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. (Eom.) 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 1915 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 Reprinted November, 1915 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 for- gotten 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 — ren- dered 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 Physiolog- ical 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 ex- perience 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. PREFACE TO THE FIRST EDITION IN the following pages I have endeavoured to ar- range 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 illus- trations, 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 equip- ment. The excellent and appropriate terminology intro- duced by Chester in his recent work on "Determina- tive 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. vii viii PREFACE TO THE FIRST EDITION 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 ex- cellent 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 sec- tion 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 i 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 Micro- metry, 61. V. MICROSCOPICAL EXAMINATION OF BACTERIA AND OTHER MICRO-FUNGI 69 Apparatus and Reagents used in Ordinary Micro- scopical Examination, 69 — Methods of Examina- tion, 74. VI. STAINING METHODS 90 Bacteria Stains, 90 — Contrast Stains, 93 — Tissue Stains, 95 — Blood Stains, 97 — Methods of Demon- strating 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 Hypomycetes, 126 — Morphol- ogy of the Blastomycetes, 129. IX. SCHIZOMYCETES 13! 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 ix X CONTENTS PAGE 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 Titrationof 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 — Ex- amination of Milk, 441 — Ice Cream, 457 — Ex- amination 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 [N THE VEGETABLE KINGDOM OGAMS •PHYTA ngi «3 0) O g g o a g aJ omycetes Gyrr 8 < M a -M c 0) 1 CD O Mucorinae Penici Asper 1 w 0) 8 {>, THE POSITION OF BACTERIA ] CRYPT THALLC fe tt o 1 CD o a o a w K 0) a to a , .2 _o ' 6 .2 'a i 1 t/3 ' 1) I 3 L> ^ .2 •9 1 pq t BACTERIOLOGICAL TECHNIQUE. I. LABORATORY REGULATIONS. The following regulations are laid down for observ- ance in the Bacteriological Laboratories under the direction of the author. Similar regulations should be enforced in all laboratories where pathogenic bacteria are studied. 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. I 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, solu- tion, carbolic acid 5 per cent, solution, or corrosive sublimate i 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. I 2 LABORATORY REGULATIONS 5. All instruments must be flamed, boiled, or otherwise dis- infected 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 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 destruc- tor, 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 bacteri- ologist 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 clean- liness 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. 18X1.5 cm., to contain media for ordinary tube cultivations. 2. 18X1.3 cm., to contain media used for pouring plate cultivations, and also for holding sterile " swabs." 3. 18X2 cm., to contain wedges of potato, beet- root, or other vegetable media. 4. 13X1.5 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 3 4 GLASS APPARATUS IN COMMON USE calibre, and a batch of 1 8 by 1.5 cm. tubes usually con- tains 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. 5X0.7 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. FIG. i. — Bohemian flask. FIG. 2.— Pear-shaped FIG. 3. — Erlenmeyer flask flask. (narrow neck). , Bohemian Flasks (Fig. i). — 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, ioo, 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 KOLLE'S CULTURE FLASKS 5 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, FIG. 4. — Kolle's cul- ture flask. FIG. 5. — Roux's culture bottle. FIG. 6. — Guy's culture bottle. and for many purposes thin, flat culture bottles known as Roux's bottles (Fig. 5) are to be preferred. An even more convenient pattern is that used in the author's laboratory (Fig. 6), as owing to the greater FIG. 7.— Filter flask. 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 contami- nation to a minimum and the general shape permits the flasks to be stacked one upon the other. 6 GLASS APPARATUS IN COMMON USE 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 cultiva- tion. 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 diam- eter 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. Graduated Pipettes. — Several varieties of these are required, viz.: i. Pipettes of i c.c. capacity graduated in o.i c.c. GRADUATED PIPETTES 7 2. Pipettes of i c.c. capacity graduated in o.oi c.c. (Fig. 10, a). FIG. 8.— Petri dish (a), and capsules (b, c). FIG. 9.— Plate box with stirrup. 3. Pipettes of 10 c.c. capacity graduated in o.i c.c. (Fig. 10, b). These should be about 30 cm. in a b length (i 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. The laboratory should also be pro- vided 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. FIG . i o. — Measuring pi- pettes, a and b. 8 GLASS APPARATUS IN COMMON USE 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., i c.c., 0.5 c.c., 0.25 c.c., 0.2 c.c., o.i c.c., 0.05 c. c., and o.oi 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- work- er'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. i . The glass-cutting knife. This article is sold in two forms, a bench knife (Fig. u) and a pocket knife. The former is provided with a blade some 8 cm. in length FIG. u.— Glass-cutting knife, a. handle, b. double edged blade. c. shaft, d. locking nut. e. spanner for nut. 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 strappings on a sandstone hone. The pocket form, about 6-cm. long SEDIMENTATION TUBES 9 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 concer- tina 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 prepara- tion 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 asso- ciated result — cracking. 6. Sedimentation tubes 5x0.5 cm., for sedimentation reactions, etc., and for containing small quantities of fluid to be centrifugalisde in the haematocrit. These are made by taking i4-cm. lengths of stout glass tubing FIG. 12. — Glass blower's table with Enfer's foot bellows. of the requisite diameter and heating the centre in the Bunsen or blow-pipe 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 10 GLASS APPARATUS IN COMMON USE 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 a. b. c. 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 blow-pipe 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 capil- lary 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 capil- lary pipette. After a number have been prepared, they are sterilised and FIG i — Ca ii s^ore<^ in batches, either in metal cases lary pipettes. a, 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. 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 BLOOD PIPETTES II 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 relax- ation 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. 1 4) . FIG. 14. — Filling the capillary teat-pipette. A modification of this pipette, in which a constric- tion 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 i cm. bore, in a similar manner to the Pasteur pipettes, except that 12 GLASS APPARATUS IN COMMON USE the point of the blowpipe flame must be used in order to obtain the sharp shoulder at either end of the cen- tral bulb. The terminal tubes must retain a diameter of at least i mm., in order to avoid capillary action during the collection of the fluid. 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, FIG. 15. — Blood pipettes and hair-lip pin in a test- tube. FIG. 16. — Blood-pipette in metal thermometer case. 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 AUTOMATIC PIPETTES 13 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. Automatic ("Throttle") Pipettes.— These ingenious pipettes, introduced by Wright, can easily be calibrated in the laboratory and are exceedingly useful for graduating small pipettes, pIG< 17.— capii- f or measuring small quantities of fluids, ! a r y graduated . & A ,.H , ' pipettes. in prepanng 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 pas- sage 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. 14 GLASS APPARATUS IN COMMON USE 4. Adjust a rubber teat to the pipette and by pres- sure 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 pro- jecting about 0.5 cm. beyond the taper- ing end of the barrel. 8. Drop a small pellet of sealing wax into the barrel by the side of the capil- lary tube and then warm the tube at FIG. 1 8.— the gas flame until the wax becomes Throttle pipette softened and makes an air-tight joint — small capacity. e J 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.: i. 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 AUTOMATIC PIPETTES 15 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. 1 9, A). 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). 1 6 GLASS APPARATUS IN COMMON USE 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 "6," 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 FERMENTATION TUBES one extremity, blowing a small bulb at the centre, and plugging the open end with cotton-wool ; after sterilisa- tion 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 FIG. 20. — Sedimentation pipette. much more convenient than the 5 by 0.5 cm. test-tubes previously mentioned. Pasteur pipettes fitted with india-rubber teats will also be found useful for sedimentation tests when dealing with minute quantities of serum, etc. Fermentation Tubes (Fig. 21). — These are used for the collection and analysis of the gases liberated from a b c FIG. 21. — Fermentation tubes. the media during the growth of some varieties of bac- teria 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 l8 GLASS APPARATUS IN COMMON USE 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 com- pletely. 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. CLEANING INFECTED TEST-TUBES 19 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° 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 auto- clave (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° 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. 20 GLASS APPARATUS IN COMMON USE 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 com- pletely. 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 oe 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, solu- tion 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. CLEANING PIPETTES 21 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 em- ployed for blood or serum work (whether new or in- fected), much time is consumed in the various steps from 5 onward, and the cleansing process can be mate- rially hastened if the following device is adopted. Fit up a large-sized Kitasato's filter flask to a Spren- gel'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, FIG. 22. — Cleaning blood pipettes. place the pipette point downward in the beaker of water and start the pump (Fig. 22). When all the water has been aspirated through the pipette into the filter flask, fill the beaker with recti- fied 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, 22 GLASS APPARATUS IN COMMON USE 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 i 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. i 22«ji 38, Vi X X 8-^ .yO • \ 4 QifiTin T/6"^* 1 t — ' % i 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 oo). A piece of hard wood ;6X26X 26 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 sec- tions; both varieties must be of "No. i" thickness, which varies between 0.15 and 0.22 mm., that they may be available for use with the high-power immer- sion lenses. Cover-slips should be cleaned in the following man- ner: i. 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. USED SLIDES AND COVER-SLIPS 23 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 wash- ing 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. 24 GLASS APPARATUS IN COMMON USE 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 ad- herent 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 i 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 inter- leaved 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- PLUGGING TEST-TUBES. 25 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 pro- jecting. The plug must be firm and fit the tube or flask fairly tightly, sufficiently tightly in fact to bear the weight FIG. 24. — Plugging test-tubes: a, cylinder of wool being rolled; &, cylinder of wool being doubled; c, cylinder of wool being inserted in tube. 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 disin- fection 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 can- dles, 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° C. (for the sterilisation of certain albuminous fluids) . 2. Water at 100° C. (for the sterilisation of surgical instruments, rubber tubing, and stoppers, etc.) . 3. Streaming steam at 100° C. (for the sterilisation of media) . 4. Superheated steam at 115° C. or 120° C. (for the disinfection of contaminated articles and the destruc- tion of old cultivations of bacteria) . 26 CHEMICAL REAGENTS 27 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, pend- ing 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, o.i 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 pene- trating 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 experi- ments conducted by the aid of apparatus sterilised in this manner. 28 METHODS OF STERILISATION 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, alco- hol, 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, pi- pettes, etc., a very short ex- posure to this heat being sufficient. Ether Flame. — In an emer- gency 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 FIG. 25. — Muffle furnace. process twice. It may then be safely assumed that the apparatus so treated is sterile. 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 block- ing the interstices of the filter. To destroy the organic matter and prepare the filter candle for further use proceed as follows : DRY HEAT 29 1. Roll each bougie up in a piece of asbestos cloth, secure the ends of the cloth with a few turns of cop- per 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° C. destroys all bacteria, spores, etc., in about thirty minutes; a momentary exposure to a temperature of 175° to 180° C. will effect the same result and offers the more convenient method of sterilisation. This method is only appli- cable 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 steril- ised 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. 1 8). 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 30 METHODS OF STERILISATION 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° or 250° C., the other for a thermo-regulator. An ordinary mer- curial thermo-regulator may be used but it is prefer- able 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., FIG. 26. — Hot-air oven. 175° 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. DRY HEAT 3! To USE THE HOT-AIR OVEN. — 1. Place the crates of test-tubes, metal cases con- taining 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, other- wise 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 1 60° 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 1 00° C. 3. When the temperature of the oven has reached 100° C., close the ventilating slide ; reset the alarm to ring at 175° C. 4. Run the temperature up to 1 7 5° C. 5. Extinguish the gas at once, and allow the appa- ratus to cool. 6. When the temperature of the interior, as recorded by the thermometer, has fallen to 60° 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° C. will result in numerous cracked and broken tubes. £2 METHODS OF STERILISATION 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 de- scribed above, but exposure to 175° 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° C. and retained at that temperature for about thirty minutes. Moist Heat— Wafer at 56° 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 sterilisa- tion of such albuminous " fluid" media as would coagu- late 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° C. 2. Immerse the tubes or flasks containing the albu- minous 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° C). 3. After thirty minutes' exposure to 56° C., ex- tinguish 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. MOIST HEAT 33 5. Destroy these new vegetative forms by a similar exposure to 56° 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° C. in a water-bath for half an hour on each of six successive days is termed fractional sterilisation. Water at 100° C. destroys the vegetative forms of bacteria almost instantaneously, and spores in from FIG. 27 . — Water sterilizer. 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). 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 34 METHODS OF STERILISATION 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 in- side the copper basket, and replace the basket in the steriliser. 2. Pour a sufficient quantity of water into the ster- iliser, shut down the lid, and light the gas below. FIG. 28. — Koch's steriliser. 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 boil- ing for fifteen minutes. 5. After disinfection, and whilst still hot, take out MOIST HEAT 35 the instruments, dry carefully and at once, and return them to their store cases. Streaming steam — i. e., steam at 100° 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 modifi- cations, 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 tubu- lure ; 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 pro- vided 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 com- partment until it rests on the diaphragm, and replace the lid. 36 METHODS OF STERILISATION 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 pre- vent 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 de- stroyed 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° C. for twenty minutes on each of three consecutive days is termed discontinuous or inter- mittent sterilisation. Exposure to steam at 100° 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° 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° C., the same end is at- tained in ten minutes. This method was formerly em- ployed 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 tem- perature undergo hydrolytic changes which render them unsuitable for the cultivation of the more deli- cate micro-organisms. The use of superheated steam should be restricted almost entirely to the disinfection of such contaminated articles, old cultivations, etc., MOIST HEAT 37 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 ylinder, 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 cir- cular 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 bot- tom 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 auto- clave 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 i2op C., then regulate the gas and the spring safety valve in such a manner that this tem- perature 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 38 METHODS OF STERILISATION 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. 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 TIMING STERILISATION PERIODS 39 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 FIG. 31. — Electric signal timing clock. 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. 40 METHODS OF STERILISATION Filtration. — (a) Cotton-wool Filter. — Practically the only method in use in the laboratory for the sterilisa- tion 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 tempera- ture 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 be- comes moist, either by absorption from the atmos- phere, or from liquids coming into contact with it, micro-organisms (especially the mould fungi) com- mence 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. 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 : FILTRATION 41 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 FIG. 33.— Ruffer's flask. by thread or wire, whilst the exit tube is plugged in the usual manner. 3. Sterilise a short length of rubber tubing by boil- ing. 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. 42 METHODS OF STERILISATION 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 cylin- drical 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 un- equal 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 over- come 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. FILTRATION 43 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 in- terposed between the filter flask and the pump, in order to prevent moist air reaching the oil in the 5. Air filter (vide page 40) sterilised. 6. Pressure tubing. 7. Screw clamps (Fig. 36). METHOD.— i. Couple the exhaust pipe of the suc- tion pump with the lateral tube of the FIG. 34.— Force- filter flask (first removing the cotton- lainfil wool plug from this latter), by means of pressure tubing, interposing, if necessary, the wash-bottle of sulphuric acid. FIG. 35. — Geryk air pump. 44 METHODS OF STERILISATION 2. Remove the cotton-wool plug from the neck of the filter flask and adjust the porcelain candle in its place. 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)- 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 FILTRATION 45 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 addi- tion 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 use- ful, 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 46 METHODS OF STERILISATION 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.— i. Insert the filter candle into its cylinder and screw this loosely on. FIG. 38. — Fakes' 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. FILTRATION 47 4. Heat the whole apparatus in the autoclave at 120° 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. 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 di- oxide, 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. 48 METHODS OF STERILISATION 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 filtra- tion 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 : The instrument, of the monocular type, must be of FIG. 40. — Microscope stand. 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 vari9us joints and movements must work smoothly and precisely, equally free from the defects of "loss of time" and "slipping." All screws, etc., should con- 4 49 50 THE MICROSCOPE form to the Royal Microscopical Society's standard. It must also be provided with good lenses and a suffi- ciently large stage. The details of its component parts, to which attention must be specially directed, are as follows : 1. The Base or Foot (Fig. 40, a). — Two elementary forms — the tripod (Fig. 41, a) and the vertical column FIG. 41. — Foot, three types. set into a plate known as the "horse-shoe" (Fig 41, b) — serve as the patterns for countless modifica- tions in shape and size of this portion of the stand. The chief desiderata — stability and ease of manipula- tion— 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 advan- tage 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 THE FINE ADJUSTMENT 51 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. 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. FIG. 42. — Coarse adjustment. FIG. 43. — Fine adjustment. 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 A A, Fig. 42). 4. The fine adjustment (Fig. 40, d) should on no account depend upon the direct action of springs, but 52 THE MICROSCOPE 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. 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 1 2 cm. —flat and rigid, in order to afford a safe support for the Petri dish used for plate Spindle head to cultivations; and should be supplied, with fine adjust- spring ciipS (removable at will) to secure the 3 by i 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 mechan- ical 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 sta- tionary milled heads (Fig. 45, A A'). The shape of the aperture is a not unimportant point; it should be square to allow of free movement over the substage DIAPHRAGM. 53 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. — Mechanical stage. (Fig. 45, BE'), such as is usually fitted to this class of stage, or a Maltwood finder, may be employed. 6. Diaphragm. — Separate single diaphragms must FlG. 46. — Iris diaphragm. be avoided; a revolving plate pierced with different sized apertures and secured below the stage is prefer- able, but undoubtedly the best form is the "iris" 54 THE MICROSCOPE diaphragm (Fig. 46) which enters into the construc- tion 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 thick- ness 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, /) , and must be accurately adjusted so that its optical axis coincides with that of the objective. Ver- tical movement of the entire substage apparatus effected by means of a rack and pinion is a 'IG-47-l?uStPof°fAbMdecided advantage, and some means should be provided for temporarily removing the condenser from the optical axis of the microscope. 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 TV inch immersion lenses of different makers varies from i.o to 1.4, hence, the efficiency of these lenses is much curtailed if the condenser is merely OCULARS AND OBJECTIVES 55 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 at- tached 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 expen- sive "compensation" oculars. Two or three, mag- nifying 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 the square aperture can be reduced to three-quarters, one-half or one-quar- ter of the original size. 10. Objectives. — Three objectives are necessary: one for low-power work — e.g., i inch, § inch, or J inch; one for high-power work — e. g., -^ inch oil immer- sion lens; and an intermediate "medium-power" lens — e. g., J inch or J 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 THE MICROSCOPE 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 refran- gibilities 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 al- though 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 cen- tering of the whole of the lenses in the objective. (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 FIG. 48. — Huyghenian eyepiece. ACCESSORIES 57 skill and mathematical ability, and is completely beyond the powers of the average microscopist.1 Although with the increase in power it is correspond- ingly difficult to combine all these corrections in one objective, they are brought to a high pitch of excel- lence 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 r T" 2" 1/r "blood film, "stained with Jenner's or Romanowsky's stain. 2. A thin cover -slip prepara- tion of a young cultivation of B. diphtheria (showing segmenta- ¥ for £", -J-" Ty oil for i" dry tion) stained with 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, pref- erably 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 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." 58 THE MICROSCOPE 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. FIG. 49. — Eye shade. For critical work and particularly for photo-microg raphy, 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 FIG. 50. — Double nosepiece. FIG. 51 — Triple nosepiece 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. 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 cir- WARM STAGE 59 culated. It is made to clamp on to the stage of the microscope by the screws A Af , 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 temper- ature 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. FIG. 52. — Warm stage. A better form is the electrical hot stage designed by Lorrain Smith;1 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 accommo- dates the thermometer. Two coils of manganin wire run in the paraffin at opposite sides of the bulb (out- side 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 1 Made by Mr. Otto Baumbach, 10, Lime Grove, Manchester. 60 THE MICROSCOPE about 10 ohms. A current of 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° 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 J^-inch oil immersion lens. 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 MICROMETRY 6 1 particular make of condenser but generally i mm. and specially thin cover-glasses (not more than 0.17 mm. The objective must not have a higher NA than i.o, consequently immersion lenses must be fitted with an internal stop to cut down the aperture. Micrometer. — Some form of micrometer for the pur- pose of measuring bacteria and other objects is also essential. Details of those in general use will be found in the following pages. 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 perma- nently record the position of an in- teresting portion of the specimen. The diamond is mounted on a spring which regulates the pressure, and the size of the circle can be adjusted FlG- 54-— Diamond Ob- ject marker, 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 (o.ooi mm.), denominated a micron (some- times, and erroneously, referred to as a micro-milli- metre), and indicated in writing by the Greek letter IJL. 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. (6) By means of the ocular or Eyepiece Micrometer. (c) By means of the Filar Micrometer (Ramsden's micrometer eyepiece) . 62 THE MICROSCOPE Fo^ each of these methods a stage micrometer is necessary. This is a 3 by i inch glass slip having en- graved on it a scale divided to hundredths of a milli- metre (o.oi 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. 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 micro- scope 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 fi. Mark on the paper the optical combination (ocular objective and tube length) employed to pro- duce this particular magnification. THE EYEPIECE MICROMETER 63 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 par- ticular optical combination in use at the moment. Read off the number of divisions it occupies and ex- press them as micro,. In place of preserving a scale for each optical com- bination, the object to be measured and the microm- eter 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. FIG. 56. — Eyepiece micro- meter, ordinary. 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 (o.i mm.) (Fig. 56), or the entire surface ruled in o.i 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 64 THE MICROSCOPE 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 diminish- ing the tube length; and note the number of included divisions. 4. Calculate the value of each division of the eye- piece micrometer in terms of /*, by means of the fol- lowing 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 microm- eter value. Repeat this process for each of the other combina- tions. 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 micro, by a refer- ence to the standard value for the particular optical combination employed. THE EYEPIECE MICROMETER 65 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 1 60 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 micro- scopical 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 measure- ment, 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. Observa- tion 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 accu- rately fill one of the divisions of the eikonometer scale ; this indicates a magnifying power of 500 as the con- stant for that particular optical combination, and a record should be made of the fact. The magnification constants of the various other 5 66 THE MICROSCOPE 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 eye- piece and the size of the object read off on the eiko- nometer scale as millimetres, and the actual size calcu- lated by dividing the observed size by the magnification constant for the particular optical combination em- ployed in the observation. (c) By means of the filar micrometer. The Filar or cobweb Micrometer (Ramsden's microm- FiG. 58. — Ramsden's Filar micrometer. FIG. 59. — Ramsden's micrometer field, a, fixed wire; .b, reference wire (fixed) ; c, travelling wire. eter eyepiece (Fig. 58) consists of an ocular having a fine "fixed" wire stretching horizontally across the field (Fig. 59), a vertical reference wire: — fixed — ad- justed at right angles to the first; and a fine wire, paral- lel 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 inter- vals between its teeth corresponding to one complete revolution of this screw-head. ILLUMINANTS 67 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 microm- eter 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 coin- cide 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 revo- lutions (by means of the recording comb) and the frac- tions of a revolution (by means of scale on the head of the micrometer screw) , which are required to meas- ure the o.o i 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 /*. 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 revolu- tion of the screw-head required to traverse such object from edge to edge, and express the result as micro, 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 68 THE MICROSCOPE 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 FIG. 60. — Electric microscope lamp. curved sheet-iron reflector. An obscured metal fila- ment 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. V. MICROSCOPICAL EXAMINATION OF BAC- TERIA 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 dry- ing cover-slips and slides. (The filter paper known as " German lined " — a highly absorbent, closely woven paper, having an even FJG. 61. — Disinfectant Jar. surface and no loose " fluff" to adhere to the specimens —is the most useful for this purpose.) 3. Glass jar filled with 2 per cent, lysol solution for the reception of infected cover-glasses and infected pipettes, etc. 70 MICROSCOPICAL EXAMINATION OF BACTERIA 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 lin- ing 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). 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 i to 2 mm. in height, to the centre of a 3 by i 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 i 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. MICROSCOPICAL EXAMINATION OF BACTERIA 71 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 i mm. in its short diameter, and is termed a loop or an oese; the terminal 3 or 4 mm. of another wire is flat- tened 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 FIG. 63. — Ends of platinum rods, a, loop; b, spatula; c, needle. used for inoculating culture tubes and preparing speci- mens for microscopical examination. The method of mounting these wires may be de- scribed as follows: Take a piece of aluminium wire 25 cm. long and about 0.25 cm. in diameter, and drill a fine hole com- pletely 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 72 MICROSCOPICAL EXAMINATION OF BACTERIA 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. 