugged with sterile cotton-wool. + + Counterpoise for beaker. + + Scales and weights. + + Sterilised spatula. + + Water-bath regulated at 42 deg. C. + + Separatory funnel, 250 c.c. capacity, its delivery tube + protected against contamination by passing it through a + cotton-wool plug into the interior of a small Erlenmeyer + flask which serves to support the funnel. This piece of + apparatus is sterilised _en masse_ in the hot-air oven. + + Large centrifugal machine. + + Sterile tubes (for the centrifuge) closed with solid rubber + stoppers. + + Case of sterile pipettes, 10 c.c. + + Case of sterile graduated pipettes, 1 c.c. (in tenths of a + cubic centimetre). + +METHOD.-- + +1. Weigh out 100 grammes of the sample in a sterile beaker. + +2. Plug the mouth of the beaker with sterile cotton-wool and immerse the +beaker in a water-bath at 42 deg. C. until the contents are completely +liquefied. + +3. Fill the liquefied butter into the sterile separatory funnel. + +4. Transfer the funnel to the incubator at 37 deg. C. and allow it to +remain there for four days. + +At the end of this time the contents of the funnel will have separated +into two distinct strata. + +(a) A superficial oily layer, practically free from bacteria. + +(b) A deep watery layer, turbid and cloudy from the growth of bacteria. + +5. Draw off the subnatant turbid layer into sterile centrifugal tubes, +previously warned to about 42 deg. C., and centrifugalise at once. + +6. Pipette off the supernatant fluid and fill the tubes with sterile 1 +per cent. sodium carbonate solution previously warmed slightly; stopper +the tubes and shake vigourously for a few minutes. + +7. Centrifugalise again. + +8. Pipette off the supernatant fluid; filling the tubes with warm +sterile bouillon, shake well, and again centrifugalise, to wash the +deposit. + +9. Pipette off the supernatant fluid. + +10. Prepare cover-slip preparations, fix and clear as for milk +preparations, stain carbolic methylene-blue, Gram's method, +Ziehl-Neelsen's method, and examine microscopically with a 1/12 inch +oil-immersion lens. + +11. Proceed with the examination of the deposit as in the case of milk +deposit (see pages 450 _et seq._). + + +EXAMINATION OF UNSOUND MEATS. + +(INCLUDING TINNED OR POTTED MEATS, FISH, ETC.) + +The bacterioscopic examination of unsound food is chiefly directed to +the detection of those members of the Coli-typhoid group--B. enteritidis +of Gaertner and its allies--which are usually associated with epidemic +outbreaks of food poisoning, and such anaerobic bacteria as initiate +putrefactive changes in the food which result in the formation of +poisonous ptomaines, consequently the quantitative examination pure and +simple is frequently omitted. + +A. Cultural Examination. + +Quantitative.-- + +_Apparatus Required_: + + Sterilised tin opener, (if necessary.) + + Erlenmeyer flask (500 c.c. capacity) containing 200 c.c. + sterile bouillon and fitted with solid rubber stopper. + + Counterpoise. + + Scissors and forceps. + + Scales and weights. + + Water steriliser. + + Hypodermic syringe. + + Syringe with intragastric tube. + + Rat forceps. + + Case of sterile capsules. + + Filtering apparatus as for water analysis. + + Case of sterile plates. + + Case of sterile graduated pipettes, 10 c.c. (in tenths of a + cubic centimetre). + + Case of sterile graduated pipettes, 1 c.c. (in tenths of a + cubic centimetre). + + Plate-levelling stand. + + Tubes of nutrient gelatine. + + Tubes of nutrient agar. + + Water-bath regulated at 42 deg. C. + + Bulloch's apparatus. + +METHOD.-- + +1. Place the flask containing 200 c.c. sterile broth on one pan of the +scales and counterpoise accurately. + +2. Mince a portion of the sample by the aid of sterile scissors and +forceps, and add the minced sample to the bouillon in the flask to the +extent of 20 grammes. + +3. Make an extract by standing the flask in the incubator running at 42 +deg. C. (or in a water-bath regulated to that temperature) for half an +hour, shaking its contents from time to time. Better results are obtained +if an electrical shaker is fitted inside the incubator and the flask kept +in motion throughout the entire thirty minutes. + +Now every centimetre contains the bacteria washed out from 0.1 gramme of +the original food. + +4. Inoculate tubes of liquefied gelatine as follows: + + To tube No. 1 add 1.0 c.c. of the extract. + 2 add 0.5 c.c. of the extract. + 3 add 0.3 c.c. of the extract. + 4 add 0.2 c.c. of the extract. + 5 add 0.1 c.c. of the extract. + +Pour plates from these tubes and incubate at 20 deg. C. + +5. Prepare a precisely similar set of agar plates and incubate at 37 +deg. C. + +6. Pipette 5 c.c. of the extract into a sterile tube, heat in the +differential steriliser at 80 deg. C. for ten minutes. + +7. From the heated extract prepare duplicate sets of agar and gelatine +plates and incubate anaerobically in Bulloch's apparatus at 37 deg. C. and +20 deg. C. respectively. + +8. After three days' incubation examine the agar plates both aerobic and +anaerobic and enumerate the colonies developed from spores (7), and from +vegetative forms and spores (5), and calculate and record the numbers of +each group per gramme of the original food. + +9. After seven days' incubation (or earlier if compelled by the growth +of liquefying colonies) enumerate the gelatine plates in the same way. + +10. Subcultivate from the colonies that make their appearance and +identify the various organisms. + +11. Continue the investigations with reference to the detection of +pathogenic organisms as described under water (page 429 _et seq._). + +Qualitative.-- + +I. _Cultural._ + +The micro-organisms sought for during the examination of unsound foods +comprise the following: + +Members of the Coli-typhoid groups (chiefly those of the Gaertner +class). + +B. anthracis. + +Streptococci + +Anaerobic Bacteria: + + B. enteritidis sporogenes. + B. botulinus. + B. cadaveris. + +The methods by which these organisms if present may be identified and +isolated have already been described under the corresponding section of +water examination with the exception of those applicable to B. +botulinus, and B. cadaveris. These can only be isolated satisfactorily +from the bodies of experimentally inoculated animals. + +II _Experimental._ + +_Tissue._-- + +1. Feed rats and mice on portions of the sample and observe the result. + +2. If any of the animals die, make complete post-mortem examinations and +endeavour to isolate the pathogenic organisms. + +_Extract._-- + +1. Introduce various quantities of the bouillon extract into the +stomachs of several rats, mice and guinea-pigs repeatedly over a period +of two or three days by the intragastric method of inoculation (see page +367) and observe the result. Guinea-pigs and mice are very susceptible +to infection by B. botulinus by this method; rabbits less so. + +2. Inoculate rats, mice, and guinea-pigs subcutaneously into deep +pockets, and intraperitoneally with various quantities of the bouillon +extract, and observe the result. + +3. Filter some of the extract through a Chamberland candle and incubate +the filtrate to determine the presence of soluble toxins. + +4. If any of the animals succumb to either of these methods of +inoculation, make careful post-mortem examinations and endeavour to +isolate the pathogenic organisms. + + +THE EXAMINATION OF OYSTERS AND OTHER SHELLFISH. + +On opening the shell of an oyster a certain amount of fluid termed +"liquor" is found to be present. This varies in amount from a drop to +many cubic centimetres (0.1 c.c. to 10 c.c.)--in the latter case the +bulk of the fluid is probably the last quantum of water ingested by the +bivalve before closing its shell. In order to obtain a working average +of the bacteriological flora of a sample, ten oysters should be taken +and the body, gastric juice and liquor should be thoroughly mixed before +examination. The examination, as in dealing with other food stuffs, is +directed to the search for members of the Coli-typhoid group, sewage +streptococci and perhaps also B. enteritidis sporogenes. + +_Apparatus Required_: + + Two hard nail brushes. + + Liquid soap. + + Sterile water in aspirator jar with delivery nozzle + controlled by a spring clip. + + Sterile oyster knives. + + Sterile glass dish, with cover, sufficiently large to + accommodate ten oysters. + + Sterile forceps. + + Sterile scissors. + + Sterile towels or large gauze pads. + + Sterile graduated cylinders 1000 c.c. capacity, with either + the lid or the bottom of a sterile Petri dish inverted over + the open mouth as a cover. + + Glass rods. + + Corrosive sublimate solution, 1 per mille. + + Bile salt broth tubes. + + Litmus milk tubes. + + Surface plates of nutrose agar. + + Case of sterile pipettes, 1 c.c. (in tenths of a c.c.) + + Case of sterile pipettes, 10 c.c. (in tenths of a c.c.) + + Case of sterile glass capsules. + + Erlenmeyer flasks, 250 c.c. capacity. + + Double strength bile salt broth. + +METHOD.-- + +1. Thoroughly clean the outside of the oyster shells by scrubbing each +in turn with liquid soap and nail brush under a tap of running water. +Then, holding an oyster shell in a pair of sterile forceps wash every +part of the outside of the shell with a stream of sterile water running +from an aspirator jar; deposit the oyster inside the sterile glass dish. +Repeat the process with each of the remaining oysters. + +2. Before proceeding further, cleanse the hands thoroughly with clean +nail brush, soap and water, then plunge them in lysol 2 per cent. +solution, and finally in sterile water. + +3. Spread a sterile towel on the bench. + +4. Remove one of the oysters from the sterile glass dish and place it, +resting on its convex shell, on the towel. Turn a corner of the sterile +towel over the upper flat shell to give a firmer grip to the left hand, +which holds the shell in position. + +5. With the sterile oyster knife (in the right hand) open the shell and +separate the body of the oyster from the inner surface of the upper flat +shell. Bend back and separate the flat shell, leaving the body of the +oyster in and attached to the concave shell. Avoid spilling any of the +liquor. + +(Some dexterity in opening oysters should be acquired before undertaking +these experiments). + +6. Cut up the body of the oyster with sterile scissors into small pieces +and allow the liquor freed from the body during the process to mix with +the liquor previously in the shell. + +7. Transfer the comminuted oyster and the liquor to the cylinder. + +8. Treat each of the remaining oysters in similar fashion. + +9. Mix the contents of the cylinder thoroughly by stirring with a +sterile glass rod. The total volume will amount to about 100 c.c. + +10. Use 0.1 c.c. of the mixed liquor to inseminate each of a series of +three nutrose surface plates. + +11. Inoculate 0.1 c.c. of the mixed liquor into each of three tubes of +litmus milk. + +12. Add sterile distilled water to the contents of the cylinder up to +1000 c.c. and stir thoroughly with a sterile glass rod and allow to +settle. The bacterial content of each oyster may be regarded, for all +practical purposes, as comprised in 100 c.c. of fluid. + +13. Arrange four glass capsules in a row and number I, II, III, IV. +Pipette 9 c.c. sterile distilled water into each. + +14. To capsule No. I add 1 c.c. of the diluted liquor, etc. from the +cylinder, and mix thoroughly. To capsule II add 1 c.c. of dilution in +capsule I and mix thoroughly. Carry over 1 c.c. of fluid from capsule +II to capsule III, afterwards adding 1 c.c. of fluid from capsule III to +capsule IV. + +15. Label tubes of bile salt broth and inoculate with the following +amounts of diluted oysters: + + No. 6 with 10 c.c. cylinder fluid = 0.1 oyster. + No. 5 with 1 c.c. cylinder fluid = 0.01 oyster. + No. 4 with 1 c.c. capsule I fluid = 0.001 oyster. + No. 3 with 1 c.c. capsule II fluid = 0.0001 oyster. + No. 2 with 1 c.c. capsule III fluid = 0.00001 oyster. + No. 1 with 1 c.c. capsule IV fluid = 0.000001 oyster. + +16. Transfer 100 c.c. cylinder fluid (= 1 oyster) to an Erlenmeyer flask +and add 50 c.c. double strength bile salt broth, and label 7. + +17. Duplicate all the above indicated cultures. + +18. Put up the tube cultures in Buchner's tubes and incubate +anaerobically at 42 deg. C. + +If growth occurs in tube 1 the organism finally isolated, e. g., B. +coli, must have been present to the extent of one million per oyster. + +19. Complete the examination for members of the Coli-typhoid group and +sewage streptococci, as directed under Water Examination, page 429 +(steps 11-21). + +20. Inoculate a series of 6 tubes of litmus milk with quantities of the +material similar to those indicated in step 15; heat to 80 deg. C. for ten +minutes, and incubate under anaerobic conditions at 37 deg. C. Examine for +the presence of B. enteritidis sporogenes as directed under Water +Examination, page 438 (steps 7-10). + + +EXAMINATION OF SEWAGE AND SEWAGE EFFLUENTS. + +Quantitative.-- + +_Collection of the Sample._--As only small quantities of material are +needed, the samples should be collected in a manner similar to that +described under water for quantitative examination and transmitted in +the ice apparatus used in packing those samples. + +_Apparatus Required._--As for water (_vide_ page 420). + +METHOD.-- + +1. Arrange four sterile capsules in a row and number them I, II, III, +IV. + +2. Pipette 9 c.c. sterile bouillon into capsule No. I. + +3. Pipette 9.9 c.c. sterile bouillon into capsules II, III, and IV. + +4. Add 1 c.c. of the sewage to capsule No. I by means of a sterile +pipette, and mix thoroughly. + +5. Take a fresh sterile pipette and transfer 0.1 c.c. of the mixture +from No. I to No. II and mix thoroughly. + +6. In like manner transfer 0.1 c.c. from No. II to No. III, and then 0.1 +c.c. from No. III to No. IV. + +Now 1 c.c. of dilution No. I contains 0.1 c.c. of the original sewage. + 1 c.c. of dilution No. II contains 0.001 c.c. of the original sewage. + 1 c.c. of dilution No. III contains 0.00001 c.c. of the original sewage. + 1 c.c. of dilution No. IV contains 0.0000001 c.c. of the original sewage. + +7. Pour a set of gelatine plates from the contents of each capsule, +three plates in a set, and containing respectively 0.2, 0.3, and 0.5 +c.c. of the dilution. Label carefully; incubate at 20 deg. C. for three, +four, or five days. + +8. Enumerate the organisms present in those sets of plates which have +not liquefied, probably those from dilution III or IV, and calculate +therefrom the number present per cubic centimetre of the original sample +of sewage. + +Qualitative.--The qualitative examination of sewage is concerned with +the identification and enumeration of the same bacteria dealt with under +the corresponding section of water examination; it is consequently +conducted on precisely similar lines to those already indicated (_vide_ +pages 426 to 441). + + +EXAMINATION OF AIR. + +Quantitative.-- + +_Apparatus Required_: + + Aspirator bottle, 10 litres capacity, fitted with a delivery + tube, and having its mouth closed by a perforated rubber + stopper, through which passes a short length of glass + tubing. + + Erlenmeyer flask, 250 c.c. capacity (having a wide mouth + properly plugged with wool), containing 50 c.c. sterile + water. + + Rubber stopper to fit the mouth of the flask, perforated + with two holes, and fitted as follows: + + Take a 9 cm. length of glass tubing and bend up 3 cm. at one + end at right angles to the main length of tubing. Pass the + long arm of the angle through one of the perforations in the + stopper; plug the open end of the short arm with + cotton-wool. + + Take a glass funnel 5 or 6 cm. in diameter with a stem 12 + cm. in length and bend the stem close up to the apex of the + funnel, in a gentle curve through a quarter of a circle; + pass the long stem through the other perforation in the + rubber stopper. + + A battery jar or a small water-bath to hold the Erlenmeyer + flask when packed round with ice. + + Supply of broken ice. + + Rubber tubing. + + Screw clamps and spring clips, for tubing. + + Water steriliser. + + Retort stand and clamps. + + Apparatus for plating (as for enumeration of water + organisms, _vide_ page 420). + +METHOD.-- + +1. Fill 10 litres of water into the aspirating bottle and attach a piece +of rubber tubing with a screw clamp to the delivery tube. Open the taps +fully and regulate the screw clamp, by actual experiment, so that the +tube delivers 1 c.c. of water every second. The screw clamp is not +touched again during the experiment. + +At this rate the aspirator bottle will empty itself in just under three +hours. Shut off the tap and make up the contents of the aspirator bottle +to 10 litres again. + +2. Sterilise the fitted rubber cork, with its funnel and tubing, by +boiling in the water steriliser for ten minutes. + +3. Remove the cotton-wool plug from the flask, and replace it by the +rubber stopper with its fittings. Make sure that the end of the stem of +the funnel is immersed in the bouillon. + +4. Place the flask in a glass or metal vessel and pack it round with +pounded ice. Arrange the flask with its ice casing just above the neck +of the aspirator bottle. + +[Illustration: FIG. 216.