Gram Negative Rods Stool Pathogens Flowchart
Gram negative rods
(GNR) from stool
Lac (-) on Lac (+) on
MAC MAC
Oxidase (-)* Oxidase (+)* See GNR Stool
Pathogens
Lactose Positive
Flowchart
Possible Salmonella, Shigella, Growth
Yersinia enterocolitica, pathogenic on TCBS
E. coli or Proteus spp.
Yellow Green None
Swarming on
BAP
Possible Vibrio Yellow colonies
Possible Vibrio
parahemolyticus on HE
No Yes cholerae (left),
V. alginolyticus (right)
Oxidase (+)*
Proteus
Indole*
spp.
Refer to GNR Stool
Pathogens Lactose Possible
Negative Flowchart Aeromonas
(+)* (-)*
Potential pathogenic E. coli Refer to GNR Stool
see GNR Stool Pathogens Pathogens Lactose
Lactose Positive Flowchart Negative Flowchart
and follow ID for E. coli
* = See Biochemical Tests for Gram
Negative Organism ID Job aid for positive
and negative result reference.
Laboratory Training Branch