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 i 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. MICROSCOPICAL EXAMINATION OF BACTERIA 73 Neutral red, i per cent, aqueous solution. Leishman's modified Romano wsky stain. Carbolic acid, 5 per cent, aqueous solution. FIG. 65. — Staining rack, rubber change mat and lysol pot. Acetic acid, i per cent, solution. Sulphuric acid, 25 per cent, solution. Xylol. FIG. 66.— Drop bottle. 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 respec- 74 MICROSCOPICAL EXAMINATION OF BACTERIA lively 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 cultiva- tion for examination by these methods may be de- scribed as follows : 1. Living, Unstained. — (a) "Fresh" Preparation. — i. Clean and dry a 3 by i glass slip and place it on one of the squares of filter paper. Deposit a drop of water (preferably distilled) or a drop of i per cent, solution of caustic potash, on the centre of the slip, by means of the platinum loop . * Q K * U < W FIG. 68. — Holding tubes for removing bacterial growth, as seen from the front. 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 LIVING, UNSTAINED 75 ( intended to destroy any micro-organisms that may have become entangled in the loose fibres of the cotton-wool, and which, if not thus de- stroyed, 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 ringers 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 posi- tion 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 " sere wing" motion of the right hand. 6. Introduce the platinum loop into the tube and hold it in this position until satisfied that i it is quite cool. (The cooling may be hastened 76 MICROSCOPICAL EXAMINATION OF BACTERIA by touching the loop on one of the drops of moisture which are usually to be found con- densed 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 i 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 i 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 apply- BLACK AND WHITE FILMS 77 ing 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 Jt ^ , in 0.5 per cent, aqueous solutions. Methylene green Vesuvin, Negative Stain (Burri). — By this method of demon- stration 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 i 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 i 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. 78 MICROSCOPICAL EXAMINATION OF BACTERIA 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 i slide in the right hand and lower its short end obliquely (at an angle of about 60°) transversely on to the mixed ink and culture en 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, Z>). 7. Throw the second slide into a pot of disinfectant; allow the first slide to dry in the air. FIG. 69. — Spreading negative film. 8. Place a drop of immersion oil on the centre of the film, lower the i/i 2-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. HANGING DROP 79 4. Obtain a small quantity of the material it is desired to examine, in the manner detailed above (pages 74-76, steps 2 to ii 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 hang- ing-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 "hang- ing-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 hang- ing-drop specimen some form of movement can prac- tically 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 par- 8o MICROSCOPICAL EXAMINATION OF BACTERIA tides of solid matter (including bacteria), when sus- pended in a fluid, will always show a vibratory move- ment 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.) (6) 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 demon- strate the nature of this motion. (c) Locomotive movement, or true motility, is deter- mined by observing some one particular bacillus chang- ing 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) . KILLED, STAINED 8 1 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 is 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 n) 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 i 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 Bun- sen 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° 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 : 6 82 MICROSCOPICAL EXAMINATION OF BACTERIA i. Absolute alcohol, for five to fifteen minutes. equal parts, for five to thirty 2. Absolute alcohol, , minutes (g fof bk)od Ether' I milk). 3. Osmic acid, i 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 0.7 5 gramme Hydrarg. perchloride 12.00 grammes Acetic acid 5 . oo grammes In distilled water loo.ooc.c. Filter. 6. Gulland's solution, for five minutes. This solu- tion is prepared by mixing : Absolute alcohol 25.00.0. Ether 25.00.0. Corrosive sublimate, 20 per cent, al- coholic solution 0.4 c.c. 7 . Formalin i o 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.) KILLED, STAINED 83 If the film has been prepared from blood or blood- stained 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; (6) chemical means — e. g., by the additon 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 solu- tion of aniline oil in water. 84 MICROSCOPICAL EXAMINATION OF BACTERIA (d) Thionin blue. (e) Bismarck brown. (f) Neutral red. (B) Acid: (a) Eosin, aqueous yellowish. (b) Safranine. These dyes are kept in i per cent, aqueous solution to which is added 5 per cent, of alcohol, as a preserva- tive. They are generally used in this form. A few nuclear stains (carmine, haematoxylin) are occasionally used more especially in ''section" work. Decolour isation. — 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, i per cent. 4. Alcohol. 5. Alcohol absolute, } Acetic acid, i per cent., Je and add to the stain. Glycerine 20.0 c.c. J 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. Friedldnder's Method. — Stain. — Gentian violet, saturated alcoholic solution . 50 c.c. Acetic acid, glacial 10 c.c. Distilled water . . 100 c.c. 124 DEMONSTRATING BACTERIA IN TISSUES 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, i 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 sec- onds, to obtain a pure nuclear stain ; then wash in water. 3. Stain with carbolic fuchsin twenty to thirty minutes at 47° 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 Spirochsetes in Tissues. Piridin Method (Levaditi).— 1. Cut slices of tissue i 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 i per cent., and 10 grammes pyri- din puriss. Transfer slices of tissue to this. Stopper and keep at room temperature three hours, then in thermostat at 50° 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. TO STAIN PROTOZOA IN SECTIONS 125 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 i in 1500 aqueous solution. Caustic soda i 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 (i 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 ob- tained (as seen with the J-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 acci- dentally 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 cal- cium oxalate. Reproduction. — Apical spore formation — asexual ; zoospores — sexual . Mucorinae. — Mucor (Fig. 77). — Note the branching filaments — "mycelium" (a), " hyphae" (b). Note the asexual reproduction. 126 PERISPORACE^E 127 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) . FIG. 77. — Mucor mucedo. 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). FIG. 79. — Penicillium. Note the asexual reproduction. i. A filament (6) grows upward, its termination be- comes clubbed ; on the clubbed extremity flask-shaped cells appear — " sterigmata " (c) . 128 CLASSIFICATION OF FUNGI 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. Ascomycetae. — Oidium (Fig. 80). — (This family is FIG. So.— Oidium. 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 pseudo- mycelium arise true hyphae (6), each of which in turn ends in a chain of spores (c). SACCHAROMYCES I2Q MORPHOLOGY OF THE BLASTOMYCETES. The tlastomycetes are composed of spherical or ova cells (8 to 9.5 fi 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 hsematoxylin (see page, 105). During their growth and multiplication the blasto- mycetes split up solutions containing sugar into alcohol and CO2. Saccharomyces (Fig. 81). — Note the round or oval cells of granular protoplasm (a) containing solid par- ticles and vacuoles (c), and surrounded by a definite envelope. Reproduction. — Budding ; ascospores — asexual. Note the asexual reproduction. i. "Gemmation" — that is, the budding out of daughter cells (6) from various parts of the gradually enlarging mother cell. These are eventually cast off FIG. Si. — Saccharomyces with ascospores. FIG. 82. — Torula. and in turn become mother cells and form fresh groups of buds. 2. Spore formation — "ascospores" (e). These are formed at definite temperatures and within well-de- fined periods; e. g., Saccharomyces cerevisise, thirty hours at 25° to 37° C., or ten days at 12° C. 130 CLASSIFICATION OF FUNGI 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, sub- divided according to the arrangement of the individuals after fission, into — I32 SCHIZOMYCETES 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 divi- sion takes place alternately in two planes at right angles to each other, and the individuals remain at- tached in flat tablets of four, or its multiples. Sarcince, where division takes place in three planes 123456 FIG. 83. — Types of bacteria — cocci: i, Diagram of sphere indicating planes of fission; 2, diplococci; 3, streptococci; 4, tetrads; 5, sarcinae; 6, staphylococci. successively, and the individuals remain attached in cubical packets of eight and its multiples. Micrococci or Staphylococci, where division takes place in three planes, but with no definite sequence; conse- I 23456 FIG. 84. — Types of bacteria — bacilli, etc.: i, Bacilli; 2, diplobacilli; 3 streptobacilli; 4, spirilla; 5, vibrios; 6, spirochaetse. quently 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, i to 3) .—Rod-shaped cells. A bacillus, however short, can usually be distinguished SPIRILLA 133 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 leptothricise (vide infra) . 3. Spirilla (Fig. 84, 4 to 6). — Curved and twisted filaments. Classified, according to shape, into — Spirillum. Vibrio (comma). Spirochasta. Many Spirochaetes appear to belong to the animal kingdom and are grouped under protozoa ; other organ- isms to which this name has been given are undoubt- edly bacteria. Higher forms of bacteria are also met with, which possess the following characteristics: They are at- tached, 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. 1 Free swimming forms, which 2. Thiothrix. J contain sulphur granules. 3. Crenothrix. These forms do not contain 4. Cladothnx. , T , . sulphur granules. 5. Leptothnx. 6. Streptothrix. A group which exhibits true but not dichotomous branching, and contains some patho- genic species. The morphology of the same bacterium may vary greatly under different conditions. For example, under one set of conditions the exami- nation of a pure cultivation of a bacillus may show a short oval rod as the predominant form, whilst another 134 SCHIZOMYCETES culture of the same bacillus, but grown under different conditions, may consist almost entirely of long fila- ments 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 con- nection with each. ANATOMY. 1. Capsule (Fig. 85, b). — A gelatinous envelope (probably akin to mucin in composition) surrounding each individual organism, and preventing absolute con- tact between any two. In some species the capsule (e. g., B. pneumonias) 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 mesen- teroides) . In some species colouring matter or ferric oxide is stored in the capsule. 2. Cell Wall (Fig. 85, c). — A protective differen- tiation 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 STRUCTURE OF BACTERIA 135 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. 3. Cell Contents. — Protoplasm (mycoprotein) con- tains a high percentage of nitrogen, but is said to differ FIG. 85. — Diagrammatic sketch of composite bacterium to illustrate details of anatomical structure. FIG. 86. — Plasmolysis. from proteid in that it is not precipitated by C2H6O. 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 appear- ance due to plasmolysis, on the other. The cell contents may sometimes be differentiated into a parietal layer, and a central body (e. g., beg- giotoa) when stained by haematoxylin. 4. Nucleus. — This structure has not been conclu- 136 SCHIZOMYCETES sively 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. diphtherias). 5. Flagella (Organs of Locomotion, Fig. 85, a). — These are gelatinous elongations of the cell protoplasm (or more probably of the cap- sule), occurring either at one pole, at both poles, or scat- tered around the entire periph- ery. Flagella are not pseu- dopodia. The possession of flagella was at one time sug- ,-, „, , ... . gested as a basis for a system of FIG. 87. — Types of ciliation. * classification, when the follow- ing types of ciliation were differentiated (Fig. 87) : 1. Polar: (a) Monotrichous (a single flagellum situ- ated 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 REPRODUCTION 137 place midway between these aggregations, and a sep- tum 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. 000 CD CD OO FIG. 88. — Fission of cocci. 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 gro wing in the same me- dium 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. diphtheria? on potato four to six days old. They are of two classes, viz. : (a) Involution forms charac- terised by alterations of shape (Fig. go). (Not necessarily . v & y ' v ^ FIG. 90. — Involution forms. dead.) (b) Involution forms characterised by loss of staining power. (Always dead.) Resting Stage. — Spore Formation. — Conditions in- fluencing 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. 138 SCHIZOMYCETES (6) The medium became toxic from the accumula- tion 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 ''ger- minate,". n Q 5 per cent soiution of 4. Several 60 c.c. conical phenolphthalein in 50 per beakers or Erlenmeyer cent> alcohoL flasks. 5. White porcelain evaporat- ing basin, filled with boil- ing water and arranged TITRATING MEAT EXTRACT 151 Apparatus Required: — (Continued.} 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 boil- ing on a tripod stand. METHOD. — Arrange the apparatus as indicated in figure 97. (A) i. Fill the burette with £ NaOH. 2. Fill the pipette with -f NaOH. FIG. 97. — Arrangement of apparatus for titrating media. 3. Measure 25'c.c. of the meat extract (previously heated in the steamer at 100° 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 boil- ing 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 solu- tion and immerse the beaker in the water-bath, and raise to the boil. 5. To the medium in the beaker run in ^ NaOH cautiously from the burette until the end-point is reached, as indicated by the development of a pinkish 152 NUTRIENT MEDIA tinige, shown in figure 98 (6). 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. a & c 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 — 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° or 20° 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 i.o c.c. -^~ 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'-f NaOH from the pipette, just short of the equivalent of the amount of deci-normal soda solution required to neutralise the 2 5 c.c. of medium. (For example, if in the first estimation 5 c.c. of ~ NaOH were required to render 25 c.c. of medium neutral to phenolphthalein, only add 0.48 c.c. of 7- NaOH.) Immerse the beaker in the water-bath. 3. Complete the titration by the aid of the £ NaOH. REACTION OF MEAT EXTRACT 153 4. Note the amount of ~0 NaOH solution required to complete the titration, and add it to the equivalent of the -f NaOH solution previously run in. Take the total as the correct estimation. Method of Expressing the Reaction. — The reaction or litre of meat extract, medium, or any solution estimated in the foregoing manner, is most FIG. 99. — Stock bottle for deka-normal soda solution. 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. The sign + (plus) is prefixed to this number if the original solution reacts acid, and the sign — (minus) if it reacts alkaline. 154 NUTRIENT MEDIA For example, "meat extract + 10, " indicates a sample of meat extract which reacts acid to phenol- phthalein, 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 experi- ments we find that 25 c.c. of meat extract require the addition of 5 c.c. ~ NaOH to neutralise, then 1000 c.c. of meat extract will require the addition of 200 c.c. ~ NaOH = 20 c.c. -f NaOH. And this last figure, 20, preceded by the sign + (i.e., + 20), to signify that it is acid, indicates the re- action of the meat extract. NOTE. — The standard soda solutions should be prepared by accurate measuring operations, controlled by titrations, from a stock solution of zoN 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 CO2. This may be done by first leading it over H2SO4 and soda lime, or soda lime alone, by some such arrangement as is shown in figure 99, which also shows a constant burette arrange- ment 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 H- 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. STANDARDISING BOUILLON 155 Briefly, the method of standardising a litre of media to +10 consists in subtracting 10 from the initial litre 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. £ NaOH to neutralise. Two controls give the following results: 2. 25 c.c. require the addition of 5.70 c.c. ~ NaOH to neutralise. 3. 25 c.c. require the addition of 5.60 c.c. ~ NaOH to neutralise. Averaging these two controls, 25 c.c. require the addition of 5.65 c.c. •— NaOH to neutralise, and there- fore 1000 c.c. require the addition of 226 c.c. ~ NaOH, or 22.60 c.c. Y NaOH, or 2.26 c.c. 10 or NaOH. Initial litre of the bouillon = +22.6, and as such requires the addition of (22.6 c.c. — 10 c.c.) = 12. 6 c.c. of ~ 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 -f- 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* =11.65 c-c- f NaOH. Whenever possible, however, the required reaction is produced by the addition of dekanormal soda solu- tion, 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 o.oi c.c. it is possible to de- 156 NUTRIENT MEDIA liver 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- deka- normal NaOH. The first being too bulky a quantity, and the second inconveniently small for exact measure- ment, the total weight of soda is obtained by substi- tuting 1. 1 6 c.c. dekanormal soda solution, and either 0.05 c.c. of normal soda solution or 0.5 c.c. of deci- normal 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 Swed- ish 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 ordi- nary "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 ex- actly through its centre to form a semicircle (Fig. ioo,a). 2. Fold the semicircle exactly in half to form a quad- rant ; make the crease 2, distinct by running the thumb- nail 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 3 a, thus formed and again open out to a semicircle. 1'OLDING FILTERS 157 4. The semicircle now appears as in figure 100, a, the dark lines indicating the creases already formed. 5. Fold the point i over to the point 3, and la to 3a, to form the creases 4 and 40, indicated in the diagram by the light lines. Fold point i over to 3 a, and ia to 3, to form the creases 5 and 5 a. 6. Thus far the creases have all been made on the same side of the paper. Now subdivide each of the FIG. 100. — Filter folding: a, Filter folded in half, showing creases; &, appearance of filter on completion of folding; c, filter opened out ready for use. eight sectors by a crease through its centre on the op- posite 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. 158 NUTRIENT MEDIA When opened out the filter assumes the shape repre- sented 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. Liquef iable solid media are filtered through a specially made filter paper — "papier Chardin" — which is sold in boxes of twenty-five ready-folded filters. Gelatine, when properly made, filters through this FIG. 101. — Hot- water filter funnel and ring burner. 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 STORING MEDIA 159 walls being filled with water at about 90° 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 a b the flask and fill in with melted d(S^ sto«T^le ."", bS paraffin wax to the level of the fore> and b> after sterilizing. mouth. When the wax has set the flasks are stored in a cool dark cupboard for future use. This plan is not' absolutely satisfactory, although very generally employed on occasion, and it is prefer- able 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.1 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, 1 This rubber cap has been made for me by the Holborn Surgical Instnr ment Co., Thavies Inn, London, W. C. l6o NUTRIENT MEDIA 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 valvu- lar 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. 102,6). 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 defi- nite 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 communi- cates 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 asTreskow'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 per- forated 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 gradu- STORING "TUBED" MEDIA 161 ated 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 FIG. 103. — Separatory funnel and three-way tap arranged for tubing media. FIG. 104. — Gas tube (Durham). 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. 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 162 MEDIA BOXES 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 pro- FIG. 105 . — Medium box, showing alternative partitions A and B. vided 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. 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 (= i per cent.), salt, 5 grammes (=0.5 per cent.), and mix into a smooth paste with 200 c.c. of distilled water pre- viously heated to 60° C. (Be careful to leave no un- broken 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 + io (vide page 155). 5. Heat for half an hour in the steamer at 100° 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 discon- tinuous method (vide page 35). NOTE. — As an alternative method when neither fresh nor frozen meat is available nutrient bouillon may be prepared from a com- mercial 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 163 164 CULTURE MEDIA 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° C. 5. 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. 6. Standardise the medium and complete as for nutrient bouillon. Nutrient Gelatine.— i. Weigh a 2 -litre flask on a trip balance (Fig. 106) and note the weight, or counterpoise carefully. FIG. 1 06. — Trip balance. An extremely useful counterpoise is a small sheet- brass cylinder about 38 mm. high and 38 mm. in di- u ^— ' ^ FIG. 107. — Counterpoise; weight when empty, 35 grammes; when full of dust shot, 200 grammes. ameter, with a funnel-shaped top and provided with a side tube by which its contents, fine "dust" shot, may be emptied out (Fig. 107). DISSOLVING GELATINE 165 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. FIG. 108. — Arrangement of steam can and water-bath for the preparation of media. 4. Arrange a 5 -lit re 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). 1 66 CULTURE MEDIA 5. Keep the water in the steam can vigourously boil- ing, and so steam at 100° 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 me.at 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 (in 5* grammes + weight of the flask) minus (weight of the flask and its contents) equals the weight of water re- quired to make up the bulk to i 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) to- gether 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° C. for twenty minutes, to precipitate the phosphates, etc. 9. Allow the medium mass to cool to 60° C. Well whip the whites of two eggs, add to the contents of the flask and replace in the steamer at 100° C. for about half an hour (until the egg-albumen has coagulated 1 This figure is obtained by adding together i litre water, 1000 grammes; 10 per cent, gelatine, 100 grammes; i 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 altera- tions of the figures. The average weight of a measured litre of 10 per cent, nutrient gelatine when prepared in this way after filter at ion is 1080 grammes. NUTRIENT AGAR-AGAR 167 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° 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 coun- terpoise 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° 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 (I0351 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 i litre. Add the requisite amount (see preparation of gelatine, page 1 66, step 6). 7. Titrate, and estimate the reaction of the medium mass; control the result. Calculate the amount of 1 This figure is obtained by adding together i litre of water (meat ex- tract), looo grammes; 2 per cent, agar, 20 grammes; i per cent, peptone, 10 grammes; 0.5 per cent, salt, 5 grammes — total 1035 grammes. Modi- fications of the process as to quantities or percentages will nessitate corres- ponding 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. 1 68 CULTURE MEDIA 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° C. Well whip the whites of two eggs, add to the contents of the flask, and replace in the steamer at 100° 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 Char din, 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° 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 slaughter-house, 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. BLOOD-SERUM 169 6. Heat tubes containing serum to 56° 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° C. (A coagulum is formed at this temperature which is fairly transparent; above 72° C., a thick turbid coagulum is formed.) FIG. 109. — Blood-serum jar with wicker basket for transport. The serum inspissator (Fig. no) 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 thermoregulator. 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° C. for CULTURE MEDIA 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° C. for half an hour on each of six consecutive days ; store in the fluid condition. 7. Coagulate in the inspissator when needed. :::•::• ' FIG. no. — 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° C. for thirty min- utes. (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° C. for twenty minutes at twenty-four hour intervals. CITRATED BLOOD AGAR 171 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 steiile capillary pipette (Fig. 13,^); 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 ven- tricle 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. 1 1 . Melt up several tubes of nutrient agar (see page 167) and cool to 42° C. 12. With a sterile 10 c.c. graduated pipette transfer i 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 172 CULTURE MEDIA the incubator at 37° 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 i litre of fresh cow's or goat's milk into a large separating funnel, and heat in the steamer at 100° C. for one hour. 2. Remove from the steamer and estimate the re- action of the milk (normal cows' milk averages +17). If of higher acidity than +20, or lower than + 10, re- ject 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° C. for twenty minutes on each of five successive days. 6. Incubate at 37° C. for forty-eight hours and eliminate any contaminated tubes. Store the re- mainder for future use. Litmus Milk.— 1. Prepare milk as described above, sections i 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). i. Collect 250 c.c. perfectly fresh ox serum (vide NUTROSE AGAR 173 Blood Serum, page 168, steps i to 5) and add to it 450 c.c. sterile distilled water. 2. Weigh out agar powder, 20 grammes, and emulsify it with 2 50 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° 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 i 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 solu- tion (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° C. for thirty min- utes on each of three successive days — i.e., by the dis- continuous method for three days. 174 CULTURE MEDIA 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° C for twenty minutes. Cool to 20° 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 (suffi- cient to give a definite pink colour) , or a few drops of waterproof Chinese ink added to the medium at this stage facilitates the sub- sequent "fishing" of colonies. 7. Tube in quantities of 10 c.c. 8. Solidify in the sloping position in the inspissator at 75° C. for one hour. 9. Place the tubes for forty-eight hours in the incu- bator at 37° 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.— i. Choose fairly large potatoes, wash them well, and scrub the peel with a stiff nail-brush. BEER WORT 175 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 re- quired to approximate +10, as for the cultivation of some of the vibrios, the cylinders should be soaked in a i per cent, solution of sodium carbonate for thirty minutes. 4. Cut each cylinder obliquely from end to end, forming two wedge-shaped por- tions. 5. Place a small piece of sterilised cot- ton-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. in). 6. Sterilise in the steamer at 100° C. for twenty minutes on each of five consecutive days. 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° C., and close the flask with a rubber stopper. FIG. in. — Potato tube. 1 76 CULTURE MEDIA 3. Place the flask in a water-bath regulated to 60° 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° C. for twenty minutes on each of three consecutive days. The natural reaction of the wort should not be inter- fered with. NOTE. — It is sometimes more convenient to obtain " unhopped"1 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° 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. 1 "Hopped" wort exerts a toxic effect upon many bacteria, including the lactic acid bacteria. 177 4. Cool to 60° 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° 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° 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° 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 sub- stances 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) . Poly sac char ides Dextrin, inulin, starch, glycogen, arnidon. Glucosides Arnygdalin, coniferin, salicin, helicin, phlorrhizin. 12 178 CULTURE MEDIA Polyatomic alcohols Trihydric, Glycerin. Tetrahydric, Erythrite. Pentahydric, Adonite Hexahydric, Dulcite, (dulcitol or mel- ampitite) , isodulcite (rhamnose) , rnan- nite (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 exem- plified 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° C. 2. Place in a flask and add Distilled water 850 c.c. 3. Steam in the steamer at 100° 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 ° 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° 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° C. themselves induce hydrolytic changes in the substances in question. It is equally NEUTRAL LITMUS SOLUTION 179 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, pre- pared 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 CO2 through the solution until reaction is definitely acid. n. Sterilise in the steamer at 100° 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. l8o CULTURE MEDIA 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 com- monly 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° 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° 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° 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 i 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 i to 7) and measure out IOQO 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). — i. Prepare nutrient agar (vide page 167, sections i 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 AGAR l8l Sulphindigotate Bouillon (Weyl).— 1. Measure out nutrient bouillon (vide page 163, sections i to 6 1000 c.c.). 2. Weigh out glucose, 20 grammes ( = 2 per cent.), sodium sulphindigotate, i 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 i to 7). Measure out 1000 c.c. 2. Weigh out glucose, 20 grammes ( = 2 per cent.), and sodium sulphindigotate, i gramme ( = o . i 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 i to 8). Measure out 1000 c.c. 2. Weigh out glucose, 20 grammes ( = 2 per cent.), sodium sulphindigotate, i gramme ( = o . i 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 decolour- ised to a light yellow. 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 require- ments 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 in- tended for work with intestinal bacteria, have been included ; but beyond the fact that the author's modi- fication of the Drigalski-Conradi medium has been in- cluded 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 raiely given in full; the routine method of exposure in the steam steriliser at 100° C. (without pressure) for twenty min- utes 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 de- parted from are further details given. 182 INOSITE-FREE MEDIA. 183 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 o . i gramme Acid potassium phosphate (KH2PO4) i . o 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, (Na2HPOj 1 2OH. . 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 advan- tageously employed in the solid condition. Proteid Free Broth (Uschinsky).— 1. Weigh out and mix Calcium chloride . . . . o . i gramme Magnesium sulphate . 0.2 gramme Acid potassium phosphate (KH2PO4) . 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 Bio-chemical 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 boullion (+10), 1000 c.c. (vide, page 161), from the meat extract, and store in i -litre flask. 1 84 SPECIAL MEDIA 3. Inoculate the bouillon from a pure cultivation of the B. lactis aerogenes, and incubate at 37° C. for forty-eight hours. 4. Heat in the steamer at 100° 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° C. for forty-eight hours. 7. Heat in the steamer at 100° 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 con- dition; but if acid or gas is present, again make the bouillon in the flask + 10, reinoculate with one or other of the above-men- tioned 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 per- centage of gelatine or agar respectively and completing the medium according to directions given on pages 166 and 167. The most im- portant application of inosite-free bouillon is its use in the prep- aration 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 i to 6) or sugar-free bouillon (vide svprd). 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 i to 7). Measure out 1000 c.c. 2. Weigh out glucose, 20 grammes (=2 per cent.), and dissolve in the hot gelatine. IRON PEPTONE SOLUTION 185 3. Filter through papier Chardin. 4. Tube, and sterilise as for nutrient gelatine. Sugar Agar. — 1. Prepare nutrient agar (vide page 167, sections i 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 i to 6). 2. Weigh out ferric tartrate, i 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 i to 6). 