--Arrangement of apparatus for air analysis.] + +5. Connect up the free end of the glass tube from the flask--after +removing the cotton-wool plug--with the air-entry tube in the mouth of +the aspirating bottle (Fig. 216). + +6. Open the tap fully, and allow the water to run. + +Replenish the ice from time to time if necessary. + +(In emptying itself the aspirator bottle will aspirate 10 litres of air +slowly through the water in the Erlenmeyer flask.) + +7. When the aspiration is completed, disconnect the flask and remove it +from its ice packing. + +8. Liquefy three tubes of nutrient gelatine and add to them 0.5 c.c., +0.3 c.c., and 0.2 c.c., respectively, of the water from the flask, by +means of a sterile graduated pipette, as in the quantitative examination +of water. Pour plates. + +9. Pour a second similar set of gelatine plates. + +10. Incubate both sets of plates at 20 deg. C. + +11. Enumerate the colonies present in the two sets of gelatine plates +after three, four, or five days and average the results from the numbers +so obtained; estimate the number of micro-organisms present in 1 c.c., +and then in the 50 c.c. of broth in the flask. + +12. The result of air examination is usually expressed as the number of +bacteria present per cubic metre (i. e., kilolitre) of air; and as the +number of organisms present in the 50 c.c. water only represent those +contained in 10 litres of air, the resulting figure must be multiplied +by 100. + +Qualitative.-- + +1. Proceed exactly as in the quantitative examination of air (_vide +supra_), steps 1 to 10. + +2. Pour plates of wort agar with similar quantities of the air-infected +water, and incubate at 37 deg. C. + +3. Pour plates of nutrient agar with similar quantities of the water and +incubate at 37 deg. C. + +4. Pour similar plates of wort gelatine and incubate at 20 deg. C. + +5. Pick off the individual colonies that appear in the several plates, +subcultivate them on the various media, and identify them. + + +EXAMINATION OF SOIL. + +The bacteriological examination of soil yields information of value to +the sanitarian during the progress of the process of homogenisation of +"made soil" (e. g., a dumping area for the refuse of town) and +determines the period at which such an area may with propriety and +safety be utilised for building purposes; or to the agriculturalist in +informing him of the suitability of any given area for the growth of +crops. + +The surface of the ground, exposed as it is to the bactericidal +influence of sunlight and to rapid alternations of heat and cold, rain +and wind, contains but few micro-organisms. Again, owing to the density +of the molecules of deep soil and lack of aeration on the one hand, and +the filtering action of the upper layers of soil and bacterial +antagonism on the other, bacterial life practically ceases at a depth of +about 2 metres. The intermediate stratum of soil, situated from 25 to 50 +cm. below the surface, invariably yields the most numerous and the most +varied bacterial flora. + +~Collection of Sample.~--A small copper capsule 6 cm. high by 6 cm. +diameter, with "pull-off" cap secured by a bayonet catch, previously +sterilised in the hot-air oven, is the most convenient receptacle for +samples of soil. + +[Illustration: FIG. 217.--Soil scoop.] + +The instrument used for the actual removal of the soil from its natural +position will vary according to whether we require surface samples or +soil from varying depths. + +(a) For ~surface~ samples, use an iron scoop, shaped like a shoe horn, +but provided with a sharp spine (Fig. 217). This is wrapped in asbestos +cloth and sterilised in the hot-air oven. When removed from the oven, +wrap a piece of oiled paper, silk, or gutta-percha tissue over the +asbestos cloth, and secure it with string, as a further protection +against contamination. + +On reaching the spot whence the samples are to be taken, the coverings +of the scoop are removed, and the asbestos cloth employed to brush away +loose stones and debris from the selected area. The surface soil is then +broken up with the point of the scoop, scraped up and collected in the +body of the scoop, and transferred to the sterile capsule for +transmission. + +[Illustration: FIG. 218.--Fraenkel's borer.] + +(b) For ~deep~ samples collected at various distances from the surface, +an experimental trench may be cut to the required depth and samples +collected at the required points on the face of the section. It is, +however, preferable to utilise some form of borer, such as that designed +by Fraenkel (Fig. 218). + +_Fraenkel's Earth Borer._--This instrument consists of a stout +hard-steel rod, 150 cm. long, marked in centimetres from the +drill-pointed extremity. It is provided with a cross handle (adjustable +at any point along the length of the rod by means of a screw nut). The +terminal centimeters are thicker than the remainder of the rod, and on +one side a vertical cavity about 0.5 cm. deep is cut. This is covered by +a flanged sleeve so long as the borer is driven into the soil clockwise, +and is opened for the reception of the sample of soil, when the required +depth is reached, by reversing the screwing motion, and again closed +before withdrawal of the borer from the earth by resuming the original +direction of twist. It can be sterilised in a manner similar to that +adopted for the scoop, or by repeatedly filling the cavity with ether +and burning it off. + +~Quantitative.~--Four distinct investigations are included in the complete +quantitative bacteriological examination of the soil: + +1. The enumeration of the aerobic organisms. + +2. The enumeration of the spores of aerobes. + +3. The enumeration of the anaerobic organisms (including the facultative +anaerobes). + +4. The enumeration of the spores of anaerobes. + +Further, by a combination of the results of the first and second, and of +the third and fourth of these, the ratio of spores to vegetative forms +is obtained. + +_Apparatus Required_: + + Case of sterile capsules (25 c.c. capacity). + + Case of sterile graduated pipettes, 10 c.c. (in tenths of a + cubic centimetre). + + Case of sterile graduated pipettes, 1 c.c. (in tenths of a + cubic centimetre). + + Flask containing 250 c.c. sterile bouillon. + + Tall cylinder containing 2 per cent. lysol solution. + + Plate-levelling stand. + + 12 sterile plates. + + Tubes of nutrient gelatine. + + Tubes of wort gelatine. + + Tubes of nutrient agar. + + Tubes of glucose formate gelatine. + + Tubes of glucose formate agar. + + Water-bath regulated at 42 deg. C. + + Bunsen burner. + + Grease pencil. + + Sterile mortar and pestle (agate). + + Sterile wide-mouthed Erlenmeyer flask (500 c.c. capacity). + + Sterile metal funnel with short wide bore delivery tube to + just fit mouth of flask. + + Solid rubber stopper to fit the flask (sterilised by + boiling). + + Pair of scales. + + Counterpoise (Fig. 107). + + Sterile metal (nickel) spoon or spatula. + + Fractional steriliser (Fig. 140). + +METHOD.-- + +1. Arrange four sterile capsules numbered I, II, III, and IV; pipette 9 +c.c. sterile bouillon into the first capsule, and 9.9 c.c. into each of +the remaining three. + +2. Pipette 100 c.c. sterile bouillon into the Erlenmeyer flask. + +3. Remove the cotton-wool plug from the flask and replace it by the +sterile funnel. + +4. Place flask and funnel on one pan of the scales, and counterpoise +accurately. + +5. Empty the sample of soil into the mortar and triturate thoroughly. + +6. By means of the sterile spatula add 10 grammes of the earth sample to +the bouillon in the flask. + +The final results will be more reliable if steps 2, 3, 4, and 5 are +performed under a hood--to protect from falling dust, etc. + +7. Remove the funnel from the mouth of the flask; replace it by the +rubber stopper and shake vigourously; then allow the solid particles to +settle for about thirty minutes. One cubic centimetre of the turbid +broth contains the washings from 0.1 gramme of soil. + +8. Pipette off 1 c.c. of the supernatant bouillon, termed the "soil +water," and add it to the contents of capsule I; mix thoroughly. + +9. Remove 0.1 c.c. of the infected bouillon from capsule I and add it to +capsule II, and mix. + +10. In like manner add 0.1 c.c. of the contents of capsule II to capsule +III, and then 0.1 c.c. of the contents of capsule III to capsule IV. + +Then 1 c.c. fluid from capsule I contains soil water + from .01 gm. earth. +Then 1 c.c. fluid from capsule II contains soil water + from .0001 gm. earth. +Then 1 c.c. fluid from capsule III contains soil water + from .000001 gm. earth. +Then 1 c.c. fluid from capsule IV contains soil water + from .00000001 gm. earth. + +(A) _Aerobes (Vegetative Forms and Spores)._-- + +11. Pour a set of gelatine plates from the contents of each capsule--two +plates in a set, and containing respectively 0.1 c.c. and 0.4 c.c. of +the diluted soil water. Label and incubate. + +12. Pour similar sets of wort gelatine plates from the contents of +capsules II and III, label, and incubate at 20 deg. C. + +13. Pour similar sets of agar plates from the contents of capsules II +and III; label and incubate at 37 deg. C. + +14. Weigh out a second sample of soil--10 grammes--dry over a water-bath +until of constant weight and calculate the ratio + + wet soil weight + --------------- + dry soil weight + +15. "Count" the plates after incubation for three, four, or five days, +and correcting the figures thus obtained by means of the "wet" to "dry" +soil ratio estimate-- + +(a) The number of aerobic micro-organisms present per gramme of the +soil. + +(b) The number of yeasts and moulds present per gramme of the soil. + +(c) The number of aerobic organisms "growing at 37 deg. C." present per +gramme of the soil. + +(B) _Anaerobes (Vegetative Forms and Spores)._-- + +16. Pour similar sets of plates in glucose formate gelatine and agar and +incubate in Bulloch's anaerobic apparatus. + +(C) _Aerobes and Anaerobes (Spores Only)._-- + +17. Pipette 5 c.c. soil water into a sterile tube. + +18. Place in the differential steriliser at 80 deg. C. for ten minutes. + +19. Pour two sets of four gelatine plates containing 0.1, 0.2, 0.5, and +1 c.c. respectively of the soil water; label and incubate at 20 deg. C., +one set aerobically, the other anaerobically in Bulloch's apparatus. + +20. "Count" the plates (delay the enumeration as long as possible) and +estimate the number of spores of aerobes and anaerobes respectively +present per gramme of the soil. + +21. Calculate the ratio existing between spores and spores + vegetative +forms under each of the two groups, aerobic and anaerobic +micro-organisms. + +~Qualitative Examination.~--The qualitative examination of soil is usually +directed to the detection of one or more of the following: + +Members of the Coli-typhoid group. + +Streptococci. + +Bacillus anthracis. + +Bacillus tetani. + +Bacillus oedematis maligni. + +The nitrous organisms. + +The nitric organisms. + +1. Transfer the remainder of the soil water (88 c.c.) to a sterile +Erlenmeyer flask by means of a sterile syphon. + +2. Fix up the filtering apparatus as for the qualitative examination of +water, and filter the soil water. + +3. Suspend the bacterial residue in 5 c.c. sterile bouillon (technique +similar to that described for the water sample, _vide_ pages 434-436). + +Every cubic centimetre of suspension now contains the soil water from +nearly 1 gramme of earth. + +The methods up to this point are identical no matter which organism or +group of organisms it is desired to isolate; but from this stage onward +the process is varied slightly for each particular bacterium. + +~I. The Coli-typhoid Group.~-- + +~II. Streptococci.~-- + +~III. Bacillus Anthracis.~-- + +~IV. Bacillus Tetani.~-- + +The methods adopted for the isolation of these organisms are identical +with those already described under water (page 437 _et seq._). + +~V. Bacillus Oedematis Maligni.~--Method precisely similar to that +employed for the B. tetani. + +~VI. The Nitrous Organisms.~-- + +1. Take ten tubes of Winogradsky's solution No I (_vide_ page 198) and +number them consecutively from 1 to 10. + +2. Inoculate each tube with varying quantities of the material as +follows: + + To tube No. 1 add 1.0 c.c. of the soil water. + To tube No. 2 add 0.1 c.c. of the soil water. + To tube No. 3 add 1.0 c.c. from Capsule I. + To tube No. 4 add 0.1 c.c. from Capsule I. + To tube No. 5 add 1.0 c.c. from Capsule II. + To tube No. 6 add 0.1 c.c. from Capsule II. + To tube No. 7 add 1.0 c.c. from Capsule III. + To tube No. 8 add 0.1 c.c. from Capsule III. + To tube No. 9 add 1.0 c.c. from Capsule IV. + To tube No. 10 add 0.1 c.c. from Capsule IV. + +Label and incubate at 30 deg. C. + + +~VII. The Nitric Organisms.~-- + +3. Take ten tubes of Winogradsky's solution No II, number them +consecutively from 1 to 10 and inoculate with quantities of soil water +similar to those enumerated in section VI step 2. Label and incubate at +30 deg. C. + +4. Examine after twenty-four and forty-eight hours' incubation. From +those tubes that show signs of growth make subcultivations in fresh +tubes of the same medium and incubate at 30 deg. C. + +5. Make further subcultivations from such of those tubes as show growth, +and again incubate. + +6. If growth occurs in these subcultures, make surface smears on plates +of Winogradsky's silicate jelly (_vide_ page 198). + +7. Pick off such colonies as make their appearance and subcultivate in +each of these two media. + +TESTING FILTERS. + +Porcelain filter candles are examined with reference to their power of +holding back _all_ the micro-organisms suspended in the fluids which are +filtered through them, and permitting only the passage of germ-free +filtrates. In order to determine the freedom of the filter from flaws +and cracks which would permit the passage of bacteria no matter how +perfect the general structure of the candle might be, the candle must +first be attached by means of a long piece of pressure tubing, to a +powerful pump, such as a foot bicycle pump, fitted with a manometer. The +candle is then immersed in a jar of water and held completely submerged +whilst the internal pressure is gradually raised to two atmospheres by +the action of the pump. Any crack or flaw will at once become obvious by +reason of the stream of air bubbles issuing from it. + +The examination for permeability is conducted as follows: + +_Apparatus Required_: + + Filtering apparatus: The actual filter candle that is used + must be the one it is intended to test and must be + previously carefully sterilised; the arrangement of the + apparatus will naturally vary with each different form of + filter, one or other of those already described (_vide_ + pages 42-48). + + Plate-levelling stand. + + Case of sterile plates. + + Case of sterile pipettes, 10 c.c. (in tenths). + + Case of sterile pipettes, 1 c.c. (in tenths). + + Tubes of nutrient gelatine. + + Flask containing sterile normal saline solution. + + Sterile measuring flask, 1000 c.c. capacity. + +METHOD.-- + +1. Prepare surface cultivations, on nutrient agar in a culture bottle, +of the Bacillus mycoides, and incubate at 20 deg. C., for forty-eight +hours. + +2. Pipette 5 c.c. sterile normal saline into the culture bottle and +emulsify the entire surface growth in it. + +3. Pipette the emulsion into the sterile measuring flask and dilute up +to 1000 c.c. by the addition of sterile water. + +4. Pour the emulsion into the filter reservoir and start the filtration. + +5. When the filtration is completed, pour six agar plates each +containing 1 c.c. of the filtrate. + +6. Incubate at 37 deg. C. until, if necessary, the completion of seven +days. + +7. If the filtrate is not sterile, subcultivate the organism passed and +determine its identity with the test bacterium before rejecting the +filter--since the filtrate may have been accidentally contaminated. + +8. If the filtrate is sterile, resterilise the candle and repeat the +test now substituting a cultivation of B. prodigiosus--a bacillus of +smaller size. + +9. If the second test is satisfactory, test the candle against a +cultivation of a very small coccus, e. g., Micrococcus melitensis, in +a similar manner; in this instance continuing the incubation of +cultivations from the filtrate for fourteen days. + + +TESTING OF DISINFECTANTS. + +Methods have already been detailed (page 310) for the purpose of +studying the vital resistance offered by micro-organisms to the lethal +effect of germicides. But it frequently happens that the bacteriologist +has to determine the relative efficiency of "disinfectants" from the +standpoints of the sanitarian and commercial man rather than from the +research worker's point of view. In pursuing this line of investigation, +it is convenient to compare the efficiency, under laboratory conditions, +of the proposed disinfectant with that of some standard germicide, such +as pure phenol. In so doing, and in order that the work of different +observers may be compared, conditions as nearly uniform as possible +should be aimed at. The method described is one that has been in use by +the writer for many years past, modified recently by the adoption of +some of the recommendations of the Lancet Commission on the +Standardisation of Disinfectants--particularly of the calculation for +determining the phenol coefficient. + +This method has many points in common with that modification of the +"drop" method known as the Rideal-Walker test. + + +~General Considerations.~-- + +These may be grouped under three headings: Test Germ, Germicide, and +Environment. + +1. _Test Germ._--~B. coli.