API Rapid 20E Identification Guide
API Rapid 20E Identification Guide
The API RAPID 20E system utilizes software to enhance bacterial identification accuracy by employing the apiweb identification software (V3.1) that interprets the 7-digit profile number generated from the test results. This software provides a comprehensive and reliable identification by referencing a detailed database, thus minimizing human error and increasing diagnostic precision .
The results of oxidase and gram-stain tests are critical for using the API RAPID 20E system because they determine the eligibility of the bacterial samples used in the test. The organism should be oxidase negative and a gram-negative bacillus, as the system is specifically designed for identifying Enterobacteriaceae. These preliminary tests ensure the correct identification of the target bacterial group and prevent the inclusion of non-relevant specimens .
When filling the microtubes of the API RAPID 20E strip, care must be taken to avoid bubbles, ensuring full but not excessive filling, especially for the CIT test which requires precise filling of the smaller tube and lower portion of the cupule. Inadequate or excessive filling can lead to false positive or negative results. Accurate distribution is crucial for maintaining the integrity of the results .
In the API RAPID 20E system, mineral oil is used to maintain the integrity of certain biochemical tests, specifically those involving the LDC, ODC, and URE tests. For these underlined tests, the cupule must be completely filled with mineral oil to create an anaerobic environment, which is necessary for the accurate functioning and interpretation of these specific biochemical reactions .
The preparation of the inoculum for the API RAPID 20E test involves several components and steps. First, a tube of 0.85% physiological saline is required to make the bacterial suspension. Using an inoculation loop, 1-4 well-isolated colonies of identical morphology are picked from the agar plate. These colonies must come from young cultures that are 18-24 hours old. The colonies are then carefully emulsified to form a homogeneous suspension with a turbidity equivalent to 0.5 McFarland. It is imperative that the inoculum density is accurately adjusted to 0.5 McFarland to avoid false negative results .
In the API RAPID 20E system, the use of a 7-digit profile number enhances accuracy by standardizing the identification process through precise categorization of results. Each test group is assigned a numerical value (1, 2, or 4), and positive reactions are summed within each group, resulting in a unique 7-digit number. This numerical profile is then used to reference a database (V3.1) via software, allowing for an accurate and reliable identification of Enterobacteriaceae .
The API RAPID 20E system leverages color change as a mechanism for identifying bacterial metabolism by utilizing biochemical tests that generate color changes as a result of metabolic activity. During incubation, the metabolism of the bacterial suspension causes spontaneous color changes or those revealed by the addition of reagents. For example, positive acidification in fermentation tests is indicated by a green color, and other reactions are visually interpreted for identification purposes using the Analytical Profile Index or via software .
Potential errors from incorrect inoculum density in the API RAPID 20E system include false negative results. If the inoculum is too weak, the biochemical reactions may not produce sufficient color change, leading to inaccurate results. Therefore, ensuring the inoculum density is at 0.5 McFarland is necessary to prevent discrepancies in the identification process .
The API RAPID 20E system compares favorably to traditional biochemical tube media in terms of efficiency and ease of interpretation due to its miniaturized and standardized approach. The system enables rapid identification of Enterobacteriaceae within four hours, unlike traditional methods which are more time-consuming. Interpretation is streamlined using a numerical profile, reducing complexity and increasing accuracy. This improves both speed and reliability in microbial diagnostics .
It is important not to put the lids back on the strips during the reading of API RAPID 20E results to allow maximum visibility of the color changes and to prevent any condensation that might obstruct the reading of results. This could potentially impact the accuracy of identifying positive reactions based on color change .