2. Weigh out lead acetate, i 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 i 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 sub- stituted for that of potassium, or the salt may be added in the proportion of from o . i to i 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° 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° C. for thirty minutes, 1 86 SPECIAL MEDIA 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 o.i 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 o.i c.c. of a i 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° 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° C. for twenty minutes. 4. Weigh out sodium nitrate, i 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 i 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° C. for thirty minutes. 4. Filter through Swedish filter paper. 5. Tube, and sterilise as for nutrient bouillon. Capaldi=Proskauer Medium, No. I. — i. Weigh out and mix Sodium chloride 2.0 grammes Magnesium sulphate o.i gramme Calcium chloride 0.2 gramme Monopotassium phosphate ....2.0 grammes a. Dissolve in water 1000 c.c. in a 2 -litre flask URINE GELATINE 187 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 i 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° 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 lojo, 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° 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° 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. 1 88 SPECIAL MEDIA 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, i per cent. ; salt, 0.5 per cent.; gelatine, 10 per cent. 5. Heat in the steamer at 100° 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° 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 i . 5 per cent, or 2 per cent, powdered agar, and add it to the urine. 4. Heat in the steamer at 100° C. ior ninety minutes to dissolve the agar. 5. Cool to 60° C. and clarify with egg as for nutrient agar (vide page 1 6 8). 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 1 70) 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. MILK RICE 189 5. Tube in quantities of 10 c.c. and sterilise in the steamer at 100° C. for twenty minutes on each of three successive days. Lasvulose, 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) . — i. Weigh out and mix Potassium phosphate . . . . . . 4.0 grammes Magnesium sulphate 2 o grammes Ammonium sulphate . . . . . . 4.0 grammes Sodium chloride ssolve in distilled water . . .0.25 gramme 4000 c.c. 2. 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° 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° C. until the mixture solidifies. 5. Replace the lids of the capsules. Sterilise in the steamer at 1 00° 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° C. for thirty minutes on each of three consecutive days. (A pure white, opaque medium is thus formed.) IQO SPECIAL MEDIA 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° 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° 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° C. (vide page 166). 5. Cool to below 60° 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. NAEGELI'S SOLUTION IQI 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 gela- tine 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° C. (vide page 166). 6. Cool to below 60° 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° 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 (KH2PO4) .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 (K2HPO4) i.o gramme Magnesium sulphate o . 2 gramme Calcium chloride o . i gramme Ammonium tartrate 10.0 grammes and dissolve in Distilled water . . . . - 1000 c.c. 2. Tube or flask; sterilise as for nutrient bouillon. 192 SPECIAL MEDIA Plaster =of=Paris Discs. — i. 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° C. for half an hour. Fig. 112. — Cork 5. Remove the sterile discs from the oven and paper mould for by means of sterile forceps, place each inside plaster-of-Paris disc, a sterile capsule, and moisten with a little sterile water. 6. Sterilise in the steamer at 100° 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 prepara- tion 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 dis- tilled 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° 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 i 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° 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. GELATINE AGAR 193 Wheat Bouillon (Gasperini). — 1. Weigh out and mix wheat flour, 150 grammes; magnesium sulphate, 0.5 gramme; potassium nitrate, i gramme; glucose, 15 grammes. 2. Dissolve the mixture in 1000 c.c. of water heated to 100° 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° 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° 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° 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° C. If it is intended 13 194 SPECIAL MEDIA to employ an incubating temperature of 30°, C., 10 per cent, gelatine and o . 5 per cent, agar must be dissolved in the meat extract before the addition of the peptone and salt; while for incubating at 37° 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° 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° 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° C. for twenty minutes. 8. Cool to 60° 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° 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 cal- culated figure for one litre (1083 grammes) by the addition of distilled water at 100° 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° C. for twenty minutes. 9. Cool to 60° 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. LITMUS WHEY 195 Whey Gelatine.— 1. Curdle fresh milk by warming to 60° 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° 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° C., and adding rennet; filter off the whey into a sterile flask. 2. Weieh 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° C. ; clarify with egg as for nutrient agar (vide page 1 6 8). 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° 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° 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 Berkfeld 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).— i. Measure out into a flask Fresh milk 1000 c.c. 196 SPECIAL MEDIA 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 3 caustic soda so- lution and boil. Whey now cloudy and acid again. 5. Again neutralise to litmus by addition of ^L 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. Weight out Peptone 10 grammes and emulsify in a few cubic centimeters of the whey and return to the flask. 5. Weight 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 fig- ure 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° 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.o. 2. Weigh out Extractum malti (malt extract) . . 25 grammes and add to distilled water in flask. BEYRINCK'S SOLUTION 197 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 fig- ure for one litre (1025 grammes) by the addition of distilled water at 100° C. 7. Titrate the medium mass and adjust the reaction to +5. 8. Cool to 60° 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 i gramme potassium hydrogen phos- phate, 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 i c.c. of a one per thousand aqueous solution of ferrous sulphate. 4. Add i 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. 198 SPECIAL MEDIA 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 i . o gramme Magnesium sulphate 0.5 gramme Calcium chloride o.oi 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° 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° 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 i gramme Potassium sulphate i 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 o.oi gramme and dissolve in Distilled water 50 c.c. Label — Solution A. 2. Weigh out and mix Potassium phosphate o.io gramme Sodium carbonate 0.60 gramme and dissolve in Distilled water 50 c.c. Label — Solution B. BILE SALT BROTH 199 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° 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° C. 6. Clarify with white of egg and filter. 7. Tube in quantities of 10 c.c. and sterilise in the steamer at 100° 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° 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° 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. 200 SPECIAL MEDIA Media for the Study of Plant Bacteria. Beetroot.— 1 Carrot. — [ are prepared tubes and sterilised in a manner pre- Turnip. — [ cisely similar to that described for potato. Parsnip. — J 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° C.; close the flask with a solid rubber stopper. 3. Macerate in a water-bath at 60° C. for three hours. 4. Replace the stopper by a cotton-wool plug, and heat in the steamer at 100° 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 i c.c. of a i per cent, solution of sodium bicarbonate. 5. Place in the steamer at 100° 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 too 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 i c.c. of i 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° 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° C. OLEIC ACID AGAR 2OI 9. Cool to 60° C., clarify with egg and filter. 10. Weigh out 20 grammes saccharose and add to the contents of the flask. u. Tube, and sterilise as for nutrient agar. Wood Ash Agar. — -i. 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° 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° C. 11. Replace the flask in the steamer for twenty minutes, cool to 60° 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° C. 5. Mix the oleic acid emulsion with the agar. 202 SPECIAL MEDIA 6. Add 10 c.c. sterile neutral red, i 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° 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 o.i, 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° C. for forty-eight hours to eliminate con- taminated tubes. Store the remainder for future use. Carbolised Bouillon. — 1. Prepare nutrient bouillon (vide page 163, sections i to 6). Measure out 1000 c.c. 2. Weigh out carbolic acid, i 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 i 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 i to 8). Measure out 1000 c.c. 2 . Weigh out i 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 i to 8). 2. Add sterile litmus solution, sufficient to tint the medium a deep lavender colour. 3. Tube, and sterilise as for nutrient gelatine. GLYCERINE POTATO BOUILLON 203 Lactose Litmus Bouillon (Lakmus Molke). — 1. Weight out peptone, 4 grammes, and emulsify it with 200 c.c. meat extract (vide page 148), previously heated to 60° 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° C. for thirty minutes, to com- pletely 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 i to 4). 2. Render the reaction of the medium mass — 5. 3. Replace in the steamer at 100° 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 i to 4). 2. Render the reaction of the medium mass — 5. 3. Replace in the steamer at 100° C. for twenty minutes. 4. Cool to 60° 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 i 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, 204 SPECIAL MEDIA and add distilled water in the proportion of i 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 dis- tilled 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 (Eisner).— 1. Take i 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 i 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° C. ; clarify with egg as for nutrient gelatine (vide page 166). 7. Add i 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 i . o 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 FUCHSIN A GAR 205 the calculated medium figure (in this case 1031.5 grammes) by the addition of distilled water at 100° 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° 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° 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 (= i per cent.), and dissolve it in the agar. If desired, add 5 c.c. of a i 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 ex- tract 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, j 2O6 SPECIAL MEDIA 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) i per thousand aque- ous solution 6.5 c.c. 4. Measure out and add to the medium Picric acid (Gruebler) , i 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. DOUBLE SUGAR A GAR 207 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, i per thousand aqueous solution. 20 c.c. and mix thoroughly with the fluid agar. 9. Measure out and add to the medium Picric acid, i 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, o.i per cent, aqueous solution. .16 c.c. for "weak" medium. 40. 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. 208 SPECIAL MEDIA 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° C. for twenty minutes on each of three successive days. 6. Store for use in a cool dark place. B. Diphtheria. Glycerine Blood=serum. — 1. Prepare blood-serum as described, page 168, sections i 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 i 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 i 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 i 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> °f dekanormal soda solution for every 100 c.c. of serum). 3. Tube, and stiffen at 100° C. in the serum inspissator. 4. Incubate at 37° 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 ex- haust as completely as possible before transferring to the serum inspissator. 2. Heat the tubes in a slanting position in hot-air steriliser at 90° C. till firmly coagulated, say half an hour. GLYCERINATED POTATO 2OQ 3. Sterilise in steam steriliser at 100° 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 mde page 1 74) 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 be- tween steps 4 and 5. Glycerine Bouillon. — 1. Measure out nutrient bouillon, 1000 c.c. (vide page 163, sections i 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 i 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 BIood=serum. — 1. Prepare blood-serum as described, page 168, sections i to 4. 2. Add 5 per cent, pure glycerine. 3. Complete as described above for ordinary blood-serum, sec- tions 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 i 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° C. for twenty minutes on each of five consecutive days. 14 210 SPECIAL MEDIA Animal Tissue Media (Frugoni). — 1. Take a number of sterile test-tubes 16X3 or 4 cm-> P with cotton wool, and into each insert a 2 cm. length of stout glass tubing (about i 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° C. for twenty minutes on each of three suc- cessive 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 3X1.5X1 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° 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 pre- liminary sterilisation by boiling or autoclaving. Media for the Study of Special Cocci. Diplococcus Gonorrhoea. Ascitic Bouillon (Serum Bouillon). — 1. Collect ascitic fluid (pleuritic fluid, hydrocele fluid, etc.), by aspiration directly into sterile flasks, under strictly aseptic pre- cautions. 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° C. for half an hour on each of five consecutive days. 5. Incubate at 37° C. for forty-eight hours and eliminate con- taminated tubes. Store the remainder for future use. Serum Agar (Heiman). — i. 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. SERUM AGAR 211 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° 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° 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° 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° 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° 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 ( = i 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. 212 SPECIAL MEDIA 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 o (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° C. for thirty minutes on each of three consecutive days. 6. After the third sterilisation cool to 42° C. and add to each tube 3 c.c. of sterile hydrocele fluid, ascitic fluid or pleuritic effu- sion (previously sterilised, if necessary, by the fractional method) ; allow the tubes to solidify in a sloping position. 7. When solid, incubate at 37° 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< °f dekanormal NaOH solution per 100 c.c. of the mixture). 30. Glucose to the extent of i 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° C. in the serum inspissator. 6. Incubate at 37° 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 solu- tion 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° 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. ASCITIC FLUID AGAR 213 6. Sterilise in the steamer at 100° 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° C. in the incubator. 3. Add the water to the flask containing the albumin and beads and dissolve by shaking. 4. Add -^ 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° C. — discard any con- taminated 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. 214 SPECIAL MEDIA D^plococcus Pneumonias. 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 i 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° 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 spirochcetes (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 abdo- TISSUE MEDIUM 215 men 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° 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 j ar, 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° C. for several days and discard any which prove to be contaminated. 9. Store such tubes as are sterile for future use. XIII. INCUBATORS. AN incubator (Fig. 113) consists essentially of a cham- ber 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 FIG. 113. — Incubator- 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 me1 some years ago is of the greatest practical utility. Here the 1 Made by the firm of Chas. Hearson & Co., 235 Regent St., London, W. 2l6 THE RMO-REG ULATORS 2I7 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. Fio. 114. — Cellular incubator. Two incubators at least are required in the labora- tory, for the cultivation of bacteria the one regulated to maintain a temperature of 37° C., and known as the "hot" incubator; the other, 20° C. to 22° C., and known as the "cool" or "cold" incubator. Two other incubators, regulated to 42° C. and 60° C. respectively, whilst not absolutely, necessary very soon justify their purchase. Thermo regulators. — The thermo-regulator is the 2l8 INCUBATORS most essential portion of the incubator, as upon its efficient working depends the maintenance of a con- stant temperature in the cultivation chamber. It is also used in the fitting up of water and paraffin baths, and for many other purposes. 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 metal- lic capsule containing a fluid, the boiling-point of which corresponds to the temperature at which the in cubator is intended to act. They are: (a) Reichert's (Fig. 115), consists of a bulb containing mercury which is FIG. 115.— Reichert's to be suspended in the medium, thermo-regulator. 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 re- opens 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) Hear son's capsule regulator consists of a metal cap- sule 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 THERMO-REGULATORS 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 1 16. 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. The construction of the valve is such that, when- ever 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 FIG. 116. — Capsule thermo-regulator. the screw needle S, hence the gas flame below the incu- bator is never extinguished. The expansion of the metal walls of the capsule, which takes place upon the boiling of its contents, pro- vides 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 temper- ature, the lever will only be acted upon when the criti- cal temperature is reached, no sensible effect being pro- duced at even i° C. below that at which the capsule is destined to act. W is a weight sliding on the lever rod D ; by increas- ing the distance between the weight and the fulcrum 220 INCUBATORS 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. XIV. METHODS OF CULTIVATION. CULTIVATIONS of micro-organisms are usually pre- pared 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 in- different gas, such as hydrogen, nitrogen, or carbon dioxide) . With regard to the temperature at which the culti- vations are grown, it may be stated as a general rule that all media rendered solid by the addition of gela- tine are incubated at 20° C., or at any rate at a tem- perature not exceeding 22° C. (that is, in the "cold" incubator) ; whilst fluid media and all other solid media are incubated at 3 7° 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 em- ployed 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 incuba- tor and each accommodating two rows of tubes, are also exceedingly useful. 221 222 METHODS OF CULTIVATION 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 : 1. Fluid Media (e. g., Nutrient Bouillon).— i . Flame the cotton-wool plug of the tube containing FIG. 117. — Inoculating tubes, seen from the front. the cultivation arid 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 SOLID MEDIA 223 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.1 4. Grasp the plug of the tube containing the culti- vation 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. Obb'que 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 bot- tom of the tube almost to its mouth. This is employed for " streak" or "smear" cultiva- tions (Strichcultur) . 2. Straight tube (Fig. 119), in which the medium 1 See also method of opening and closing culture tubes, pages 74-76. 224 METHODS OF CULTIVATION 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, ter- minating 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 cul- ture, 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 sub- stance 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. TUBE CULTURES 225 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. FIG. 118. — Sloped or slant- ed medium for streak or smear culture. 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. 15 226 METHODS OF CULTIVATION 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. FIG. 1 20. — 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 i per cent, gelatine or i 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 lique- fied gelatine, agar, or other similar medium, and the in- fected 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 227 organism becomes visible to the naked eye as a " colony." This is the principle upon which the method of plate cul- tivation is based and its practice enables the bacteri- ologist to study the particular manner of development affected by each species of microbe when growing (a) unrestricted upon the sur- face 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° 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. Method of " Pouring" Plates.— water baf fo.r ™eltins * agar and gelatine previous to Plapp tVip alfl d rl* Vi rm tVip slanting them; or to making • • •* "shake cultures or pouring levelling tripod (Figs. 122, 123); plates, 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° 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. FIG. 121. — Handy form of 228 METHODS OF CULTIVATION This leveling is an important matter since the de- velopment 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 FIG. 122. — Plate-levelling stand. 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. 3. Place three sterile Petri dishes in a row on the surface of the glass plate and number them i, 2, and 3, from left to right. FIG. 123. — Plate-levelling stand, side view. 4. Number the previously liquefied tubes of nutrient media i, 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. i, PLATES 229 treating the liquefied medium as bouillon. After re- plugging, 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 inocu- lum throughout the medium; avoid jerky movements, as these cause bubbles of air to form in the medium. 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). 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. i, remove it, then flame the lips of the tube; slightly raise the cover of Petri dish No. i, introduce the mouth of the tube; then, 230 METHODS OF CULTIVATION 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. i, 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 usu- ally 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 t045°C. or42°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. i (for the first dilu- tion) rarely gives a plate that is of any practical value it is fre- quently replaced by a tube of bouillon or sterile salt solution, and in such case plate No. i 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 SURFACE PLATES 23I 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 de- rivatives 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 al- low it to solidify. Then turn each plate and its cover upside down. 3. When quite cold . raise the bottom of plate i , revert it and deposit a drop of the inoculum / , ,1 n • 1 i, FIG. 126. — Surface plate spreader. (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 232 METHODS OF CULTIVATION 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. After incubation, plate No. i will probably yield an enormous number of colonies; plate 2 will show fewer colonies, since only those bacteria adhering to the rod FIG. 127. — Spreading surface plate. after rubbing over plate i 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° C. for forty- five minutes (or in an incubator at 42° C. for HANGING-DROP CULTURES 233 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. 5. Inoculate the plates in series of three, as described for gelatine sur- face plates 3-8. FlG> ing sur. face plate of agar. Hanging=drop Cultivation. Apparatus Required. — Hanging drop slides. Caver-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 thor- oughly 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 234 METHODS OF CULTIVATION 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. Re- move 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 tech- nique, 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 cul- tivation 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 rectangu- lar 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 235 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° C. for ten minutes to dry slightly. 6. Take a clean dry sterile cover- slip in a pair of for- ceps, and with the help of a second pair of forceps lower it carefully on the inoculated surface of the agar (avoid- ing 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. 236 METHODS OF CULTIVATION ANAEROBIC CULTIVATIONS. Numerous methods have been devised for the culti- vation 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 vacua. (c) Absorption of oxygen from the air in contact with the cultivation by means of pyrogallic acid rendered alka- line with caustic soda — i. e., cultivation in an atmos- phere of nitrogen. (d) Displacement of air by an indifferent gas, such as hydrogen or coal gas — i. e., cultivation in an atmos- phere 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 em- ployed in any of the processes should contain some easily oxidisable substance, such as sodium formate (0.4 per cent.) or sodium sulphindigotate (o.i 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 i part, olive oil 4 parts. ANAEROBIC CULTURES 237 (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), i 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 exclud- ing 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 capil- lary 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, i or 2 cm. deep, of broth cultivation of a vigourous aerobe — e. g., B. aquatilis sulcatus or B. 238 METHODS OF CULTIVATION prodigiosus — upon the surface of the medium; or an equal depth of liquefied gelatine, which is then inocu- lated 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.- i . 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. 3. Connect the tube leading from the culture vessel with a water or air pump, interposing a WulfFs bottle fitted as a wash-bottle and containing sulphuric acid. 4. Exhaust the air from the culture vessel. 5- Before disconnecting the appa- ratus, seal the glass tube from the cul- at the constriction, using the blowpipe Fl°* ture vessel 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 i gram. Dekanormal solution of caustic soda. ANAEROBIC CULTURES 239 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 into the Buchner 's tube (roughly, use i gramme pyrogallic acid for every 100 c.c. air capacity of the receiving vessel). 5. Add about i 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 hur- riedly. 7. Fit the india-rubber stopper tightly into the mouth of the Buchner 's tube. The pyrogallic acid tablet dissolves slowly in the soda solution and its oxida- tion 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 sup- port, and incubate. the FIG. 130. — Buch- ner's tube. Method VII (Wright 's Method) .- 1. Prepare tube cultivation in usual way. 2 . Cut off that portion of the cotton- wool plug project- ing above the mouth of the tube with scissors, then push the plug into the tube for a distance of 2 or 3 cm. 1 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. 240 METHODS .OF CULTIVATION 3 . By means of a pipette drop about i c.c. of pyrogal- lic 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. 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) . FIG. 131. — McLeod's anaerobic plate base with half petri dish inverted in situ Plasticine. Pyrogallic acid (i 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. — i. Roll out a long cylinder of plasticine and fit it into the groove on the upper surface of the earthenware base. ANAEROBIC CULTURES 241 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. 5. Connect up the india-rubber tubing on one of the side tubes with a cylinder of compressed hydrogen 16 242 METHODS OF CULTIVATION FIG. 132. — Kipp's hydrogen apparatus, (a) connected up to two washing bottles containing (b) lead acetate 10 per cent, solution, to remove H2S and (c) silver nitrate solution to remove AsH3. A third washing bottle containing pyrogallic acid 10 per cent, solution, rendered alkaline, to remove any trace of oxygen, is sometimes introduced. 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 (6). ANACROBIC CULTURES 243 (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- 244 METHODS OF CULTIVATION 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 out- side arms (Fig. 134). 6. Fill the glass dish with glycerine or metallic mercury to a depth of about 5 cm. 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. ANAEROBIC CULTURES 245 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. FIG. 135. — Novy's jar for plate cultivations. 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. 246 METHODS OF CULTIVATION 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 con- taining 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., i 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 oint- ment 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 ANAEROBIC CULTURES 247 strokes of the air pump, aspirate a small quanity 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 FIG. 137. — Bulloch's jar. pyrogallic acid converting the latter into alkaline pyro. and so bringing its latent capacity for oxygen into action) . 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 trans- fer the apparatus to the incubator. This last method is the most satisfactory for anae- robic cultivations, as by its means complete anaerobi- osis can be obtained with the least expenditure of time and trouble. 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 prog- eny of a single cell is termed a "pure culture"; one which contains representatives of two or more species FIG. 138. — Haematocytometer cell, showing, a, section through the centre of the cell, and b, a magnified image of the cell rulings. of bacteria is spoken of as an "impure, " or "mixed" "cultivation," and it now becomes necessary to indi- cate 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. Before the introduction of solid media the only method of obtaining pure cultivations was by "dilu- tion"— 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 haemato- 248 BIOLOGICAL DIFFERENTIATION 249 cytometer, Fig. 138), and diluting the fluid by the addi- tion of sterile water or bouillon until a given volume (usually i 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 occasion- ally happened that the resulting growth was the pro- duct of one individual microbe. A method so uncer- tain is now fortunately replaced by many others, more reliable and convenient, and in those methods selected for description here, the segregation and isola- tion of the required bacteria may be effected — A. By Mechanical Separation. i . 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 cir- cumstances, 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 250 METHODS OF ISOLATION either the first or the third method will be found most convenient, affording as each of them does an opportun- ity 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) A gar (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 i, 2, and 3, and place them, with three tubes of sterile fluid serum, also labelled la, 20,, and 30, in a water-bath regulated at 45° 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. la and agar tube No. i. 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. i 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° 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 — i . Melt a tube of sterile agar and pour it into a sterile plate; let it set. SERIAL CULTIVATIONS 251 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.) (/) 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. i, 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, inocu- 252 METHODS OF ISOLATION late 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. i. 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, dis- crete 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 shal- low pit of liquefied gelatine, fourteen flat irridescent filmy colonies, and four raised white slimy colonies. A film preparation (stained Gram) from each variety ex- amined microscopically showed that the yellow liquefy- ing 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 FISHING COLONIES 253 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 fol- lowing 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 i -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 i, and the central bottom por- tion 8 (Fig. 139). Revert the dish. The numbers i 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 254 METHODS OF ISOLATION 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 microscop- ically, using the oil immersion lens and note the numbers of those cover-slips which mor- phologically and by Gram re- sults appear to be composed FIG. i39.