~ + +As disinfectants are tested for sanitary purposes, it is obvious that a +member of the coli-typhoid group should be selected as the test germ. B. +coli is selected on account of its relative nonpathogenicity, the ease +with which it can be isolated and identified by different observers in +various parts of the world, the stability of its fundamental characters, +and evenness of its resistance when utilised for these tests; finally +since the colon bacillus is an organism which is slightly more +resistant to the lethal action of germicides than the more pathogenic +members of this group, a margin of safety is introduced into the test +which certainly enhances its value. + +B. coli should be recently isolated from a normal stool, and plated at +least twice to ensure the purity of the strain; and a stock agar culture +prepared which should be used throughout any particular test. For any +particular experiment prepare a smear culture on agar and incubate at +37 deg. C. for 24 hours anaerobically. Then emulsify the whole of the +surface growth in 10 c.c. of sterile water. Transfer the emulsion to a +sterile test-tube with some sterile glass beads and shake thoroughly to +ensure homogenous emulsion. Transfer to a centrifuge tube and +centrifugalise the emulsion to throw down any masses of bacteria which +may have escaped the disintegrating action of the beads. Pipette off the +supernatant emulsion for use in the test. + +_2. Germicide._-- + +_a. Disinfectant to be tested._-- + +The first essential point is to test the unknown disinfectant, which may +be referred to as germicide-x, on the lines set out on page 311 to +determine its inhibition coefficient. + +This constant having been fixed, prepare various solutions of +germicide-x with sterilised distilled water by accurate volumetric +methods, commencing with a solution somewhat stronger than that +representing the inhibition coefficient. The solutions must be prepared +in fairly large bulk, not less than 5 c.c. of the disinfectant being +utilised for the preparation of any given percentage solution. + + +_b. Standard Control._--~Phenol.~ + +The standard germicide used for comparison should be one which is not +subject to variation in its chemical composition, and the one which has +obtained almost universal use is Phenol. + +The following table shows the effect of different percentages of +carbolic acid upon B. coli for varying contact times, compiled from an +experiment conducted under the standard conditions referred to under +Environment. The results closely correspond to those recorded by the +Lancet Commission on Disinfectants, 1909. + +---------------------+----------------------------------- + | Contact time in minutes. +Percentage of phenol +------+---+---+---+---+---+---+---- + | 2-1/2| 5 |10 | 15| 20| 25| 30| 35 +---------------------+------+---+---+---+---+---+---+---- +1.20 | - | - | - | - | - | - | - | - +1.10 | - | - | - | - | - | - | - | - +1.0 | + | - | - | - | - | - | - | - +0.9 | + | - | - | - | - | - | - | - +0.85 | + | + | - | - | - | - | - | - +0.80 | + | + | + | - | - | - | - | - +0.75 | + | + | + | + | + | - | - | - +0.7 | + | + | + | + | + | + | - | - +0.65 | + | + | + | + | + | + | + | - +---------------------+------+---+---+---+---+---+---+---- + +- = No growth, i. e., bacteria killed. ++ = Growth, i. e., bacteria still living. + +From this it will be seen that the following percentage solutions will +need to be prepared, namely: 1.1 per cent., 1.0 per cent., 0.9 per +cent., 0.75 per cent., 0.7 per cent., as controls for each experiment. + +Prepare solutions of varying percentages by weighing out the quantity of +carbolic acid required for each and dissolving in 100 c.c. of pure +distilled water in an accurately standardised measuring flask. The +solutions must be prepared freshly as required each day. + + +~Environment.~-- + +_a. General._-- + +Close the windows and doors of the laboratory in which the investigation +is carried out, to avoid draughts. Flush over the work bench and +adjacent floor with 1:1000 solution of corrosive sublimate. Caution the +assistant, if one is employed, to avoid unnecessary movement or speech. + +_b. Contact Temperature_, ~15-18 deg. C.~-- + +This is the temperature at which contact between the germicide and the +test germ takes place, and is of importance, since some germicides (_e. +g._, Phenol) appear to be more powerful at high temperatures. 18 deg. +C.--practically the ordinary room temperature--is a temperature at which +the multiplication of B. coli is a comparatively slow process, but +variation of a degree above this temperature or of two or three degrees +below is of no moment. If the room temperature is below 15 deg. C. when +the experiments are in progress, arrange a water-bath regulated at 18 +deg. C. for the reception of the tubes containing the mixture of germ and +germicide; if above 19 deg. C. immerse the tubes in cold water, to which +small pieces of ice are added from time to time to prevent the +temperature rising above 18 deg. C. + +_c. Relative Proportional Bulk of Test Germ and Germicide_, ~50:1.~-- + +Five cubic centimetres is a convenient amount of germicidal solution to +employ, and to this 0.1 c.c. of the emulsion of test germ should be +added. + +_d. Bulk of Sample Removed from Germ + Germicide Mixture at Each of the +Time Periods_, ~0.1 c.c.~-- + +This is sufficient to afford a fair sample of the germ content of the +mixture, and at the same time is insufficient to exert any inhibitory +action when transferred to the subculture medium. + +_e. Subculture Medium._ ~Bile Salt Broth.~-- + +A _fluid_ medium is essential in order to obtain immediate dilution of +the germicide carried over; at the same time it is advantageous to +employ a selective medium which favours the growth of the test germ to +the exclusion of organisms likely to contaminate the preparation, and +if possible one which affords characteristic cultural appearances. + +Bile Salt Broth (page 180) combines these desiderata; it permits only +the growth of intestinal bacteria, whilst the formation of an acid +reaction and the production of gas in subcultures prepared from the +germ-germicide mixture is fairly complete evidence of the presence of +living B. coli. + +The amount of medium present in each test-tube is a matter of +importance, since the medium not only provides pabulum for the test +germ, but also acts as a diluent to the germicide, to reduce its +strength below its inhibition coefficient. For routine work each +subculture tube contains 10 c.c. of medium, but it is obvious that if +germicide-x possesses an inhibition coefficient of 0.1 per cent. the +addition of 0.1 c.c. of a 10 per cent. solution to 10 c.c. of medium +would effectually prevent the subsequent growth of the test germ after a +contact period insufficient to destroy its vitality. Hence the +preliminary tests may in some instances indicate the necessity for the +presence of 12 c.c., 15 c.c. or more of the fluid medium in the culture +tubes. + +_f. Incubation Temperature_, ~37 deg. C.~-- + +_g. Observation Period of the Subcultivations_, ~Seven Days.~-- + +In order to determine whether or no the test germs have been destroyed, +observations must always be continued--when growth appears to be +absent--up to the end of seven days before recording "no growth." + +_h. Identification of the Organisms Developing in the Subcultivations +after Contact in the Germ + Germicide Solution._-- + +This is based on the naked eye characters of the growth in the bile salt +broth, supplemented where necessary by plating methods, further +subcultivations upon carbohydrate media and agglutination experiments. +The sign (+) is used to indicate that growth of the test organism +occurred in the subcultivations, and the sign (-) to indicate that the +test germs have been destroyed and no subsequent growth has taken place. + +METHOD.-- + + _Apparatus Required_: + + Sterile test-tubes (narrow, not exceeding 1.3 cm. diameter). + + Test-tube rack (Fig. 219). + + Sterile graduated pipettes in case, 1 c.c. (in tenths). + + Sterile graduated pipettes in case, 5 c.c. (in c.c.). + + Circular rubber washers, 2.5 cm. diameter with central hole, + sterilised by boiling immediately before use, then + transferred to sterilised glass double dish. + + Electric signal clock or stop watch. + + Sterile forceps. + + Sterilised glass beads. + + Shaking machine. + + Grease pencil. + + _Material Required_: + + Percentage solutions of germicide-x (_vide_ page 481). + + Percentage solutions of pure phenol (_vide_ page 482). + + Aqueous emulsion of B. coli (_vide_ page 481). + + Tubes of bile salt broth. + + +~Preliminary Tests.~-- + +_a. Inhibition Coefficient._-- + +Determine the lowest percentage of germicide-x which inhibits growth of +B. coli in the bile salt broth, and the highest percentage which fails +to inhibit (page 311). On the result of this experiment determine the +bulk of medium required in the subculture tubes and the percentage +solutions to be employed in the trial trip. Assuming the inhibition +coefficient to be 1:1000, it will be quite safe to employ the ordinary +culture tubes containing 10 c.c. medium in the subsequent experiments. + +_b. Trial Trip._-- + +Determine the lethal effect of a series of five solutions of germicide-x +(say 1:100, 1:250, 1:300, 1:500, 1:600) at contact times of 2-1/2, 5, 25 +and 30 minutes in the following manner: + +1. Arrange five test-tubes marked A to E in the lower tier of the +test-tube rack. + +2. Into tube A pipette 5 c.c. germicide-x 1:100 solution. + +Into tube B pipette 5 c.c. germicide-x 1:200 solution. + +Into tube C pipette 5 c.c. germicide-x 1:300 solution. + +Into tube D pipette 5 c.c. germicide-x 1:500 solution. + +Into tube E pipette 5 c.c. germicide-x 1:600 solution. + +3. Arrange 20 tubes of bile salt broth in the upper tier of the +test-tube rack in two rows, those in the front row numbered +consecutively from left to right 1-10, those in the back row 11-20. + +4. Place a square wire basket of about 50 tubes capacity close to the +left of the test-tube rack, for the reception of the inoculated tubes. + +5. Take a sterile 1 c.c. pipette from the case, pick up a sterile rubber +washer with forceps and push the point of the pipette into the central +hole. + +6. Put down the forceps on the bench with the sterile points projecting +over the edge. Without taking the tube from the rack remove the +cotton-wool plug from tube A, and lower the pipette, with the rubber +washer affixed, on to the open mouth of the tube; with the help of the +forceps to steady the washer, push the pipette on through the hole until +the point of the pipette has reached to within a few millimetres of the +bottom of the tube (see fig. 219). + +7. Adjust in the same way a pipette and a washer in the mouth of each of +the other tubes, B, C, D and E. + +8. Set the electric signal clock to ring for the commencement of the +experiment and at subsequent intervals of 2-1/2, 5, 25 and 30 minutes. + +9. Take up 0.5 c.c. of B. coli emulsion in sterile pipette graduated in +tenths of a cubic centimetre and stand by. + +10. As soon as the bell rings lift the pipette from tube A with the left +hand and from the charged pipette held in the right hand deliver 0.1 +c.c. of B. coli emulsion into the 1:100 solution. Then replace the +pipette and washer. + +[Illustration: FIG. 219.--Test-tube rack.] + +11. Raise the tube with the left hand and shake it to mix germ and +germicide, whilst returning the delivery pipette in the right hand. + +12. Repeat the process with tubes B, C, D and E; then drop the infected +delivery pipette in the lysol jar. The inoculation of the five tubes can +be carried out very expeditiously, but a period of 10 seconds must be +allowed for each tube. + +13. When the bell rings at 2-1/2 minutes blow through the pipette in +tube A (this agitates the germ + germicide mixture and ensures the +collection of a fair sample); allow the mixture to enter the pipette, +and as the column of fluid extends well above the terminal graduation, +the right forefinger adjusted over the butt-end of the pipette before it +is lifted will retain more than 0.1 c.c. of the mixture within the bore +when the point of the pipette is clear of the fluid in the tube. Touch +the point of the pipette on the inner wall of the tube, and allow any +excess of fluid to escape, only retaining 0.1 c.c. in the pipette. + +14. At the same time, with the left hand remove Bile Salt Tube No. 1 +from the upper tier of the rack, take out the cotton-wool plug with the +hand already holding the pipette (the relative positions of pipette, +plug and culture tubes being practically the same as those of platinum +loop, plug and culture tube shown in Fig. 68, page 74). + +15. Insert the point of the pipette into the subculture tube, and blow +out the mixture into the medium--replug the tube and drop it into the +wire basket. Replace the washer-pipette in tube A. + +As soon as the point of the pipette has entered the mouth of tube A it +may be released, since it has already been so adjusted that it just +clears the bottom of the test-tube, and the elastic washer will prevent +any damage to the tube. + +Steps 13, 14 and 15 occupy on an average 10 seconds. + +16. Repeat steps 13, 14 and 15 with each of the other tubes B, C, D and +E. + +17. Repeat these various steps 13-16 when the bell rings at 5, 25 and 30 +minutes. + +18. Place all the inoculated tubes in the incubator at 37 deg. C. + +19. Examine the tubes at intervals of 24 hours, and record the results +in tabular form as shown in Table page 491 (the figures in the squares +indicate the number of hours at which the changes in the medium due to +the growth of B. coli first appeared). + +20. If a consideration of the tabulated results indicates strengths of +Germicide-x lethal at 2-1/2 and 30 minutes the final test can be +arranged, but if this result has not been attained, sufficient evidence +will probably be available to enable a second trial test to be planned +which will give the required information. + + +~Final Test.~-- + +c. _Determination of Phenol Coefficient._-- + +_X-Disinfectant._--This comprises two distinct tests, one of the +Germicide-x, the other of the standard phenol. + +1. Arrange five test-tubes clearly marked in the lower tier of the rack. + +2. Pipette into each 5 c.c. respectively of the five percentage +solutions of x-disinfectant which the trial run has already shown will +include those affording lethal values at 2-1/2 and 30 minutes. + +3. Arrange 20 tubes of bile salt broth in the upper tier of the +test-tube rack in two rows, those in the front row numbered +consecutively from left to right 1-10, those in the back row 11-20. + +4. Arrange further 20 tubes of bile salt broth numbered 21-40 in two +rows in a second smaller rack which can be stood on the upper tier of +the rack as soon as the first 20 tubes have been inoculated. + +5. Place a square wire basket of about 50 tube capacity close to the +left of the test-tube rack, for the reception of the inoculated tubes. + +6. Adjust a sterile 1 c.c. pipette in the mouth of each of the tubes, A, +B, C, D and E, by means of a washer, as previously described. + +7. Set the electric signal clock to ring for the commencement of the +experiment and subsequently at 2-1/2, 5, 10, 15, 20, 25, 30 and 35 +minutes. + +8. Complete precisely as indicated in Trial Runs, steps 9-19. + +_Control Phenol._-- + +Immediately the subculture tube from the 30-minute contact period have +been inoculated, carry out a precisely similar experiment, in which +five percentage strengths of Phenol, (e. g., 1.1, 1.0, 0.9, 0.75, 0.7) +are arranged in the lower tier of the test-tube rack in place of the +five strengths of Germicide-x. + +Calculate the phenol coefficient by the following method: + +(a) Divide the figure representing the percentage strength of the +weakest lethal dilution of the carbolic acid control at the 2-1/2-minute +contact period by the figure representing the percentage strength of the +weakest lethal dilution of the x-disinfectant at the same period. The +quotient = phenol coefficient at 2-1/2 minutes. + +(b) Similarly obtain the phenol coefficient at 30 minutes contact +period. + +(c) Record the mean of the two coefficients obtained in (a) and (b) as +the _mean phenol coefficient_, or simply as the ~Phenol Coefficient~. + +The details of the Final Test of an actual determination are set out in +the accompanying table. + + +TABLE 27 + +Organism employed, B. Coli Communis. + +Culture Medium, Nutrient Agar (+10). Age, 24 hrs. +Temp. of Incubation, 37 deg. C. + +Quantities used { Culture } Emulsion 0.1 c.c. + 5 c.c. Germicide. + { Emulsion } + +Room Temperature during Experiments, 17 deg. C. + + Germicide Strength Time of exposure Incubation + 2-1/2 5 10 15 20 25 30 35 Time Temp. +1 Germicide-x 4% -- -- -- -- -- -- -- -- 7 days. 37 deg. C. +2 Germicide-x 3% 48 -- -- -- -- -- -- -- 7 days. 37 deg. C. +3 Germicide-x 2% 24 24 24 24 48 72 7 days. 37 deg. C. +4 Germicide-x 1% 24 24 24 24 72 24 72 7 days. 37 deg. C. +5 Germicide-x 0.5% 24 24 24 24 24 24 24 24 24 hours. 