Ferric ammonium citrate<\/span><\/td> 1.500<\/span><\/td><\/tr>Acid fuchsin<\/span><\/td> 0.100<\/span><\/td><\/tr>Bromothymol blue<\/span><\/td> 0.065<\/span><\/td><\/tr>Agar<\/span><\/td> 14.00<\/span><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\nFinal pH (at 25\u00b0C): 7.5\u00b10.2<\/span><\/p>\n\n\n\n<\/span>Principle of Hektoen Enteric Agar<\/strong><\/span><\/span><\/h2>\n\n\n\nHektoen enteric (HE) agar is a medium that relies on the use of bile salts for selective inhibition and two indicator systems:<\/span>\n\nbromothymol blue and acid fuchsin as indicators of carbohydrate dissimilation and<\/span><\/li>\nferric iron as an indicator of the formation of hydrogen sulfide from thiosulfate.<\/span><\/li>\n<\/ul>\n<\/li>HE agar allows a good growth of Shigella<\/em> because the inhibition of these organisms by bile salts is reduced by the addition of relatively large amounts of peptone and carbohydrates.<\/span><\/li>The medium provides good colonial differentiation and inhibits some coliforms and other nonlactose-fermenting bacteria, thereby facilitating the identification of Salmonella <\/em>and Shigella <\/em>from food products.<\/span><\/li>HE agar is composed of proteose peptone, yeast extract, sodium chloride, lactose, sucrose, salicin, bromothymol blue, acid fuchsin, sodium thiosulfate, iron (III) ammonium citrate, bile salts, agar, and distilled or deionized water.<\/span><\/li>On HE agar, Salmonella<\/em> produces transparent green or blue-green colonies with or without black centers and appears as almost completely black colonies. <\/span><\/li>Shigella<\/em> produces green, transparent colonies. As other organisms forms colonies similar to Salmonella <\/em>and Shigella<\/em>, biochemical and serological confirmatory tests are necessary.<\/span><\/li>Lactose, sucrose, or salicin fermenting gram-negative bacteria produces salmon-colored colonies.<\/span><\/li><\/ul>\n\n\n\n<\/span>Preparation and Method of Use of Hektoen Enteric Agar<\/strong><\/span><\/span><\/h2>\n\n\n\nSuspend 72.66 grams in 1000 ml purified\/ distilled water.<\/span><\/li>Heat to boiling to dissolve the medium completely.<\/span><\/li><\/ol>\n\n\n\nNote: DO NOT AUTOCLAVE.<\/em><\/strong><\/span><\/p>\n\n\n\nCool to 45-50\u00b0C.<\/span><\/li>Mix well and pour into sterile Petri plates.<\/span><\/li>Inoculate the medium with fresh <\/span>faeces suspended in <\/span>Ringers solution or inoculate directly with rectal swabs<\/span>.<\/li>Spread the inoculum to obtain well-separated colonies<\/span>.<\/li>Incubate for 18-24 hours at 37\u00b0C<\/span>.<\/li>Further incubation will improve differentiation between Salmonella <\/em>and Shigella<\/em>.<\/span><\/li><\/ol>\n\n\n\n<\/span>Result Interpretation on Hektoen Enteric Agar<\/strong><\/span><\/span><\/h2>\n\n\n\nRapid lactose fermenters (such as E. coli<\/em>) are moderately inhibited and produce bright-orange to salmon pink colonies.<\/span><\/li>Salmonella <\/em>colonies are blue-green typically with black centers from hydrogen sulfide gas.<\/span><\/li>Shigella <\/em>appear greener than Salmonella<\/em>, with the color fading to the periphery of the colony.<\/span><\/li>Proteus strains are somewhat inhibited; colonies that develop are small transparent and more glistening or watery in appearance than species of Salmonella <\/em>or Shigella<\/em>.<\/span><\/li><\/ul>\n\n\n\nOrganisms<\/strong><\/span><\/td>Growth<\/strong><\/span><\/td><\/tr>Salmonella<\/em> Typhimurium<\/span><\/td>Blue-green with or without black <\/span>centers<\/td><\/tr>Salmonella<\/em> Abony<\/span><\/td>Blue-green with or without black <\/span>centers<\/td><\/tr>Salmonella<\/em> Enteritidis<\/span><\/td>Blue-green with or without black <\/span>centers<\/td><\/tr>Salmonella<\/em> Typhi<\/span><\/td>Blue-green with or without black <\/span>centers<\/td><\/tr>Escherichia coli<\/em><\/span><\/td>Orange (may have bile precipitate)<\/span><\/td><\/tr>Shigella flexneri<\/em><\/span><\/td>Greenish blue<\/span><\/td><\/tr>Shigella sonnei <\/em><\/span><\/td>Growth good to excellent; colonies light green<\/span><\/td><\/tr>Proteus<\/em><\/span><\/td>Variable, blue-green to blue or salmon, most strains with black center or completely black<\/span><\/td><\/tr>Enterobacter\/Klebsiella<\/em><\/span><\/td>Large, yellow to salmon color<\/span><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<\/span>Uses of Hektoen Enteric Agar<\/strong><\/span><\/span><\/h2>\n\n\n\nHektoen Enteric Agar Medium is recommended for differential and selective isolation of Salmonella<\/em> and Shigella<\/em> species from enteric pathological specimens in accordance to United States Pharmacopoeia.<\/span><\/li>This medium is recommended by United States Pharmacopoeia, 2009 for testing the presence of Salmonella<\/em> in dietary supplements.<\/span><\/li>This medium is recommended in the testing of