-Diagram for stock of different species of bac- Plate- teria. (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 DIFFERENTIAL INCUBATION 255 results of incubation. (If any of the subcultures fail, further material can be obtained from the correspond- ing 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 con- taining bacteria as well, it is often sufficient to inoculate wort from the mixture and incubate at 37° C. for twenty-four hours. Plant a fresh tube of wort from the resulting growth and incubate. Repeat the proc- ess once more, and from the growth in this third tube plant a streak on wort gelatine, and incubate at 20° 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 i per cent, will inhibit the growth of prac- tically everything but the Bacillus coli communis. 5. Differential Incubation. — In isolating certain bac- teria, advantage is taken of the fact that different species vary in their optimum temperature. A mix- ture containing the Bacillus typhosus and the Bacillus aquatilis sulcatus, for example, may be planted on two slanted agar tubes, the one incubated at 40° C., and the other at 12° C. After twenty-four hours' incubation the first will show a pure cultivation of the 256 METHODS OF ISOLATION 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 bac- teria. From a mixture of two organisms whose ther- mal death-points differ by, say, 4° C. — e. g., Bacillus pyocyaneus, thermal death-point 55° C., and Bacillus mesentericus vulgatus, thermal death-point 60° C. — a pure cultivation of the latter may be obtained by heat- ing the mixture in a water-bath to 58° C. and keeping it at that point for ten minutes. The mixture is then planted on to fresh media and incubated, when the re- sulting growth will be found to consist entirely of the B. mesentericus. (b) Sparing 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° C. for fifteen to twenty minutes. At the end of this time the non-sporing bacteria are dead, and cul- tivations made from the mixture will yield a growth resulting from the germination of the spores only. Differential sterilisation at 80° C. is most conveni- ently 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 pro- vided with a tubulure communicating with the space between the walls. This space is nearly filled with benzole (boiling-point 80° 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 DIFFERENTIAL ATMOSPHERE CULTIVATION 257 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° 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° C. 4. When the thermometer again records 80° C., note the time, and fifteen minutes later remove the tube containing the mixture from the bath. 5. Make cultures upon suitable media; incubate. 7. Differential Atmosphere Cultivation.— (a) By adapting the atmospheric conditions to the particular organism it is desired to isolate, it is com- paratively 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 17 FIG. 140. — Benzole bath. 258 METHODS OF ISOLATION 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 suffi- cient to plant the mixture upon the sloped surface agar, incubate aerobically at 37° 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 subcul- tures, 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 statable 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 ac- count 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 exami- nations 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 maxi- mum 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 Ex- amination of Cultivation, page 261.) Gelatine plates, Gelatine streak, ~ . , . . . at 20° C. Gelatine stab, Gelatine shake, 259 260 METHODS OF IDENTIFICATION AND STUDY Agar plates, Agar streak or smear, Agar stab, Inspissated blood-serum, at2o°C. and 3 7° 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. PLATE CULTURES 26l 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 appear- ances 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 lique- faction of the surrounding medium. If liquefaction is present, note shape and character (vide page 269, "stab" cultures). A gar. — 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 262 METHODS OF IDENTIFICATION AND STUDY water which has been expressed during the rapid solidi- fication of the medium and has subsequently condensed. Gelatine and Agar. — Examine the colonies at inter- vals of twenty-four hours. (a) With the naked eye. (b) With a hand lens or watchmaker's glass. (c) Under a low power (i 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. (4) Size. — The diameter in millimetres, at the various ages. (B) Shape.— Punctiform: Dimensions too slight for defining form by naked eye; minute, raised, hemispherical. a b c FIG. 141. — Types of colonies: a, Cochleate; b, amoeboid; c, mycelioid. 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). SURFACE ELEVATIONS 263 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 char- acter (Fig. 142, b). Conglomerate: An aggregate of colonies of similar size and form (Fig. 142, c). a b c d FIG. 142. — Types of colonies: a, Filamentous; b, rhizoid; c, conglomerate; d, toruloid. Toruloid : An aggregate of colonies, like the budding of the yeast plant (Fig. 142, d). Rosulate: Shaped like a rosette. (C) Surface Elevation. — i . General Character of Surface as a Whole: Flat : Thin, leafy, spreading over the surface (Fig. 143, «)• 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. 1 43 , c) . 264 METHODS OF IDENTIFICATION AND STUDY Pulvinate: Surface the segment of a circle, but de- cidedly convex (Fig. 143, d). Capitate: Surface hemispherical (Fig. 143, e). Umbilicate : Having a central pit or depression (Fig. 143, /)• Conical: Cone with rounded apex (Fig. 143, g). Umbonate: Having a central con- vex nipple-like elevation (Fig. 143, h). 2 . Detailed Characters of Siirface: Smooth : Surface even, without any of the following distinctive characters. Alveolate: Marked by depressions separated by thin walls so as to re- semble 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 FIG. 143. FIG. 144. FIG. 143. — Surface elevation of colonies: a, Flat; &, raised; c, convex; d, pulvinate; e, capitate; /, umbilicate; g, conical; h, umbonate. FIG. 144. — Types of colonies — alveolate. with minute vesicles due to gas formation; more minute than bullate. Verrucose: Wart-like, bearing wart-like prominences. Squamose: Scaly, covered with scales. Echinate: Beset with pointed prominences. Papillate: Beset with nipple or mamma-like proc- esses. INTERNAL STRUCTURE OF COLONY 265 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. a b c FIG. 145. — Types of colonies: a, Grumose; &, 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 266 METHODS OF IDENTIFICATION AND STUDY appearance, and particles in clustered grains (Fig. Moruloid: Having the character of a mulberry, seg- mented, 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). a b c 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, ir- regular 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. 4. Filamentous Colonies: Filamentous : As already defined. Floccose : Composed of filaments, densely placed. FIG. 147. — Types of colonies — curled. OPTICAL CHARACTERS 267 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). FIG. 148. — Edges of colonies: a, Entire; &, undulate; c, repand; d, erose. Lobate. Lobulate: Minutely lobate (Fig. 149, e). Auriculate: With ear-like lobes (Fig. i49,/). Lacerate: Irregularly cleft, as if torn (Fig. 149, g) Fimbriate: Fringed (Fig. 149, h). Ciliate: Hair-like extensions, radiately placed (Fig. FlG. 149. — Edges of colonies: e, Lobar-lobulate; /, auriculate; g, lacerate; h, fimbriate; i, ciliate. Tufted. Filamentous : As already defined. Curled: As already defined. (F) Optical Characters (after Shuttleworth) .— i. General Characters: Transparent : Transmitting light. 268 METHODS OF IDENTIFICATION AND STUDY Vitreous : Transparent and colourless. Oleaginous: Transparent and yellow; olive to lin- seed-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. Chroma genicity: 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 tinder 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. — i. Colonies Discrete: Size, shape, etc., as for plate cultivations (vide page 261). GELATINE STAB CULTURES 269 2. Colonies Confluent: Surface elevation and char- acter 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). 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 char- acters (Fig. 150, a). Nodose: Consisting of closely aggregated colonies. 270 METHODS OF IDENTIFICATION AND STUDY Beaded: Consisting of loosely placed or disjointed colonies (Fig. 150, .6). 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. FIG. 151.— Stab cultivations— types of growth:/, Crateriform; g, saccate; h, infundibuliform; j, napiform; k, fusiform; I, 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, /). FLUID MEDIA 271 Saccate: Shape of an elongated sack, tubular cylin- drical (Fig. 151, g). Infundibuliform : Shape of a funnel, conical (Fig. IS1**)- Napiform : Shape of a turnip (Fig. 151, /) . 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, /). (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. 272 METHODS OF IDENTIFICATION AND STUDY Amount. Colour. Carbohydrate Media. — Growth. Reaction. Gas formation. Coagulation or not of serum albumen (when serum water media are employed). Litmus Milk Cultivations.— Unaltered. i. Reaction: Acid. Alkaline. 2. Odour. 3. Formation of gas. Unaltered. 4. Consistency: Peptonised (character of solution) . Coagulated. f hard: solid. soft : floculent. Clot: Character -, -, , , , ragged and broken up by gas bubbles. (a) Coagulum undissolved. (b) Coagulum finally peptonised, completely : in- completely. 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 LITMUS MILK CULTIVATIONS 273 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 mo- tility 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 con- ditions 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 microm- eter 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 culti- vations (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 micro- scope; if necessary, using a warm stage. Arrange illumination, etc., and select a solitary bacillus for observation, by the help of the £-inch lens. Substitute the -j^-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 culti- vations from old cultivations in which no living vegeta- 18 274 METHODS OF IDENTIFICATION AND STUDY tive 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, re- move 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 de- colourise 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° 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 tem- perature of 115° 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. LITMUS MILK CULTIVATIONS 275 (c) Measure (vide page 66) some twety-five indi- viduals 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. (6) 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. 276 METHODS OF IDENTIFICATION AND STUDY 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 0 , . . ! , \ 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 — H2S, CO2,H2. Esti- mate the ratio between the last two gases. Prepare all cultivations for these methods of ex- amination under optimum conditions, previously deter- mined for each of the organisms it is intended to investi- gate, as to (a) Reaction of medium ; (b) Incubation temperature; (c) Atmospheric environment; ENZYME PRODUCTION 277 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 i 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. 278 METHODS OF IDENTIFICATION AND STUDY 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 am- monium sulphate. Pink colour = peptone. b. Boil with Millon's reagent. Red colour = tyrosine. c. Add glyoxylic acid solution and run in concen- trated 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 soltuion. 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° C. for six to eight hours. 4. Filter. Test the nitrate for sugar. Boil some of the Fehling's solution in a test-tube. Add the nitrate drop by drop until, if necessary, a quantity has been added equal in amount to the Feh- ling's solution employed, keeping the mixture at the boiling-point during the process. Yellow or orange precipitate = sugar. FERMENTATION REACTION 279 (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 solu- tion 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 pre- ceding section. (D) Rennin and "Lab" Enzymes. — (Coagulate milk independently of the action of acids; e. g., B. pro- digiosus.) Media Required: Inosite-free bouillon. Litmus milk. METHOD. — 1. Prepare tube cultivations and incubate. 2. After incubation heat the cultivation to 55° 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° 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. 280 METHODS OF IDENTIFICATION AND STUDY Media Required: Peptone water containing various percentages (gen- erally 2 per cent.) of each of the substances referred to under "sugar" media (page 177), also tubes of peptone water containing i 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° C. for thirty minutes to sterilise. 3 . Determine the litre 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 Berkfeld filter candle previous to step 2, and the filtrate employed in the titration. ACID PRODUCTION 28 1 (5) Qualitative (of all the organic acids present). — Medium Required: Sugar (glucose or lactose) bouillon as in quantitative examina- tion. 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, i per cent, aqueous solution. Lugol's iodine. Ten per cent, caustic soda solution. Hard paraffin wax (melting-point about 52° 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. 282 METHODS OF IDENTIFICATION AND STUDY 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. 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. ACID PRODUCTION 283 7. Acidify 250 c.c. with 20 c.c. concentrated phos- phoric 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.) i. 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 may contain barium propionate, barium butyrate. 1. Evaporate to dryness. 2. Dissolve residue in 150 c.c. water. 3. Acidify with phosphoric acid and dis- til. 4. Saturate distillate with calcium chlo- ride and distill over a few c.c. 5. Test distillate for butyric acid: Add 3 c.c. alcohol and 4 drops con- centrated sulphuric acid. Smell of pineapple = butyric acid. Propionic acid in small quantities cannot be distinguished from buty- ric acid by tests within the scope of the bacteriological laboratory. RESIDUE may contain barium acetate, barium formate, barium benzoate. 1. Evaporate off alcohol and dissolve up the residue on the filter in hot water and neutralise. 2. Divide the solution into four por- tions: (a) Add ferric chloride solution. Brown colour = acetic or for- mic acids. Buff ppt. = benzoic acid (see ether soluble acids). (6) Add silver nitrate solution; then add one drop am- monia water, and boil. Black precipitate of me- tallic silver = formic acid. (c) Evaporate to dryness; mix with equal quantity of arsenious oxide and heat 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° C. Precipitate of mercurors chloride which is slowly reduced to mercury =• formic acid. 284 METHODS OF IDENTIFICATION AND STUDY 8. If the distillation of " B" is continued as long as acid conies 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 ex- cess 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 char- acteristic form, and if dried at 110° 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. ALCOHOL PRODUCTION 285 Buff precipitate = benzoic acid, and other acids re- lated 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 mag- nesia, then connect up with condensers and dis,til. 3 . Collect 50 c.c. distillate, from each, in a Nessler glass. 4. Add i 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. i. 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. 286 METHODS OF IDENTIFICATION AND STUDY 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 acet- aldehyde 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 addi- tion of ammonium sulphate a deep permanganate colour, which takes ten minutes to reach its full inten- sity. 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-benz aldehyde 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 incu- bated at 37° C., it must be allowed to cool to the room temperature before applying the test.) i. Remove 2 c.c. of the cultivation by means of a sterile pipette and transfer to a clean tube, then, PHENOL PRODUCTION 287 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 i 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 o.o i 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, i per cent, aqueous solution. METHOD. — 1. Prepare cultivation in a Bohemian flask contain- ing 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. 288 METHODS OF IDENTIFICATION AND STUDY 5. Add to (b) about 0.5 c.c. ferric chloride solution. Violet colour = phenol. (If the distillate be acid the reaction will be nega- tive.) 6. Add to (c) bromine water. Crystalline white ppt. of tribromo -phenol = phenol. NOTE. — If both indol and phenol appear to be present in culti- vations 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 tempera- ture (at 37° C. and at 20° 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. GAS PRODUCTION 289 4. Note spectroscopic reactions. 7. Reducing Agent Formation. — (a) Colour Destruction. — 1 . Prepare tube cultivations in nutrient bouillon tin- ted 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 orjfinion 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 2QO METHODS OF IDENTIFICATION AND STUDY (glucose, lactose, etc.). The medium should be prepared from inosite-free bouillon (vide page 183). Reagent Required: - caustic soda. 2 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 C02 and H2, 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 H2S will cause the yellowish- GAS PRODUCTION 291 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 : 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 FIG. 153. — Gas-collecting apparatus. 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 horizon- tal arm being 10 cm. in length. A three-way tap is let hori- zontally into the vertical tube just above its junction with the bell jar. An iron cylinder just large enough to contain the bell jar. About 1 5 kilos of metallic mercury. Melted paraffin. 2p2 METHODS OF IDENTIFICATION AND STUDY 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 C02, 02, H2, and N2. METHOD.— i. 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 FIG. 154.— Orsat-Lunge gas analysis apparatus. thoroughly flamed before and after the operation. 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 GAS PRODUCTION 293 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 com- munication 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. 1 1 . 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 commence- ment 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 per- forated 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 294 METHODS OF IDENTIFICATION AND STUDY 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 con- nects 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 tub- ing 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 dis- tilled water. 8. Release the clamp again arid 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 re- ceiver with hot water. ATMOSPHERE 295 11. Connect up the culture flask with the horizontal arm of the gas receiver. 1 2 . 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 296 METHODS OF IDENTIFICATION AND STUDY 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 respec- tively. 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.— i. Prepare four sets of cultivations: (A) Sloped glucose formate agar, and incubate aerobically at 3 7° C. Sloped glucose formate gelatine, and incubate aero- bically at 20° C. (B) Sloped glucose agar to incubate anaerobically at37°C. Sloped glucose formate gelatine to incubate anaerobically at 20° C. (C) Sloped glucose formate agar to incubate anaero- bically at 37° C. Glucose formate bouillon to incubate anaerobi- cally at 37° C. (D) Sloped glucose formate gelatine to incubate anaerobically at 20° C. Glucose formate bouillon to incubate anaerobi- cally at 20° C. ATMOSPHERE 297 2. Seal the cultures forming set B in Buchner's tubes (vide page 239). 3 . Seal the cultures forming set C in Bulloch's appara- tus; 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 solu- tion (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 (SO2, N2O, NO, CO2, 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 re- placed 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 tem- perature. 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 appara- tus 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. 298 METHODS OF IDENTIFICATION AND STUDY 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 tempera- tures, varying 5°C. and including temperatures between 5° C. and 50° 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 i° 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 /. d. p. here is that temperature which with TEMPERATURE 299 certainty kills a watery suspension of the organisms in question after an exposure of 10 minutes. 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 FIG. 155. — Hearson's water-bath. that can be adjusted for intervals of half a degree centigrade through a range of 30°, from 50° C. to 80° 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. 300 METHODS OF IDENTIFICATION AND STUDY METHOD.— 1. Prepare tube cultivations on solid media of opti- mum reaction; incubate forty-eight hours under opti- mum conditions as to temperature and atmosphere. 2. Examine preparations from the cultivation micro- scopically 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° 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° C. Note the time. Ten minutes later remove the tube containing the sus- pension, 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. TEMPERATURE 301 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° C. higher than the immediately preceding one — i. e., 42° C., 44° C., 46° 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. 1 6. 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° C., through a range of 5° 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° 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° 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° 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: 302 METHODS OF IDENTIFICATION AND STUDY (a) Thermometer to 120° C., its bulb immersed in the normal saline. Straight entry tube, reaching to the bottom of the flask, the upper end plugged with cotton-wool. 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. (c) FIG. 156. — Apparatus arranged for the determination of the death-point of spores. (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. METHOD. — i. Prepare twelve tube cultivations upon the sur- face (or two cultures in large flat culture bottles — TEMPERATURE 303 vide page 5) of nutrient agar and incubate under the optimum conditions (previously determined), for the formation of spores. Examine preparations from the cultures micro- scopically to determine the presence of spores. 2. Pipette 5 c.c. sterile normal saline into each cul- ture 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° C., open the spring clip on the syphon, discard the first cubic centi- meter of suspension that syphons over (i.e., the con- tents 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. 304 METHODS OF IDENTIFICATION AND STUDY 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 ster- ile 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, vary- ing 5° C. between 60° C. and 120° C. 4. Remove each capsule from the oven with crucible tongs immediately 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. — i. Prepare a sloped agar tube cultivation and incu- bate under optimum conditions as to spore formations. REACTION OF MEDIUM 305 2. Pipette 5 c.c. sterile normal saline into the culture tube and emulsify the entire surface growth in it. Ex- amine 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° C., between 100° C. and 160° C. 5. Complete the examination as for vegetative forms. III. Reaction of Medium. (A) Range. — 1. Prepare a bouillon culture of the organism and in- cubate, under optimum conditions as to temperature and atmosphere, for twenty-four hours. 2. Pipette o.i c.c. of the cultivation into a ster- ile 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> -3°- 4. Inoculate each of the bouillon tubes with o.i c.c. of the diluted cultivation by means of a sterile gradu- ated 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 20 306 METHODS OF IDENTIFICATION AND STUDY 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, i instead of 5) for five points on either side of the previously observed optimum. For example, the optimum reaction ob- served in the set of experiments to determine the range was + 10. Now plant tubes having reactions of +15, +14, +13, +I2> +IJ> +I0» +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 (6) . 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. 1 58) . METHOD. — 1. Prepare a sunace cultivation on nutrient agar in a culture bottle and incubate under optimum condi- tions for forty-eight hours. 2 . Examine preparations from the cultivation, micro- scopically, 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. RESISTANCE TO LETHAL AGENTS 307 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. •w 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. FIG. 158. — Petri dish for drying cultivations. Ten minutes later connect up the desiccator to a sulphuric acid wash-bottle interposing an air filter so that only dry sterile air enters. 308 METHODS OF IDENTIFICATION AND STUDY 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. Re- seal the desiccator and again exhaust, and subsequently admit dry sterile air as before. 8. Incubate the culture flask under optimum condi- tions 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 : i. Prepare a tube cultivation in nutrient bouillon, and incubate under optimum conditions, for forty-eight hours. 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 o.i 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). RESISTANCE TO LETHAL AGENTS 309 5. Expose these plates to the action of diffuse day- light (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 obser- vation 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 dis- tilled water) into each dish to the depth of 2 cm. to absorb the heat of the sun's rays and so eliminate possi- ble effects of temperature on. the cultivations. 5. After exposures for periods similar to those em- ployed 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 con- tains 2 per cent, of either of the following aniline dyes, as may be necessary. 310 METHODS OF IDENTIFICATION AND STUDY Chrysoidin (for red) . Malachite green (for green) . Eosin, bluish (for blue) . Methyl violet (for violet) . 4. Expose the plates, thus prepared, to bright day- light (but not direct sunlight) for varying periods, and complete the observations as in the preceding experi- ments. 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 labo- ratory 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 expo- sure necessary to kill vegetative forms of the bacterium suspended in water at 20° to 25° C., in which the disin- fectant is present in medium concentration (concen- tration insufficient to cause plasmolysis) . And if the bacterium is one which forms spores, (C) Superior lethal coefficient — i. e., the time expo- sure 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; INHIBITION COEFFICIENT 311 Formaldehyde ; Carbolic acid ; investigated with regard to B. anthracis, but the tech- nique 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, i 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 i to 6. Inoculate each from the stock cultivation of B. anthra- cis and at once add varying quantities1 of the carbolic acid solution, viz. : To tube i add 2 . o c.c. ( = i : 100) To tube 2 add i . o c.c. ( = i : 200) To tube 3 add 0.6 c.c. ( = i 1300) To tube 4 add 0.5 c.c. ( = i : 400) To tube 5 add 0.4 c.c. ( = i : 500) To tube 6 add o . 2 c.c. ( = i : i ,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 o.i .( = To tube 8 add 0.05 ( = To tube 9 add o . 03 ( = To tube 10 add 0.025 ( = To tube ii add 0.02 ( = To tube 1 2 add o . o i ( = :i,ooo) : 2,000) .•3,000) 14,000) .•5,000) : 10,000) 1 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. 3I2 METHODS OF IDENTIFICATION AND STUDY 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 i.o c.c. (=1:1,000) To tube No. 14 add 0.4 c.c. (= 1 12,500) To tube No. 15 add 0.2 c.c. (= 1 15,000) To tube No. 16 add o.i c.c. (=1:10,000) To tube No. 17 add 0.075 c.c. (= i : 15,000) To tube No. 18 add 0.05 c.c. (=1:20,000) 4. Incubate all three sets of cultivations under' opti- mum 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 sub- cultivations upon suitable media, and ascertain that the organism causing the growth is the one orig- inally 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 concen- trated 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, i 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 micro- scopically to determine the absence of spores. 2. Prepare solutions of different percentages of each disinfectant. 3. Make a series of hanging-drop preparations from SUPERIOR LETHAL COEFFICIENT 313 the agar culture, using a loopful of disinfectant solu- tion 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° C. 10. Add to each of the remaining tubes a sufficient quantity r of a concentrated solution of the disinfectant to produce the percentage previously determined upon (vide step 5). 11. Incubate the tubes at 18° C. to 20° 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. — i. Prepare surface cultivations of the "test" organ- isms upon nutrient agar in a culture bottle, and incu- 1 See Percentage Formula, Appendix, page 496. 314 METHODS OF IDENTIFICATION AND STUDY bate 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° C. to destroy all vegetative forms. 3 . Employing that percentage solution of the disinfec- tant determined in the previous experiment, and com- plete the investigations as detailed therein, steps 7 to 14, increasing the interval between planting the sub- cultivations 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 disin- fectant 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 gerrnicidal 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 hun- dredth 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 neu- tralise 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 through- out 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. PATHOGENETIC PROPERTIES 315 PATHOGENESIS. Living Bacteria. — (a) Psychrophilic Bacteria : When the organism will only grow at or below 18° to 20° C., 1. Prepare cultivations in nutrient broth and in- cubate under optimum conditions. 2. After seven days' incubation inject that amount of the culture corresponding to i 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 3 5° to 3 7° C., 1. Prepare cultivations in nutrient broth and incu- bate 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 i 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 com- plete post-mortem examination. If death follows shortly after the injection of cul- tivations of bacteria, the inoculation experiments should be repeated two or three times. Then, if the organism under observation invariably exhibits patho- genic 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 316 METHODS OF IDENTIFICATION AND STUDY 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. I. 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, observ- ing the usual precautions against contamination, and emulsify it evenly with the bouillon in the first capsule. Each cubic centimetre of the emulsion will now con- tain one-tenth of the organisms contained in the original loopful (written shortly o.i loop). 4. Remove o.i c.c. of the emulsion in the first cap- sule 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 cap- sule to 10 c.c., and therefore every cubic centimetre of bouillon in capsule II contains o.ooi loop. MINIMAL LETHAL DOSE 317 5. Similarly, o.i c.c. of the mixture is transferred from capsule II to capsule III (i c.c. of bouillon in capsule III contains o.ooooi loop), and then from capsule III to capsule IV (i c.c. of bouillon in capsule IV contains o.ooooooi loop). The dilutions thus prepared may be summarised in a table ; Capsule I=i loopful+io c.c. water .'. i c.c. = o.i loop. Capsule II = o.i c.c. capsule I +9.9 c.c. water .'. i c.c. = o.ooi loop. Capsule III = o.i c.c. capsule II +9.9 c.c. water .'. i c.c. = 0.00001 loop. Capsule IV = o.i c.c. capsule III + 9.9 c.c. water .'. i c.c. = 0.0000001 loop. 6. With sterile graduated pipettes remove the neces- sary 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 i c.c. 7. Multiples of the loop are prepared by emulsifying i, 2, 5, or 10 loops each with i 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 con- taining the smallest dose, then from the capsule con- taining 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 o.ooooooi loop to o.oi 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. 318 METHODS OF IDENTIFICATION AND STUDY 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° 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. FIG. 160. — Apparatus arrange for toxin filtration. 3. Inject intraveneously that amount of the culti- vation corresponding to i 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 ex- amination. 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 : MINIMAL LETHAL DOSE 319 1. Filter the cultivation through a porcelain filter candle (Berkfeld) 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 corre- sponding to i per cent, of the body- weight of each respectively, and observe, if necessary, until the com- pletion 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 com- plete 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. I. d. of a toxin is carried out on lines similar to those laid down for living bac- teria (vide page 316) merely substituting i c.c. of toxin as the unit in place of the unit "loopful" of living culture. It frequently happens, during the course of casual in- vestigations 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 quan- tities of fluid, is invaluable. This consists of a narrow filter flask just large enough to accommodate an ordi- nary 18X2 cm. test-tube. The mouth of the tubular Chamberland candle 15X1.5 cm. is closed by a perfor- ated 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 320 METHODS OF IDENTIFICATION AND STUDY 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 inocula- tion of pure cultivations of the organ- ism into highly susceptible animals, and passing it as rapidly as possible from animal to animal, always select- ing that method of inoculation — e. g., intraperitoneal — which places the organism under the most favor- able conditions for its growth and multiplication. 