37 deg. C. + +1 Phenol 1.10% -- -- -- -- -- -- -- -- 7 days. 37 deg. C. +2 Phenol 1.00% 24 7 days. 37 deg. C. +3 Phenol 0.75% 24 24 24 24 48 7 days. 37 deg. C. +4 Phenol 0.70% 24 24 24 24 24 72 7 days. 37 deg. C. +5 Phenol 0.65% 24 24 24 24 24 48 24 24 2 days. 37 deg. C. + + + ((1.10/4.00) + (0.7/2.0)) 0.27 + 0.35 .62 +Phenol Coefficient = ------------------------ = ----------- = --- = 0.31 + 2 2 2 + + + + +APPENDIX. + + +METRIC AND IMPERIAL SYSTEMS OF WEIGHTS AND MEASURES. + +The initial unit of the metric system is the Metre (_m._) or unit of +length, representing one-fourth-millionth part of the circumference of +the earth round the poles. + +The unit of mass is the Gramme (_g._), and represents the weight of one +cubic centimetre of water at its maximum density (viz. 4 deg. C. and +760 mm. mercury pressure). + +The unit of the measure of capacity is the Litre (_l._), and represents +the volume of a kilogramme of distilled water at its maximum density. + +The decimal subdivisions of each of the units are designated by the +Latin prefixes _milli_ = 1/1000; _centi_ = 1/100; _deci_ = 1/10; the +multiples of each unit by the Greek prefixes _deka_ = 10; _hecto_ = 100; +_kilo_ = 1000; _myria_ = 10,000. + +For a comparison of the values of some of the more frequently employed +expressions of the Metric System and the Imperial System, the following +may be found convenient for reference: + + ~Length:~ + + 1 millimetre (= 1 mm.) = 1/25 of an inch. + + 1 centimetre (= 1 cm.) = 2/5 of an inch. + + 1 inch (1") = 25 millimetres or 2-1/2 centimetres. + + + ~Mass:~ + + 1 milligramme (= 1 mg.) = 0.01543 grain (or approximately + 1/64 grain). + + 1 gramme (= 1 g.) = 15.4323 grains. + + 1 "kilo" or kilogramme (= 1 kgm.) = 2 pounds, 3-1/4 ounces + avoirdupois. + + 1 pound avoirdupois (= 1 lb.) = 453.592 grammes. + + 1 ounce avoirdupois (= 1 oz.) = 28.35 grammes. + + 1 grain = 0.0648 gramme or 64.8 milligrammes. + + + ~Capacity:~ + + 1 cubic centimetre (= 1 c.c.) = 16.9 minims imperial + measure. + + 1 litre (= 1 _l._) = 35.196 fluid ounces imperial measure. + + 1 fluid ounce imperial measure (= 1 [Symbol: ounce]) = + 28.42 cubic centimetres. + + 1 pint imperial measure (= 1 O.) = 568.34 cubic centimetres. + + 1 gallon imperial measure (= 1 C.) = 4.546 litres, or 10 + pounds avoirdupois, of pure water at 62 deg. F. and under an + atmospheric pressure of 30 inches of mercury. + + +FACTORS FOR CONVERTING FROM ONE SYSTEM TO THE OTHER. + + To convert grammes into grains x 15.432. + To convert grammes into ounces avoirdupois x 0.03527. + To convert kilogrammes into pounds x 2.2046. + To convert cubic centimetres into fluid ounces imperial x 0.0352. + To convert litres into fluid ounces imperial x 35.2. + To convert metres into inches x 39.37. + To convert grains into grammes x 0.0648. + To convert avoirdupois ounces into grammes x 28.35. + To convert troy ounces into grammes x 31.104. + To convert fluid ounces into cubic centimetres x 28.42. + To convert pints into litres x 0.568. + To convert inches into metres x 0.0254. + + +TABLE FOR THE CONVERSION OF DEGREES CENTIGRADE INTO DEGREES FAHRENHEIT. + + +_X. deg. C. = ((9x/5) + 32) deg. F._ + +| Cent. | Faht. || Cent. | Faht. || Cent. | Faht. | +| 0 | 32.0 || 34 | 93.2 || 68 | 154.4 | +| 1 | 33.8 || 35 | 95.0 || 69 | 156.2 | +| 2 | 35.6 || 36 | 96.8 || 70 | 158.0 | +| 3 | 37.4 || 37 | 98.6 || 71 | 159.8 | +| 4 | 39.2 || 38 | 100.4 || 72 | 161.6 | +| 5 | 41.0 || 39 | 102.2 || 73 | 163.4 | +| 6 | 42.8 || 40 | 104.0 || 74 | 165.2 | +| 7 | 44.6 || 41 | 105.8 || 75 | 167.0 | +| 8 | 46.4 || 42 | 107.6 || 76 | 168.8 | +| 9 | 48.2 || 43 | 109.4 || 77 | 170.6 | +| 10 | 50.0 || 44 | 111.2 || 78 | 172.4 | +| 11 | 51.8 || 45 | 113.0 || 79 | 174.2 | +| 12 | 53.6 || 46 | 114.8 || 80 | 176.0 | +| 13 | 55.4 || 47 | 116.6 || 81 | 177.8 | +| 14 | 57.2 || 48 | 118.4 || 82 | 179.6 | +| 15 | 59.0 || 49 | 120.2 || 83 | 181.4 | +| 16 | 60.8 || 50 | 122.0 || 84 | 183.2 | +| 17 | 62.6 || 51 | 123.8 || 85 | 185.0 | +| 18 | 64.4 || 52 | 125.6 || 86 | 186.8 | +| 19 | 66.2 || 53 | 127.4 || 87 | 188.6 | +| 20 | 68.0 || 54 | 129.2 || 88 | 190.4 | +| 21 | 69.8 || 55 | 131.0 || 89 | 192.2 | +| 22 | 71.6 || 56 | 132.8 || 90 | 194.0 | +| 23 | 73.4 || 57 | 134.6 || 91 | 195.8 | +| 24 | 75.2 || 58 | 136.4 || 92 | 197.6 | +| 25 | 77.0 || 59 | 138.2 || 93 | 199.4 | +| 26 | 78.8 || 60 | 140.0 || 94 | 201.2 | +| 27 | 80.6 || 61 | 141.8 || 95 | 203.0 | +| 28 | 82.4 || 62 | 143.6 || 96 | 204.8 | +| 29 | 84.2 || 63 | 145.4 || 97 | 206.6 | +| 30 | 86.0 || 64 | 147.2 || 98 | 208.4 | +| 31 | 87.8 || 65 | 149.0 || 99 | 210.2 | +| 32 | 89.6 || 66 | 150.8 || 100 | 212.0 | +| 33 | 91.4 || 67 | 152.6 || | | + + +TABLE FOR THE CONVERSION OF DEGREES FAHRENHEIT INTO DEGREES CENTIGRADE. + + +_X deg. F. = (5(x - 32))/9 deg. C._ + + Faht.| Cent.|| Faht.| Cent.|| Faht.|Cent. || Faht.| Cent.|| Faht.| Cent. + 32 | 0.|| 68 | 20.0 || 104 | 40.0 || 140 | 60.0 || 176 | 80.0 + 33 | 0.6 || 69 | 20.6 || 105 | 40.6 || 141 | 60.6 || 177 | 80.6 + 34 | 1.1 || 70 | 21.1 || 106 | 41.1 || 142 | 61.1 || 178 | 81.1 + 35 | 1.7 || 71 | 21.7 || 107 | 41.7 || 143 | 61.7 || 179 | 81.7 + 36 | 2.2 || 72 | 22.2 || 108 | 42.2 || 144 | 62.2 || 180 | 82.2 + 37 | 2.8 || 73 | 22.8 || 109 | 42.8 || 145 | 62.8 || 181 | 82.8 + 38 | 3.3 || 74 | 23.3 || 110 | 43.3 || 146 | 63.3 || 182 | 83.3 + 39 | 3.9 || 75 | 23.9 || 111 | 43.9 || 147 | 63.9 || 183 | 83.9 + 40 | 4.4 || 76 | 24.4 || 112 | 44.4 || 148 | 64.4 || 184 | 84.4 + 41 | 5.0 || 77 | 25.0 || 113 | 45.0 || 149 | 65.0 || 185 | 85.0 + 42 | 5.6 || 78 | 25.6 || 114 | 45.6 || 150 | 65.6 || 186 | 85.6 + 43 | 6.1 || 79 | 26.1 || 115 | 46.1 || 151 | 66.1 || 187 | 86.1 + 44 | 6.7 || 80 | 26.7 || 116 | 46.7 || 152 | 66.7 || 188 | 86.7 + 45 | 7.2 || 81 | 27.2 || 117 | 47.2 || 153 | 67.2 || 189 | 87.2 + 46 | 7.8 || 82 | 27.8 || 118 | 47.8 || 154 | 67.8 || 190 | 87.8 + 47 | 8.3 || 83 | 28.3 || 119 | 48.3 || 155 | 68.3 || 191 | 88.3 + 48 | 8.9 || 84 | 28.9 || 120 | 48.9 || 156 | 68.9 || 192 | 88.9 + 49 | 9.4 || 85 | 29.4 || 121 | 49.4 || 157 | 69.4 || 193 | 89.4 + 50 | 10.0 || 86 | 30.0 || 122 | 50.0 || 158 | 70.0 || 194 | 90.0 + 51 | 10.6 || 87 | 30.6 || 123 | 50.6 || 159 | 70.6 || 195 | 90.6 + 52 | 11.1 || 88 | 31.1 || 124 | 51.1 || 160 | 71.1 || 196 | 91.1 + 53 | 11.7 || 89 | 31.7 || 125 | 51.7 || 161 | 71.7 || 197 | 91.7 + 54 | 12.2 || 90 | 32.2 || 126 | 52.2 || 162 | 72.2 || 198 | 92.2 + 55 | 12.8 || 91 | 32.8 || 127 | 52.8 || 163 | 72.8 || 199 | 92.8 + 56 | 13.3 || 92 | 33.3 || 128 | 53.3 || 164 | 73.3 || 200 | 93.3 + 57 | 13.9 || 93 | 33.9 || 129 | 53.9 || 165 | 73.9 || 201 | 93.9 + 58 | 14.4 || 94 | 34.4 || 130 | 54.4 || 166 | 74.4 || 202 | 94.4 + 59 | 15.0 || 95 | 35.0 || 131 | 55.0 || 167 | 75.0 || 203 | 95.0 + 60 | 15.6 || 96 | 35.6 || 132 | 55.6 || 168 | 75.6 || 204 | 95.6 + 61 | 16.1 || 97 | 36.1 || 133 | 56.1 || 169 | 76.1 || 205 | 96.1 + 62 | 16.7 || 98 | 36.7 || 134 | 56.7 || 170 | 76.7 || 206 | 96.7 + 63 | 17.2 || 99 | 37.2 || 135 | 57.2 || 171 | 77.2 || 207 | 97.2 + 64 | 17.8 || 100 | 37.8 || 136 | 57.8 || 172 | 77.8 || 208 | 97.8 + 65 | 18.3 || 101 | 38.3 || 137 | 58.3 || 173 | 78.3 || 209 | 98.3 + 66 | 18.9 || 102 | 38.9 || 138 | 58.9 || 174 | 78.9 || 210 | 98.9 + 67 | 19.4 || 103 | 39.4 || 139 | 59.4 || 175 | 79.4 || 211 | 99.4 + | || | || | || | || 212 |100.0 + +~Percentage Formula~ for addition of salts, etc., to completed media. + +~Formula for preparing any desired percentage~ of a given salt, etc., in +tubed media; e. g., to make 4 per cent. solution of KNO_{3} in a +series of tubes of broth each containing 10 c.c. of medium, when there +is already available a 25 per cent. stock aqueous solution of potassium +nitrate. + + (_N_ + ~X~) _Y_ _A_ (~X~) + --------------- = ---------- + 100 100 + +_N_ = number of cubic centimetres contained in each tube. + +~X~ = amount of stock solution to be added to each tube. + +_Y_ = percentage required in the medium. + +_A_ = percentage of stock solution. + +Then + + (10 + ~X~) 4 25 ~X~ + ------------ = ------ + 100 100 + + Therefore, 40 + 4~X~ = 25~X~. + + Therefore, 21~X~ = 40. + + ~X~ = 1.9 c.c. + +This allows for solution added to the original bulk of medium. + +Therefore, 10 c.c. broth + 1.9 c.c. of a 25 per cent. aqueous solution +KNO_{3} makes 11.9 c.c. medium containing 4 per cent. KNO_{3}. + + +~TABLES FOR PREPARING DILUTIONS~ + +(of Serum, Disinfectants or other substances.) + +In estimating the agglutinin content or _titre_ of a serum, testing +disinfectants and for many other purposes, it becomes necessary to +prepare a series of dilutions of the material under examination, and in +order to avoid unnecessary expenditure of labour it is convenient to +adhere to some definite scale of increment, such for example as the +following: + +From dilutions of 1:10 to 1:80 rise by increments of 5. + +From dilutions of 1:80 to 1:200 rise by increments of 10. + +From dilutions of 1:200 to 1:400 rise by increments of 25. + +From dilutions of 1:400 to 1:500 rise by increments of 50. + +From dilutions of 1:500 to 1:1000 rise by increments of 100. + +From dilutions of 1: 1000 to 1:5000 rise by increments of 250. + +From dilutions of 1: 5000 to 1:10,000 rise by increments of 1000. + +From dilutions of 1:10,000 to 1:100,000 rise by increments of 5000. + +From dilutions of 1:100,000 to 1:1,000,000 rise by increments of 100,000. + +When dealing with a substance of unknown powers--and this is especially +true with regard to agglutinating sera--it is customary to run a +preliminary test, using a few widely separated dilutions such as may be +obtained in the following manner: + +FIRST DILUTION--I. + +1 c.c. serum + 9 c.c. normal saline solution = 10 per cent. solution or +1: 10 dilution (of which 1 c.c. contains 0.1 c.c. of the original +serum). + +When dealing with fluids other than serum the diluent is usually +distilled water; whilst if the original substance is a solid the +instructions would read: + +1 gram o.s. + 10 c.c. distilled water = 10 per cent. solution, etc. + +SECOND DILUTION--II. + +1 c.c. first dilution + 9 c.c. normal saline solution = 1 per cent. +solution or 1: 100 dilution. + +THIRD DILUTION--III. + +1 c.c. second dilution + 9 c.c. normal saline solution = 1 per mille +solution or 1: 1000 dilution. + +FOURTH DILUTION--IV. + +1 c.c. second dilution + 9 c.c. normal saline solution = 0.1 per mille +solution or 1: 10,000 dilution. + +The following tables showing the secondary dilutions that can readily be +prepared from each of these four primary dilutions for use in the +subsequent determination of the exact _titre_ will probably be found of +service by those who are not ready mathematicians. + + +TABLES FOR PREPARING DILUTIONS. + +-----------------------------------+---------------------------------- + | + TABLE I | TABLE II + Using 10 % stock solution | Using 1% stock solution + First } | Second } + dilution } + Diluent | dilution } + Diluent + | +-----------------------------------+---------------------------------- + | + 1: 10 = 1 c.c. + 0 c.c. | 1: 100 = 1 c.c. + 0 c.c. + 1: 15 = 1 c.c. + 0.5 c.c. | 1: 110 = 1 c.c. + 0.1 c.c. + 1: 20 = 1 c.c. + 1.0 c.c. | 1: 120 = 1 c.c. + 0.2 c.c. + 1: 25 = 1 c.c. + 1.5 c.c. | [1: 125 = 1 c.c. + 0.25 c.c.] + 1: 30 = 1 c.c. + 2.0 c.c. | 1: 130 = 1 c.c. + 0.3 c.c. + 1: 35 = 1 c.c. + 2.5 c.c. | 1: 140 = 1 c.c. + 0.4 c.c. + 1: 40 = 1 c.c. + 3.0 c.c. | 1: 150 = 1 c.c. + 0.5 c.c. + 1: 45 = 1 c.c. + 3.5 c.c. | 1: 160 = 1 c.c. + 0.6 c.c. + 1: 50 = 1 c.c. + 4.0 c.c. | 1: 170 = 1 c.c. + 0.7 c.c. + 1: 55 = 1 c.c. + 4.5 c.c. | [1: 175 = 1 c.c. + 0.75 c.c.] + 1: 60 = 1 c.c. + 5.0 c.c. | 1: 180 = 1 c.c. + 0.8 c.c. + 1: 65 = 1 c.c. + 5.5 c.c. | 1: 190 = 1 c.c. + 0.9 c.c. + 1: 70 = 1 c.c. + 6.0 c.c. | 1: 200 = 1 c.c. + 1.0 c.c. + 1: 75 = 1 c.c. + 6.5 c.c. +--------------------------------- + 1: 80 = 1 c.c. + 7.0 c.c. | 1: 200 = 1 c.c. + 1.0 c.c. + ------------------------------+ 1: 225 = 1 c.c. + 1.25 c.c. + 1: 80 = 1 c.c. + 7.0 c.c. | 1: 250 = 1 c.c. + 1.5 c.c. + 1: 90 = 1 c.c. + 8.0 c.c. | 1: 275 = 1 c.c. + 1.75 c.c. + 1: 100 = 1 c.c. + 9.00 c.c. | 1: 300 = 1 c.c. + 2.0 c.c. + 1: 110 = 1 c.c. + 10.0 c.c. | 1: 325 = 1 c.c. + 2.25 c.c. + 1: 120 = 1 c.c. + 11.0 c.c. | 1: 350 = 1 c.c. + 2.5 c.c. + [1: 125 = 1 c.c. + 11.5 c.c.] | 1: 375 = 1 c.c. + 2.75 c.c. + 1: 130 = 1 c.c. + 12.0 c.c. | 1: 400 = 1 c.c. + 3.0 c.c. + 1: 140 = 1 c.c. + 13.0 c.c. +--------------------------------- + 1: 150 = 1 c.c. + 14.0 c.c. | 1: 400 = 1 c.c. + 3.0 c.c. + 1: 160 = 1 c.c. + 15.0 c.c. | 1: 450 = 1 c.c. + 3.5 c.c. + 1: 170 = 1 c.c. + 16.0 c.c. | 1: 500 = 1 c.c. + 4.0 c.c. + [1: 175 = 1 c.c. +-16.5 c.c.] +--------------------------------- + 1: 180 = 1 c.c. + 17.0 c.c. | 1: 500 = 1 c.c. + 4.0 c.c. + 1: 190 = 1 c.c. + 18.0 c.c. | 1: 600 = 1 c.c. + 5.0 c.c. + 1: 200 = 1 c.c. + 19.0 c.c. | 1: 700 = 1 c.c. + 6.0 c.c. + ----------------- ------------+ [1: 750 = 1 c.c. + 6.5 c.c.] + 1: 200 = 1 c.c. + 19.0 c.c. | 1: 800 = 1 c.c. + 7.0 c.c. + 1: 225 = 1 c.c. + 21.5 c.c. | 1: 900 = 1 c.c. + 8.0 c.c. + 1: 250 = 1 c.c. + 24.0 c.c. | 1: 1000 = 1 c.c. + 9.0 c.c. + 1: 275 = 1 c.c. + 26.5 c.c. +-------------------------------- + 1: 300 = 1 c.c. + 29.0 c.c. | 1: 1000 = 1 c.c. + 9.0 c.c. + 1: 325 = 1 c.c. +-31.5 c.c. | 1: 2000 = 1 c.c. + 19.0 c.c. + 1: 350 = 1 c.c. + 34.0 c.c. | 1: 3000 = 1 c.c. + 29.0 c.c. + 1: 375 = 1 c.c. + 36.5 c.c. | 1: 4000 = 1 c.c. + 39.0 c.c. + 1: 400 = 1 c.c. + 39.0 c.c. | 1: 5000 = 1 c.c. + 49.0 c.c. + ------------------------------+-------------------------------- + 1: 400 = 1 c.c. + 39.0 c.c. | + 1: 450 = 1 c.c. + 44.5 c.c. | + 1: 500 = 1 c.c. + 49.0 c.c. | + + ---------------------------------+------------------------------- + | + TABLE III | TABLE IV + Using 0.1% stock solution | Using 0.01% stock solution + Third } | Fourth } + dilution } + Diluent | Dilution } + Diluent + | + ---------------------------------+------------------------------- + | + 1: 1000 = 1 c.c. + 0 c.c. | 1: 10,000 = 1 c.c. + 0 c.c. + 1: 1250 = 1 c.c. + 0.25 c.c. | 1: 15,000 = 1 c.c. + 0.5 c.c. + 1: 1500 = 1 c.c. + 0.5 c.c. | 1: 20,000 = 1 c.c. + 1.0 c.c. + 1: 1750 = 1 c.c. + 0.75 c.c. | 1: 25,000 = 1 c.c. + 1.5 c.c. + 1: 2000 = 1 c.c. + 1.0 c.c. | 1: 30,000 = 1 c.c. + 2.0 c.c. + 1: 2250 = 1 c.c. + 1.25 c.c. | 1: 35,000 = 1 c.c. + 2.5 c.c. + 1: 2500 = 1 c.c. + 1.5 c.c. | 1: 40,000 = 1 c.c. + 3.0 c.c. + 1: 2750 = 1 c.c. + 1.75 c.c. | 1: 45,000 = 1 c.c. + 3.5 c.c. + 1: 3000 = 1 c.c. + 2.0 c.c. | 1: 50,000 = 1 c.c. + 4.0 c.c. + 1: 3250 = 1 c.c. + 2.25 c.c. | 1: 55,000 = 1 c.c. + 4.5 c.c. + 1: 3500 = 1 c.c. + 2.5 c.c. | 1: 60,000 = 1 c.c. + 5.0 c.c. + 1: 3750 = 1 c.c. + 2.75 c.c. | 1: 65,000 = 1 c.c. + 5.5 c.c. + 1: 4000 = 1 c.c. + 3.0 c.c. | 1: 70,000 = 1 c.c. + 6.0 c.c. + 1: 4250 = 1 c.c. + 3.25 c.c. | 1: 75,000 = 1 c.c. + 6.5 c.c. + 1: 4500 = 1 c.c. + 3.5 c.c. | 1: 80,000 = 1 c.c. + 7.0 c.c. + 1: 4750 = 1 c.c. + 3.75 c.c. | 1: 85,000 = 1 c.c. + 7.5 c.c. + 1: 5000 = 1 c.c. + 4.0 c.c. | 1: 90,000 = 1 c.c. + 8.0 c.c. + --------------------------------+ 1: 95,000 = 1 c.c. + 8.5 c.c. + 1: 5000 = 1 c.c. + 4.0 c.c. | 1: 100,000 = 1 c.c. + 9.0 c.c. + 1: 6000 = 1 c.c. + 5.0 c.c. +----------------------------------- + 1: 7000 = 1 c.c. + 6.0 c.c. | 1: 100,000 = 0.1 c.c. + 0.9 c.c. + [1: 7500 = 1 c.c. + 6.5 c.c.] | 1: 200,000 = 0.1 c.c. + 1.9 c.c. + 1: 8000 = 1 c.c. + 7.0 c.c. | [1: 250,000 = 0.1 c.c. + 2.4 c.c.] + 1: 9000 = 1 c.c. + 8.0 c.c. | 1: 300,000 = 0.1 c.c. + 2.9 c.c. + 1: 10,000 = 1 c.c. + 9.0 c.c. | 1: 400,000 = 0.1 c.c. + 3.9 c.c. + ------------------------------- + 1: 500,000 = 0.1 c.c. + 4.9 c.c. + 1: 10,000 = 1 c.c. + 9.0 c.c. +----------------------------------- + 1: 15,000 = 1 c.c. + 14.0 c.c. | 1: 500,000 = 0.1 c.c. + 4.9 c.c. + 1: 20,000 = 1 c.c. + 19.0 c.c. | 1: 600,000 = 0.1 c.c. + 5.9 c.c. + 1: 25,000 = 1 c.c. + 24.0 c.c. | 1: 700,000 = 0.1 c.c. + 6.9 c.c. + 1: 30,000 = 1 c.c. + 29.0 c.c. | [1: 750,000 = 0.1 c.c. + 7.4 c.c.] + --------------------------------+ 1: 800,000 = 0.1 c.c. + 7.9 c.c. + | 1: 900,000 = 0.1 c.c. + 8.9 c.c. + | 1:1,000,000 = 0.1 c.c. + 9.9 c.c. + -+------------------------------------- + + +TEMPERATURE PRESSURE TABLE. + + ---------------+--------------+---------------------+------------- + Temperature | | Pounds per sq. in. | + Centigrade | Mm. of Hg. | absolute pressure | Atmospheres + | | | + ---------------+--------------+---------------------+------------- + | | | + 98 deg. | 707.1 | 13.7 | 0.93 + 99 deg. | 733.1 | 14.2 | 0.96 + 100 deg. | 760.0 | 14.7 | 1.00 + | | | + 101 deg. | 787.8 | 15.2 | 1.03 + 102 deg. | 816.0 | 15.8 | 1.07 + 103 deg. | 845.2 | 16.3 | 1.11 + 104 deg. | 875.4 | 16.9 | 1.15 + 105 deg. | 906.4 | 17.5 | 1.19 + | | | + 106 deg. | 938.3 | 18.1 | 1.23 + 107 deg. | 971.1 | 18.8 | 1.27 + 108 deg. | 1004.9 | 19.4 | 1.32 + 109 deg. | 1039.6 | 20.1 | 1.36 + 110 deg. | 1075.3 | 20.8 | 1.41 + | | | + 111 deg. | 1112.0 | 21.5 | 1.46 + 112 deg. | 1149.8 | 22.2 | 1.51 + 113 deg. | 1188.6 | 22.9 | 1.56 + 114 deg. | 1228.4 | 23.7 | 1.61 + 115 deg. | 1269.4 | 24.5 | 1.67 + | | | + 116 deg. | 1311.4 | 25.3 | 1.72 + 117 deg. | 1354.6 | 26.2 | 1.78 + 118 deg. | 1399.0 | 27.0 | 1.84 + 119 deg. | 1444.5 | 27.9 | 1.90 + 120 deg. | 1491.2 | 28.8 | 1.96 + | | | + 121 deg. | 1539.2 | 29.7 | 2.02 + 122 deg. | 1588.4 | 30.7 | 2.09 + 123 deg. | 1638.9 | 31.7 | 2.15 + 124 deg. | 1690.7 | 32.7 | 2.22 + 125 deg. | 1743.8 | 33.7 | 2.29 + ---------------+--------------+---------------------+------------- + + +TABLE FOR DESICCATION AT LOW TEMPERATURES IN VACUO. + ++--------------------------+ +| Temperature | | +| Centigrade | Mm. of Hg. | ++-------------+------------+ +| 21 deg. | 18.4 | +| 22 deg. | 19.6 | +| 23 deg. | 20.8 | +| 24 deg. | 22.1 | +| 25 deg. | 23.5 | +| | | +| 26 deg. | 24.9 | +| 27 deg. | 26.4 | +| 28 deg. | 28.0 | +| 29 deg. | 29.7 | +| 30 deg. | 31.5 | +| | | +| 31 deg. | 33.3 | +| 32 deg. | 35.3 | +| 33 deg. | 37.3 | +| 34 deg. | 39.5 | +| 35 deg. | 41.7 | +| | | +| 36 deg. | 44.1 | +| 37 deg. | 46.6 | +| 38 deg. | 49.2 | +| 39 deg. | 51.9 | +| 40 deg. | 54.8 | +| | | +| 41 deg. | 57.8 | +| 42 deg. | 61.0 | +| 43 deg. | 64.3 | +| 44 deg. | 67.7 | +| 45 deg. | 71.3 | +| | | +| 46 deg. | 75.1 | +| 47 deg. | 79.0 | +| 48 deg. | 83.1 | +| 49 deg. | 87.4 | +| 50 deg. | 91.9 | ++-------------+------------+ + + +ANTIFORMIN METHOD + +For the detection of B. Tuberculosis. + +_Antiformin_ was introduced into bacteriological technique by Uhlenhuth +in 1908 for the purpose of demonstrating tubercle bacilli when present +in small numbers, in sputum or other material. It is a powerful +oxidising agent and rapidly destroys most bacteria, but tubercle and +other acid-fast organisms resist its lethal action for considerable +periods, and upon this fact the method is based. + +_To prepare Antiformin_ measure out and mix:-- + +Eau de Javelle (Liquor sodae chlorinatae--B.P.) 50 c.c. +Sodic hydrate 15 per cent. aqueous solution 50 c.c. + +METHOD. + +1. Introduce the sputum or other material (e. g. milk deposit and cream; +pus; minced gland or other organ; caseous material; broken down foci, +etc.) into a sterile tube and then add an equal volume of antiformin. + +2. Close the tube with a rubber cork and shake vigorously (a sample of +antiformin that does not "foam" at this stage is of little use). +Disintegration of the material at once starts, associated bacteria are +destroyed and the mixture rapidly becomes a homogenous but turbid +fluid--a process which may be hastened by:-- + +3. Placing the tube in the incubator at 37 deg. C. for 30 minutes--shaking +from time to time. + +4. Centrifugalise the fluid thoroughly, at high speed. + +5. Pipette off the supernatant fluid, fill up with sterile distilled +water, cork the tube and shake to distribute the deposit throughout the +water. Again centrifugalise. + +6. Repeat steps 4 and 5 twice more. + +7. Employ one portion of the final deposit to inoculate guinea pigs. + +8. Plant the remainder of the deposit freely on Dorset's Egg medium; cap +and incubate at 37 deg. C. + + NOTE.