Purpose and use
ITEST OPTOCHIN diagnostic discs are used for simple indicative differentiation of Streptococcus pneumoniae from other viridans streptococci.
Principle
The test uses the sensitivity of Streptococcus pneumoniae strains to optochin (ethylhydrocuprein hydrochloride). In contrast, viridans streptococci are highly resistant to optochin.
Procedure
Inoculate the blood agar densely and uniformly with colonies of the tested strain (use a dense inoculum). Apply sterile ITEST OPTOCHIN disc. Incubate for approximately 24 hours at 37 ± 1 °C under higher CO2 tension. If the presence of large numbers of pneumococci in the clinical material is anticipated, the ITEST OPTOCHIN disc can be used for the indicative identification of S. pneumoniae even in the primary culture.
NOTE: For a better evaluation of the results, it is recommended to inoculate the blood agar with a suspension of the tested strain in saline (2–3 colonies in 2 ml of saline). After the inoculum has been aspirated and the suspension has dried (about 15 min.), apply the ITEST OPTOCHIN disc.
Evaluation
If an inhibition zone forms after incubation, measure its diameter:
Inhibition zone (mm) | Result |
≥ 14 | S. pneumoniae |
0 | viridans streptococci other than S. pneumoniae |
< 14 | S. pneumoniae must be confirmed by a bile solubility test |
Recommendations
It is recommended to use Streptococcus pneumoniae CCM 4501 strain as a positive control and Streptococcus constellatus CCM 4043 strain as a negative control for quality control of ITEST OPTOCHIN diagnostic discs. Both strains are available from the Czech Collection of Microorganisms, Faculty of Science, Masaryk University, Tvrdého 14, 602 00 Brno.
Important
- ITEST OPTOCHIN discs are supplied in packs of 100 (Cat. No. DD 503) or 1000 (Cat. No. 5031) and are intended for in vitro use only.
- Keep the discs in a dark place at 2–8 °C and use by the expiry date on the label.
- If the primary packaging of the IVD is damaged, do not use and contact the manufacturer.
- Dispose of unused IVDs and empty packaging in accordance with the Waste Act No. 185/2001 Coll.