2. Virus Plus Virulent Organisms. —The inoculation of pure cultiva- tions of the organism together with pure cultivations of some other mi- crobe which in itself is sufficiently virulent to ensure the death of the experimental animal, either into the .bio. 161— -Martin s ., • . filtering apparatus same situation or into some other oTfluidf11 quantities part of the body. By this associa- tion the organism of low virulence will frequently acquire a higher degree of virulence, which may be still further raised by means of "pas- sages" (vide supra). 3.^ Virus Plus Toxins.— ^hQ inoculation of pure cultivations of the organism into some selected situa- tion, together with the subcutaneous, intraperitoneal, or intravenous injection of a toxin— e. g., one of those elaborated by the proteus group— either simultane- ously with, before, or immediately after, the injection ATTENUATING THE VIRULENCE OF AN ORGANISM 321 of the feeble virus. By this means the natural .resist- ance of the animal is lowered, and the organism inocu- lated is enabled to multiply and produce its pathogenic effect, its virulence being subsequently exalted by means of ''passages." Attenuating the Virulence of an Organism. — Attenu- ating 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 unfavor- able 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 remem- bered 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., 322 METHODS OF IDENTIFICATION AND STUDY 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 neces- sary). B. Combined Active and Passive Immunisation : IV. By the inoculation of toxin-antitoxin mixtures. ACTIVE IMMUNISATION. The immunisation of the rabbit against the Diplococ- cus pneumonias 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 experi- ments). 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 3 7° 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 3 7° 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. ACTIVE IMMUNISATION 323 This will prevent evaporation, and cultures thus sealed will remain unaltered in virulence for a consider- able time. 5. Make a fresh subcultivation on blood agar from the uncapped O. C. cultivation and after twenty-four hours incubation at 37° C. determine the minimal lethal dose of this strain upon a series of mice (see page 3 1 6). 6. Suspend the flask containing the twenty-four- hour-old broth culture (step 3) in the water-bath at 60° C. for one hour. Cool the flask rapidly under a stream of cold water. 7. Determine the sterility of this (?) killed cultiva- tion by transferring one cubic centimetre to each of several tubes of nutrient broth, and incubate at 37° C. for twenty -four hours. If growth of Diplococcus pneumonias occurs, again heat culture in water- bath at 60° 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. 324 METHODS OF IDENTIFICATION AND STUDY A slight local reaction will probably be observed as well as the weight and temperature reactions. 1 1. 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 anti-bodies. 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 for- mation of antibody, specific to the diplococcus pneu- moniac, 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 experi- ACTIVE IMMUNISATION 325 mental work a sufficient amount of any required anti- body 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 experi- ment has been the preparation of agglutinin the inocu- lations 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 injec- tion 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 326 METHODS OF IDENTIFICATION AND STUDY 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. H&molysin (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° 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 hcemolytic system (that is haemolysin, corresponding erythrocyte solution and complement) to certain laboratory methods having for their object either ^the identifi- cation 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 HJEMOLYTIC SERUM 327 instead, and although the following method is directed to the preparation of human haemolysin the same procedure serves in all cases. THE PREPARATION OF H^MOLYTIC SERUM. Apparatus Required: Small centrifuge, preferably electrically driven, with two recep- tacles for tubes, and enclosed in a safety shield (Fig. 162). Sterile centrifuge tubes (10 c.c. capacity), Fig. 163. FIG. 162. — Small electrical centrifuge. Sterile pipettes (10 c.c. graduated) in case. Sterile glass capsules (in case). ^^ Sterile test-tubes. ^ugliube™' Sterile all glass syringe (5 c.c. or 10 c.c. capa- city) and needle. 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 intraperi- toneal 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. 328 METHODS OF IDENTIFICATION AND STUDY 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 fol- lowed, within a few minutes, by the death of the rabbit from pulmonary embolism. 9. Allow five days to elapse, then collect a prelimi- nary sample of blood, say about 2 c.c., from the rabbit's ear. Allow it to clot, separate off the serum and trans- fer to a sterile test-tube. Place the test-tube in a water-bath at 56° C. for fifteen minutes (to inactivate) and test the serum quantitatively for haemolytic prop- erties in the following manner: THE TITRATION OF HAEMOLYTIC SERUM. Apparatus Required, Electrical centrifuge. Sterile centrifuge tubes. Water-bath regulated at 56° C. Sterilised pipettes 10 c.c. graduated in tenths. Sterilised pipettes i c.c. graduated in tenths. TITRATING H^EMOLYSIN 329 Sterile test-tubes, 16X2 cm. Small sterile test-tubes, 9X1 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° 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° 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 i and 2, and pipette into each 9 c.c. of normal saline solution. 2. Add i c.c. of haemolytic rabbit serum to tube No. i and mix thoroughly: take up i 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 i to 10. 4. Pipette into tube No. i 0.5 c.c. =0.5 c.c. 1 haemolytic serum [ From tube Pipette into tube No. 2 o.i c.c. = 0.1 c.c. { H. S. haemolytic serum Pipette into tube No. 3 0.5 c.c. = 0.05 c.c. hasmolytic serum Pipette into tube No. 4 0.3 c.c. = 0.03 c.c. haemolytic serum Pipette into tube No. 5 0.2 c.c. =0.02 c.c. haemolytic serum Pipette into tube No. 6 o.i c.c. = 0.01 c.c. haemolytic serum From tube i. 330 METHODS OF IDENTIFICATION AND STUDY 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. f tube 2. haemolytic serum Pipette into tube No. 10 o.i c.c. =0.001 c.c. hsemolytic serum 5. To each tube add i 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° C. for one hour. 8. Remove the tubes from the incubator and into each tube pipette o.i c.c. complement (guinea-pig's serum) and replace tubes in incubator at 3 7° C. for further period of one hour. 9. Remove the tubes from the incubator, and if com- plete 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 STORAGE OF H^EMOLYSIN 33! 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 in- jections in order to raise the haemolytic power to a sufficiently high level. STORAGE OF H^EMOLYSIN. 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 centri- fuge tubes. Transfer the tubes of blood to the incubator at 37° C. for two hours — then centrifugalize thoroughly. Pipette off the clear serum, and fill in quantities of i c.c., into small glass ampoules or pipettes, and her- metically seal in the blow-pipe flame, care being taken to avoid scorching the serum. Place the ampoules when filled with serum and sealed, in a water-bath at 56° 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. XVII. EXPERIMENTAL INOCULATION OF ANIMALS. The use of living animals for inoculation experiments may become a necessary procedure in the Bacterio- logical Laboratory for some one or more of the follow- ing reasons : A. Determination of Pathogenetic Properties of Bac= teria 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 pneumo- coccus, blood agar, is also an excellent pabulum for the 332 STUDY OF THE PROBLEMS OF IMMUNITY 333 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, exist- ing between certain pathogenetic bacteria are in some cases so great as to completely overwhelm the differ- ences; 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 (capsu- lated) 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 pos- sible 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 334 EXPERIMENTAL INOCULATION OF ANIMALS 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 im- munity 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 Govern- ment, 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 permis- sion to experiment upon animals under general anaes- thesia, provided that after the experiment is completed the animal must be destroyed before regaining con- sciousness. 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 PREPARATION 335 must be obtained in addition to the license; whilst if the inoculation entails more extensive operative pro- cedures, 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 certifi- cate removes the compulsion to destroy the animal whilst under the anaesthetic. Further special certifi- cates 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 labora- tory inoculations are subject to infection by various animal and vegetable parasites, and in some instances such infection presents no symptoms which are ob- vious to the casual examination; the sex should be noted, the weight recorded, and the rectal tempera- ture taken. The remaining items of importance are the time of the inoculation, the material that is inocu- lated, 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 336 EXPERIMENTAL INOCULATION OF ANIMALS 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). Preliminary Inspection and Examination. — The pre- liminary examination should comprise observation 6 b 0 %t V g 04- f? •*o o 11 T3 S bC C?) 1 d DC 2 < s '*3 0 3 z 0 o * .S ill 1 -J 0 (/) c D rt 2 o -5 ^ O 6 [ Z Z o. c H 1 1 0 s M o . rt £ 1 Q JH — o rt o VM C U — -M S^s o.o § p be rt "^ S "3 (A ^s II JQ U II O I 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 examina- tion of the body and limbs, and palpation of the groins THE RABBIT 337 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 H CC < •s I 3 O Ul Q£ I ID 3 1- rf 3 g q LJ Q_ .id S "8 LJ M 1 « 1— I 1 0 10 LJ H £ £ 1.. 1 9 C5 ^H Tj< •«* 5 S 8 5 8 £ •O O 1C O "5 o »o o touching upon the various fleas, lice and ticks which at times infect the ordinary laboratory animals. The Rabbit, particularly in captivity, is subject to 338 EXPERIMENTAL INOCULATION OF ANIMALS 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. cunicuU) gives rise to the ordi- nary 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 contain- ing 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. THE MONKEY 339 Infection by Coccidium oviforme is very common, without however presenting any symptoms by which the infection may be recognised. . Usually the condi- tion is only noted post-mortem, when the liver is found to be studded with numerous caseating 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 Tcenia 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 fre- quently 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 Tcunia 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 i c.c. Old Tuberculin on arrival in the laboratory. The tissues of the monkey also serve as the habitat for a Nematode worm para- sitic in cattle (CEsophagostoma inflatuni) resembling the Anchylostomum, and this parasite frequently bores 340 EXPERIMENTAL INOCULATION OF ANIMALS through the intestinal wall, and provokes the forma- tion of small cysts in the immediately adjacent mesen- tery. The presence of these cysts may give rise to considerable speculation at the post-mortem. The Pigeon may be infected by H&mosporidia, 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. 1 66). Mice and rats are weighed in a modification FIG. 166.— Rabbit scales. of the letter balance, weighing to 250 grammes, which has a conical wire cage, (carefully counterpoised) substituted for its original pan (Fig. 167) . 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, CAGES 341 and then push it on gently and steadily until the en- tire bulb and part of the stem, as far as the constric- tion, have passed into the rectum. Three to five min- utes later, the time varying of course with the sensi- bility of the thermometer used, withdraw the instru- ment and take the reading. The thermometers em- FIG. 167. — Mouse scales ployed for recording temperature should be verified from time to time by comparision with a standard Kew certified Thermometer kept in the laboratory for that purpose. Cages. — During the period which elapses between inoculation and death, or complete recovery, the ex- perimental animals must be kept in suitable recep- tacles which can easily be kept clean and readily disinfected. The mouse is usually stored in a glass jar (Fig. 168) 342 EXPERIMENTAL INOCULATION OF ANIMALS ii cm. high and n 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 simi- lar, but larger, to that used for the mouse. FIG. 1 68. — Mouse jar. 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 con- tamination 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 CAGES 343 sides and top and bottom are of woven wire work; beneath the cage is a movable metal tray filled with saw- dust, 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. FIG, 170. — Metal rabbit rage. A plentiful supply of straw should be provided for bedding and the. food should consist of fresh vege- tables, 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 auto- claving or spraying with formalin. 344 EXPERIMENTAL INOCULATION OF ANIMALS As animal inoculation is purely a surgical operation, the necessary instruments will be similar to those em- ployed 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 care- fully disinfected. The list of apparatus used in animal inoculations given below comprises practically everything needed for any inoculation. Needless to remark, all the appa- ratus will never be required for any one inoculation. Apparatus Required for Animal Inoculation : i. 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. 0» FIG. 171. — Hypodermic syringe with finger rests. 2. Injection syringe. The best form is one of the ordinary hypodermic pattern, i 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 acci- dental 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 the disinfection is completed. APPARATUS REQUIRED FOR ANIMAL INOCULATION 345 Scissors, probe and sharp-pointed. Dissecting forceps of various patterns. Pressure forceps. Retractors (small self retaining Fig. 172). Aneurism needles, sharp and blunt. Scalpels, j Keratomes, > with metal handles. Trephines, J 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 cesophageal bougies with con- FIG. 172. Small nection to fit syringe. self retaining re- 5. Anesthetic. (a) General: The safest general anaesthetic for animals is an A. C. E. mixture, freshly prepared, containing by volume alcohol i 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. (6) Local: 1. Cocaine hydrochloride, 2 per cent, in adrenalin i per mille solution. 2. Beta-eucaine, 2 per cent, in adrenalin, i per mille solution. 3. Ethyl chloride jet. 6. Sterile glass capsules of various sizes. 10 c.c. (in tenths of a cubic ._ . centimetre). 7. Cases of sterile pipettes ' ^, , , . i 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. 346 EXPERIMENTAL INOCULATION OF ANIMALS 15. Razor. 1 6. Small pot of warm water. 17. Liquid soap. Liquid soap is prepared as follows: Meas- ure 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° C. Bottle and label "Liquid Soap." 1 8. In place of the liquid soap and razor it is sometimes con- venient to use a Depilatory powder. Barium sulphide i part Rice starch 3 parts Dust the powder thickly over the aiea to be denuded of hair, spi inkle 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 in- oculated 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 excre- tions, 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. MATERIAL UTILISED FOR INOCULATION 347 (Or, remove a definite measured quantity of the cul- tivation 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. - If it is necessary to introduce a large bulk of fluid into the animal, the cultivation should be transferred FIG. 173. — Conical separately funnel, fitted for injection of fluid cultivations. with aseptic precautions, to a sterile separatory funnel, preferably of the shape shown in figure 173, and gradu- ated 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 opera- 348 EXPERIMENTAL INOCULATION OF ANIMALS tion 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 injec- tion in. (b) Cultivations on Solid Media (e. g., Sloped Agar) . — i. By means of a sterile graduated pipette introduce FIG. 174. — Arrangement of pressure injection apparatus. a suitable small quantity of sterile bouillon (or sterile normal saline solution) into the culture tube. 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. METHODS OF SECURING ANIMALS 349 (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, excre- tions, 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. FIG. 175. — Holding rabbit for shaving. If it is desired to inoculate tissue en masse, remove from the material a small cube of i 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 350 EXPERIMENTAL INOCULATION OF ANIMALS cylinder, one end of which is turned over a ring of stout copper wire, and from this open end a slot is cut ex- tending 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 resist- ing 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. 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 FIG. 176. — Taking guinea- pig's temperature. FIG. 177. — Voge's holder. be entirely of metal, and the wire cage detachable and easily renewed. When the animal is anaesthetised, it is more conven- ient to secure it firmly to some simple form of operat- ing table, such as Tatin's (Fig. 179), which will accom- OPERATION TABLE 351 modate rabbits, guinea-pigs, and rats: or to the more elaborate table devised by the author (Fig. 180). Operation Table. — This is a table of the "aseptic" type, composed of steel tubing, nickel-plated or enam- elled. The table-top frame is sufficiently large to accommodate rabbits, dogs and monkeys; and is sup- FIG. 178. — Mouse holder. ported upon telescopic uprights, so that it is adjustable as to height ; in its long axis it can be inclined (at either end) to 45° 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 FIG. 179. — Taten's operation table. 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, 352 EXPERIMENTAL INOCULATION OF ANIMALS 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 FIG. 180. — Author's operating table1. 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. — (Anesthetic, 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 1 This table is made by Messrs. Down Bros., St. Thomas's Street, London, S. E. SUBCUTANEOUS 353 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 inci- sions 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. — (Anesthetic, 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 hypo- dermic 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, 23 354 EXPERIMENTAL INOCULATION OF ANIMALS unless large in amount, will be absorbed within a very short time. 7. Label, etc. (6) Solid Inoculum. — (Anesthetic, 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 under- lying 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 intro- duce a small piece of the inoculum into this pocket and deposit it as far as possible from the point of entrance. 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. With- draw 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. INTRAPERITONEAL 355 3, Intramuscular.— (a) Fluid Inoculum. — (Ancesihetic, 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. (6) Solid Inoculum. — (Anesthetic, A. C. E.) 1. Secure the animal to the operation table and anaesthetise. 2. Shave and disinfect the skin at the seat of opera- tion. 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. — (Anesthetic, 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 thick- ness 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. 356 EXPERIMENTAL INOCULATION OF ANIMALS 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). FIG. 182. — Intraperitoneal inoculation — fluid. 8. Inject the fluid from the syringe. 9. Label, etc. 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 FIG. 183.— Section of ab- shape indicated in figure 184, dommal wall, etc., showing ., . <. . ^ . point of needle lying free mounted in an aluminum handle) t0 redneSS' and With it bum 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. Ibo COLLODION SACS 357 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. FIG. 184. — Platinum wire for burning hole through parietes. (6) Solid Inoculum (or the implantation of capsules containing fluid cultivations). — (Anesthetic, 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 su- tures. 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. i. 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. 358 EXPERIMENTAL INOCULATION OF ANIMALS 2. Dip the tube, with its coating of collodion, alter- nately 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° 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 steam steriliser 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 CELLOIDIN SACS 359 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. 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 blow- pipe 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 cap- sule, and the line of junction of the cap- sule 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. Making celioidin 7 . Remove the solution of gelatine from capsules. 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 i 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. 360 EXPERIMENTAL INOCULATION OF ANIMALS 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 experi- mental animal. 5. Intracranial. — (Anesthetic, A. C. E.) Trephines and Surgical Engine. — The most useful instrument for intracranial operations upon animals is the small nasal trephine (Curtis) having a tooth cut- FIG. 1 86.— Guarded trephine. ting circle of 7 mm. The addition of an adjustable collar guard — secured by a screw — prevents acciden- tal laceration of the dura mater or brain substance1 (Fig. 1 8 6) . 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 elec- trical Dental engine2 (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. 1 This modification is made for the author by Messrs. Down Bros., St. Thomas's Street, London, S. E. 2 Manufactured by Messrs. Francis Lepper, 56, Great Marlborough Street, London, W. INTRACRANIAL 361 (a) Subdural. 1. Anaesthetise the animal and secure it to the oper- ating table, dorsum uppermost. 2. Shave a portion of the scalp immediately in front of the ears. 3. Mark out with a sharp scalpel a crescentic flap FIG. 187. — Guy's electrical dental engine. 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 perios- teum 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 inter- section of the median line and a line joining the pos- terior canthi (Fig. 1 88). 6. Introduce the inoculum by means of a hypo- dermic 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. 362 EXPERIMENTAL INOCULATION OF ANIMALS 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 sub- stance of one or other cerebral hemis- pheres before the contents are ejected. 6. Intraocular. — (a) Fluid Inoculum. — (Anesthetic, cocaine.) 1. Instil a few drops of a sterile solu- tion of cocaine, and repeat the instilla- tion in two minutes. 2. Five minutes later have the animal firmly held by an assistant as in intra- venous 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 inocu- lum 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. — (Anesthetic, A. C. E.) FIG. 188.— tracranial inocula- t i o n of rabbit. of the hole. trephine INTRAVENOUS 363 1. Anaesthetise the animal and secure it firmly to the operating table. 2. Irrigate the conjunct! val 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 cor- nea. 6. Release the animal from the operating table. 7. Label, etc. 7. Intrapulmonary. — Fluid Inoculum. — (Anesthetic, 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. — (Anesthetic, 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 anaes- 364 EXPERIMENTAL INOCULATION OF ANIMALS thetic 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 dis- tended 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 posi- tion, 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 inocu- lum 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 INHALATION 365 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. FIG. 189. — Intravenous inoculation. 9. Inhalation. — (a) Fluid Inoculum. — (Anesthetic, 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 at- tached 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. 366 EXPERIMENTAL INOCULATION OF ANIMALS 6. Label, etc. 7. Thoroughly disinfect the inhalation chamber. (6) Fluid or Powdered Inoculum. — A n&sthetic, A.C.E. i. Anaesthetise the animal and secure it firmly to the operating table. 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 cesophageal 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 con- taining 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. INTRAGASTRIC 367 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 semifluid in- oculum. (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 Eng- lish scale, or No. 1 8 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 cen- timetre 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). •i. 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 368 EXPERIMENTAL INOCULATION OF ANIMALS to the left hand of an assistant who secures the animal's tail between the fingers grasping the handle of the for- ceps. (See Fig. 191.) (b) Mouse. — An assistant grasps the loose skin between the ears as far forwards as possible between the fore-finger and thumb of the left hand. He now FIG. 191. — Intragastric inoculation of rat. 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. FEEDING 369 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 inter- ference. 11. Feeding. — 1. Fluid Inoculum. — Small pieces of sterilised bread or sop (sterilised in the steamer at 100° 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. 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 success- ful invasion of the tissues of the experimental animal by the micro-organisms inoculated and by their multi- plication 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 patho- logical 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 sub- cultivations 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 37° GENERAL OBSERVATIONS 37! 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 ani- mal 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, natur- ally 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 re- garded as normal for man (37.5° C.) is not the normal 372 EXPERIMENTAL INFECTIONS DURING LIFE average temperature of any of the lower animals save the rat and mouse. The accompanying table of nor- mal averages for the animals usually employed in bac- teriological research may be of use in preventing the erroneous assumption that pyrexia is present in an ani- mal, which merely shows its own normal temperature. NORMAL AVERAGES. Rectal Pulse. Respirations. Temp. °C. Rate pe r minute. Frog 8 . Q— 17 . 2 80 12 Mouse 37.4 I2O Rat 37 "\ 2 IO Guinea pig 38.6 I SO 80 Rabbit 38.7 17 tr etr Cat . . 38 7 I3O 24 Do? 38 6 O ^ I E; Goat 40 . o 7cr *«9 16 Ox 38.8 4C Horse . . . 37 0 38 ii Monkey (Rhesus) . . Pigeon 38.4 4O O IOO 136 19 3O Fowl 41.6 140 ow 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 exam- ined 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 ex- amined both microscopically and culturally. SPECIAL OBSERVATIONS 373 Fluid secretions and excretions, such as pus or serous exudates when accessible are collected direct from the body in sterile capillary pipettes (vide Fig. 130,) in the following manner: i. 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 136), 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 coverslip prep- arations, 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 haematolo- gists, some notes on the normal characters of the blood 374 EXPERIMENTAL INFECTIONS DURING LIFE 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 H^EMOCYTOLOGY OF LABORATORY ANIMALS. Totals Percentages Animal Lympho- Large Poly- Eosin- Mast Red cells White cells Hb, per- cent. cytes, per monos, per morph, per oph, per cells, 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 i .4 O. I Rat 9,000,000 9,000 85 54 7.0 37-5 i -3 0. 2 Guinea- pig 5,700,000 10,000 99 55 9.o 32.8 3-o O.2 Rabbit.... 6,000,000 7,000 70 So 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 i -25 0.75 Fowl 3,500,000 30,000 100 49 3-0 42 .0 I .0 5-o Pigeon. . . 3,500,000 20,000 101 43 9-o 43 -o 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) (95-101) (20-30) (4-8) (55-68) (3-5) (0.5-2) limits. millions. thou- 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^ by 12-15/4 discs, the nucleus relatively small and irregularly elongated or oval, about IO/JL in length. Many primitive and developing forms are usually ob- served— 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 COMPARATIVE H^EMATOLOGY 375 cells, about 20^; 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 poly- morphonuclear 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 baso- philia of red cells are very commonly observed— nucleated red cells are also frequent. The large mono- nuclear 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^ diameter, not much more than half that of the human red cell. The polymorphonuclear 376 EXPERIMENTAL INFECTIONS DURING LIFE leucocytes have only a few very minute coccal-shaped oxyphile granules, the nucleus is polymorphous. The eosinophile cells are large cells up to 20^, the cyto- plasm 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 I2/JL by 6/*, the nucleus being relatively small (about 4fi 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 baso- phile 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 polymorpho- nuclear leucocytes are rod-shaped, but smaller and finer than in the fowl, and do not show clubbed ap- pearances. 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 : i. 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 EXAMINATION OF BLOOD 377 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° 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 i 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 i slip, which rests on the bench near to one end at an angle of about 45°, 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 (seepage 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 in- jected 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. 378 EXPERIMENTAL INFECTIONS DURING LIFE 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 °-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 an- imals, 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 COLLECTION OF SERUM 379 a state of purity apart from the blood serum, conse- quently special methods have been elaborated to per- mit of their recognition. In every instance the be- haviour 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 " nor- mal" serum. In view of minor differences in constitu- tion 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 diop 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 hypersemic and the vein prominent. 3. Remove the lysol with ether dropped from a drop bottle, and allow the ether to evaporate. 380 EXPERIMENTAL INFECTIONS DURING LIFE 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 FIG. 192. — Collecting blood from rabbit. end at the bunsen flame to expel some of the contained air ; then seal the clean point in the flame. 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. DILUTION OF THE SPECIFIC SERUM 381 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° 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 gA aduated capillary pipettes to contain 10 c. mm. (Fig. 1 7). Sterile graduated capillary pipettes to contain 90 c. mm. (Fig. 17). Small sterile test-tubes 5X0.5 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. 382 EXPERIMENTAL INFECTIONS DURING LIFE METHOD.— 1. Take three sterile test-tubes and number them i, 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 o.i c.c. of the serum from the blood pipette tube, and mix it thoroughly with the fluid in tube No. i ; and label s.s., (specific serum), 10 per cent. 5. Remove o.i c.c. of the solution from tube No. i by means of a fresh pipette, and mix it with the con- tents of tube No. 2 ; and label s.s., i per cent. 6. Remove o.i c.c. of the solution from tube No. 2 by means of a fresh pipette, and mix it with the con- tents of tube No. 3 ; and label s.s., o.i 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 centrif- ugalisation. Capsule of diluting fluid — normal saline solution. Supply of Pasteur pipettes (Fig. 130). India-rubber teats. Small test-tubes. A block of plasticine to act as a test-tube stand. Grease pencil. METHOD: i . Mark three small test-tubes 10 per cent., i per cent, and o.i per cent, respectively, and stand them upright in the plasticine block. DILUTION OF SERUM BY MEANS OF A TEAT PIPETTE 383 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. 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 384 EXPERIMENTAL INFECTIONS DURING LIFE 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. 1 1 . 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 re- peatedly 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." 1 6. Eject the contents of this pipette into the second tube marked i per cent, and mix thoroughly as before. 17. In similar fashion make the o.i per cent, solution and transfer to the third tube. TEE MICROSCOPICAL REACTION 385 18. Further dilutions in multiples of ten can be pre- pared 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 solu- tion may be sufficient to entirely vitiate the subsequent observa- tions— 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 slides, 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, i, and o.i per cent, respectively. Pipette end with pooled normal serum labelled p.s. METHOD. — i. 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 i per cent, serum; label 0.5 per cent. (e) One loopful bouillon culture + one loopful o.i per cent, serum; label 0.05 per cent. 25 386 EXPERIMENTAL INFECTIONS DURING LIFE 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 microscopic- ally. 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 haema- tocytometer (intended for the collection of the specimen of blood required for the enumeration of leucocytes), giving a dilution of i 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 per- mit 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. THE MACROSCOPICAL REACTION 387 Three test-tubes containing the 10, i, and o.i 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 1 7) 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 quanitity 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° 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 leuco- cytes. 