--If only microscopical films are needed, fill up the + centrifuge tube with Ligroin (a petroleum ether) in place of + sterile distilled water in step 5 and prepare the films from + the _surface_ of the fluid, to stain by the Ziehl-Neelsen + process. + + + + +INDEX + + +Abbe's condenser, 7 + +Abbott's stain for spores, 107 + +Aberration, chromatic, 56 + spherical, 55 + +Absolute alcohol as a fixative, 82 + as an antiseptic, 27 + +Absorbent paper for drying cover-slips, 69 + +A. C. E. mixture, 345 + +Acetic acid for clearing films, 82 + +Achromatic condenser, 54 + +Acid haematin, 96 + production, analysis table, 283 + by bacteria, 145 + investigation of, 280 + qualitative examination, 283, 284 + quantitative examination, 280 + +Acid-fast bacilli in tissues, to stain, 124 + +Action of various gases on bacteria, 295 + +Active immunisation, illustrative example, 322 + +Adjustable water bath, 299 + +Aerobic cultures, 221 + +Aerogenic bacteria, 131 + +Aesculin agar, 204 + +Agar gelatine (guarniari), 194 + methods of preparation, 167 + surface plates, 232 + +Agar-agar, preparation of, 167 + +Agglutination reaction, macroscopical, 386 + microscopical, 385 + +Agglutinin, 381 + +Air, analysis of, 468 + filter, 40 + pump, Geryk, 43 + +Albumin solution, Mayer's, 120 + +Alcohol production, test for, 285 + +Alkaline pyro, 239 + +Alum carmine, 96 + +Ammonia production test for, 285 + +Amphitrichous bacteria, 136 + +Anaerobic cultures, 236 + Botkin's method, 243 + Buchner's method, 238 + Bulloch's method, 245 + Hesse's method, 237 + McLeod's method, 240 + media, 180 + Novy's method, 244 + +Anaerobic cultures, Roux's biological method, 237 + physical method, 237 + vacuum method, 238 + Wright's method, 239 + +Anaesthetics, 345 + +Analysis of air, apparatus for, 469 + method of, 468 + qualitative bacteriological, 470 + quantitative bacteriological, 468 + of butter, qualitative bacteriological, 458 + quantitative bacteriological, 457 + of cream, qualitative bacteriological, 458 + quantitative bacteriological, 457 + of fish, 460 + of ice cream, qualitative bacteriological, 457 + of meat, apparatus for, 460 + method of, 460 + qualitative bacteriological, 462 + of milk, apparatus for, 444 + collection of samples, 441 + method of, 441 + qualitative bacteriological, 446. + quantitative bacteriological, 444 + of oysters, 463 + of sewage, qualitative bacteriological, 467 + quantitative bacteriological, 466 + of shellfish, 463 + of soil, apparatus for, 473 + collection of samples, 471 + method of, 470 + qualitative bacteriological, 476 + quantitative bacteriological, 473 + of water, apparatus for, 420, 427 + collection of samples, 416 + method of, 416 + qualitative bacteriological, 426 + +Analysis of water, quantitative bacteriological, 420 + +Aniline dyes, 83 + Gentian violet, 95 + water, to prepare, 108 + +Animal tissue media (Frugoni), 210 + +Animals, natural infections of, 337 + +Antiformin method for B. tuberculosis, 502 + +Antigen, definition of, 324 + +Antiseptics, 27 + action of, 310 + +Apparent filth in milk, 450 + +Arnold's steam steriliser, 34 + +Arthrogenous spores, 138 + +Ascitic bouillon, 210 + fluid agar (Wassermann), 213 + +Ascomycetae, 128 + +Ascopores, 129 + +Asparagin Media (Frankel and Voges), 183 + (Uschinsky), 183 + +Aspergillus, 127 + +Atmospheric conditions, 295 + +Attenuating the virulence of organisms, 321 + +Autoclave, 37 + to use, 37 + +Automatic pipettes, 13 + +Autopsies, 396 + +Autopsy, card index for, 402 + + +Bacilli, morphology of, 132 + +Bacillus anthracis in soil, 477 + in water, 440 + coli in water, detection of, 429 + diphtheriae in milk, 452 + enteritidis in water, 437 + sporogenes in milk, 452 + in water, 438 + oedematis maligni in soil, 477 + tetani in soil, 477 + in water, 441 + tuberculosis in milk, 453 + antiformin method, 502 + typhosus in water, 441 + +Bacteria, anatomy of, 134 + classification of, 131 + grouping of, for study, 410 + in tissues, demonstration of, 114 + influence of environment on, 142 + metabolic products of, 143 + methods of identification, 259 + microscopical examination of, stained, 81 + unstained, 74 + physiology of, 136 + +Bacteria, simple stains for, 90 + +Bacterial emulsion, preparation of, 389 + enzymes, 144, 277 + ferments, 144 + food stuffs, 142 + toxins, 144 + +Bacteriological analyses, general considerations, 415 + examination of blood, 377 + +Base of microscope, 50 + +Basidium, 128 + +Beer wort, preparation of, 175 + +Beetroot media, 200 + +Beggiotoa, morphology of, 133 + +Benzole bath, 256 + +Berkefeld filter, 42 + +Beyrinck's solution I, 197 + II, 198 + +Bile salt agar (MacConkey), 205 + broth, double strength, 199 + (MacConkey), 180 + +Biochemical examination of cultures, 276 + +Biochemistry of bacteria, 276 + +Biological differentiation of bacteria, 249 + +Bipolar germination, 140 + +Bismarck brown, 94 + +Blastomycetes, morphology of, 129 + +Blood agar, 171, 214 + plates, animal, 251 + human, 250 + (Washbourn), 214 + bacteriological examination of, 377 + cells, washing of, 388 + collection of, for serological examination, 379 + films, preparations of, 376 + staining of, 97 + histological examination of, 373 + pipettes, 11 + serological examination of, 378 + stains, 97 + +Blood-serum (Councilman and Mallory), 208 + inspissated, 168 + (Loeffler), 208 + (Lorrain Smith), 208 + +Blowpipe table, 9 + +Body tube of microscope, 50 + +Bohemian flask, 4 + +Boiling water, 33 + +Bone marrow, films, preparation of, 400 + +Bordet-Gengou reaction, 393 + +Boric acid in milk, test for, 442 + +Botkin's anaerobic method, 243 + +Bouillon, preparation of, 163 + +Brain extract, 149 + +Bread paste, 193 + +Brilliant green agar (Conradi), 206 + bile salt agar (Fawcus), 206 + +Brownian movement, 79 + +Buchner's anaerobic method, 238 + +Bulloch's anaerobic method, 245 + tubes for permanent preparations, 407 + +Bunge's mordant, 104 + +Burri's Chinese ink stain, 77 + +Butter, analysis of, 457 + qualitative analysis of, 458 + quantitative analysis of, 457 + + +Cadaver, preparation of, for autopsy, 397 + +Cages for guinea-pigs, 343 + for laboratory animals, 341 + for mice, 342 + for rabbits, 343 + for rats, 342 + +Calculated figure for weight of + medium mass, 166, 167 + +Cambier's candle method of isolating + coli-typhoid groups, 438 + +Camera lucida, 62 + +Capaldi-Proskauer medium, No I, 186 + No II, 187 + +Capillary pipettes, 10 + graduated, 13 + +Capitate bacilli, 139 + +Capsule formation, 134 + of bacteria, 134 + thermo-regulator, 218 + +Capsules, collodion, inoculation of, 357 + preparation of, 357 + glass, 6 + to clean infected, 20 + new, 18 + to stain, 99 + to sterilise, 31 + +Carbohydrate media, preparation of, 177 + +Carbolic acid as a germicide, 27, 481 + method of isolating coli-typhoid group, 437 + +Carbolised agar, 202 + bouillon, 202 + gelatine, 202 + +Carbon dioxide in cultures, test for, 289 + +Card index, 336, 402 + +Carrot media, 200 + +Cedarwood oil for immersion lens, 88 + +Cell wall of bacteria, 134 + +Celloidin sacs, manufacture of, 358 + +Cellular incubator, 216 + +Centrifugal machine for blood and serum work, 327 + for milk work, 447 + +Centrifugalised milk, 449 + +Centrigade degrees, conversion of, 494 + +Chemical products of bacteria, 145 + +China green agar (Werbitski), 207 + +Chloroform as an antiseptic, 27 + +Chromatic aberration, 56 + +Chromogenic bacteria, 131 + +Chromoparous bacteria, 144 + +Chromophorous bacteria, 144 + +Citrated blood agar, 191 + +Cladothrix, morphology, 193 + +Classification of bacteria, 131 + of fungi, 126 + +Clavate bacilli, 139 + +Clearing films with acetic acid, 82 + +Clostridium, 139 + +Coarse adjustment, 51 + +Cobweb micrometer, 66 + +Cocaine, 345 + +Cocci, morphology of, 131 + +Coccidium infection, 339 + +Coefficient, inferior lethal, 312 + of inhibition, 311 + phenol, 489 + superior lethal, 313 + +Cohn's solution, 191 + +Cold incubator, 217 + +Coli-typhoid group, differential table, 433 + in milk, 451 + in soil, 477 + isolation of, 432 + members of, 430 + +Collection of blood for bacteriological examination, 378 + for media making, 168 + of milk samples, 443 + of pathological material during life, 373 + of pus, 373 + of soil sample, 471 + of water samples, 416 + +Collodion capsules, 357 + sacs, manufacture of, 357 + +Colonies of bacteria, edges, 267 + +Coloured light, action of, 309 + +Columella, 127 + +Comparative haemocytology, 374 + +Complement, definition of, 325 + fixation test, 393 + +Concentration method in water, analysis, 434 + +Condenser achromatic, 54 + dark ground, 60 + paraboloid, 60 + substage, 54 + +Condidium, 128 + +Continuous sterilisation, 36 + +Contrast stains, 93 + +Corrosive sublimate (Lang), 82 + +Cotton-wool filter, 40 + +Counterstaining films, 84 + +Counting plate colonies, 423 + +Cover-slip films, 81 + to clean new, 22 + used, 24 + +Crates for test-tubes, 31 + +Cream, analysis of, 457 + qualitative analysis of, 458 + quantitative analysis of, 457 + +Crenothrix morphology, 133 + +Criteria of infection, 370 + +Criterion of immunity, 324 + +Cultural characters, macroscopical examination, 261 + +Culture flask, Guy's, 5 + Kolle, 4 + Roux, 5 + +Cuneate bacilli, 139 + +Cutaneous inoculation, 352 + + +Dark ground condenser, 60 + illumination, 87 + +Daughter cells, 129 + +Daylight, diffuse, action of, 308 + +Decimal scales, 340 + +Decolourising agents, 84 + +Definition of objective, 56 + +Depilatory powder, 346 + +Description of plate culture, 261 + +Descriptive terms, 261 + +Desiccation, effects of, 306 + table, 501 + +Desiccator, Mueller's, 307 + +Dextrose solution, preparation of, 178 + +Diaphragm, iris, 53 + +Diastatic enzymes, tests for, 278 + +Differential atmosphere cultivation, 257 + incubation, 255 + media, 255 + staining, 108 + sterilisation, 256 + +Diluting chamber, 248 + +Dilution by teat pipette, 383 + of serum, 382 + tables, 498 + +Dilutions, preparations of, 496 + +Diphtheria, bacillus of, in milk, 452 + +Diplobacilli, morphology of, 133 + +Diplococci, morphology of, 133 + +Diplococcus pneumoniae, immunisation against, 322 + +Discontinuous sterilisation, 36 + +Discs of plaster-of-Paris, 192 + +Disinfectants, action of, 310 + chemical, 27 + testing of, 480 + +Dissociating fluid, Price Jones; 400 + +Dosage of inoculum, 316 + +Double nosepiece, 58 + stains for spores, 106 + sugar agar (Russell), 207 + +Drop-bottle, 73 + +Dry heat, 28 + +Dunham's solution, 177 + +Dyes, aniline, 83 + + +Earthenware box for dirty slides, 70 + +Earthy salts agar (Lipman and Brown), 197 + +Edge of individual colonies, characters of, 267 + +Egg albumin agar, 213 + broth, (Lipschuetz), 213 + media (Dorset), preparation of, 174 + inspissated, 212 + (Lubenau), 209 + (Tarchanoff and Kolesnikoff), 212 + to clear nutrient media with, 166 + +Ehrlich's eyepiece, 55 + +Eikonometer, 65 + +Eisenberg's milk-rice medium, 189 + +Electric dental engine, 360 + signal clock, 38 + warm stage, 59 + +Elevation of colonies, 263 + +Eisner's gelatine, 204 + method of isolating coli: typhoid group, 438 + +Endogenous spores, 138 + varieties of, 139 + +Endo-germination, 139 + +English proof agar, Blaxall, 193 + +Enumerating colonies on plates, 423 + discs, Jeffer's, 424 + Pakes', 424 + +Enrichment method in water analysis, 427 + +Enumeration of micro-organisms, 423 + +Environmental conditions, 142 + +Enzyme production, investigation of, 277 + +Eosin, 93 + +Equatorial germination, 140 + +Erlenmeyer flask, 4 + +Ernstschen Koerner, 136 + +Esmarch's roll culture, 226 + water collecting bottle, 417 + +Estimation of reaction of media, 280 + +Ether flame, 28 + soluble acids, 284 + +Eucaine, 345 + +Exalting virulence of organisms, 320 + +Examination of milk, 441 + +Experimental infections, study of, during life, 370 + inoculation of animals, 332 + +Extracellular toxins, 144 + +Eyepiece, Ehrlich, 55 + _micrometer_, 63 + +Eyepieces, 55 + +Eye-shade, 57 + + +Fahrenheit degrees, conversion of, 495 + +Feeding experiments, 369 + +Fermentation reactions, 279 + tubes, 17 + +Field of objective, 56 + +Filar micrometer, 66 + +Filling tubes, etc., with medium, 160 + +Film preparations, 81 + fixing, 81 + making, 81 + mounting, 85 + staining, 83 + +Filter candle, closed, 47 + open, 43 + testing efficiency of, 478 + to disinfect, 28 + to sterilise, 29 + flask, 6 + papers, to fold, 156 + +Filters, cotton-wool, 40 + porcelain, 42 + testing of, 478 + +Filtration, 40 + by aspiration, 42 + of media, 156 + under pressure, 45 + +Fine adjustment, 51 + spindle head, 52 + +Fish, analysis of, 460 + bouillon, 190 + +Fish gelatine, 190 + gelatine-agar, 190 + +Fishing colonies, 253 + +Fission, reproduction by, 136 + +Fixation, 81 + by heat, 81 + of tissues, 114 + +Fixing fluids, for films, 82 + +Flagella, classification of bacilli by, 136 + to stain, 101 + +Flask Bohemian, 4 + Erlenmeyer, 4 + filter, 6 + Kitasato'a serum, 6 + Kolle's culture, 4 + +Flasks and test tubes, to plug, 24 + to clean dirty, 20 + new, 18 + to sterilise, 31 + +Fleischwasser, 148 + +Fluid cultures, description of, 271 + media, 146 + +Foot of microscope, 50 + +Formaldehyde in milk, Hehner's test for, 442 + +Formalin method of preserving cultures, 407 + tissues, 404 + +Fractional sterilisation, 33 + +Fraenkel and Voge's solution, 183 + +Fraenkel's earth borer, 472 + +Freezing method for sections, 115 + +French Mannite Agar (Sabouraud), 193 + proof agar (Sabouraud), 193 + +Fresh preparations of bacteria, 74 + +Friedlaender's capsule stain for sections, 123 + +Frost's mounting fluid, 406 + +Frozen sections, rapid method, 116 + +Fuchsin, 92 + agar (Braun), 205 + sulphite agar (Endo), 206 + + +Gas analysis, qualitative, 290 + quantitative, 290 + collecting apparatus, 291 + generators, 242 + production by bacteria, 289 + tubes for media, 161 + +Gasperini's solution, 193 + +Gelatin agar, 193 + preparation of, 164 + surface plates, 231 + +General anaesthetics, 345 + +Gentian violet, 91 + +German lined paper, 69 + +Germicides, 27 + testing power of, 480 + +Germination, 140 + +Geryk air-pump, 43 + +Glass apparatus in common use, 3 + to clean, 18 + +Glass-cutting knife, 8 + +Glucose formate agar (Kitasato), 180 + bouillon (Kitasato), 180 + gelatine (Kitasato), 180 + +Glycerinated potato, 209 + +Glycerine agar, 209 + blood-serum, 208 + bouillon, 209 + potato bouillon, 203 + broth, 203 + +Goadby's gelatine, 214 + +Gonidium, 128 + +Goniodophore, 128 + +Graduated capillary pipettes, 13 + pipettes, 6 + +Gram-Claudius' differential stain, 109 + +Gram's differential stain, 108 + +Gram-Weigert for sections, 121, 122 + +Gram-Weigert's differential stain, 109 + modified, 110 + +Grease pencils, 72 + +Grouping of bacteria for study, 410 + +Guarded trepine, 360 + +Guarniari's agar gelatine, 194 + +Guinea-pig cages, 343 + holder, 350 + +Gulland's solution, 82 + +Gum solution, preparation of, 116 + +Guy's culture bottle, 5 + +Gypsum blocks (Engel and Hansen), 192 + + +Haematin, 95 + +Haematocytometer, 248 + +Haematoxilin, 95 + +Haemolysin, definition of, 326 + preparation of, 327 + storage of, 331 + +Haemolytic serum, titration of, 328 + +Hanging-block culture (Hill), 235 + +Hanging-drop cultures, 233 + examination of, 86, 79 + preparation of, 78 + permanent staining of, 80 + slides, 70 + +Hardening tissues, 114 + +Haricot agar, 200 + bouillon, 200 + +Hay infusion, 200 + +Hearson's water bath, 299 + +Heat effect of, 299 + +Hehner's test, 442 + +Heiman's serum agar, 210 + +Hesse's anaerobic culture method, 237 + +Histological examination of blood, 373 + +Holder for guinea-pigs, 350 + +Hot air, 29 + steriliser, 30 + to use, 31 + incubator, 