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. 388 EXPERIMENTAL INFECTIONS DURING LIFE 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° C. 3X1 slides. Piece of light rubber tubing. Retangular 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 opsoiiising 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 approxi- mately 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) ESTIMATION OF OPSONIN 389 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 dis- tribute 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 centrifugalis 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 neat to one end. Bacterial Emulsion. — 1. Take an 18- to 24-hour culture of the required bacterium (e. g.-, 'Diplococcus pneumonias) grown upon sloped blood agar at 37° 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 390 EXPERIMENTAL INFECTIONS DURING LIFE 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 treat- ed as already described (see page 379), and the portions of the blood pipettes containing them are ar- t_,FIG' -1,94' P1^icine ranged in the remaining space in block with materials ar- ° . ranged for opsonin esti- plasticine block. 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). Serum Bacterial Washed cells emulsion FIG. 195. Opsonin pipette. 3. Mix thoroughly on a 3 by i 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 cen- tral portion of the capillary stem. 4. Seal the point of the pipette in the peep flame of the bunsen burner and remove teat. ESTIMATION OF OPSONIN 39 1 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 aspi- rate 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 1 5 minutes (or start the stop watch). 6. At the expiration of the incubation time remove the pipettes from the incubator. 9. Cut off the sealed end of the specific serum prepa- ration. Mix its contents thoroughly as in step 3, and then divide the mixture between two 3 by i 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 min- utes to fix. Transfer to the second trough containing the diluted stain for ten minutes. 392 EXPERIMENTAL INFECTIONS DURING LIFE 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. FIG. 196. Glass staining trough for blood films. 1 3 . Examine specific serum slide microscopically with i/ 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 en- countered is marked down. (The average number of bacilli ingested per leucocyte = the " phagocytic index.") 14. In precisely similar manner enumerate the bac- teria present in the first 50 cells of the control prepa- ration. This number is recorded as the denominator COMPLEMENT FIXATION 393 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 par- ticular 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 in- nocuous, and ultimately destroyed. The presence of the immune body in the serum can be demonstrated in vitro by the reaction elaborated by Bordet and Gen- gou, known as the complement fixation test, the exist- ence 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 erythrocyte solution and the appropriate haemolysin — two of the three essentials in the haemoly- tic system, vide page 326). Apparatus Required: Sterile pipettes i c.c., (graduated in tenths). 16X2 cm. test-tubes. 9X1 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 394 EXPERIMENTAL INFECTIONS DURING LIFE 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 ster- ilise by heating to 60° C. in a water-bath for one hour. METHOD. — 1. Take five small test-tubes, and number them i to 5 with a grease pencil. 2. Into tubes Nos. i, 3, 4 and 5 pipette o.i c.c. of complement. 3. Into tubes Nos. i 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. i, 2, 3 and 4 pipette i c.c. of the bacterial emulsion which forms the antigen. 6. Place the whole set of tubes in the incubator at 3 7° C. for a period of one hour. 7. Remove the tubes from the incubator and pipette i c.c. erythrocyte solution and 4 minimal hsemolytic doses of the corresponding hsemolysin into each tube. 8. Mix thoroughly and return the tubes to the incu- bator at 37° 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. i 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 COMPLEMENT FIXATION 395 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 inocu- lations. In other words, there is an absence of infec- tion, 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. © © ® © © o.i c.c. C o.i c.c. C. o.i c.c. C. o.i 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° C. for one hour. i c.c. E. i. c.c. E. i c.c. E. i c.c. E. i c.c. E. H.S.* H.S.* H.S.* H.S.4 H.S.* Incubate at 37° C. for one hour. (?) No haemolysis. v Haemolysis. NOTE. — It is sometimes more convenient to sensitise the erythro- cytes 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 hsemolysin to remain in contact for fifteen minutes at room temperature. The red cells are then sensi- tised 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 i 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° 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 ex- haustive 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. f Scalpels. o • i • Scissors. Surgical instruments: < ~ Forceps. I 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. 396 APPARATUS REQUIRED 397 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. 3. Drench the fur (or feathers) with lysol solution, 2 per cent. This serves the twofold purpose of pre- FiG. 197. — Apparatus for post-mortem examination, animal on board. venting 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. 4. Examine the cadaver carefully. Recollect that laboratory animals are not always hardy ; death may be FIG. 198. — Searing iron. 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 398 POST-MORTEM EXAMINATIONS 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 instru- ments 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 les- ion is visible, sear its exposed surface and with the plat- inum 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. 1 2 . 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. PERITONEAL CAVITY 399 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 anti- bodies. Peritoneal Cavity.— 1 6. Sear a broad track in the middle line of the abdom- inal 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. 1 8 . 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 cap- sule. Later, sear the surface of this organ; plunge the spear-headed spatula through the centre of the seared area, twist is 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 cultiva- tions. 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 400 POST-MORTEM EXAMINATIONS 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 — sodic hy- drate solution using phenolphthalein as the indicator. The initial reaction is usually + o.i to + 0.5; add the calculated amount of — sodic hydrate solution to neutralise. 25. Place a loopful of fresh desiccating fluid on a 3X1 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 401 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 adbominal 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. 3 1 . 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 examina- tion. 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. 26 402 POST-MORTEM EXAMINATIONS 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 speciments (vide page 404). 35. Gather up all the infected instruments, return FIG. 199. — Spear-headed platinum spatula (actual size.) them to the steriliser, and disinfect by boiling for ten minutes. 36. Sprinkle dry saw-dust 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 AUTOPSY RECORDS 403 for indicating the position of the chief lesions in the cadaver of any of the laboratory animals. 4 1 . Finally, the results of the action of the organism 8 1 6 • 1 u» | «o Q "y 8 5 "q ^> 0 •O * 1 • 1 . •S : 5 0) 13 J 0 O ^ 0 3r •1 K S. E* 0 *^ O D •2 >. $ ^ ^ .2 o <5 EJ g \- .s •j3 D d < £ 8 •g . u rt _s *o w ~i 0) 'i | | .X J 5 -^ > >> "?! 4) o 3 ^ o •"" •~ ft ^ (X ° (J ^ rt "i ^ Q ^ O G V "c3 ^ s 1 ! 1 1 -a o ^ $ J2 2 2 1 § •o ** ^ W f-H Q < ri o Q < « U Q or organisms isolated may be correlated with the symptoms observed during life and the observations summarised under the following headings: 404 POST-MORTEM EXAMINATIONS 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 1 Acute reactions. j- or (b) Degeneration and necrosis. J chronic. 2. General (i. e., produced at a distance from the bacteria, by absorption of toxins) : FIG. 201. — Back of post-mortem card. (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. Permanent Preparations — Museum Specimens. — I. Tissues. — The naked-eye appearances of morbid tissues may be preserved by the following method : i. Remove the tissue or organ from the cadaver as soon after death as possible, using great care to avoid distortion or injury. PERMANENT PREPARATIONS 405 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 care- fully. When the natural co Jours show in their original tints, average time three to six hours, remove the tis- sues 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. 406 POST-MORTEM EXAMINATIONS Equally good but .much cheaper is Frost's mounting solution : Potassium acetate 160 grammes. Sodium fluoride 80 grammes. Chloral hydi ate 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 i 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 sear- ing iron) . 1 1 . Paint a narrow band of Japan black to finish off, round the joint, overlapping on to the cover-plate. PERMANENT PREPARATIONS 407 //. 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. diam- eter, 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 con- densation 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 . FIG. 202.— Bul- chamber after the lapse of a week, and loch's tubes, dry the exterior of each. 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 de- scriptions 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 follow- ing pages the grouping in use in the author's elemen- tary 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 neces- 408 STUDY OF PATHOGENIC BACTERIA 409 sary familiarity with the cultural characters of impor- tant 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 patho- genic bacteria with the Organisms of Suppuration. This is a large group, for all the pathogenic bacteria possess the power, under certain conditions, of initiat- ing 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. Staphlococcus 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 gonorrhoeas. 9. Microcoecus intracellularis meningitidis (Menin- gococcus) . 10. Micrococcus catarrhalis. 11. Bacillus aegypticus (Koch- Weeks Bacillus). The group may with advantage be subdivided as indicated in the following pages : 41 0 STUDY OF PATHOGENIC BACTERIA I. Pyo genie cocci. Staphylococcus pyogenes albus. Staphylococcus pyogenes aureus. Staphylococcus pyogenes citreus. to contrast with Micrococcus candicans. Micrococcus agilis. i. Prepare subcultivations from each: Bouillon, Agar streak, .Jf , and incubate at 37° C. Blood serum, Litmus milk. Agar streak, Gelatine stab, Potato. and incubate at 20° C. Compare the naked-eye appearances of the cultures from day to day. Note M. agilis refuses to grow at 37°C. 2 . Make hanging-drop preparations from the bouillon and agar cultivations after twenty-four hours' incu- bation. 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 Pit field'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 pre- pared from the three days' growth — such cocci are dead. 5. Stain section of kidney tissue provided (showing STUDY OF PATHOGENIC BACTERIA 411 abscess formation by Staphylococcus aureus) by Gram's method, and counterstain with eosin. 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 eosin. 7. Inoculate1 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. Pyo genie cocci. Micrococcus gonorrhoea?. Micrococcus intracellularis meningitidis (meningococcus) . Micrococcus catarrhalis. Micrococcus tetragenus. Micrococcus paratetragenus. III. Pyo genie cocci. Streptococcus pyogenes longus. Streptococcus of bovine mastitis. Streptococcus lanceolatus (Diplococcus pneumonise or pneumococcus) . to contrast with Streptococcus brevis. Streptococcus lebensis. IV. Pyo genie bacilli. Bacillus pneumonias (Friedlaender) . Bacillus rhinoscleromatis. Bacillus lactis aerogenes. V. Pyogenic bacilli. Bacillus pyocyaneus. to contrast with Bacillus fluorescens liquefaciens. Bacillus fluorescens non -liquefaciens. 1 See note on Vivisection License, page 334. 412 STUDY OF PATHOGENIC BACTERIA VI. Pneumonia group. Streptococcus lanceolatus (pneumococcus) , Bacillus pneumoniae (Friedlaender) . Streptococcus pyogenes longus. • VII. Diphtheroid group. Bacillus diphtherias (Klebs-Lcefrler) . 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. dysenterias (Flexner). B. fsecalis alcaligines. STUDY OF PATHOGENIC BACTERIA 413 XII. Spirillum group. Vibrio choleras. 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 Rabino witch. XV. Plague group. Bacillus pestis. B. septicaemias haemorrhagicse. B. suipestifer. XVI. Influenza group. B. influenzas. Bacillus asgypticus (Koch- Weeks). Bacillus pertussis. XVII. Miscellaneous. Bacillus leprae. Bacillus mallei. Micrococcus melitensis. 414 STUDY OF PATHOGENIC BACTERIA XVIII. Streptothrioc group. Streptothrix actinomycotica. Streptothrix madurae. to contrast with Cladothrix nivea. XIX. Tetanus group. Bacillus tetani. Bacillus cedematis maligni. Bacillus chauvei (symptomatic anthrax), XX. Enteritidis sporogenes group. Bacillus enteritidis sporogenes. B. botulinus. B. butyricus. B. cadaveris. 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 calcu- lated 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 tech- nique there set out will be found to be capable of expan- sionand adaptation to any circumstance or set of cir- cumstances which may confront the student. Controls. — The necessity for the existence of ade- quate 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 presum- es 41 6 BACTERIOLOGICAL ANALYSES ably ' '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 un- inoculated 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° C., but also if the water has been contaminated with excremen- tal 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° 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 torulas, and the development of these will be best secured by plating in wort gelatine and incubat- ing at 20° 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 over- hanging glass stoppers (to prevent contamination of the bottle necks by falling dust). These must be carefully sterilised in the hot-air steriliser (vide page (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, WATER 417 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. (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 de- signed 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 puU on Jr'cV.0£itoi£ the cord is released and the tension bottle for water 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 27 4i8 BACTERIOLOGICAL ANALYSES 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. 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. diam- eter (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 ma- terial 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 Thresh's ' deep is no pull upon the rubber tube, but boattie.Sampling which> however, will be easily jerked off when a sharp pull is given to the sus- pending cord. Now wind heavy lead tubing about i 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 sus- pending cord, which detaches the rubber tube and so opens the two glass tubes. Water enters through the WATER 419 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. s/S '<• 2. -:' ' 2E-SII r' ^; ' " ''•' -'" -; '^LJi & I I FIG. 205. — Ice-box for transmission of water samples, etc. Transport of Sample. — If the examination of the sam- ple cannot be commenced immediately, steps must be taken to prevent the multiplication of the bacteria con- tained 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 essen- tial. 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 420 BACTERIOLOGICAL ANALYSES bolted together by thumb screws through the over- hanging 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 examina- tion consists in adding measured quantities of the water sample to several tubes of nutrient media pre- viously liquefied by heat, pouring plate cultivations from each of these tubes, incubating at a suitable tem- perature, 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, i 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° C. METHOD.— 1. Arrange the plate-levelling platform with its water compartment filled with water, at 45° C. 2. Number the agar tubes, consecutively, i to 6; the gelatine tubes, consecutively, i to 6, and the wort tubes, i, 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 WATER 421 medium is melted, then transfer them to the water- bath regulated at 42° 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. FIG. 206. — Withdrawing water from water sample bottle. 5. Remove one of the i 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, hold- ing its point well below the surface of the water (Fig. 206) . 422 BACTERIOLOGICAL ANALYSES Suck up rather more than i 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 i 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 i c.c. of the sample to the contents of the fourth tube. 9. Similarly, add 0.5 c.c. and o.i 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 quan- tity of water sample it contains, and (c) the date. 1 2 . 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° C. 14. Empty the water chamber of the levelling appa- ratus 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. 1 6. Add o.i c.c. of the water sample to the 9.9 c.c. sterile water in the capsule. This will give a dilution of i 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 423 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° 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° C. 23. Count and record the number of colonies that have developed upon the agar at 37° 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 Jeffer's or Fakes' 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 Jeffer's counter 424 BACTERIOLOGICAL ANALYSES (Fig. 207), each subdivision has an area of i square centimetre; in Fakes' counter (Fig. 208), radii divide FIG. 207. — Jeffer's disc, reduced. FIG. 208. — Fakes' disc, reduced. the circle into sixteen equal sectors, and counting is facilitated by concentric circles equidistant from the centre. WATER 425 (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 ; Jeffer's disc for the latter. It should be recol- lected however that unless the plates have been care- fully levelled 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 o.i 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 i 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. 426 BACTERIOLOGICAL ANALYSES 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 no c.c. It is col- lected 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 in- dicative 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) necessi- tates 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 mem- bers of the eoli-typhoid group; and on occasion the question of the presence or absence of Vibriocholerse or (more rarely) such bacteria as B. anthracis or B. tetani, may need investigation. When pathogenic or excremental bacteria are pre- WATER 427 sent 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-pathogen- ic 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 con- centrated 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 quan- tity of sterile bouillon. A. Enrichment Method. (Dealing with the demonstration of bacteria of in- testinal origin.) Apparatus Required (Preliminary Stage): Incubator running at 42° C. Case of sterile pipettes, i 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° C. Surface plates of nutrose agar (see page 232). 428 BACTERIOLOGICAL ANALYSES Aluminum 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 ia-5a. 2. Number one flask 7 and another 8. 3. To Tubes No. i and la add o.i c.c. water sample. To Tubes No. 2 and 2 a add 'i c.c. water sample. To Tubes No. 3 and 3 a 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 incu- bate anaerobically at 42° 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 multipli- cation of intestinal bacteria, and also their fermenta- tive activity. The temperature 42° C. destroys or- dinary 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° 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. WATER 429 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 hang- ing-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 macro- scopically or microscopically, and incubate for twenty- four hours aerobically at 37° C. 13 . Examine the growth on the plates either with the naked eye or with the help of a small hand lens. Prac- tice 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° 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. 1 6. 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 430 BACTERIOLOGICAL ANALYSES 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. Lsevulose 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 choleras suum. WATER 431 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 o.i 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 differen- tial details are set out in tabular form. 432 BACTERIOLOGICAL ANALYSES ANALYTICAL SCHEME FOR ISOLATION OF MEMBERS OF THE COLI AND TYPHOID GROUPS. Nutrose agar. Red colonies. Escherich group. Blue colonies. Gaertner and Eberth groups. Lactose peptone solution. Gas. ! B. coli communis and its allies. I Acid and gas in glucrse peptone solution. Acid and coagulation in1 milk. General turbidity and indol in bouillon. I No gas. Gaertner and Eberth groups. Glucose peptone solution. 1 Gas. No gas. 1 Gaertner group. Eberth group. - 1 1 1 Litmus milk. Peptone solution. Litmus milk. Peptone solution. 1 1 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 1 6. 20. Differentiate the streptococci isolated into mem- bers of the saprophytic group of short-chained cocci, or members of the parasitic (pathogenic) group of long-chained cocci, by means of their cultural charac- ters, and record their numerical frequency in the manner indicated for the members of the coli-typhoid group. WATER 433 • . 1 O O O O O O + + + + + + 1 O | | | + 111 4 =acid production. — = alkali production. O = no change in reaction. C =clot. rt H + + + + + + +! + + + + + + + 1 « •pauiJOj pput ou= — •uorpnpoad jopui }u3iis = ^ 'uorpnpojd jopui = + + +I + I+ Ill+ll 11+11 9WOS 0 + O O O 4 =acid or gas production. ± = slight acid production. O = no change. a,muBH 0 + o + o a^iornQ 0 oo o oooo uuaoATO 0 t o o ]£ ooooo oooo UlOItBg ° oooooo o 4i oo o oooo O 'uTInuI — ' 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 29 450 BACTERIOLOGICAL ANALYSES 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 C1 and C2. 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 D1 and D2. 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 (C1) and deposit (D1) microscopically — (a) In hanging-drop preparations. (b) In film preparations stained carbolic methylene- MILS 451 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. ii. 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 centrifu- gal tube (D2) with 10 c.c. sterile bouillon and inocu- late three tubes of bile salt broth as follows : To Tube No. i add 2.5 c.c. milk deposit emulsion ( = 25 c.c. orig- inal milk.) To Tube No. 2 add i.o c.c. milk deposit emulsion ( = 10 c.c. orig- inal milk.) To Tube No. 3 add 0.5 c.c. milk deposit emulsion ( = 5 c.c. orig- inal milk.) 2. Inoculate tube of bile salt broth No. 4 with i 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 i.o c.c. from capsule I. To tube No. 6 add o. i c.c. from capsule I. To tube No. 7 add i . o c.c. from capsule II. To tube No. 8 add o. i c.c. from capsule II. To tube No. 9 add i.o c.c. from capsule III. To tube No. 10 add o. i c.c. from capsule III. ' To tube No. n add i.o c.c. from capsule IV. To tube No. 12 add o. i c.c. from capsule IV. and incubate anaerobically (in Buchner's tubes) at 42° C. for a maximum period of forty-eight hours. 4. If growth occurs complete the investigation as detailed under the corresponding section of water ex- amination (seepages 428 to 431). NOTE. — The B. coli communis, derived from the alvine dis- charges of the cow, is almost universally present in large or small 452 BACTERIOLOGICAL ANALYSES numbers, in retail milk. Its detection, therefore, unless in enor- mous numbers, (when it indicates want of cleanliness), is of little value. 2. Vibrio Choleras. — 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° C. and complete the exam- ination as detailed under the corresponding section of water examination (see page 43 9) . 3. B. Enteritidis Sporogenes. — Inoculate tubes of litmus milk with similar amounts to those used in the previous searches, omitting tube No. i (vide ante 1-3) place in the differential steriliser at 80° C. for ten minutes and then incubate anaerobically at 3 7° 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. Diphtherias.— (A) i. Plant three sets of serial cultivations, twelve tubes in each set, from (a) cream C2, (b) deposit D1 upon oblique inspissated blood-serum, and incubate at37°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, Neis- ser's method, Gram's method. Subcultivate such as appear to be composed of diphtheria bacilli in glucose peptone solution. Note those in which acid produc- tion takes place. 5. Inoculate guinea-pigs subcutaneously with one or two cubic centimetres forty-eight-hour-old glucose MILK 453 bouillon cultivation derived from the first subcultiva- tion 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-LoefHer bacillus becomes absolute. 7. Inoculate guinea-pigs subcutaneously with filtered glucose bouillon cultivations (toxins ?) and observe the result. (B) i. Emulsify the remainder of the deposit with 5 c.c. sterile bouillon and inoculate two guinea-pigs, thus: guinea-pig a, subcutaneously with i c.c. emul- sion; guinea-pig b, subcutaneously with 2 c.c. emulsion; and observe the result. 2. If either or both of the inoculated animals suc- cumb, make complete post-mortem examination and endeavour to isolate the pathogenic organisms from the local lesion. Confirm their identity as in A 5 and 6 (vide supra). 5. Bacillus Tuberculosis. — (A) i. Inoculate each of three guinea-pigs (previ- ously tested with tuberculin, to prove their freedom from spontaneous tuberculosis) subcutaneously at the inner aspect of the bend of the left knee, with i c.c. of the deposit emulsion remaining in one or other tube D'or D2). 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 ani- mals. 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 454 BACTERIOLOGICAL ANALYSES week and make a complete post-mortem examination. 5. If the result of the examination is negative or FIG. 215. — Cadaver of guinea-pig experimentally infected with B. tuberculosis. inconclusive, kill a second guinea-pig at the end of the third week and examine carefully. 6. If still negative or inconclusive, kill the third guinea-pig at the end of the sixth week. Make a care- MILK 455 ful 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) i. 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, intraperi- toneally, 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 micro- scopical examination and cultivations upon Dorsett's egg medium. NOTE. — No value whatever attaches to the result of a micro- scopical examination for the presence of the B. tuberculosis unless confirmed by the result of inoculation experiments. 6. Streptococcus Pyogenes Longus.— (A) i . 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 resem- ble those of the streptococcus, make subcultivations upon agar and in bouillon, in the first instance, and study carefully. (B) i. Plant a large loopful of the deposit D2 into each of three tubes of glucose formate bouillon, and incubate anaerobically (in Buchner's tubes) for twenty- four hours at 3 7° C. 456 BACTERIOLOGICAL ANALYSES 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, inocu- late 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. diph- therias and the serial agar cultivations to isolate strep- tococci after forty-eight hours' incubation. 2. Pick off any suspicious orange coloured colonies, plant on sloped agar, and incubate at 20° 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 organ- isms 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 D1 orD2. 2. Spread several sets of surface plates upon nutrose agar, each from one drop of the original milk sample. 3. Incubate aerobically at 37° C. and examine daily up to the end of ten days. 4. Pick off suspicious colonies, examine them micro- scopically 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. ICE CREAM: BUTTER 457 6. If apparently M. melitensis, inoculate growth from a nutrose agar culture after three days incubation in- tracranially 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° 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 examina- tion in precisely the same manner as described for milk (vide page 443). EXAMINATION OF CREAM AND BUTTER. Collection of the Sample. — Collect, store, and trans- mit 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° C. Case of sterile plates. Case of sterile graduated pipettes, i c.c. (in hundredths). Tubes of gelatine-agar (+ 10 reaction). Plate-levelling stand, with its water chamber filled with water at 42° C. METHOD.— i . Transfer a few grammes of the sample to a sterile test-tube by means of the sterilised spatula. 458 BACTERIOLOGICAL ANALYSES 2. Place the tube in the water-bath at 42° C. until the contents are liquid. 3. Liquefy eight tubes of gelatine-agar and place them in the water-bath at 42° C., and cool down to that temperature. 4. Inoculate the gelatine-agar tubes with the fol- lowing quantities of the sample by the help of a sterile pipette graduated to hundredths of a cubic centimetre —viz., To tube No. i add i c.c. liquefied butter. 2 add o . 5 c.c. liquefied butter. 3 add o . 3 c.c. liquefied butter. 4 add 0.2 c.c. liquefied butter. 5 add o . i 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 o.oi c.c. liquefied butter. 5. Pour a plate cultivation from each of the gelatine- agar tubes and incubate at 28° 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° 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. BUTTER 459 Case of sterile pipettes, 10 c.c. Case of sterile graduated pipettes, i 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° 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° 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° C., and centrifugalise at once. 6. Pipette off the supernatant fluid and fill the tubes with sterile i 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 centri- fugalise, 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 TV inch oil-immersion lens. 11. Proceed with the examination of the deposit as in the case of milk deposit (see pages 450 et seq.) . 460 BACTERIOLOGICAL ANALYSES 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. enteriditis of Gaertnerand its allies — which are usually associated with epidemic outbreaks of food poisoning, and such anaerobic bac- teria as initiate putrefactive changes in the food which result in the formation of poisonous ptomaines, conse- quently 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, i c.c. (in tenths of a cubic centimetre) . Plate-levelling stand. Tubes of nutrient gelatine. Tubes of nutrient agar. Water-bath regulated at 42° C. Bulloch's apparatus. METHOD. — i. Place the flask containing 200 c.c. sterile broth on one pan of the scales and counterpoise accurately. FOOD 461 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° C. (or in a water-bath regu- lated to that temperature) for half an hour, shaking its contents from time to time. Better results are ob- tained if an electrical shaker is fitted inside the incu- bator and the flask kept in motion throughout the entire thirty minutes. Now every centimetre contains the bacteria washed out from o.i gramme of the original food. 4. Inoculate tubes of liquefied gelatine as follows: To tube No. i add i .o 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 o. 2 c.c. of the extract. 5 add o.i c.c. of the extract. Pour plates from these tubes and incubate at 20° C. 5. Prepare a precisely similar set of agar plates and incubate at 3 7° C. . 6. Pipette 5 c.c. of the extract into a sterile tube, heat in the differential steriliser at 80° C. for ten minutes. 7. From the heated extract prepare duplicate sets of agar and gelatine plates and incubate anaerobically in Bulloch's apparatusat 37° C. and 20° 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 vege- tative 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 com- pelled by the growth of liquefying colonies) enumerate the gelatine plates in the same way. 462 BACTERIOLOGICAL ANALYSES 10. Subcultivate from the colonies that make their appearance and identify the various organisms. 1 1 . 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 examina- tion 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. cadayeris. The methods by which these organisms if present may be identified and isolated have already been discribed 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 experimen- tally 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. OYSTERS 463 Extract.- 1. Introduce various quantities of the bouillon ex- tract 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 subcuta- neously 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 centi- metres (o.i c.c. to 10 c.c.) — in the latter case the bulk of the fluid is probably the last quantum of water in- gested by the bivalve before closing its shell. In order to obtain a working average of the bacterio- logical flora of a sample, ten oysters should be taken and the body, gastric juice and liquor should be thoroughly mixed before examination. The examina- tion, 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. 464 BACTERIOLOGICAL ANALYSES 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, i per mille. Bile salt broth tubes. Litmus milk tubes. Surface plates of nutrose agar. Case of sterile pipettes, i 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 OYSTERS 465 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 previ- ously 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 o.i c.c. of the mixed liquor to inseminate each of a series of three nutrose surface plates. 11. Inoculate o.i c.c. of the mixed liquor into each of three tubes of litmus milk. 1 2 . 