217 + +Hot-water funnel, 158 + +Human blood agar plates, 250 + +Huyghenian eyepiece, 55 + +Hydrogen, generating apparatus, 242 + in culture, test for, 289 + peroxide in milk, test for, 442 + +Hyphomycetes, morphology of, 126 + reproduction of, 126 + + +Ice-box, for water samples, 419 + +Ice cream, analysis of, 457 + +Illuminant for microscope, 67 + +Immune body, 393 + +Immunisation, methods of, 321 + +Imperial system, 492 + factors for converting, 493 + +Impression films, 85 + +Incubators, 216 + +Index cards, 336, 403 + +Indol, test for, 286 + +Infection, definition of, 370 + general observations during life, 371 + results of, 404 + +Influence of environment on bacterial growth, 142 + +Inhalation, fluid inoculum, 365 + powdered inoculum, 366 + +Inhibition coefficient, 310, 311 + +Inoculation card index, 336 + cutaneous, 352 + intracranial, 360 + intramuscular, 355 + intraocular, 362 + intraperitoneal, 355 + intrapulmonary, 363 + intravenous, 363 + of collodion capsules, 357 + subcutaneous, 353 + syringe, 344 + +Inoculum, character of, 346 + preparation of, 346 + +Inosite-free media--bouillon (Durham), 183 + +Inseparate toxins, 144 + +Intermittent sterilisation, 36 + +Intracellular toxins, 144 + +Intracerebral inoculation, 362 + +Intracranial inoculation, 360 + +Intragastric inoculation, large animals, 367 + Marks method, 367 + +Intramuscular inoculation, 355 + +Intraocular inoculation, 362 + +Intraperitoneal inoculation, 355 + +Intrapulmonary inoculation, 363 + +Intravenous inoculation, 363 + +In vacuo anaerobia cultures, 289 + +Invertin enzymes, tests for, 279 + +Involution forms, 137 + +Iodine solution, 108 + +Iron bouillon, 185 + peptone solution (Pakes), 185 + +Isolation by animal experiments, 258 + by differential atmosphere, 257 + incubation, 255 + media, 255 + sterilisation, 256 + by dilution, 248 + by plate cultures, 250 + subcultures, preparation of, 254 + + +Jeffer's counting disc, 424 + +Jenner's stain, 97 + +Jores' mounting fluid, 405 + + +Kaiserling fixing solution, 405 + +Kanthack's serum agar, 211 + +Killed cultivations, 318 + +Kipp's hydrogen apparatus, 242 + +Kitasato's serum flask, 6 + +Klebs-Loeffler bacillus in milk, 452 + +Koch's steam steriliser, 34 + +Kohle's culture flask, 4 + + +Lab enzymes, test for, 279 + +Laboratory animals, 335 + comparative haematocytology of, 374 + normal temperature, 372 + regulations, 1 + +Lactose litmus agar (Wurtz), 203 + bouillon, 203 + gelatine (Wurtz), 203 + +Lakmus Molke, 203 + +Lang's solution, 82 + +Lead bouillon, 185 + peptone solution, 186 + +Leishman's stain, 98 + for sections, 125 + +Lemco broth, 163 + +Leptothrix, morphology, 133 + +Lethal dose, minimal, 316 + +Leviditi's staining method, 124 + +Light, action of, 308 + +Liquefiable media, 147 + +Liquid soap, 346 + +Lithium carmine, 96 + +Litmus bouillon, 186 + gelatine, 202 + milk cultures, description of, 272 + preparation of, 172 + nutrose agar (Drigalski-Conradi), 205 + whey, 195 + agar, 196 + gelatine, 196 + (Petruschky), 195 + +Local anaesthetics, 345 + reaction to infection, 372 + +Locomotive movement, 80 + +Loeffler's capsule stain, 103 + serum, 208 + +Lophotrichous bacilli, 136 + +Lorrain Smith electric warm stage, 59 + serum, 208 + +Lugol's solution, to prepare, 108 + +Lysol, 27 + + +MacConkey's capsule stain, 99 + media, 180, 199, 205 + +MacCrorrie's capsule stain, 103 + +Macroscopical examination of cultures, 261 + +Malachite green agar (Loeffler), 207 + +Malt extract solution (Herschell), 196 + +Margin of individual colonies, 267 + +Martin's filtering apparatus, 320 + +Material for inoculation, 346 + +Mayer's albumin, 120 + +Mean phenol coefficient, 490 + +Measuring bacteria, 61 + +Meat, bacteriological analysis of, 460 + extract preparation of, 148 + reaction of, 149 + +Mechanical separation of bacteria, 249 + stage, 52 + +Media, filtration of, 156 + preparation of, 163 + aerobic culture, 222 + aesculin agar, 204 + agar-agar, 167 + agar gelatine (Guarniari), 194 + +Media, preparation of anaerobic culture, 180 + animal tissue (Frugoni), 210 + ascitic bouillon, 210 + fluid agar (Wassermann), 213 + asparagin (Fraenkel and Voge's), 183 + (Uschinsky), 183 + beer wort, 175 + beetroot, 200 + Beyrinck's solution I, 197 + II, 198 + bile salt agar (MacConkey), 205 + broth (MacConkey), 180 + double strength, 199 + blood agar (Washbourn), 214 + blood-serum, 168 + (Councilman and Mallory), 208 + (Loeffler), 208 + (Lorrain Smith), 208 + bouillon, 163 + bread paste, 193 + brilliant green agar (Conradi), 206 + bile salt agar (Fawcus), 206 + Capaldi-Proskauer, No. I, 186 + No. II, 187 + carbohydrate, 177 + carbolised agar, 202 + bouillon, 202 + gelatine, 202 + carrot, 200 + China green agar (Werbitski), 207 + citrated blood agar, 171 + Cohn's solution, 191 + dextrose solution, 178 + double sugar agar (Russell), 207 + earthy salt agar (Lipman and Brown), 197 + egg Dorset, 174 + Lubenau, 209 + egg-albumen, inspissated, 212 + (Tarchanoff and Kolesnikoff), 212 + egg-albumin agar, 213 + broth (Lipschuetz), 213 + English proof agar (Blaxall), 193 + fish bouillon, 190 + gelatine, 190 + agar, 190 + fluid, 146 + French mannite agar (Sabouraud), 193 + +Media, preparation of French proof agar (Sabouraud), 193 + Fuchsin agar (Braun), 205 + sulphite agar (Endo), 206 + gelatine, 193 + agar, 193 + glucose formate agar (Kitasato), 180 + bouillon (Kitasato), 180 + gelatine (Kitasato), 180 + glycerinated broth, 209 + potato, 209 + glycerine agar, 209 + blood-serum, 208, 209 + bouillon, 209 + potato bouillon, 203 + gypsum blocks (Engel and Hansen), 192 + haricot agar, 200 + bouillon, 200 + hay infusion, 200 + inosite free-bouillon (Durham), 183 + iron bouillon, 185 + peptone solution (Pakes), 185 + lactose litmus agar (Wurtz), 203 + bouillon, 203 + gelatine (Wurtz), 203 + lakmus molke, 203 + lead bouillon, 185 + peptone solution, 186 + lemco broth, 163 + liquefiable, 147 + litmus bouillon, 186 + gelatine, 202 + milk, 172 + nutrose agar (Drigalski-Conradi), 205 + whey, 195 + agar, 196 + gelatine, 196 + (Petruschky), 195 + malachite green agar (Loeffler), 207 + malt extract solution (Herschell), 196 + milk, 172 + rice (Eisenberg), 189 + (Soyka), 189 + Naegeli's solution, 191 + Naehrstoff agar (Hesse and Niedner), 199 + neutral litmus solution, 179 + nitrate bouillon, 185 + peptone solution (Pakes), 186 + nutrient, 146 + agar-agar, 167 + +Media, preparation of nutrient bouillon, 163 + gelatine, 164 + nutrose agar (Eyre), 172 + oleic acid agar (Fleming), 201 + Omeliansky's nutrient fluid, 189 + Parietti's bouillon, 202 + parsnip, 200 + Pasteur's solution, 191 + peptone rosolic acid water, 186 + water (Dunham), 177 + plaster-of-Paris discs, 192 + potato, 174 + gelatine (Elsner), 204 + (Goadby), 214 + proteid free broth (Uschinsky), 183 + rosolic acid peptone solutions, 186 + serum, bouillon, 210 + dextrose water, (Hiss), 188 + sugar, (Hiss), 188 + water, 170 + serum-agar (Heiman), 210 + (Kanthack and Stevens), 211 + (Libman), 212 + (Wertheimer), 211 + silicate jelly (Winogradsky), 198 + solid, 147 + special, 182 + stock nutrient, 163 + sugar, 177 + agar, 185 + (dextrose) bouillon, 184 + gelatine, 184 + sulphindigotate agar, 181 + bouillon (Weyl), 181 + gelatine (Weyl), 181 + tissue (Noguchi), 214 + turnip, 200 + urine agar, 188 + bouillon, 187 + gelatine, 187 + (Heller), 188 + wheat bouillon (Gasperini), 193 + whey agar, 195 + gelatine, 195 + wine must, 192 + Winogradsky's solution (for nitric organisms), 198 + (for nitrous organisms), 198 + wood ash agar, 201 + wort agar, 176 + gelatine, 176 + +Media, preparation of yeast water (Pasteur), 191 + standardisation of, 154 + storage of, in bulk, 159 + storing tubes of, 161 + sore boxes, 162 + titration of, 150 + tubing of nutrient, 160 + +Merismopedia, morphology of, 132 + +Mesophilic bacteria, 143 + pathogenic effects, 315 + +Metabolic end-products, 145 + +Metachromatic granules, 136 + +Metal instruments, to sterilise, 28 + +Metatrophic bacteria, 131 + +Methods of cultivation, 221 + of identification of bacteria, 259 + of inoculation, 352 + of isolation, 248 + of sterilisation, 26 + +Methylene-blue, 90 + +Metric system, 492 + factors for converting, 493 + +Meyer's carmine, 96 + +Microbes of indication, 426 + +Micrococci, morphology, 132 + +Micrococcus, melitensis in milk, 456 + +Micrometer, filar, 66 + net, 63 + ocular, 63 + stage, 62 + +Micrometry, methods of, 61 + +Micron, 61 + +Microscope, 49 + +Microscopical examination of bacteria, 86 + stained, 88 + unstained, 86 + observations of cultures, 272 + +Milk, analysis of, qualitative, 446 + quantitative, 444 + condensed, analysis of, 444 + media, 193 + preparation of, 172 + rice (Eisenberg), 193 + (Soyka), 189 + samples, collection of, 443 + sedimenting tubes, 449 + +Minimal lethal dose, 316 + +Mirror for microscope, 55 + +Moeller's stain for spores, 107 + +Moist heat, 32 + +Molecular movement, 79 + +Monotrichous bacilli, 136 + +Motility, examination for, 79 + true, 80 + +Moulds, examination of, 126 + for paraffin imbedding, 117, 119 + +Mounting film preparations, 85 + paraffin sections, 119 + +Mouse cages, 342 + holder, 351 + scales, 341 + +Mucor mucedo, 126 + +Mucorinae, 126 + +Mueller's desiccator, 307 + +Muffle furnace, 28 + +Muirs's capsule stain, 100 + flagella stain, 101 + +Museum preparations of bacteria, 407 + of tissues, 404 + sealing of, 406 + +Mycelium, 126 + +Mycoprotein, 135 + + +Naegeli's solution, 191 + +Naehrstoff agar (Hesse and Niedner), 199 + +Naked flame, 28 + +Neisser's stain modified, 111 + +Net micrometer, 63 + +Neutral litmus solution, preparation of, 179 + red, 94 + +Nitrate bouillon, 185 + peptone solution (Pakes), 186 + +Nitric organisms in soil, 478 + +Nitrosoindol reaction, 287 + +Nitrous organisms in soil, 477 + +Normal averages (_t.p.r._), 372 + serum, 375 + +Nosepiece, 57 + double, 58 + triple, 58 + +Navy's anaerobic method, 244 + jars, 245 + +Nuclei, to stain, 105 + +Nucleus of bacteria, 135 + +Numerical aperture, 56 + +Nutrient media, 146 + +Nutrose agar (Eyre), preparation of, 172 + + +Object marker, 61 + +Objectives, 55 + +Oblique tube cultures, 223 + +Ocular micrometer, 63 + +Oculars, 55 + +Oese, platinum, 71 + +Oidium, 128 + +Oil of garlic, 27 + of mustard, 27 + +Oleic acid agar (Fleming), 201 + +Omeliansky's nutrient fluid, 189 + +Operation tables (Eyre's), 352 + (Tatin's), 351 + +Opsonic index, 393 + +Opsonic index, determination of, 390 + +Opsonin, 387 + +Optical characters of colonies, 267 + +Optimum reaction of medium, determination of, 305 + temperature, determination of, 298 + +Organisms of suppuration, 409 + +Orsat-Lunge gas apparatus, 292 + +Orth's carmine, 96 + +Oxford stain for Actinomyces, 112 + +Oysters, analysis of, 463 + + +Pakes' counting disc, 424 + filter reservoir, 45 + +Papier chardin, 158 + +Pappenheim's stain, 111 + +Paraboloid condenser, 60 + +Parachromophorous bacteria, 144 + +Paraffin method for sections, 117 + sections, mounting of, 119 + to stain, 121 + +Paratrophic bacteria, 131 + +Parietti's bouillon, 202 + method of isolating coli-typhoid group, 437 + +Parsnip medium, 200 + +Passages of virus, 320 + +Pasteur-Chamberland filter, 42 + +Pasteur's pipettes, 10 + solution, 191 + +Pathogenesis, investigation of, 315 + +Pathogenic bacteria, 131 + study of, 408 + +Pediococci, morphology of, 132 + +Penicillium, 128 + +Peptone rosolic acid water, 186 + water (Dunham), preparation of, 177 + +Percentage formula, 496 + +Perchloride of mercury, 27 + +Perisporaceae, 127 + +Peritrichous bacilli, 136 + +Permanent preparations of bacteria, 407 + of tissues, 404 + +Petri's dishes, 6 + +Phagocytic index, 392 + +Phenol coefficient, 489 + production, test for, 287 + +Photogenic bacteria, 131, 144 + +Physiological filter, 156 + +Picric acid solution, 121 + (Spengler's), 112 + +Picrocarmine, 97 + +Pigment production, observations on, 288 + +Pipettes, automatic, 13 + blood, 11 + capillary, 10 + cases for, 7 + graduated, 6 + capillary, 13 + Pasteur's, 10 + sedimentation, 16 + standard graduated, 7 + teat, 10 + throttle, 13 + to clean infected, 20 + new, 18 + to sterilise, 31 + +Piridin method of staining spirochaetes, 124 + +Pitfield's flagella stain, 103 + +Plasmolysis, 135 + +Plaster-of-Paris discs, 192 + +Plate box, 7 + cultures, description of, 261 + preparation of, 226 + levelling stand, 228 + +Plates, Petri's, 6 + to clean infected, 20 + new, 18 + to sterilise, 31 + +Platinum needles, 71 + method of mounting, 71 + +Pleomorphism, 133 + +Polar germination, 140 + granules, 136 + +Polkoerner, 136 + +Polychrome blood stains, 97 + +Pooled serum, 379 + +Porcelain filter, 42 + Berkefeld, 42 + Chamberland, 42 + Doulton, 42 + +Post-mortem examination of experimental animals, 396 + +Potato gelatine (Eisner), 204 + (Goadby), 214 + medium, preparation of, 174 + +Potted meat, analysis of, 460 + +Pouring plates, 227 + +Preparation of experimental animals, 335 + +Preservatives in milk, 442 + +Pressure temperature table, 500 + +Primary colours, action of, 309 + +Proteid free broth (Uschinsky), 183 + +Proteolytic enzymes, tests for, 277 + +Prototrophic bacteria, 131 + +Psychrophilic bacteria, 143 + pathogenic effects, 315 + +Pus, collection of, 373 + +Pyrogallic acid solution, 293 + + +Qualitative analysis of air, 470 + of milk, 446 + of sewage, 467 + of soil, 476 + of unsound meat, 462 + of water, 426 + +Quantitative analysis of air, 468 + of milk, 444 + of sewage, 466 + of soil, 473 + of unsound meat, 460 + + +Rabbit cages, 343 + scabies, treatment of, 338 + scales, 340 + +Raising virulence of organisms, 320 + +Ramsden's micrometer, 66 + +Range of medium reaction, measurement of, 305 + of temperature, measurement of, 298 + +Rat cages, 342 + +Raw milk, Saul's test for, 442 + +Reaction of medium, 305 + optimum, 305 + range of, 305 + scale, 153 + +Reduced pressure and temperature table, 501 + +Reducing agents, production, 389 + tests for, 289 + +Reduction of nitrates, 389 + +Reichert's thermo-regulator, 218 + +Relation of bacteria to environment, 142 + +Removal of material from culture tubes, 74 + +Rennin enzymes, tests for, 279 + +Reproduction of bacteria, 136 + +Resistance glass, 6 + to lethal agents, 306 + +Resting stage of bacteria, 137 + +Restrictions upon experimental inoculations, 334 + +Ribbert's capsule stain, 101 + +Roll cultures, 226 + +Rosolic acid peptone solution, 186 + +Rosindol reaction, 286 + +Roux's anaerobic culture method, 237 + culture bottle, 5 + + +Sabouraud's medium, 193 + +Saccharomyces, morphology of, 129 + +Safranine, 94 + +Salicylic acid in milk, test for, 443 + +Saprogenic bacteria, 131 + +Sarcinae, morphology of, 132 + +Saul's test, 442 + +Scales, decimal, 340 + trip, 164 + +Scalpels, to sterilise, 32, 33 + +Schallibaum's solution, 121 + +Scheme for study of bacteria, 259 + +Schizomycetes, classification of, 131 + morphology of, 131 + +Scissors, to sterilise, 32 + +Sealing museum jars, 406 + +Searing iron, 397 + +Sections, special staining methods for, 121 + +Sedimentation pipettes, 16 + tubes, 9 + +Selecting objectives, 57 + +Sensitising red blood cells, 395 + +Serial cultivations, 251 + +Serological examination of blood, 378 + +Serum agar (Heiman), 210 + (Kanthack and Stevens), 211 + (Libman), 212 + plates, 250 + (Wertheimer), 211 + bouillon, 210 + collection of, 379 + dextrose water (Hiss), 188 + inspissator, 169 + sugar media (Hiss), 188 + water, preparation of, 170 + +Sewage, analysis of, qualitative, 467 + quantitative, 466 + +Shake cultivations, 225 + description of, 271 + +Shape of colonies, 262 + +Shaving experimental animals, 349 + +Shellfish, analysis of, 463 + +Silicate jelly (Winogradsky), 198 + +Single stain for spores, 106 + +Size of colonies, 262 + +Slanted tube cultures, 223 + +Slides, to clean new, 22 + used, 23 + +Smear culture, 224 + description of, 268 + +Soap liquid, 346 + +Soda solution, storage of stock, 154 + +Sodium bicarbonate in milk, test for, 443 + +Soil, analysis of, qualitative, 476 + quantitative, 473 + collection of samples, 471 + +Solid media, 147 + +Soluble toxins, 144 + +Soyka's milk rice, 189 + +Spear-headed spatula, 402 + +Special media, 182 + +Specific serum, 379 + dilution of, 382 + +Spherical aberration, 55 + +Spirillum, morphology of, 133 + +Spirochaeta, morphology of, 133 + +Spirochaetes in tissues, to stain, 124 + +Spleen extract, 149 + +Sporangium, 127 + +Spore formation, arthrogenous, 138 + endogenous, 138 + method of, 138, 273 + germination, method of, 140, 274 + observation of, 140, 273 + +Spores, characters of, 139 + classification of, 139 + double stain for, 106 + to stain, 106 + +Stab culture, 224 + description of, 265 + +Stage micrometer, 62 + of microscope, 52 + +Staining methods, 90 + paraffin sections, 121 + reactions of bacteria, 274 + +Stains intra-vitam, 77 + negative (Burri), 77 + rack for, 72 + +Standard graduated pipettes, 7 + soda solution, 154 + +Standardisation of media, 154 + +Standardising bouillon, 155 + +Staphylococci, morphology, 132 + +Staphylococcus in milk, 456 + +Steam steriliser, Arnold, 35 + Koch, 35 + to use, 35 + streaming, 35 + +Sterigma, 127 + +Sterilisation by chemicals, 27 + by dry heat, 28 + by filters, 40 + by moist heat, 32 + by streaming steam, 35 + by superheated steam, 36 + of albuminous liquids, 32 + of gases, 40 + +Sterilising agents, 26 + +Stichcultur, 224 + +Stock dilutions, 497 + nutrient media, 163 + plate for isolation work, 253 + +Storage of media in bulk, 159 + of tubed media, 161 + +Store boxes for media, 161 + +Streak culture, 224 + description of, 268 + +Streaming movement, 80 + steam, 35 + +Streptobacilli, morphology, 133 + +Streptococci in soil, 477 + in water, detection of, 432 + morphology of, 132 + +Streptococcus pyogenes longus in milk, 455 + +Streptothrix, morphology of, 133 + +Strichcultur, 223 + +Structure, internal, of colonies, 265 + +Study of pathogenic bacteria, 408 + +Subcutaneous inoculation, 353 + +Subdural inoculation, 361 + +Substage condenser, 54 + +Sugar agar, 185 + dextrose bouillon, 184 + gelatine, 184 + media, preparation of, 177 + +Sulphindigotate agar, 181 + bouillon (Weyl), 181 + gelatine (Weyl), 181 + +Sulphuretted hydrogen in cultures, test for, 290 + +Sunlight, action of, 309 + +Superheated steam, 36 + +Superior lethal coefficient, 310, 313 + +Suppuration, organisms of, 409 + +Surface characters of colonies, 264 + plates, 230 + +Surgical motor, electric, 360 + +Swarm spores, 127 + +Syringe for subcutaneous inoculation of solid material, 354 + hypodermic, 344 + + +Tatin's operating table, 351 + +Taxonomy, 262 + +Teat-pipettes, 10 + +Temperature, action of, 299 + optimum, 298 + pressure table, 500 + range, 298 + taking, 340 + +Test objects for objectives, 57 + +Testing filters, 478 + +Test-tubes, 3 + to clean infected, 19 + new, 18 + to plug, 24 + to sterilise, 31 + +Tetracocci, morphology of, 132 + +Thermal death-point, 143 + determination of, 298 + of spores, 301, 304 + of vegetative forms, 298, 303 + +Thermophilic bacteria, 143 + +Thermo-regulators, Hearson's capsule, 218 + Reichert's, 218 + +Thionine blue, 92 + +Thiothrix, morphology of, 133 + +Thresh's water collecting bottle, 418 + +Throttle pipettes, 13 + +Tinned meat, analysis of, 460 + +Tissue medium (Noguchi), 214 + stains, 95 + +Tissues for sectioning, fixing, 114 + freezing, 116 + hardening, 114 + imbedding, 118 + preparation of, 114 + washing, 115 + +Titration of media, 150 + +Torulae, differentiation from saccharomyces, 130 + +Total acidity, 280 + +Toxins, testing of, 318 + +Trephines, 360 + +Triple nosepiece, 58 + +True motility, 80 + +Tube cultures, preparation of, 222 + length, 50 + +Tubercle bacillus in milk, 453 + to stain, 110, 124 + +Tuberculous guinea-pig, cadaver of, 454 + +Tubing nutrient media, 160 + +Turnip media, 200 + + +Unna-Pappenheim's stain for sections, 123 + +Unsound meat, analysis of, 460 + +Urine agar, 188 + gelatine, 187 + (Heller), 188 + media bouillon, 187 + +Uschinsky's solution, 183 + + +Valency of specific sera, 386 + +Van Ermengem's flagella stain, 104 + +Vegetative stage of bacteria, 136 + +Vesuvin, 94 + +Vibrio cholerae in milk, 452 + in water, 439 + morphology of, 133 + +Virulence, attenuating, 321 + of organisms, 320 + raising, 320 + +Vivisection license, 334 + +Voges holder, 350 + +Volatile oils as disinfectants, 27 + + +Warm stage, 58 + +Washing red blood cells, 388 + tissues, 115 + +Water, analysis of, qualitative, 426 + quantitative, 416 + steriliser, 33 + +Weighing animals, 340 + +Welch's capsule stain, 101 + +Wertheimer's serum agar, 211 + +Wheat bouillon (Gasperini), 193 + +Whey agar, 195 + gelatine, 195 + +Wine must, 192 + +Winogradsky's solution I, 198 + II, 198 + +Wire crates for test-tubes, 31 + +Wood ash agar, 201 + +Working up plates, 252 + +Wort agar, 176 + gelatine, 176 + +Wright's anaerobic method, 239 + + +Yeast water (Pasteur), 191 + + +Ziehl-Neelsen's stain, 110 + +Zoogloea, 134 + +Zymogenic bacteria, 131 + + + + +SAUNDERS' BOOKS + +on + +Pathology, Physiology + +Histology, Embryology + +Bacteriology, Biology + + * * * * * + + W. 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Cloth, +$5.50 net; Half Morocco, $7.00 net. + +~REPRINTED IN THREE MONTHS~ + + Dr. Mallory here presents _pathology_ from the morphologic + point of view. He presents his subject biologically, first + by ascertaining the cellular elements out of which the + various lesions are built up; then he traces the development + of the lesions from the simplest to the most complex. He so + presents pathology that you are able to trace backward from + any given end-result, such as sclerosis of an organ + (cirrhosis of the liver, for example), through all the + various acute lesions that may terminate in that particular + end-result to the primal _cause_ of the lesion. The + _illustrations_ are most beautiful. + +~Dr. W. G. MacCallum~, _Columbia University_ + + "I have looked over the book and think the plan is admirably + carried out and that the book supplies a need we have felt + very much. 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Illustrations have + been most freely used. + +~The Lancet, London~ + + "This is one of the best recent text-books on physiology, + and we warmly commend it to the attention of students who + desire to obtain by reading a general, all-round, yet + concise survey of the scope, facts, theories, and + speculations that make up its subject matter." + + +Mallory _and_ Wright's Pathologic Technique + +~Fifth Edition~ + +~Pathologic Technique.~ A Practical Manual for Workers in Pathologic +Histology, including Directions for the Performance of Autopsies and for +Clinical Diagnosis by Laboratory Methods. By FRANK B. MALLORY, M. D., +Associate Professor of Pathology, Harvard University; and JAMES H. +WRIGHT, M. D., Director of the Pathologic Laboratory, Massachusetts +General Hospital. Octavo of 500 pages, with 152 illustrations. Cloth, +$3.00 net. + + In revising the book for the new edition the authors have + kept in view the needs of the laboratory worker, whether + student, practitioner, or pathologist, for a practical + manual of histologic and bacteriologic methods in the study + of pathologic material. Many parts have been rewritten, many + new methods have been added, and the number of illustrations + has been considerably increased. + +~Boston Medical and Surgical Journal~ + + "This manual, since its first appearance, has been + recognized as the standard guide in pathological technique, + and has become well-nigh indispensable to the laboratory + worker." + + * * * * * + +Eyre's Bacteriologic Technic + +~Bacteriologic Technic.~ A Laboratory Guide for the Medical, Dental, and +Technical Student. By J. W. H. EYRE, M. D., F. R. S. Edin., Director of +the Bacteriologic Department of Guy's Hospital, London. Octavo of 520 +pages, 219 illustrations. Cloth, $3.00 net. + +~JUST READY--NEW (2d) EDITION, REWRITTEN~ + + Dr. Eyre has subjected his work to a most searching + revision. Indeed, so thorough was his revision that the + entire book, enlarged by some 150 pages and 50 + illustrations, had to be reset from cover to cover. He has + included all the latest technic in every division of the + subject. His thoroughness, his accuracy, his attention to + detail make his work an important one. He gives clearly the + technic for the bacteriologic examination of water, sewage, + air, soil, milk and its products, meats, etc. And he gives + you good technic--methods attested by his own large + experience. To any one interested in this line of endeavor + the new edition of Dr. Eyre's work is indispensable. The + illustrations are as practical as the text. + + +McFarland's Pathology + +~A Text-Book of Pathology.~ By JOSEPH MCFARLAND, M. D., Professor of +Pathology and Bacteriology in the Medico-Chirurgical College of +Philadelphia. Octavo of 856 pages, with 437 illustrations, many in +colors. Cloth, $5.00 net; Half Morocco, $6.50 net. + +~THE NEW (2d) EDITION~ + + You cannot successfully treat disease unless you have a + practical, _clinical_ knowledge of the pathologic changes + produced by disease. For this purpose Dr. McFarland's work + is well fitted. It was written with just such an end in + view--to furnish a ready means of acquiring a thorough + training in the subject, a training such as would be of + daily help in your practice. For this edition every page has + been gone over most carefully, correcting, omitting the + obsolete, and adding the new. Some sections have been + entirely rewritten. You will find it a book well worth + consulting, for it is the work of an authority. + +~St. Paul Medical Journal~ + + "It is safe to say that there are few who are better + qualified to give a resume of the modern views on this + subject than McFarland. The subject-matter is thoroughly up + to date." + +~Boston Medical and Surgical Journal~ + + "It contains a great mass of well-classified facts. One of + the best sections is that on the special pathology of the + blood." + + * * * * * + +McFarland's Biology: Medical and General + +~Biology: Medical and General~--By JOSEPH MCFARLAND, M. D., Professor of +Pathology and Bacteriology in the Medico-Chirurgical College of Phila. +12mo, 457 pages, 160 illustrations. Cloth, $1.75 net. + +~JUST READY--NEW (2d) EDITION~ + + This work is both a _general_ and _medical_ biology. The + former because it discusses the peculiar nature and + reactions of living substance generally; the latter because + particular emphasis is laid on those subjects of special + interest and value in the study and practice of medicine. + The illustrations will be found of great assistance. + +~Frederic P. Gorham, A. M.~, _Brown University_. + + "I am greatly pleased with it. Perhaps the highest praise + which I can give the book is to say that it more nearly + approaches the course I am now giving in general biology + than any other work." + + +McFarland's Pathogenic Bacteria and Protozoa + +~Pathogenic Bacteria and Protozoa.~ By JOSEPH MCFARLAND, M. D., Professor +of Pathology and Bacteriology in the Medico-Chirurgical College of +Philadelphia. Octavo of 878 pages, finely illustrated. Cloth, $3.50 net. + +~NEW (7th) EDITION, ENLARGED~ + + Dr. McFarland has subjected his book to a most vigorous + revision, bringing this edition right down to the minute. + Important new additions have increased it in size some 180 + pages. By far the most important addition is the inclusion + of an entirely new section on _Pathogenic Protozoa_. This + section considers every protozoan pathogenic to man; and in + that same clean-cut, definite way that won for McFarland's + work a place in the very front of medical bacteriologies. + The illustrations are the best the world affords, and are + beautifully executed. + +~H. B. Anderson, M. D.~, _Professor of Pathology and Bacteriology, Trinity +Medical College, Toronto._ + + "The book is a satisfactory one, and I shall take pleasure + in recommending it to the students of Trinity College." + +~The Lancet, London~ + + "It is excellently adapted for the medical students and + practitioners for whom it is avowedly written.... The + descriptions given are accurate and readable." + + * * * * * + +Hill's Histology and Organography + +~A Manual of Histology and Organography.~ By CHARLES HILL, M. D., formerly +Assistant Professor of Histology and Embryology, Northwestern +University, Chicago. 12mo of 468 pages, 337 illustrations. Flexible +leather, $2.00 net. + +~THE NEW (2d) EDITION~ + + Dr. Hill's work is characterized by a completeness of + discussion rarely met in a book of this size. Particular + consideration is given the mouth and teeth. + +~Pennsylvania Medical Journal~ + + "It is arranged in such a manner as to be easy of access and + comprehension. To any contemplating the study of histology + and organography we would commend this work." + + * * * * * + + GET THE NEW + THE BEST STANDARD + American + Illustrated Dictionary + +~New (7th) Edition--5000 Sold in Two Months~ + +~The American Illustrated Medical Dictionary.~ A new and complete +dictionary of the terms used in Medicine, Surgery, Dentistry, Pharmacy, +Chemistry, Veterinary Science, Nursing, and kindred branches; with over +100 new and elaborate tables and many handsome illustrations. By W. A. +NEWMAN DORLAND, M.D., Editor of "The American Pocket Medical +Dictionary." Large octavo, 1107 pages, bound in full flexible leather. +Price, $4.50 net; with thumb index, $5.00 net. + +~IT DEFINES ALL THE NEW WORDS--IT IS UP TO DATE~ + + The American Illustrated Medical Dictionary defines hundreds + of the newest terms not defined in any other dictionary--bar + none. These new terms are live, active words, taken right + from modern medical literature. + + It gives the capitalization and pronunciation of all words. + It makes a feature of the derivation or etymology of the + words. In some dictionaries the etymology occupies only a + secondary place, in many cases no derivation being given at + all. In the American Illustrated practically every word is + given its derivation. + + Every word has a separate paragraph, thus making it easy to + find a word quickly. + + The tables of arteries, muscles, nerves, veins, etc., are of + the greatest help in assembling anatomic facts. In them are + classified for quick study all the necessary information + about the various structures. + + Every word is given its definition--a definition that + _defines_ in the fewest possible words. In some dictionaries + hundreds of words are not defined at all, referring the + reader to some other source for the information he wants at + once. + +~Howard A, Kelly, M. D.~, _Johns Hopkins University, Baltimore._ + + "The American Illustrated Dictionary is admirable. It is so + well gotten up and of such convenient size. No errors have + been found in my use of it." + +~J. Collins Warren, M. D., LL.D., F.R.C.S. (Hon.)~, _Harvard Medical +School_ + + "I regard it as a valuable aid to my medical literary work. + It is very complete and of convenient size to handle + comfortably. I use it in preference to any other." + + * * * * * + +Stengel's Text-Book of Pathology + +~Fifth Edition~ + +~A Text-Book of Pathology.~ By ALFRED STENGEL, M. D., Professor of +Medicine in the University of Pennsylvania. Octavo volume of 979 pages, +with 400 text-illustrations, many in colors, and 7 full-page colored +plates. Cloth, $5.00 net; Sheep or Half Morocco, $6.50 net. + +~WITH 400 TEXT-CUTS, MANY IN COLORS, AND 7 COLORED PLATES~ + + In this work the practical application of pathologic facts + to clinical medicine is considered more fully than is + customary in works on pathology. While the subject of + pathology is treated in the broadest way consistent with the + size of the book, an effort has been made to present the + subject from the point of view of the clinician. In the + second part of the work the pathology of individual organs + and tissues is treated systematically and quite fully under + subheadings that clearly indicate the subject-matter to be + found on each page. In this edition the section dealing with + General Pathology has been most extensively revised, several + of the important chapters having been practically rewritten. + +~The Lancet, London~ + + "This volume is intended to present the subject of pathology + in as practical a form as possible, and more especially from + the point of view of the 'clinical pathologist.' These + objects have been faithfully carried out, and a valuable + text-book is the result. We can most favorably recommend it + to our readers as a thoroughly practical work on clinical + pathology." + + * * * * * + +Stiles' Nutritional Physiology + +~Nutritional Physiology.~ By PERCY GOLDTHWAIT STILES, Assistant Professor +of Physiology at Simmons College, Boston. 12mo of 295 pages, +illustrated. Cloth, $1.25 net. + +~ILLUSTRATED~ + + This new work expresses the most advanced views on this + important subject. It discusses in a concise way the + processes of digestion and metabolism. The key-word of the + book throughout is "energy"--its source and its + conservation. + + "It is remarkable for the fineness of its diction and for + its clear presentation of the subject, relieved here and + there by a quaintly humorous turn of phrase that is + altogether delightful."--_Colin C. Stewart, Ph. D., + Dartmouth College._ + + * * * * * + +Jordan's General Bacteriology + +~A Text-Book of General Bacteriology.~ By EDWIN O. JORDAN, PH.D., +Professor of Bacteriology in the University of Chicago and in Rush +Medical College. Octavo of 623 pages, illustrated. Cloth, $3.00 net. + +~NEW (3d) EDITION~ + + Professor Jordan's work embraces the entire field of + bacteriology, the non-pathogenic as well as the pathogenic + bacteria being considered, giving greater emphasis, of + course, to the latter. There are extensive chapters on + methods of studying bacteria, including staining, + biochemical tests, cultures, etc.; on the development and + composition of bacteria; on enzymes and + fermentation-products; on the bacterial production of + pigment, acid and alkali; and on ptomaines and toxins. + Especially complete is the presentation of the serum + treatment of gonorrhea, diphtheria, dysentery, and tetanus. + The relation of bovine to human tuberculosis and the ocular + tuberculin reaction receive extensive consideration. + + This work will also appeal to academic and scientific + students. It contains chapters on the bacteriology of + plants, milk and milk-products, air, agriculture, water, + food preservatives, the processes of leather tanning, + tobacco curing, and vinegar making; the relation of + bacteriology to household administration and to sanitary + engineering, etc. + +~Prof. Severance Burrage~, _Associate Professor of Sanitary Science, +Purdue University._ + + "I am much impressed with the completeness and accuracy of + the book. It certainly covers the ground more completely + than any other American book that I have seen." + + * * * * * + +Buchanan's Veterinary Bacteriology + +~Veterinary Bacteriology.