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 practi- cal 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 i c.c. of the diluted liquor, etc. from the cylinder, and mix thoroughly. To cap- sule II add i c.c. of dilution in capsule I and mix thor- 3° 466 BACTERIOLOGICAL ANALYSES oughly. Carry over i c.c. of fluid from capsule II to capsule III, afterwards adding i 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 i c.c. cylinder fluid = 0.01 oyster. No. 4 with i c.c. capsule I fluid = 0.001 oyster. No. 3 with i c.c. capsule II fluid = 0.0001 oyster. No. 2 with i c.c. capsule III fluid = 0.00001 oyster. No. i with i c.c. capsule IV fluid = 0.000001 oyster. 1 6. Transfer 100 c.c. cylinder fluid (= i 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° C. If growth occurs in tube I the organism finally iso- lated, 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 1 5 ; heat to 80° C. for ten minutes, and incu- bate under anaerobic conditions at 37° 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 SEWAGE 467 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 i 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 o.i c.c. of the mixture from No. I to No. II and mix thoroughly. 6. In like manner transfer o.i c.c. from No. II to No. Ill, and then o.i c.c. from No. Ill to No. IV. Now i c.c. of dilution No. I contains o.i c.c. of the original sewage, i c.c. of dilution No. II contains o.ooi c.c. of the original sewage, i c.c. of dilution No. Ill contains o.ooooi c.c. of the original sewage, i c.c. of dilution No. IV contains o.ooooooi 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° 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 con- ducted on precisely similar lines to those already in- dicated (vide pages 426 to 441). 468 BACTERIOLOGICAL ANALYSES 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 i 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. AIR 469 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. 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 Erlen- meyer flask.) 7. When the aspiration is completed, disconnect the flask and remove it from its ice packing. 470 BACTERIOLOGICAL ANALYSES 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 gradu- ated 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° 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 i c.c., and then in the 50 c.c. of broth in the flask. 1 2 . The result of air examination is usually expressed as the number of bacteria present per cubic metre (i. e.t kilolitre) of air; and as the number of organisms present in the 50 c.c. water only represent those con- tained in 10 litres of air, the resulting figure must be multiplied by 100. Qualitative.— 1. Proceed exactly as in the quantitative examina- tion of air (vide supra), steps i to 10. 2. Pour plates of wort agar with similar quantities of the air-infected water, and incubate at 37° C. 3. Pour plates of nutrient agar with similar quan- tities of the water and incubate at 37° C. 4. Pour similar plates of wort gelatine and incubate at 20° 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 in- formation of value to the sanitarian during the pro- gress of the process of homogenisation of "made soil" (e. g., a dumping area for the refuse of town) and SOIL 471 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 suita- bility 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 alterna- tions 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. The instrument used for the actual removal of the soil from its natural position will vary according to FIG. 217. — Soil scoop. whether we require surface samples or soil from vary- ing 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. 472 BACTERIOLOGICAL ANALYSES 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 trans- ferred to the sterile capsule for transmission. 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, how- ever, 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 centi- SOIL 473 metres from the drill-pointed extremity. It is pro- vided 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 .-«r-Four distinct investigations are in- cluded in the complete quantitative bacteriological examination of the soil : i. The enumeration of the aerobic organisms. 2.' The enumeration of the spores of aerobes. 3. The enumeration of the anaerobic organisms (in- cluding 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, i 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. 474 BACTERIOLOGICAL ANALYSES Tubes of glucose formate agar. Water-bath regulated at 42° 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 Erlen- meyer 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 o.i gramme of soil. 8. Pipette off i c.c. of the supernatant bouillon, termed the "soil water," and add it to the contents of capsule I ; mix thoroughly. 9. Remove o.i c.c. of the infected bouillon from capsule I and add it to capsule II, and mix. SOIL 475 10. In like manner add o.i c.c. of the contents of capsule II to capsule III, and then o.i c.c. of the contents of capsule III to capsule IV. Then i c.c. fluid from capsule I contains soil water from .01 gm. earth. Then i c.c. fluid from capsule II contains soil water from .0001 gm. earth. Then i c.c. fluid from capsule III contains soil water from .000001 gm. earth. Then i c.c. fluid from capsule IV contains soil water from .0000000 1 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 o.i 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° C. 13. Pour similar sets of agar plates from the contents of capsules II and III; label and incubate at 37° 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 ob- tained 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° C." present per gramme of the soil. 476 BACTERIOLOGICAL ANALYSES (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. 1 8. Place in the differential steriliser at 80° C. for ten minutes. 19. Pour two sets of four gelatine plates containing o.i, 0.2, 0.5, and i c.c. respectively of the soil water; label and incubate at 20° 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 examina- tion 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 cedematis 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 qualita- tive examination of water, and filter the soil water. 3. Suspend the bacterial residue in 5 c.c. sterile V SOIL 477 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 i 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 TetanL— The methods adopted for the isolation of these organisms are identical with those already described under water (page 43 7 et seq.) . V. Bacillus (Edematis 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 i to 10. 2. Inoculate each tube with varying quantities of the material as follows : To tube No. i add i . o c.c. of the soil water. To tube No. 2 add o . i c.c. of the soil water. To tube No. 3 add i.o c.c. from Capsule I. To tube No. 4 add o. i c.c. from Capsule I. To tube No. 5 add i . o c.c. from Capsule II. To tube No. 6 add o. i c.c. from Capsule II. To tube No. 7 add i.o c.c. from Capsule III. To tube No. 8 add o.i c.c. from Capsule III. To tube No. 9 add i .o c.c. from Capsule IV. To tube No. 10 add o. i c.c. from Capsule IV. Label and incubate at 30° C. 478 BACTERIOLOGICAL ANALYSES VII. The Nitric Organisms.— 3. Take ten tubes of Winogradsky's solution No II, number them consecutively from i to 10 and inoculate with quantities of soil water similar to those enum- erated in section VI step 2. Label and incubate at 30° 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° 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 atmos- pheres 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 : FILTERS 479 Apparatus Required: Filtering apparatus: The actual filter candle that is used must be the one it is intended to test and must be previously care- fully sterilised; the arrangement of the apparatus will natur- ally 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, i 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 incu- bate at 20° 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 i c.c. of the filtrate. 6. Incubate at 37° C. until, if necessary, the comple- tion of seven days. 7. If the filtrate is not sterile, subcultivate the organ- ism 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.f Micrococcus melitensis, in a similar manner; in this instance continuing the incubation of cultivations from the filtrate for fourteen days. 480 BACTERIOLOGICAL ANALYSES 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 con- venient 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. i. 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 ac- count of its relative nonpathogenicity, the ease with which it can be isolated and identified by different ob- servers 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 DISINFECTANTS 481 bacillus is an organism which is slightly more resistant to the lethal action of germicides than the more patho- genic members of this group, a margin of safety is in- troduced 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 3 7° C. for 2 4 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 centri- fuge 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 disin- fectant, which may be referred to as germicide-x, on the lines set out on page 3 1 1 to determine its inhibition coefficient. This constant having been fixed, prepare various solu- tions of germicide-x with sterilised distilled water by ac- curate 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. r 482 BACTERIOLOGICAL ANALYSES The following table shows the effect of different per- centages of carbolic acid upon B. coli for varying con- tact times, compiled from an experiment conducted under the standard conditions referred to under Envi- ronment. The results closely correspond to those recorded by the Lancet Commission on Disinfectants, 1909. Percentage of phenol Contact time in minutes. 2$ 5 10 15 20 25 3° 35 i 20 + + + + + + + + + + + + + + + + + + + + + + + + + - i.io i.o 0.9 o 8t o 80 ... O 7 C 0-7 O 6=r . — =No growth, i.e., bacteria killed. + = Growth, i.e., bacteria still living. From this it will be seen that the following per- centage solutions will need to be prepared, namely: i.i per cent., i.o 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 ac- curately 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 i : 1000 solution of corrosive sublimate. DISINFECTANTS 483 Caution the assistant, if one is employed, to avoid unnecessary movement or speech. b. Contact Temperature, 15-18° 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° C. — practically the ordinary room temperature — is a tem- perature at which the multiplication of B. coli is a com- paratively 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° C. when the experiments are in progress, arrange a water- bath regulated at 18° C. for the reception of the tubes containing the mixture of germ and germicide ; if above 19° 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° 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 o.i 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 insuffi- cient 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 imme- diate 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 484 BACTERIOLOGICAL ANALYSES exclusion of organisms likely to contaminate the prep- aration, and if possible one which affords character- istic 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 pro- vides 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 sub- culture tube contains 10 c.c. of medium, but it is obvious that if germicide-x possesses an inhibition coefficient of o.i per cent, the addition of o.i c.c. of a 10 per cent, solution to 10 c.c. of medium would effectu- ally 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. /. Incubation Temperature, 37° 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 con- tinued— 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 DISINFECTANTS 485 necessary by plating methods, further subcultivations upon carbohydrate media and agglutination experi- ments. 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, i c.c. (in tenths). Sterile graduated pipettes in case, 5 c. c.(m 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 i : 1000, it will be quite safe to employ the ordinary culture tubes containing 10 c.c. medium in the subsequent experiments. 486 BACTERIOLOGICAL ANALYSES 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 2j, 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 i :3oo solution. Into tube D pipette 5 c.c. germicide-x i :5oo solution. Into tube E pipette 5 c.c. germicide-x i :6oo 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 i-io, 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 i 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 com- mencement of the experiment and at subsequent inter- vals of 2j, 5, 25 and 30 minutes. DISINFECTANTS 487 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 o.i c.c. of B. coli emulsion into the i : 100 solution. Then replace the pipette and washer. FIG. 219. — Test-tube rack. IT. 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 2j 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 488 BACTERIOLOGICAL ANALYSES more than o. i 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 o.i c.c. in the pipette. 14. At the same time, with the left hand remove Bile Salt Tube No. i 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 — re- plug the tube and drop it into the wire basket. Re- place 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. 1 6. 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° 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 indi- cates strengths of Germicide-x lethal at 2j and 30 minutes the final test can be arranged, but if this result has not been attained, sufficient evidence will DISINFECTANTS 489 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^ 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 i-io, those in the back row 11-20. 4. Arrange further 20 tubes of bile salt broth num- bered 2 1-40 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 i 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 com- mencement of the experiment and subsequently at 2j, 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 3o-minute contact period have been inoculated, carry out a pre- 490 BACTERIOLOGICAL ANALYSES cisely similar experiment, in which five percentage strengths of Phenol, (e. g., i.i, i.o, 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 2j-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^ 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 determina- tion are set out in the accompanying table. DISINFECTANTS 491 TABLE 27 Organism employed, B. Coli Communis. Culture Medium, Nutrient Agar (+ 10). Age, 24 hrs. Temp, of Incubation, 37° C. . / Culture 1 ,-, . . Quantities used < ^ . . > ri/mulsion o.i c.c. +5 c.c. Germicide. \ Emulsion j Room Temperature during Experiments, 17° C. Germicide Strength Time of exposure Incubation 2* 5 10 15 20 25 30 35 Time Temp. z Germicide-x. 4% — — — — — ' — _ 7 days. 37° C. a Germicide-x. 3% 48 — — — 7 days. 37° C. 3 4 Germicide-x. 2% 24 24 24 24 48 72 7 days. 37° C. Germicide-x. 1% 24 24 24 24 72 24 72 7 days. 37° C. S a 3 Germicide-x. 0.5% 24 24 24 24 24 24 24 24 24hours. 37° C. — — — Phenol I. 10% — — 7 days. 37° C. Phenol I .00% 24 7 days. 37° C. Phenol o.7S% 24 24 24 24 48 7 days. 37° C. 4 5 Phenol o. 70% 24 24 24 24 \ 24 72 ... 7 days. 37° C. Phenol 0.65% 24 24 24 24 24 48 24 24 2 days. 37° C. Phenol Coefficient : I^O + O^X 4.00 2.0/ 0.27+ 0.35 _ 62 _ 2 2 ~°'31 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 repre- sents the weight of one cubic centimetre of water at its maximum density (viz. 4° C. and 760 mm. mercury pressure) . The unit of the measure of capacity is the Litre (/.) , 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 niilli = ^-^\ centi= •J-O-Q-; deci — -^\ 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 : i millimetre ( = i mm.) = -fa of an inch. *• centimetre (= i cm.) = f of an inch. L inch (i") =25 millimetres or 2j centimetres. Mass: i milligramme ( = i mg.) = 0.01543 grain (or approximately & grain) . i gramme (= i g.) = 15.4323 grains. i "kilo" or kilogramme (=i kgm.) = 2 pounds, 3^ ounces avoirdupois. i pound avoirdupois ( = i ^0=453.592 grammes. i ounce avoirdupois ( = i oz.) =28.35 grammes. i grain = 0.0648 gramme or 64.8 milligrammes. 4Q2 APPENDIX 493 Capacity : i cubic centimetre (=i c.c.) = i6.9 rninirns imperial measure. i litre (=i /.) =35.196 fluid ounces imperial measure. i fluid ounec imperial measure (= ig) = 28.42 cubic centimetres. i pint imperial measure(— xO.) =568.34 cubic centimetres. i gallon imperial measure ( = iC.)=4-546 litres, or 10 pounds avoirdupois, of pure water at 62° 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. 43 2. 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 3 5 . 2 . To convert metres into inches X39-37- To convert grains into grammes X 0.0648. To convert avoirdupois ounces into grammes . X 28 . 3 5. To convert troy ounces into grammes . . . X 31 • 104. To convert fluid ounces into cubic centi- metres X28.42. To convert pints into litres X 0.568. To convert inches into metres X 0.0254. 494 APPENDIX TABLE FOR THE CONVERSION OF DEGREES CENTL GRADE INTO DEGREES FAHRENHEIT. F. Cent. Faht. 1 Cent. Faht. Cent. Faht. 0 32 . o 34 93-2 68 154-4 i 33-8 35 95-° 69 156 . 2 2 35-6 36 96.8 70 158.0 3 37-4 37 98.6 7i 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 . o 74 165.2 7 44-6 4i 105.8 75 167 . o 8 46.4 42 107 . 6 76 168.8 9 48.2 43 109.4 77 170. 6 10 5° • ° 44 III. 2 78 172.4 1 1 5i-8 45 II3.0 79 174.2 12 53-6 46 II4.8 80 176.0 13 55-4 47 116.6 81 177.8 14 57-2 48 118.4 82 179.6 15 59-° 49 120 . 2 83 181.4 16 60.8 50 122 .O 84 183.2 i7 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 O O 00 190.4 21 69.8 55 I3I.O 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. o 94 201 . 2 27 80.6 61 I4I.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 TOO 212 . O 33 91.4 67 152.6 APPENDIX 495 TABLE FOR THE CONVERSION OF DEGREES FAHREN- HEIT INTO DEGREES CENTIGRADE. 1 a 0> O 1 1 +3 aS PH 1 fe 6 a3 i + Diluent dilution f I 10 = I C.C. + 0 C.C. I : ioo = i c.c. + 0 C.C. I 15 = i c.c. + 0.5 c.c. I : no = i c.c. + O.I C.C. I 20 = I C.C. + 1.0 C.C. I : 120 = i c.c. + 0.2 C.C. I 25 = i c.c. + 1.5 c.c. [I : 125 = i. c.c. + 0.25 c.c.] I 30 = i c.c. + 2.0 C.C. I : 130 = i c.c. + 0.3 c.c. I 35 = i c.c. + 2.5 c.c. I : 140 = i c.c. + 0.4 c.c. I 40 = i c.c. + 3-0 c.c. I : 150 = i c.c. + 0.5 c.c. I 45 = i c.c. + 3-5 C.C. I : 160 = i c.c. + 0.6 c.c. I 50 = i c.c. + 4.0 c.c. I : 170 = i c.c. + 0.7 c.c. I 55 = i c.c. + 4-5 c.c. [t : 175 = i c.c. + 0.75 c.c.] I 60 = i c.c. + 5.0 c.c. I : 180 = i c.c. + 0.8 c.c. I 65 = i c.c. + 5-5 c.c. I : 190 = i c.c. + 0.9 c.c. I 70 = i c.c. + 6.0 c.c. I : 200 = i c.c. + 1.0 C.C. J 1 r = T P ^ + 6.5 c.c. I / D 1 U. ^. 80 = i c.c. + 7.0 c.c. I : 200 = i c.c. + 1.0 C.C. I 80 = i c.c. + 7.0 c.c. I I '. 225 == i c.c. : 250 = i c.c. ~f~ 1.25 c.c. + 1.5 c.c. I 90 = i c.c. + 8.0 c.c. I : 275 = i c.c. + 1.75 c.c. I 100 = I C.C. + 9.00 c.c. I : 300 = i c.c. + 2.0 C.C. I no = i c.c. + 10.0 c. :. I : 325 = i c.c. + 2.25 c.c. I 120 = I C.C. + II .0 C.C. I : 350 = i c.c. + 2.5 c.c. [I 125 = i c.c. + ii. 5 c.c.] I : 375 = i c.c. + 2.75 c.c. I 130 = i c.c. 140 = i c.c. + 12.0 C.C. I : 400 = i c.c. + 3.0 c.c. I 150 = i c.c. + 14.0 c.c. I : 400 = i c.c. -f- 3.0 c.c. I 160 = i c.c. + 15.0 c.c. I : 450 = i c.c. + 3- 5 c.c. * 170 = i c.c. 175 == icc + 16.0 c.c. I : 500 = i c.c. + 4.0 c.c. I 180 = i c.c. i 10.5 c.c.j + 17.0 c.c. I : 500 = i c.c. + 4-0 c.c. I 190 = i c.c. + 18.0 c.c. I : 600 = i c.c. + 5-0 c.c. I 200 = I C.C. + 19.0 c.c. I '. 700 = i c.c. + 6.0 c.c. 1 /c - •» ~ 1 I 200 = I C.C. 4- 19.0 c.c. I I : 750 = i c.c. : 800 = i c.c. T 0.5 C.C.J + 7.0 c.c. I 225 = i c.c. + 21.5 c.c. I • 900 = i c.c. + 8.0 c.c. I 250 = i c.c. + 24.0 c.c. I : 1000 = i c.c. + 9.0 c.c. I 275 = icc 1 z- I 300 = i c.c. + 29.0 c.c. I : 1000 = i c.c. -f- 9.0 c.c. I 325 = i c.c. + 31-5 C.C. I : 2000 = i c.c. 4- 19.0 c.c. I 350 = i c.c. + 34.0 c.c. I : 3000 = i c.c. + 29.0 c.c. I 375 = i c.c. + 36. 5 C.C. I : 4000 = i c.c. + 39.0 c.c. I 400 = i c.c. + 39.0 c.c. I : 5000 = i c.c. + 49.0 c.c. I 400 = i c.c. + 39-0 C.C. I 450 = I C.C. + 44.5 c;c. I 500 = i c.c. + 49.0 c.c. APPENDIX 499 PARING DILUTIONS. TABLE III Using 0.1% stock solution Third dilution Diluent TABLE IV Using 0.01% stock solution Fourth dilution Diluent x 1000 I C.C. + 0 C.C. x 10,000 I C.C. + 0 C .c. I 1250 = I C.C. 4- 0.25 c.c. I 15,000 = I c.c. + 0.5 c.c. I 1500 — I C.C. + 0.5 c.c. I 20,000 — I C.C. + 1.0 c.c. I 1750 — I C.C. + 0.75 c.c. I 25,000 «• I c.c. + i-5 c.c. I 2000 = I C.C. + 1.0 C.C. I 30,000 = I c.c. + 2.0 c.c. I 2250 = I C.C. + 1.25 c.c. I 35,ooo = I c.c. -f- 2.5 c.c. I 2500 = I C.C. + 1.5 c.c. I 40,000 = I c.c. + 3-o c.c. I 2750 = I C.C. + 1.75 C.C I 45,000 = I c.c. -f- 3.5 c.c. I 3000 = I C.C. + 2.0 C.C. I 50,000 = I c.c. + 4-o c.c. I 3250 = I C.C. + 2.25 c.c. I 55,ooo — I c.c. + 4.5 c.c. I 3500 = I C.C. + 2.5 c.c. I 60,000 = I c.c. + 5-0 c.c. I 3750 = I C.C. + 2.75 c.c. I 65,000 = I c.c. + 5-5 c.c. I 4OOO = I C.C. + 3.0 c.c. I 70,000 = I c.c. + 6.0 c.c. I 4250 = I C.C. + 3.25 c.c. I 75,000 = I c.c. 4- 6.5 c.c I 4500 = I C.C. + 3-5 C.C. I 80,000 BB I c.c. + 7.0 c.c. I 4750 = I C.C. + 3.45 c.c. I 85.000 = I c.c. + 7-5 c.c. I 5000 = I C.C. + 4.0 c.c. I 90,000 = I c.c. -f 8.0 0 - c.c. I 5000 6OOO - I C.C. + 4.0 c.c. I I 95,000 100,000 - I I c.c. ~f~ c.c. + 0-5 9-0 c.c. c.c. I I 7000 = I C.C. I C.C. ~r~ 5-O C.C. + 6.0 c.c. i : 100,000 a. 0. I C.C. + 0 9 c.c. [I 7500 = I C.C. + 6-Sc.c.] i : 200,000 — o . I C.C. + i .9 c.c. I 8OOO . I C.C. + 7.0 c.c. [i : 250,000 — o . I C.C. + 2 4 c.c. I 9000 = I C.C. + 8.0 c.c. i : 300,000 m* 0. I C.C. + 2 9 c.c. I 10,000 = I C.C. + 9.0 c.c. i : 400,000 —. 0. I C.C. + 3 + A 9 c.c. i . 500,000 0. I C.C. 4 9 c.c. I 15,000 = I C.C. I C.C. + 14.0 c.c. i : 500,000 = 0. I C.C. + 4 9 c.c. I 20,000 = I C.C. + 19.0 c.c. i : 600,000 - 0. I C.C. + 5 9 c.c. I 25,000 = I C.C. + 24.0 c.c. i : 700,000 = 0. I C.C. + 6.9 c.c. i : 30,000 = I C.C. + 29.0 c.c. [i : 750,000 = o . I C.C. + 7 4 c.c. i i 800,000 i : 900,000 = o . 0. I C.C. I C.C. + 7 • y ^•<^- + 8.9 c.c. i : 1,000,000 = 0. I C.C. + 9 9 c.c. 500 APPENDIX TEMPERATURE PRESSURE TABLE. Temperature Centigrade Mm. of Hg. Pounds per sq. in. absolute pressure Atmospheres 98° 707. i 13-7 °-93 99° 733-i 14.2 0.96 100° 760 .0 14.7 I . OO 101° 787.8 15.2 1-03 102° 816.0 15-8 1.07 103° 845-2 16.3 i . ii 104° 875-4 16 . 9 i . 15 105° 906 .4 17-5 1.19 106° 938.3 18.1 1.23 107° 971 .1 18.8 1.27 108° 1004 . 9 19.4 1.32 109° 1039.6 20 . I 1.36 110° I075-3 20.8 1.41 in0 I I 12 . 0 21.5 i .46 112° 1 149 . 8 22.2 i.5i H3° 1188.6 22.9 i.56 114° 1228 .4 23 • 7 1.61 "5° 1269 .4 24.5 1.67 116° I311 -4 25-3 1.72 117° 1354.6 26 . 2 1.78 118° 1399.0 27.0 1.84 119° 1444.5 27.9 i . 90 120° I491-2 28.8 i .96 121° 1539-2 29-7 2.02 122° 1588.4 3°-7 2 .09 I23° 1638.9 3r-7 2.15 124° 1690 . 7 32.7 2 . 22 I25° 1743-8 33-7 2 . 29 APPENDIX 501 TABLE FOR DESICCATION AT LOW TEMPERA TURES IN VACUO. Temperature Centigrade Mm. of Hg. 21° 18.4 22° 19.6 23° 20.8 24° 22 . I 25° 23-5 26° 24.9 27° 26.4 28° 28.0 29° 29.7 30° 31-5 3i° 33-3 32° 35-3 33° 37-3 34° 39-5 35° 41.7 36° 44-1 37° 46.6 38° 49-2 39° 51.9 40° 54-8 41° 57-8 42° 61.0 43° 64.3 44° 67.7 45° 71-3 46° 75.i 47° 79.0 48° 83.1 49° 87-4 50° 91.9 502 APPENDIX 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 sodas 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 anti- formin. 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 homo- genous but turbid fluid — a process which may be hastened by : — 3. Placing the tube in the incubator at 37° 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 dis- tribute the deposit throughout the water. Again centrifugalise. 6. Repeat steps 4 and 5 twice more. APPENDIX 503 7. Employ one portion of the final deposit to inoc- ulate guinea pigs. 8. Plant the remainder of the deposit freely on Dorset's Egg medium; cap and incubate at 37° C. NOTE.. — If only microscopical films are needed, fill up the centri- fuge tube with Ligroin (a petroleum ether) in place of sterile dis- tilled water in step 5 and prepare the films from the surface of the fluid to stain by the Ziehl-Neelsen process. INDEX ABBA'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 bac- teria, 295 Active immunisation, illustra- tive example, 322 Adjustable water bath, 299 Aerobic cultures, 221 Aerogenic bacteria, 131 ^Esculin agar, 204 Agar gelatine (guarniari), 194 methods of preparation, 167 surface plates, 232 Agar-agar, preparation of, 167 Agglutination reaction, macro- scopical, 386 microscopical, 385 Agglutinin, 381 Air, analysis of, 468 filter, 40 Eump, Geryk, 43 umin 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 bio- logical 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 bacteriologi- cal, 468 of butter, qualitative bacterio- logical, 458 quantitative bacteriological, 457 of cream, qualitative bacterio- logical, 458 quantitative bacteriological, 457 of fish, 460 of ice cream, qualitative bac- teriological, 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 bacter- iological, 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, 426 505 INDEX 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. tuber- culosis, 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 Ascomycetas, 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 diphtherias in milk, 452 enteritidis in water, 437 sporogenes in milk, 452 in water, 438 cedematis 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, gen- eral considerations, 415 examination of blood, 377 Base of microscope, 50 Basidium, 128 Beer wort, preparation of, 175 Beetrpot 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 cul- tures, 276 Biochemistry of bacteria, 276 Biological differentiation of bac- teria, 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, ii 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 INDEX 507 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 prepara- tions, 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 iso- lating colityphoid 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, 1 8 to stain, 99 to sterilise, 31 Carbohydrate media, prepara- tion of, 177 Carbolic acid as a germicide, 27, 481 method of isolating coli- ty- phoid 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 Chromophorus 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 bacterio- logical 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 5o8 INDEX 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, 3 1 Creanv analysis of, 457 qualitative analysis of, 458 quantitative analysis of, 457 Crenothrix morphology, 133 Criteria of infection, 370 Criterion of immunity, 324 • Cultural characters, macroscop- ical examination, 261 Culture flask, Guy's, 5 Kolle, 4 ' Rpux, 5 Cuneate bacillif 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, .J78 Diaphragm, iris, 53 Diastatic enzymes, tests for, 278 Differential atmosphere cultiva- tion, 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 pneumonias, immuni- sation 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, char- acters of, 267 Egg albumin agar, 213 broth, (Lipschuetz), 213 media (Dorset), preparation of, . J74 inspissated, 212 (Lubenan), 209 (Tarchanoff and Kolesmi- koff), 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: ty- phoid group, 438 Endogenous spores, 138 varieties of, 139 Endo-germination, 139 English proof agar, Blaxall, 193 Enumerating colonies on plates, discs, Jeffer's, 424 Pakes', 424 Enrichment method in water analysis, 427 INDEX 509 Enumeration of micro-organisms, 423 Environmental conditions, 142 Enzyme production, investiga- tion 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, 1 60 Film preparations, 81 fixing, 8 1 making, 81 mounting, 85 staining, 83 Filter candle, closed, 47 open, 43 testing efficiency ^of , 478 to disinfect, 28 to sterilise, 29 flask, 6 gapers, to fold, 156 ;er.s, 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, 1 14 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, 1 8 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 o£ 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 (Sabour- aud), 193 proof agar (Sabouraud), 193 Fresh preparations of bacteria, 7 4 Friedlander'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, 9 1 German lined paper, 69 510 INDEX 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-Wei-gert for sections, 121, 122 Gram-Weigert's differentiail stain, 109 modified, no 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 Han- sen), 192 ILEMATIN, 95 Haematocytometer, 248 Haematoxilin, 95 Hasmolysin, 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 INDEX Inosite-free media — bouillon (Dur- ham), 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, preparatioin 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 haematocytol- ogy of, 374 normal temperature, 372 regulations, I 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, 1 25 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-Con- radi), 205 whey, 195 agar, 196 gelatine, 196 (Petruschky), 195 Local anaesthetics, 345 reaction to infection, 372 Locomotive movement, 80 Lcefner'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 (Lceffler), 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 bac- teria, 249 stage, 52 Media, filtration of, 156 preparation of, 163 aerobic culture, 222 aesculin agar, 204 agar- agar, 167 agar gelatine (Guarniari), 194 INDEX Media, preparation of anaerobic culture, 1 80 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 Mai- lory), 208 (Loeffler), 208 (Lorrain Smith), 208 bouillon, 163 bread paste, 193 brilliant green agar (Con- radi), 206 bile salt agar (Fawcus), 206 Capaldi-Proskauer, No. 1, 186 No. II, 187 carbohydrate, 177 carbolised agar, 202 bouillon, 202 gelatine, 202 carrot, 200 China green agar (Werbit- ski), 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 Koles- nikoff), 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 (Sab- ouraud), 193 Media, preparation of French proof agar(Sabouraud),i93 Fuchsin agar (Braun), 205 sulphite agar (Endo), 206 gelatine, 193 agar, 193 glucose formate agar (Kit- asato), 1 80 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 (Dur- ham), 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 (Lceff- ler), 207 malt extract solution (Hers- chell), 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 INDEX 513 Media, preparation of nutrient bouillon, 163 gelatine, 164 nutrose agar (Eyre), 172 oleicacid agar (Fleming), 201 Omeliansky's nutrient fluid, 189 Parietti's bouillon, 202 parsnip, 200 Pasteur's solution, 191 peptone rosolic acid water, 1 86 water (Dunham), 177 plaster- of -Paris discs, 192 potato, 174 gelatine (Eisner), 204 (Goadby), 214 proteid free broth (Uschin- sky), 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 (Lib man), 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 33 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 Metrachromatic 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 INDEX Mounting film preparations, 85 paraffin sections, 119 Mouse cages, 342 holder, 351 scales, 341 Mucor mucedo, 126 Muco rinse, 126 Mueller's desiccator, 307 Muffle furnace, 28 _ Muirs's capsule stain, 100 flagella stain, 101 Museum preparations of bacteria, 497 of tissues, 404 sealing of, 406 Mycelium, 126 Mycoprotein, 135 NAEGELI'S solution, 191 Naehrstoff agar (Hesse and Nied- ner), 199 Naked flame, 28 Neisser's stain modified, 1 1 1 Net micrometer, 63 Neutral litmus solution, prepara- tion of, 179 red, 94 Nitrate bouillon, 185 peptone solution (Pakes), 186 Nitric organisms in soil, 478 Nitroso-indol reaction, 287 Nitrous organisms in soil, 477 Normal averages (t.p.r.), 372 serum, 375 Nosepiece, 57 double, 58 triple, 58 Novy's anaerobic method, 244 jars, 245 Nuclei, to stain, 105 Nucleus of bacteria, 135 Numerical aperature, 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 Opspnin, 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 Pake's counting disc, 424 filter reservoir, 45 Papier char din, 158 Pappenheim's stain, in 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-ty- phoid 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, 1 86 water (Dunham), preparation of, 177 Percentage formula, 496 Perchloride of mercury, 27 Perisporacae, 127 Peritrichous bacilli, 136 Permanent preparations of bac- teria, 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 INDEX 515 Pipettes, automatic, 13 blood, II 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, 1 8 to sterilise, 31 Piridin method of staining spiro- chaetes, 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, 1 8 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 ex- perimental animals, 396 Potato gelatine (Eisner), 204 (Goadby), 214 medium, preparation of, 174 Potted meat, analysis of, 460 Pouring plates, 227 Preparation of experimental ani- mals, 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, meas- urement of, 305 of temperature, measurement of, 298 Rat cages, 342 Raw milk, Saul's test for, 442 Reaction of medium, 305 optium, 305 range of, 305 scale, 153 Reduced pressure and tempera- ture table, 501 Reducing agents, production, 389 tests for, 289 Reduction of nitrates, 389 Reichert's thermo-regulator, 218 Relation of bacteria to environ- ment, 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 Rosplic 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 INDEX 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 (Lib man), 212 plates, 250 (Wertheimer), 211 bouillon, 210 collection of, 379 dextrose water (Hiss), 1 88 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, ^ J54 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 Spirochasta, morphology of, 133 Spirochsetes 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 (Burn), 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 INDEX 517 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 cul- tures, test for, 290 Sun-light, 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 inocu- lation 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 niters, 478 Test-tubes, 3 to clean infected, 19 new, 1 8 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 Rei chert'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 Tortulae, differentiation from sac- charomyces, 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, no, 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 INDEX Washing red blood cells, 388 tissues, 115 Water, analysisbf,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, 3 1 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, no Zooglcea, 134 Zymogenic bacteria, 131 SAUNDERS' BOOKS OH • Practice, Pharmacy, Materia Medica, Thera- peutics, Pharmacology, and the Allied Sciences W. B. SAUNDERS COMPANY WEST WASHINGTON SQUARE PHILADELPHIA 9. HENRIETTA STREET. COVENT GARDEN, LONDON Garrison's of Medicine History of Medicine. With Medical Chronology, Bibliographic Data, and Test Questions. By FIELDING H. GARRISON, M. D., Prin- cipal Assistant Librarian, Surgeon-General's Office, Washington, D. C. Cloth, $6.00 net; Half Morocco, $7.50 net. REPRINTED IN THREE MONTHS— THE BAEDEKER OF MEDICAL HISTORY The work begins with ancient and primitive medicine, and carries you in a most interesting and instructive way on through Egyptian medicine, Sumerian and Oriental medicine, Greek medicine, the Byzantine period ; the Mohammedan and Jewish periods, the Medieval period, the period of the Renaissance, the Re- vival of learning and the Reformation ; the Seventeenth Century (the age of indi- vidual scientific endeavor), the Eighteenth Century (the age of theories and systems), the Nineteenth Century (the beginning of organized advancement of science), the Twentieth Century (the beginning of organized preventive medicine). You get all the important facts in medical history ; a biographic dictionary of the makers of medical history, arranged alphabetically ; an album si medical portraits ; a complete medical chronology (data on diseases, drugs, operations, etc. ) ; a brief survey of the social and cultural phases of each period. SAUNDERS* BOOKS ON Musser and Kelly on Treatment A Handbook of Practical Treatment. By 82 eminent specialists. Edited by JOHN H. MUSSER, M. D., and A. O. J. KELLY, M. D., Univer- sity of Pennsylvania. Three octavos of 950 pages each, illustrated. Per volume: Cloth, $6.00 net; Half Morocco, $7.50 net. Subscrip- tion. IN THREE VOLUMES A PRACTICE FOR QUICK REFERENCE AND DAILY USE Every chapter in this work was written by a specialist of unquestioned authority. Not only is drug therapy given but also dietotherapy, serumtherapy, organo- therapy, rest-cure, exercise and massage, hydrotherapy, climatology, electro- therapy, .r-ray, and radial activity are fully, clearly, and definitely discussed. Those measures partaking of a surgical nature have been presented by surgeons. The Medical Record " The most modern and advanced views are presented. It is difficult to pick out any one topic that deserves special commendation, all parts fully covering their particular field, and written with that fulness of detail demanded by the every-day needs of the practitioner." Thomson's Clinical Medicine Clinical Medicine. By WILLIAM HANNA THOMSON, M. D., LL. D., formerly Professor of the Practice of Medicine and of Diseases of the Nervous System, New York University Medical College. Octavo of 675 pages. JUST READY This new work represents over a half century of active practice and teach- ing. It deals with bedside medicine — the application of medical knowledge for the relief of the sick. First the meaning of common and important symptoms is stated definitely ; then follows a chapter on the use of remedies and a classifi- cation of them ; next the section on infections, and last a section on diseases of par- ticular organs and tissues. It is medical knowledge applied — from cover to cover. An important chapter is that on the mechanism of surface chill and "catching cold, ' ' going very clearly into the etiologic factors, and outlining the treatment. The chapter on remedies takes up non-medicinal and medicinal remedies and "vaccine and serum therapy. In the chapter on the ductless glands the subject of internal secretions is very clearly presented, giving you the latest advances. The infectious diseases are taken up in Part II, while Part III deals with diseases of special organs or tissues, every disease being fully presented from the clinical side. Treatment, naturally, is very full. DIAGNOSIS AND TREATMENT. Cabot's Differential Diagnosis Differential Diagnosis. Presented through an Analysis of 385 Cases. By RICHARD C. CABOT, M. D., Assistant Professor of Clinical Medicine, Harvard Medical School, Boston. Octavo of 764 pages, illustrated Cloth, $5.50 net. THE NEW (2d) EDITION EIGHT LARGE PRINTINGS Dr. Cabot' s work takes up diagnosis from the point of view of the presenting symptom — the symptom in any disease which holds the foreground in the clinical picture : the principal complaint. It groups diseases under these symptoms, and points the way to proper reasoning in coming to a correct diagnosis. It works backward from each leading symptom to the actual organic cause of the symptom. This the author does by means of case-teaching. Chas. Lyman Greene, M.D., University of Minnesota. " It is one of the most valuable books that has been published in recent years, or indeed at any time." Morrow's Diagnostic and Therapeutic Technic Diagnostic and Therapeutic Technic. By ALBERT S. MORROW, M. D., Adjunct Professor of Surgery, New York Polyclinic. Octavo of 775 pages, with 815 original line drawings. Cloth, $5.00 net. JUST THE WORK FOR PRACTITIONERS Dr. Morrow's new work is decidedly a work for you — the physician engaged in general practice. It is a work you need because it tells you just how to perform those procedures required of you every day, and it tells you and shows you by clear, new line-drawings, in a way never before approached. It is not a book on drug therapy ; it deals alone with physical or mechanical diagnostic and thera- peutic measures. The information it gives is such as you need to know every day — transfusion and infusion, hypodermic medication, Bier's hyperemia, explora- tory punctures, aspirations, anesthesia, etc. Then follow descriptions of those measures employed in the diagnosis and treatment of diseases of special regions or organs: proctoclysis, cystoscopy, etc. Journal American Medical Association "The procedures described are those which practitioners may at some time be called on to perform.'1 SAUNDERS' BOOKS ON Faught's Blood-Pressure Blood - Pressure from the Clinical Standpoint. By FRANCIS A. FAUGHT, M. D., formerly Director of the Laboratory of Clinical Medi- cine of the Medico-Chirurgical College of Philadelphia. Octavo of 281 pages, illustrated. Cloth, $3.00 net. THREE PRINTINGS IN SIX MONTHS Dr. Faught's book is designed for practical help at the bedside. It meets the urgent needs of the general practitioner, who heretofore had no book to which to turn in case of emergency. Every effort has been made to provide here a practical guide, full of information of a clinical nature, and presented in a way readily available for daily use by the busy man. Besides the actual technic of using the sphygmomanometer in diagnosing disease, Dr. Faught has included a brief general discussion of the process of circulation. The wonderful strides made in our knowledge of blood-pressure, and the practical application of sphygmomano- metric findings within recent years, make it imperative for every medical man to have close at hand an up-to-date work on this subject. Anders & Boston's Medical Diagnosis A Text-Book of Medical Diagnosis.— By JAMES M. ANDERS, M.D., PH.D., LL.D., Professor of the Theory and Practice of Medicine and of Clinical Medicine, and L. NAPOLEON BOSTON, M.D., Adjunct Professor of Medicine, Medico-Chirurgical College, Philadelphia. Octavo of 1 175 pages, with 443 illustrations, a number in colors. Cloth, $6.00 net; Half Morocco, $7.50 net. THE MODERN DIAGNOSIS This new work is designed expressly for the general practitioner. The methods given are practical and especially adapted for quick reference. The diagnostic methods are presented in a forceful, definite way by men who have had wide experience at the bedside and in the clinical laboratory. Medical Record The association in its authorship of a celebrated clinician and a well-known laboratory is most fortunate. It must long occupy a pre-eminent position." PRACTICE OF MEDICINE Ward's Bedside Hematolog'y Bedside Hematology. By GORDON R. WARD, M.D., Fellow oi the Royal Society of Medicine, London, England. Octavo of 394 pages, illustrated. Cloth, $3.50 net. JUST OUT— INCLUDING VACCINES AND SERUMS Dr. Ward's work is designed to be of service to the man in general practice. It gives you the exact technic for obtaining the blood for examination, the making of smears, making the blood-count, finding coagulation time, etc. Then it takes up each disease, giving you the synonyms, definition, nature, general pathology, etiology, bearings of age and sex, the onset, symptomatology (discussing each symptom in detail], course of the disease, clinical varieties, complications, diag- nosis, and treatment (drug, diet, rest, vaccines and serums, jr-ray, operation, etc.). There is a special chapter devoted to the medical treatment of hemorrhage, giving you the exact doses of the various drugs indicated, and the methods of their administration, the serum treatment, transfusion, etc. Another chapter is devoted to the value of blood findings in surgical diagnosis, pointing out their value in differentiating benign from malignant growths, infectious from other diseases, appendicitis from typhoid fever. The final 30 pages are given over to a summary of the blood conditions in the various diseases, arranged alphabetically. Smith's What to Eat and Why What to Eat and Why. By G. CARROLL SMITH, M.D., Boston. I2mo of 312 pages. Cloth, $2.50 net. FOR THE PRACTITIONER With this book you no longer need send your patients to a specialist to be dieted — you will be able to prescribe the suitable diet yourself just as you do other forms of therapy. Dr. Smith gives the "why" of each statement he makes. It is this knowing why which gives you confidence in the book, which makes you feel that Dr. Smith knows. Pennsylvania Medical Journal "All through this book Dr. Smith has added to his dietetic hints a great many valuable ones of a general nature, which will appeal to the general practitioner." Slade's Physical Examination and Diagnostic Anatomy PHYSICAL EXAMINATION AND DIAGNOSTIC ANATOMY. — By CHARLES B. SLADE, M.D., Chief of Clinic in General Medicine, University and Bellevue Hospital Medical College. I2mo of 146 pages, illustrated. Cloth, $1.25 net. "In this volume is contained the fundamental methods and principles of physical examination, well illustrated, largely by line drawings. The book is to be strongly recommended." — Boston MedieaJ. and Surgical Journal. SAUNDERS' BOOKS ON Bastedo's Materia Medica Pharmacology, Therapeutics, Prescription Writing Materia Medica, Pharmacology, Therapeutics, and Prescription Writing. By W. A. BASTEDO, PH. D., M. D., Associate in Pharma- cology and Therapeutics at Columbia University, New York. Octavo of 602 pages, illustrated. Cloth, $3.50 net. THREE PRINTINGS IN SIX MONTHS Dr. Bastedo's discussion of his subject is very complete. As an illustration, take the pharmacologic action of the drug. It gives you the antiseptic action, the local action on the skin, mucous membranes, and the alimentary tract ; where the drug is obsorbed, if at all — and how rapidly. It gives you the systemic action on the circulatory organs, respiratory organs, nervous system, and sense organs. It tells you how the drug is changed in the body. It gives you the route of elimination and in what form. It gives you the action on the kidneys, bladder, urethra, skin, bowels, lungs, and mammary glands during elimination. It gives you the after- effects. It gives you the unexpected — the unusual — effects. It gives you the tolerance — habit formation. Could any discussion be more complete, more thorough ? Boston Medical and Surgical Journal " Its aim throughout is therapeutic and practical, rather than theoretic and pharmacologic. The text is illustrated with sixty well-chosen plates and cuts. It should prove a useful con- tribution to the text-book literature on these subjects." McKenzie on Exercise in Education and Medicine Exercise in Education and Medicine. By R. TAIT MCKENZIE, B. Av M. D., Professor of Physical Education and Director of the Department, University of Pennsylvania. Octavo of 393 pages, with 346 original illustrations. Cloth, $3.50 net. D. A. Sarg'eant, M. D., Director of Hemenway Gymnasium, Harvard University. "It cannot fail to be helpful to practitioners in medicine. The classification of athletic games and exercises in tabular form for different ages, sexes, and occupations is the work of an expert. It should be in the hands of every physical educator and medioal practitioner." Bonney's Tuberculosis second Edition TUBERCULOSIS. By SHERMAN G. BONNEY, M. D., Professor of Medi- cine, Denver and Gross College of Medicine. Octavo of 955 pages, with 243 illustrations. Cloth, $7.00 net; Half Morocco, $8.50 net. Maryland Medical Journal " Dr. Bonney's book is one of the best and most exact works on tuberculosis, in all its aspects, that has yet been published." THE PRACTICE OF MEDICINE Anders' Practice of Medicine A Text-Book of the Practice of Medicine. By JAMES M. ANDERS, M. D., PH. D., LL. D., Professor of the Practice of Medicine and of Clinical Medicine, Medico-Chirurgical College, Philadelphia. Hand- some octavo, 1335 pages, fully illustrated. Cloth, $5.50 net; Half Morocco, $7.00 net. JUST READY— THE NEW (llth) EDITION The success of this work is no doubt due to the extensive consideration given to Diagnosis and Treatment, under Differential Diagnosis the points of distinction of simulating diseases being presented in tabular form. In this new edition Dr. Anders has included all the most important advances in medicine, keeping the book within bounds by a judicious elimination of obsolete matter. A great many articles have also been rewritten. Wm. E. Quine, M.D., Professor of Medicine and Clinical Medicine, College of Physicians and Surgeons, Chicago. " I consider Anders' Practice one of the best single-volume works before the profession at this time, and one of the best text-books for medical students." DaCosta's Physical Diagnosis Physical Diagnosis. By JOHN C. DACOSTA, JR., M. D., Associate in Clinical Medicine, Jefferson Medical College, Philadelphia. Octavo of 557 pages, with 225 original illustrations. Cloth, $3.50 net. NEW (2d) EDITION Dr. DaCosta's work is a thoroughly new and original one. Every method given has been carefully tested and proved of value by the author himself. Normal physical signs are explained in detail in order to aid the diagnostician in determining the abnormal. Both direct and differential diagnosis are emphasized. The cardinal methods of examination are supplemented by full descriptions of technic and the clinical utility of certain instrumental means of research. Dr. Henry L. Eisner, Professor of Medicine at Syracuse University. " I have reviewed this book, and am thoroughly convinced that it is one of the best ever written on this subject. In every way I find it a superior production." SAUNDERS* BOOKS ON Sahli's Diagnostic Methods A Treatise on Diagnostic Methods of Examination. By PROF. DR. H. SAHLI, of Bern. Edited, with additions, by NATH'L BOWDITCH POTTER, M. D., Assistant Professor of Clinical Medicine, Columbia Uni- versity (College of Physicians an'd Surgeons), New York. Octavo of 1229 pages, illustrated. Cloth, $6.50 net ; Half Morocco, $8.00 net. THE NEW (2d) EDITION, ENLARGED AND RESET Dr. Sahli's great work is a practical diagnosis, written and edited by practical clinicians. So thorough has been the revision for this edition that it was found necessary practically to reset the entire work. Every line has received careful scrutiny, adding new matter, eliminating the old. Lewellys F. Barker, M. D. Professor of the Principles and Practice of Medicine, Johns Hopkins University •' I am delighted with it, and it will be a pleasure to recommend it to our students in the Johns Hopkins Medical School." Friedenwald and Ruhrah on Diet Diet in Health and Disease. By JULIUS FRIEDENWALD, M. D., Professor of Diseases of the Stomach, and JOHN RUHRAH, M. D., Pro- fessor of Diseases of Children, College of Physicians and Surgeons, Baltimore. Octavo of 857 pages. Cloth, $4.00 net. JUST READY— THE NEW (4th) EDITION This new edition has been carefully revised, making it still more useful than the two editions previously exhausted. The articles on milk and alcohol have been rewritten, additions made to those on tuberculosis, the salt-free diet, and rectal feeding, and several tables added, including Winton's, showing the composition of diabetic foods. George Dock, M. D. Professor of Theory and Practice and of Clinical Medicine, Tulane University. " It seems to me that you have prepared the most valuable work of the kind now available. I am especially glad to see the long list of analyses of different kinds of foods." Carter's Diet Lists just Ready DIET LISTS OF THE PRESBYTERIAN HOSPITAL OF NEW YORK CITY. Compiled, with notes, by HERBERT S. CARTER, M. D. i2mo of 129 pages. Cloth, $1.00 net. Here Dr. Carter has compiled all the diet lists for the various diseases and for conva- lescence as prescribed at the Presbyterian Hospital. Recipes are also included. PRACTICE OF MEDICINE Kemp on Stomach, Intestines, and Pancreas Diseases of the Stomach, Intestines, and Pancreas. By ROBERT COLEMAN KEMP, M. D., Professor of Gastro-intestinal Diseases at the New York School of Clinical Medicine. Octavo of 1021 pages, with 388 illustrations. Cloth, $6.50 net; Half Morocco, $8.00 net. NEW (2d) EDITION The new edition of Dr. Kemp's successful work appears after a most search- ing revision. Several new subjects have been introduced, notably chapters on Colon Bacillus Infection and on Diseases of the Pancreas, the latter article being really an exhaustive monograph, covering over one hundred pages. The section on Duodenal Ulcer has been entirely rewritten. Visceral Displacements are given special consideration, in every case giving definite indications for surgical inter- vention when deemed advisable. There are also important chapters on the Intes- tinal Complications of Typhoid Fever and on Diver ticulitis. The Therapeutic Gazette "The therapeutic advice which is given is excellent. Methods of physical and clinical examination are adequately and correctly described." Deaderick on Malaria Practical Study of Malaria. By WILLIAM H. DEADERICK, M. D., Member American Society of Tropical Medicine; Fellow London Society of Tropical Medicine and Hygiene. Octavo of 402 pages, illustrated. Cloth, $4.50 net; Half Morocco, $6.00 net. Frank A. Jones, M. D., Memphis Hospital Medical College. "We have been waiting for many years for such a work written by a man who sees malaria in all its forms in a highly malarious climate." Two Printings in Six Months Niles on Pellagra Pellagra. By GEORGE M. NILES, M. D., Professor of Gastro- enterology and Therapeutics, Atlanta School of Medicine. Octavo of 253 pages, illustrated. Cloth, $3.00 net. This is a book you must have to get in touch with the latest advances con- cerning this disease. It is the first book on the subject by an American author, and the first in any language adequately covering diagnosis and treatment. Pathology, heretofore an echo of European views only, is here presented from an American point of view as well, much original work being included. The clinical description covers the manifestations of Pellagra from every angle. io SAUNDERS* BOOKS ON AMERICAN EDITION NOTHNAGEL'S PRACTICE UNDER THE EDITORIAL SUPERVISION OF ALFRED STENGEL, M.D. Professor of Medicine in the University of Pennsylvan'0 Typhoid and Typhus Fevers By DR. H. CURSCHMANN, of Leipsic, Edited, with additions, by WILLIAM OSLER, M. D., F. R. C. P., Regius Professor of Medicine, Oxford University, Oxford, England. Octavo of 646 pages, illustrated. Smallpox (including Vaccination), Varicella, Cholera Asiatica, Cholera Nostras, Erysipelas, Crysipeloid, Pertussis, and Hay Fever By DR. H. IMMERMANN, of Basle ; DR. TH. VON JURGENSEN, of Tubingen ; DR. C. LIEBERMEISTER, of Tiibingen ; DR. H. LENHARTZ, of Hamburg ; and DR. G. STICKER, of Giessen. The entire volume edited, with additions, by SIR J. W. MOORE, M. D., F. R. C. P. I., Professor of Practice, Royal Col- lege of Surgeons, Ireland. Octavo of 682 pages, illustrated. Diphtheria, Measles, Scarlet Fever, and Rotheln By WILLIAM P. NORTHRUP, M. D., of New York, and DR. TH. VON JUR- GENSEN, of Tubingen. The entire volume edited, with additions, by WILLIAM P. NORTHRUP, M. D., Professor of Pediatrics, University and Bellevue Hos- pital Medical College, New York. Octavo of 672 pages, illustrated, including 24 full-page plates, 3 in colors. Diseases of the Bronchi, Diseases of the Pleura, and Inflam- mations of the Lungs By DR. F. A. HOFFMANN, of Leipsic ; DR. O. ROSENBACH, of Berlin ; and DR. F. AUFRECHT, of Magdeburg. The entire volume edited, with additions, by JOHN H. MUSSER, M. D., University of Pennsylvania. Octavo of 1029 pages, illustrated, including 7 full-page colored lithographic plates. Diseases of the Pancreas, Suprarenals, and Liver By DR. L. OSER, of Vienna ; DR. E. NEUSSER; of Vienna ; and DRS. H. QUINCKE and G. HOPPE-SEYLER, of Kiel. The entire volume edited, with additions, by REGINALD H. FRITZ, A. M., M. D., Hersey Professor of the Theory and Practice of Physic, Harvard University ; and FREDERICK A. PACKARD, M. D., Late Physician to the Pennsylvania and Children's Hos- pitals, Philadelphia. Octavo of 918 pages, illustrated. SOLD SEPARATELY— PER VOLUME: CLOTH, $5.00 NET; HALF MOROCCO, $6.00 NEt PRACTICE OF MEDICINE II AMERICAN EDITION NOTHNAGEL'S PRACTICE Diseases of the Stomach By DR. F. RIEGEL, of Giessen. Edited, with additions, by CHARLES G. STOCKTON, M. D. , Professor of Medicine, University of Buffalo. Octavo of 835 pages, with 29 text-cuts and 6 full-page plates. Diseases of the Intestines and Peritoneum Second Edition By DR. HERMANN NOTHNAGEL, of Vienna. Edited, with additions, by H. D. ROLLESTON, M. D., F. R. C. P., Physician to St. George's Hospital, London. Octavo of noo pages, illustrated. Tuberculosis and Acute General Miliary Tuberculosis By DR. G. CORNET, of Berlin. Edited, with additions, by WALTER B. JAMES, M. D. , Professor of the Practice of Medicine, Columbia University, New York. Octavo of 806 pages. Diseases Of the Blood (Anemia, Chlorosis, Leukemia, and Pseudoleukemia) By DR. P. EHRLICH, of Frankfort-on-the-Main ; DR. A. LAZARUS, of Char- lottenburg ; DR. K. VON NOORDEN, of Frankfort-on-the-Main ; and DR. FELIX PINKUS, of Berlin. The entire volume edited, with additions, by ALFRED STENGEL, M.D., Professor of Medicine, University of Pennsylvania. Octavo of 714 pages, with text-cuts and 13 full-page plates, 5 in colors. Malarial Diseases, Influenza, and Dengue By DR. J. MANNABERG, of Vienna, and DR. O. LEICHTENSTERN, of Cologne. The entire volume edited, with additions, by RONALD Ross, F. R. C. S. (£NG.), F. R. S. , Professor of Tropical Medicine, University of Liverpool ; J. W. W. STEPHENS, M. D., D. P. H., Walter Myers Lecturer on Tropical Medicine, University of Liverpool ; and ALBERT S. GRUNBAUM, F. R. C. P., Professor of Experimental Medicine, University of Liverpool. Octavo of 769 pages, illustrated. Diseases of Kidneys and Spleen, and Hemorrhagic Diatheses By DR. H. SENATOR, of Berlin, and DR. M. LITTEN, of Berlin. The entire volume edited, with additions, by JAMES B. HERRICK, M. D., Professor of the Practice of Medicine, Rush Medical College. Octavo of 815 pages, illust. Diseases of the Heart By PROF. DR. TH. VON JURGENSEN, of Tubingen ; PROF. DR. L. KREHL, of Greifswaid ; and PROF. DR. L. VON SCHROTTER, of Vienna. Edited by GEORGE DOCK, M.D., Professor of Theory and Practice of Medicine and Clinical Medicine, Tulane University. Octavo, 848 pages, illustrated. 50LD SEPARATELY-PER VOLUME: CLOTH, $5.00 NET ; HALF MOROCCO, $6.00 NET Goepp's State Board Questions JUST READY— NEW (3d) EDITION State Board Questions and Answers. By R. MAX GOEPP, M.D., Professor of Clinical Medicine, Philadelphia Polyclinic. Octavo of 715 pages. Cloth, $4.00 net ; Half Morocco, $5.50 net Pennsylvania Medical Journal " Nothing has been printed which is so admirably adapted as a guide and self-quiz for those intending to take State Board Examinations." 12 SAUNDERS' BOOKS ON Stevens' Therapeutics New (sth) Edition A TEXT-BOOK OF MODERN MATERIA MEDICA AND THERAPEUTICS. By A. A. STEVENS, A. M., M. D., Lecturer on Physical Diagnosis in the University of Pennsylvania. Octavo of 675 pages. Cloth, $3.50 net. Dr. Stevens' Therapeutics is one of the most successful works on the subject ever published. In this new edition the work has undergone a very thorough revision, and now represents the very latest advances. The Medical Record, New York " Among the numerous treatises on this most important branch of medical practice, this by Dr. Stevens has ranked with the best." Butler's Materia Medica New (6th) Edition A TEXT-BOOK OF MATERIA MEDICA, THERAPEUTICS, AND PHARMA- COLOGY. By GEORGE F. BUTLER, PH. G., M. D., Professor and Head of the Department of Therapeutics and Professor of Preventive and Clinical Medicine, Chicago College of Medicine and Surgery, Medical Department Valpariso University. Octavo of 702 pages, illustrated. Cloth, $4.00 net; Half Morocco, $5.50 net. For this sixth edition Dr. Butler has entirely remodeled his work, a great part having been rewritten. All obsolete matter has been eliminated, and special attention has been given to the toxicologic and therapeutic effects of the newer compounds. Medical Record, New York " Nothing has been omitted by the author which, in his judgment, would add to the completeness of the text." Sollmann's Pharmacology New (2d) Edition A TEXT-BOOK OF PHARMACOLOGY. By TORALD SOLLMANN, M. D., Professor of Pharmacology and Materia Medica, Western Reserve Uni- versity. Octavo of 1070 pages, illustrated. Cloth, $4.00 net. The author bases the study of therapeutics on systematic knowledge of the nature and properties of drugs, and thus brings out forcibly the intimate relation between pharmacology and practical medicine. J. F. Fotheringham, M. D.t Trinity Medical College, Toronto. " The work certainly occupies ground not covered in so concise, useful, and scientific a manner by any other text I have read on the subjects embraced." Arny's Pharmacy PRINCIPLES OF PHARMACY. By HENRY V. ARNY, PR. G., PH. D., Columbia University, New York. Octavo of 1175 pages, with 246 illus- trations. Cloth, $5.00 net. George Reimann, Ph. G., Secretary of the New York State Board of Pharmacy. "I would say that the book is certainly a great help to the student, and I think it ought to be in the hands of every person who is contemplating the study of pharmacy." THERAPEUTICS AND MA TERIA MEDICA Hinsdale's Hydrotherapy Hydrotherapy : A Treatise on Hydrotherapy in General ; Its Application to Special Affections ; the Technic or Processes Employee^ and a Brief Chapter on the Use of Waters Internally. By GUY HINS- DALE, M. D,, Fellow Royal Society of Medicine of Great Britain. Octavo of 466 pages, illustrated. Cloth, $3.50 net. INCLUDING CROUNOTHERAPY The treatment of disease by hydrotherapeutic measures has assumed such an important place in medical practice that a good, practical work on the subject is an essential in every practitioner's armamentarium. This new work supplies all needs. It describes fully the various kinds of baths, douches, sprays ; the application of heat and cold ; the internal use of mineral waters and all other procedures included under hydrotherapeutic measures. The Medical Record " We cannot conceive of a work more useful to the general practitioner than this, nor one to which he would resort more frequently for reference and guidance in his daily work." Kelly's Cyclopedia of Ameri- can Medical Biography Cyclopedia of American Medical Biography. By HOWARD A. KELLY, M. D., Johns Hopkins University. Two octavos, averaging 525 pages each, with portraits. Per set : Cloth, $10.00 net ; Half Morocco, $13.00 net. IN TWO VOLUMES Dr. Kelly, in these two handsome volumes, presents concise, yet complete, biographies of those men and women who have contributed noteworthily to the advancement of medicine in America. Dr. Kelly's reputation for painstaking care assures accuracy of statement. There are about one thousand biographies included. Swan* s Prescription- writing and Formulary PRESCRIPTION-WRITING AND FORMULARY. By JOHN M. SWAN, M. D., formerly Director Glen Springs Sanitarium, Watkins, N. Y. i6mo of 185 pages. Flexible leather, $1.25 net. Stewart's Pocket Therapeutics and Dose-book |jsj£ POCKET THERAPEUTICS AND DOSE-BOOK. By MORSE STEWART, JR., M.D. 32mo of 263 pages. Cloth, $1.00 net. SAUNDERS* BOOKS ON GET A*n**t«tr***n ™E NEW THE BEST f\ 111 6 F 1 C Ci II STANDARD Illustrated Dictionary New (7th) Edition— 5000 Sold in Two Months The American Illustrated Medical Dictionary — By W. A. NEW- MAN BORLAND, M. D., Editor of "The American Pocket Medical Dic- tionary." Large octavo of 1107 pages, bound m full flexible leather. Price, $4.50 net; with thumb index, $5.00 net. KEY TO CAPITALIZATION AND PRONUNCIATION— ALL THE NEW WORDS Howard A. Kelly, ^/[^O»tProfessor of Gynecologic Surgery, Johns Hopkins University. " Dr. Dorland's dictionary is admirable. It is so well gotten up and of such convenient size. No errors have been found in my use of it." Thornton's Dose-Book. New (4th) Edition DOSE-BOOK AND MANUAL OF PRESCRIPTION-WRITING. By E. Q. THORNTON, M.D., Assistant Professor of Materia Medica, Jefferson Medical College, Philadelphia. Post- octavo, 410 pages, illustrated. Flexible leather, $2.00 net. " I will be able to make considerable use of that part of its contents relating to the correct terminology as used in prescription-writing, and it will afford me much pleasure to recom- mend the book to my classes, who often fail to find this information in their other text- books."— C. H. MILLER, M. D.', Professor of 'Pharmacology, Northwestern University Medi- cal School. Lusk on Nutrition New (2d) Edition ELEMENTS OF THE SCIENCE OF NUTRITION. By GRAHAM LUSK, PH. D., Professor of Physiology in Cornell University Medical School. Octavo of 402 pages. Cloth, $3.00 net. " I shall recommend it highly. It is a comfort to have such a discussion of the subject." — LEWELLYS F. BARKER, M. D., Johns Hopkins University. Camac's "Epoch-making Contributions" EPOCH-MAKING CONTRIBUTIONS IN MEDICINE AND SURGERY. Collected and arranged by C. N. B. CAM AC, M. D., of New York City. Octavo of 450 pages, illus- trated. Artistically bound, $4.00 net. " Dr. Camac has provided us with a most interesting aggregation of classical essays^ We hope that members of the profession will show their appreciation of his endeavors."— THERAPEUTIC GAZETTE. PRACTICE, MATERIA MEDICA, Etc. 15 The American Pocket Medical Dictionary New (8th) Edition THE AMERICAN POCKET MEDICAL DICTIONARY. . Edited by W. A. NEWMAN DOR- LAND, M. D., Editor " American Illustrated Medical Dictionary." 677 pages. Flexible leather, with gold edges, $1.00 net; with thumb index, #1.25 net. Pusey and Caldwell on X-Rays Second Edition THE PRACTICAL APPLICATION OF THE RONTGEN RAYS IN THERAPEUTICS AND DIAGNOSIS. By WILLIAM ALLEN PUSEY, A. M., M. D., Professor of Dermatology in the University of Illinois; and EUGENE W. CALDWELL, B. S., Director of the Edward N. Gibbs X-Ray Memorial Laboratory of the University and Bellevue Hospital Medical College, New York. Octavo of 625 pages, with 200 illustrations. Cloth, $5.00 net; Half Morocco, $6.50 net. Cohen and Eshner's Diagnosis. Second Revised Edition ESSENTIALS OF DIAGNOSIS. By S. SOLIS-COHEN, M. D., Senior Assistant Professor in Clinical Medicine, Jefferson Medical College, Phila. ; and A. A. ESHNER, M. D., Professor of Clinical Medicine, Philadelphia Polyclinic. Post-octavo, 382 pages ; 55 illustrations. Cloth, $l.oo net. In Saunders1 Question- Compend Series. Morris' Materia Medica and Therapeutics. New (7th) Edition ESSENTIALS OF MATERIA MEDICA, THERAPEUTICS, AND PRESCRIPTION-WRITING. By HENRY MORRIS, M. D., late Demonstrator of Therapeutics, Jefferson Medical College, Phila. Revised by W. A. BASTEDO, M. D., Instructor in Materia Medica and Pharmacology at Columbia University. 1 2mo, 300 pages. Cloth, #1.00 net. In Saunders' Question- Compend Series. Williams' Practice of Medicine ESSENTIALS OF THE PRACTICE OF MEDICINE. By W. R. WILLIAMS, M.D., formerly Instructor in Medicine and Lecturer on Hygiene, Cornell University ; and Tutor in Therapeutics, Columbia University, N. Y. I2mo of 456 pages, illustrated. In Saunders1 Question- Compend Series. Double number, $1.75 net. Todd's Clinical Diagnosis The New (2d) Edition A MANUAL OF CLINICAL DIAGNOSIS. By JAMES CAMPBELL TODD, M. D., Professor of Pathology, University of Colorado. I2mo of 469 pages, with 164 text-illustrations and 10 colored plates. Cloth, $2.25 net. Bridge on Tuberculosis TUBERCULOSIS. By NORMAN BRIDGE, A. M., M. D., Emeritus Professor of Medicine in Rush Medical College. I2mo of 302 pages, illustrated. Cloth, $1.50 net. Oertel on Bright's Disease illustrated THE ANATOMIC HISTOLOGICAL PROCESSES OF BRIGHT'S DISEASE. By HORST OERTEL, M. D., Director of the Russell Sage Institute of Pathology, New York. Octavo of 227 pages, with 44 text-cuts and 6 colored plates. Cloth, $5.00 net. Arnold's Medical Diet Charts MEDICAL DIET CHARTS. Prepared by H. D. ARNOLD, M. D., Dean of Harvard Graduate Medical School. Boston. Single charts, 5 cents ; 50 charts, #2.00 et ; 500 charts, $18.00 net; 1000 charts, $30.00 net. Eggleston's Prescription Writing J«* F^KNTTATS OF PRESCRIPTION WRITING. By GARY EGGLESTON, M. D., Instructor in PhTmlcology Cornelf UnUsity Medical School. i6mo of 1 25 pages. Cloth, *.oo 1 6 SAUN'DERS' BOOKS ON PRACTICE, Etc. Jakob and Eshner's Internal Medicine and Diagnosis ATLAS AND EPITOME OF INTERNAL MEDICINE AND CLINICAL DIAGNOSIS. By DR. CHR. JAKOB, of Erlangen. Edited, with additions, by A. A. ESHNER, M. D., Pro- fessor of Clinical Medicine, Philadelphia Polyclinic. With 182 colored figures on 68 plates, 64 text- illustrations, 259 pages of text. Cloth, $3.00 net. In Saunders* Hand-Atlas Series. Prartirp of Medicine Second Edition, fractice 01 m< Revised and Enlarged A MANUAL OF THE PRACTICE OF MEDICINE. By GEO. ROE LOCKWOOD, M. D., Attending Physician to the Bellevue Hospital, New York City. Octavo, 847 pages, with 79 illustrations in the text and 22 full-page plates. Cloth, $4.00 net. Barton and Wells' Medical Thesaurus A THESAURUS OF MEDICAL WORDS AND PHRASES. By W. M. BARTON, M. D., and W. A. WELLS, M. D., of Georgetown University, Washington, D. C. I2mo of 535 pages. Flexible leather, $2.50 net; thumb indexed, $3.00 net. Jelliffe's Pharmacognosy AN INTRODUCTION TO PHARMACOGNOSY. By SMITH ELY JELLIFFE, PH. D., M. D.., of Columbia University. Octavo, illustrated. Cloth, $2.50 net. Stevens' Practice of Medicine New (9th) Edition A MANUAL OF THE PRACTICE OF MEDICINE. By A. A. STEVENS, A. M., M. D., Professor of Pathology, Woman's Medical College, Phila. Specially intended for students preparing for graduation and hospital examinations. Post-octavo, 573 pages, illustrated. Flexible leather, $2.50 net. Saunders' Pocket Formulary New (oth) Edition SAUNDERS' POCKET MEDICAL FORMULARY. By WILLIAM M. POWELL, M. D. Containing 1831 formulas from the best-known authorities. With an Appendix con- taining Posologic Table, Formulas and Doses for Hypodermic Medication, Poisons and their Antidotes, Diameters of the Female Pelvis and Fetal Head, Obstetrical Table, Diet-list, Materials and Drugs used in Antiseptic Surgery, Treatment of Asphyxia from Drowning, Surgical Remembrancer, Tables of Incompatibles, Eruptive Fevers, etc., etc. In flexible leather, with side index, wallet, and flap, $1.75 net. Tousey's Medical Electricity and X-Rays MEDICAL ELECTRICITY AND THE X-RAYS. By SINCLAIR TOUSEY, M. D., Consulting Surgeon to St. Bartholomew's Hospital, New York. Octavo of 1116 pages, with 750 practical illustrations, 16 in colors. Cloth, $7.00 net ; Half Morocco, $8.50 net. Hatcher and Sollmann's Materia Medica A TEXT-BOOK OF MATERIA MEDICA : including Laboratory Exercises in the Histo- logic and Chemic Examination of Drugs. By ROBERT A. HATCHER, PH. G., M. D., and TORALD SOLLMANN, M. D. i2mo of 411 pages. Flexible leather, $2.00 net. I UNIVERSITY OF TORONTO LIBRARY Acme Library Card Pocket Under Pat. " Ref . Index File." Made by LIBRARY BUREAU