~ By ROBERT E. BUCHANAN, PH.D., Professor of +Bacteriology in the Iowa State College of Agriculture and Mechanic Arts. +Octavo, 516 pages, 214 illustrations. Cloth, $3.00 net. + +~THE BEST PUBLISHED~ + + Professor Buchanan discusses thoroughly all bacteria causing + diseases of the domestic animals. He goes minutely into the + consideration of immunity, opsonic index, reproduction, + sterilization, antiseptics, biochemic tests, culture-media, + isolation of cultures, the manufacture of the various + toxins, antitoxins, tuberculins, and vaccines that have + proved of diagnostic or therapeutic value. Then, in addition + to bacteria and protozoa proper, he considers molds, + mildews, smuts, rusts, toadstools, puff-balls, and the other + fungi pathogenic for animals. + +~B. F. Kaupp, D. V. S.~, _State Agricultural College, Fort Collins._ + + "It is the best in print on the subject. What pleases me + most is that it contains all the late results of research. + It fills a long felt want." + + +Heisler's Embryology + +~A Text-Book of Embryology.~ By JOHN C. HEISLER, M.D., Professor of +Anatomy in the Medico-Chirurgical College, Philadelphia. Octavo volume +of 435 pages, with 212 illustrations, 32 of them in colors. Cloth, $3.00 +net. + +~THIRD EDITION--WITH 212 ILLUSTRATIONS, 32 IN COLORS~ + +This edition represents all the advances recently made in the science of +embryology. Many portions have been entirely rewritten, and a great deal +of new and important matter added. A number of new illustrations have +also been introduced and these will prove very valuable. Heisler's +Embryology has become a standard work. + +~G. Carl Huber, M.D.~, _Professor of Embryology at the Wistar Institute, +University of Pennsylania._ + + "I find this edition of 'A Text-Book of Embryology,' by Dr. + Heisler, an improvement on the former one. The figures added + increase greatly the value of the work. I am again + recommending it to our students." + + * * * * * + +Boehm, Davidoff, _and_ Huber's Histology + +~A Text-Book of Human Histology.~ Including Microscopic Technic. By DR. A. +A. BOEHM and DR. M. VON DAVIDOFF, of Munich, and G. CARL HUBER, M.D., +Professor of Embryology at the Wistar Institute, University of +Pennsylvania. Handsome octavo of 528 pages, with 361 beautiful original +illustrations. Flexible cloth, $3.50 net. + +~SECOND EDITION, ENLARGED~ + + The work of Drs. Boehm and Davidoff is well known in the + German edition, and has been considered one of the most + practically useful books on the subject of Human Histology. + This second edition has been in great part rewritten and + very much enlarged by Dr. Huber, who has also added over one + hundred original illustrations. Dr. Huber's extensive + additions have rendered the work the most complete students' + text-book on Histology in existence. + +~Boston Medical and Surgical Journal~ + + "Is unquestionably a text-book of the first rank, having + been carefully written by thorough masters of the subject, + and in certain directions it is much superior to any other + histological manual." + + * * * * * + +Wells' Chemical Pathology + +~Chemical Pathology.~--Being a Discussion of General Pathology from the +Standpoint of the Chemical Processes Involved. By H. GIDEON WELLS, +PH.D., M.D., Assistant Professor of Pathology in the University of +Chicago. Octavo of 616 pages. Cloth, $3.25 net. + +~JUST READY--NEW (2d) EDITION~ + + Dr. Wells' work is written for the physician, for those + engaged in research in pathology and physiologic chemistry, + and for the medical student. In the introductory chapter are + discussed the chemistry and physics of the animal cell, + giving the essential facts of ionization, diffusion, osmotic + pressure, etc., and the relation of these facts to cellular + activities. Special chapters are devoted to _Diabetes_ and + to _Uric-acid Metabolism and Gout_. + +~Wm. H. Welch, M.D.~ _Professor of Pathology, Johns Hopkins University._ + + "The work fills a real need in the English literature of a + very important subject, and I shall be glad to recommend it + to my students." + + * * * * * + +Lusk's Elements of Nutrition + +~Elements of the Science of Nutrition.~ By GRAHAM LUSK, PH.D., Professor +of Physiology at Cornell Medical School. Octavo volume of 302 pages. +Cloth, $3.00 net. + +~THE NEW (2d) EDITION--TRANSLATED INTO GERMAN~ + + Prof. Lusk presents the scientific foundations upon which + rests our knowledge of nutrition and metabolism, both in + health and in disease. There are special chapters on the + metabolism of diabetes and fever, and on purin metabolism. + The work will also prove valuable to students of _animal + dietetics_ at agricultural stations. + +~Lewellys F. Barker, M. D.~ _Professor of the Principles and Practice of +Medicine, Johns Hopkins University._ + + "I shall recommend it highly to my students. It is a comfort + to have such a discussion of the subject in English." + + +Daugherty's Economic Zoology + +~Economic Zoology.~ By L. S. DAUGHERTY, M. S., PH. D., Professor of +Zoology, State Normal School, Kirksville, Mo., and M. C. DAUGHERTY, +author with Jackson of "Agriculture Through the Laboratory and School +Garden." Part I: _Field and Laboratory Guide_. 12mo of 237 pages, +interleaved. Cloth, $1.25 net. Part II: _Principles._ 12mo of 406 pages, +illustrated. Cloth, $2.00 net. + +~ILLUSTRATED~ + + There is no other book just like this. Not only does it give + the salient facts of structural zoology and the development + of the various branches of animals, but also the natural + history--the _life and habits_--thus showing the + interrelations of structure, habit, and environment. In a + word, it gives the principles of zoology and _their actual + application_. The economic phase is emphasized. + + Part I--the _Field and Laboratory Guide_--is designed for + practical instruction in the field and laboratory. To + enhance its value for this purpose blank pages are inserted + for notes. + + * * * * * + +Drew's Invertebrate Zoology + +~A Laboratory Manual of Invertebrate Zoology.~ By GILMAN A. DREW, PH. D., +Assistant Director at Marine Biological Laboratory, Woods Hole, Mass. +With the aid of Former and Present Members of the Zoological Staff of +Instructors. 12mo of 213 pages. Cloth, $1.25 net. + +~JUST READY--NEW (2d) EDITION~ + + The subject is presented in a logical way, and the type + method of study has been followed, as this method has been + the prevailing one for many years. + +~Prof. Allison A. Smyth, Jr., Virginia Polytechnic Institute~ + + "I think it is the best laboratory manual of zoology I have + yet seen. The large number of forms dealt with makes the + work applicable to almost any locality." + + * * * * * + +Norris' Cardiac Pathology + +~Studies in Cardiac Pathology.~ By GEORGE W. NORRIS, M.D., Associate in +Medicine at the University of Pennsylvania. Large octavo of 235 pages, +with 85 superb illustrations. Cloth, $5.00 net. + +~SUPERB ILLUSTRATIONS~ + + The wide interest being manifested in heart lesions makes + this book particularly opportune. The illustrations are + superb and are faithful reproductions of the specimens + photographed. Each illustration is accompanied by a detailed + description; besides, there is ample letter press + supplementing the pictures. Considerable matter of a + diagnostic and therapeutic nature has been interwoven. + +~Boston Medical and Surgical Journal~ + + "The illustrations are arranged in such a way as to + illustrate all the common and many of the rare cardiac + lesions, and the accompanying descriptive text constitutes a + fairly continuous didactic treatise." + + * * * * * + +McConnell's Pathology + +~A Manual of Pathology.~ By GUTHRIE MCCONNELL, M.D., Professor of +Bacteriology and Pathology at Temple University, Philadelphia. 12mo of +523 pages, with 170 illustrations. Flexible leather, $2.50 net. + +~NEW (2d) EDITION~ + + Dr. McConnell has discussed his subject with a clearness and + precision of style that make the work of great assistance to + both student and practitioner. The illustrations have been + introduced for their practical value. + +~New York State Journal of Medicine~ + + "The book treats the subject of pathology with a + thoroughness lacking in many works of greater pretension. + The illustrations--many of them original--are profuse and of + exceptional excellence." + + * * * * * + +Hektoen and Riesman's Pathology + +AMERICAN TEXT-BOOK OF PATHOLOGY. Edited by LUDVIG HEKTOEN, M.D., +Professor of Pathology, Rush Medical College, Chicago; and DAVID +RIESMAN, M.D., Professor of Clinical Medicine, Philadelphia Polyclinic. +Octavo of 1245 Pages, 443 illustrations, 66 in colors. Cloth, $7.50 net; +Half Morocco, $9.00 net. + + +Duerck _and_ Hektoen's Special Pathologic Histology + +~Atlas and Epitome of Special Pathologic Histology.~ By DR. H. DUERCK, of +Munich. Edited, with additions, by LUDVIG HEKTOEN, M. D., Professor of +Pathology, Rush Medical College, Chicago. In two parts. Part +I.--Circulatory, Respiratory, and Gastro-intestinal Tracts. 120 colored +figures on 62 plates, and 158 pages of text. Part II.--Liver, Urinary +and Sexual Organs, Nervous System, Skin, Muscles, and Bones. 123 colored +figures on 60 plates, and 192 pages of text. Per part: Cloth, $3.00 net. +_In Saunders' Hand-Atlas Series._ + + The great value of these plates is that they represent in + the exact colors the effect of the stains, which is of such + great importance for the differentiation of tissue. The text + portion of the book is admirable, and, while brief, it is + entirely satisfactory in that the leading facts are stated, + and so stated that the reader feels he has grasped the + subject extensively. + +~William H. Welch, M.D.,~ _Professor of Pathology, Johns Hopkins +University, Baltimore._ + + "I consider Duerck's 'Atlas of Special Pathologic Histology,' + edited by Hektoen, a very useful book for students and + others. The plates are admirable." + + * * * * * + +Sobotta _and_ Huber's Human Histology + +~Atlas and Epitome of Human Histology.~ By PRIVATDOCENT DR. J. SOBOTTA, of +Wuerzburg. Edited, with additions, by G. CARL HUBER, M. D., Professor of +Histology and Embryology in the University of Michigan, Ann Arbor. With +214 colored figures on 80 plates, 68 text-illustrations, and 248 pages +of text. Cloth, $4.50 net. _In Saunders' Hand-Atlas Series._ + +~INCLUDING MICROSCOPIC ANATOMY~ + + The work combines an abundance of well-chosen and most + accurate illustrations, with a concise text, and in such a + manner as to make it both atlas and text-book. The great + majority of the illustrations were made from sections + prepared from human tissues, and always from fresh and in + every respect normal specimens. The colored lithographic + plates have been produced with the aid of over thirty + colors. + +~Boston Medical and Surgical Journal~ + + "In color and proportion they are characterized by + gratifying accuracy and lithographic beauty." + + +Bosanquet on Spirochaetes + +~Spirochaetes~: A Review of Recent Work, with Some Original Observations. +By W. CECIL BOSANQUET, M.D., Fellow of the Royal College of Physicians, +London. Octavo of 152 pages, illustrated. $2.50 net. + +~ILLUSTRATED~ + + This is a complete and authoritative monograph on the + spirochaetes, giving morphology, pathogenesis, + classification, staining, etc. Pseudospirochaetes are also + considered, and the entire text well illustrated. The high + standing of Dr. Bosanquet in this field of study makes this + new work particularly valuable. + + * * * * * + +Levy _and_ Klemperer's Clinical Bacteriology + +~The Elements of Clinical Bacteriology.~ By DRS. ERNST LEVY and FELIX +KLEMPERER, of the University of Strasburg. Translated and edited by +AUGUSTUS A. ESHNER, M. D., Professor of Clinical Medicine, Philadelphia +Polyclinic. Octavo volume of 440 pages, fully illustrated. Cloth, $2.50 +net. + +~S. Solis-Cohen, M.D.~, _Professor of Clinical Medicine, Jefferson Medical +College_, Philadelphia. + + "I consider it an excellent book. I have recommended it in + speaking to my students." + + * * * * * + +Lehmann, Neumann, _and_ Weaver's Bacteriology + +~Atlas and Epitome of Bacteriology~: INCLUDING A TEXT-BOOK OF SPECIAL +BACTERIOLOGIC DIAGNOSIS. By PROF. DR. K. B. LEHMANN and DR. R. O. +NEUMANN, of Wuerzburg. _From the Second Revised and Enlarged German +Edition._ Edited, with additions, by G. H. WEAVER, M. D., Assistant +Professor of Pathology and Bacteriology, Rush Medical College, Chicago. +In two parts. Part I.--632 colored figures on 69 lithographic plates. +Part II.--511 pages of text, illustrated. Per part: Cloth, $2.50 net. +_In Saunders' Hand-Atlas Series._ + + * * * * * + +Duerck and Hektoen's General Pathologic Histology + +ATLAS AND EPITOME OF GENERAL PATHOLOGIC HISTOLOGY. By PR. DR. H. DUERCK, +of Munich. Edited, with additions, by LUDVIG HEKTOEN, M. D., Professor +of Pathology in Rush Medical College, Chicago. 172 colored figures on 77 +lithographic plates, 36 text-cuts, many in colors, and 353 pages. Cloth, +$5.00 net. _In Saunders' Hand Atlas Series._ + + + American Text-Book of Physiology Second Edition + +AMERICAN TEXT-BOOK OF PHYSIOLOGY. In two volumes. Edited by WILLIAM H. +HOWELL, PH. D., M.D., Professor of Physiology in the Johns Hopkins +University, Baltimore, Md. Two royal octavos of about 600 pages each, +illustrated. Per volume: Cloth, $3.00 net; Half Morocco, $4.25 net. + + "The work will stand as a work of reference on physiology. + To him who desires to know the status of modern physiology, + who expects to obtain suggestions as to further physiologic + inquiry, we know of none in English which so eminently meets + such a demand."--_The Medical News._ + + + Warren's Pathology and Therapeutics Second Edition + +SURGICAL PATHOLOGY AND THERAPEUTICS. By JOHN COLLINS WARREN, M. D., LL. +D., F. R. C. S. (Hon.), Professor of Surgery, Harvard Medical School. +Octavo, 873 pages, 136 relief and lithographic illustrations, 33 in +colors. With an Appendix on Scientific Aids to Surgical Diagnosis and a +series of articles on Regional Bacteriology. Cloth, $5.00 net; Half +Morocco, $6.50 net. + + +Gorham's Bacteriology + +A LABORATORY COURSE IN BACTERIOLOGY. For the Use of Medical, +Agricultural, and Industrial Students. By FREDERIC P. GORHAM, A. M., +Associate Professor of Biology in Brown University, Providence, R. I., +etc. 12mo of 192 pages, with 97 illustrations. Cloth, $1.25 net. + + "One of the best students' laboratory guides to the study of + bacteriology on the market.... The technic is thoroughly + modern and amply sufficient for all practical + purposes."--_American Journal of the Medical Sciences._ + + + Raymond's Physiology New (3d) Edition + +HUMAN PHYSIOLOGY. By JOSEPH H. RAYMOND, A. M., M. D., Professor of +Physiology and Hygiene, Long Island College Hospital, New York. Octavo +of 685 pages, with 444 illustrations. Cloth, $3.50 net. + + "The book is well gotten up and well printed, and may be + regarded as a trustworthy guide for the student and a useful + work of reference for the general practitioner. The + illustrations are numerous and are well executed."--_The + Lancet_, London. + + + Ball's Bacteriology Seventh Edition, Revised + +ESSENTIALS OF BACTERIOLOGY: being a concise and systematic introduction +to the Study of Micro-organisms. By M. V. BALL, M. D., Late +Bacteriologist to St. Agnes' Hospital, Philadelphia. 12mo of 289 pages, +with 135 illustrations, some in colors. Cloth, $1.00 net. _In Saunders' +Question-Compend Series._ + + "The technic with regard to media, staining, mounting, and + the like is culled from the latest authoritative + works."--_The Medical Times_, New York. + + + Budgett's Physiology New (3d) Edition + +ESSENTIALS OF PHYSIOLOGY. Prepared especially for Students of Medicine, +and arranged with questions following each chapter. By SIDNEY P. +BUDGETT, M. D., formerly Professor of Physiology, Washington University, +St. Louis. Revised by HAVAN EMERSON, M. D., Demonstrator of Physiology, +Columbia University. 12mo volume of 250 pages, illustrated. Cloth, $1.00 +net. _Saunders' Question-Compend Series._ + + "He has an excellent conception of his subject.... It is one + of the most satisfactory books of this class"--_University + of Pennsylvania Medical Bulletin._ + + + Leroy's Histology New (4th) Edition + +ESSENTIALS OF HISTOLOGY. By LOUIS LEROY, M. D., Professor of Histology +and Pathology, Vanderbilt University, Nashville, Tennessee. 12mo, 263 +pages, with 92 original illustrations. Cloth, $1.00 net. _In Saunders' +Question-Compend Series._ + + "The work in its present form stands as a model of what a + student's aid should be; and we unhesitatingly say that the + practitioner as well would find a glance through the book of + lasting benefit."--_The Medical World_, Philadelphia. + + +Barton and Wells' Medical Thesaurus + +A THESAURUS OF MEDICAL WORDS AND PHRASES. By WILFRED M. BARTON, M. D., +Assistant Professor of Materia Medica and Therapeutics, and WALTER A. +WELLS, M. D., Demonstrator of Laryngology, Georgetown University, +Washington, D.C. 12mo, 534 pages. Flexible leather, $2.50 net; thumb +indexed, $3.00 net. + + + American Pocket Dictionary New (8th) Edition + +DORLAND'S POCKET MEDICAL DICTIONARY. Edited by W. A. NEWMAN DORLAND, M. +D., Editor "American Illustrated Medical Dictionary." Containing the +pronunciation and definition of the principal words used in medicine and +kindred sciences, with 64 extensive tables. 677 pages. Flexible leather, +with gold edges, $1.00 net; with patent thumb index, $1.25 net. + + "I can recommend it to our students without reserve."--J. 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