Identification of Species: Vibrio

NATIONAL STANDARD METHOD
IDENTIFICATION OF VIBRIO
SPECIES
BSOP ID 19
Issued by Standards Unit, Evaluations and Standards Laboratory

Centre for Infections
IDENTIFICATION OF VIBRIO SPECIES

Issue no: 2 Issue date: 12.11.07 Issued by: Standards Unit, Evaluations and Standards Laboratory Page 1 of 13
Reference no: BSOP ID 19i2
This SOP should be used in conjunction with the series of other SOPs from the Health Protection Agency
www.evaluations-standards.org.uk
Email: [email protected]
STATUS OF NATIONAL STANDARD METHODS
National Standard Methods, which include standard operating procedures (SOPs), algorithms and
guidance notes, promote high quality practices and help to assure the comparability of diagnostic
information obtained in different laboratories. This in turn facilitates standardisation of surveillance
underpinned by research, development and audit and promotes public health and patient confidence
in their healthcare services. The methods are well referenced and represent a good minimum
standard for clinical and public health microbiology. However, in using National Standard Methods,
laboratories should take account of local requirements and may need to undertake additional
investigations. The methods also provide a reference point for method development.
National Standard Methods are developed, reviewed and updated through an open and wide
consultation process where the views of all participants are considered and the resulting documents
reflect the majority agreement of contributors.
Representatives of several professional organisations, including those whose logos appear on the
front cover, are members of the working groups which develop National Standard Methods. Inclusion
of an organisation’s logo on the front cover implies support for the objectives and process of preparing
standard methods. The representatives participate in the development of the National Standard
Methods but their views are not necessarily those of the entire organisation of which they are a
member. The current list of participating organisations can be obtained by emailing
[email protected].
The performance of standard methods depends on the quality of reagents, equipment, commercial
and in-house test procedures. Laboratories should ensure that these have been validated and shown
to be fit for purpose. Internal and external quality assurance procedures should also be in place.
Whereas every care has been taken in the preparation of this publication, the Health Protection
Agency or any supporting organisation cannot be responsible for the accuracy of any statement or
representation made or the consequences arising from the use of or alteration to any information
contained in it. These procedures are intended solely as a general resource for practising
professionals in the field, operating in the UK, and specialist advice should be obtained where
necessary. If you make any changes to this publication, it must be made clear where changes have
been made to the original document. The Health Protection Agency (HPA) should at all times be
acknowledged.
The HPA is an independent organisation dedicated to protecting people’s health. It brings together
the expertise formerly in a number of official organisations. More information about the HPA can be
found at www.hpa.org.uk.
The HPA aims to be a fully Caldicott compliant organisation. It seeks to take every possible
precaution to prevent unauthorised disclosure of patient details and to ensure that patient-related
records are kept under secure conditions1.
More details can be found on the website at www.evaluations-standards.org.uk. Contributions to the

development of the documents can be made by contacting [email protected].
Please note the references are now formatted using Reference Manager software. If you alter or delete text
without Reference Manager installed on your computer, the references will not be updated automatically.
Suggested citation for this document:

Health Protection Agency (2007). Identification of Vibrio species. National Standard Method BSOP ID
19 Issue 2. http://www.hpa-standardmethods.org.uk/pdf_sops.asp.

INDEX
STATUS OF NATIONAL STANDARD METHODS ................................................................................ 2
INDEX...................................................................................................................................................... 3
AMENDMENT PROCEDURE ................................................................................................................. 4
SCOPE OF DOCUMENT ........................................................................................................................ 5
INTRODUCTION ..................................................................................................................................... 5
TECHNICAL INFORMATION ................................................................................................................. 5
1 SAFETY CONSIDERATIONS ......................................................................................................... 6
2 TARGET ORGANISMS ................................................................................................................... 6
3 IDENTIFICATION............................................................................................................................. 6
3.1 MICROSCOPIC APPEARANCE ........................................................................................................ 6
3.2 PRIMARY ISOLATION MEDIA .......................................................................................................... 6
3.3 COLONIAL APPEARANCE............................................................................................................... 6
3.4 TEST PROCEDURES ..................................................................................................................... 7
3.5 FURTHER IDENTIFICATION ............................................................................................................ 7
3.6 STORAGE AND REFERRAL ............................................................................................................ 7
4 IDENTIFICATION OF VIBRIO – FLOW CHART............................................................................. 8
5 REPORTING .................................................................................................................................... 9
5.1 PRESUMPTIVE IDENTIFICATION ..................................................................................................... 9
5.2 CONFIRMATION OF IDENTIFICATION ............................................................................................... 9
5.3 MEDICAL MICROBIOLOGIST ........................................................................................................... 9
5.4 CCDC........................................................................................................................................ 9
5.5 CENTRE FOR INFECTIONS ............................................................................................................ 9
5.6 INFECTION CONTROL STAFF.......................................................................................................... 9
6 REFERRALS ................................................................................................................................. 10
6.1 REFERENCE LABORATORY ......................................................................................................... 10
7 ACKNOWLEDGEMENTS AND CONTACTS................................................................................ 11
REFERENCES ...................................................................................................................................... 12

AMENDMENT PROCEDURE
Controlled document BSOP ID 19
reference
Controlled document title Identification of Vibrio species
Each National Standard Method has an individual record of amendments. The current amendments
are listed on this page. The amendment history is available from [email protected].
On issue of revised or new pages each controlled document should be updated by the copyholder in
the laboratory.
Amendment Issue no. Insert Page Section(s) involved Amendment

Number/ Discarded Issue
Date no.
2/ 1.1 2 1 Front Page Northern Ireland logo
12.11.07 added
8 Flow chart Title changed and

flowchart put in to Visio
format. Contents of flow
chart updated.
6 6 Referrals Links to reference

laboratory user manuals
inserted.
12 References References reviewed

and updated
All All PDF links inserted to

cross- reference NSM
documents

SCOPE OF DOCUMENT
This National Standard Method (NSM) describes the identification of Vibrio species.
INTRODUCTION
Taxonomy
The genus Vibrio is a member of the family Vibrionaceae and consists of at least 34 recognised
species. Vibrio cholerae can be serogrouped into 155 groups on the basis of somatic antigens.
Epidemic strains usually belong to serogroup O1, which can be further subdivided into Inaba, Ogawa
and Hikojima subtypes. Epidemic strains of V. cholerae O1 can be further differentiated into El Tor
and Classical biotypes. Strains not belonging to serogroup O1 are generally referred to as V. cholerae
non-O1. In 1993 an outbreak of epidemic cholera began in Bengal caused by a new serogroup of
non-O1 V. cholerae2. Although initial isolates of this serogroup (O139) were resistant to vibriostatic
agent O129, recently isolated strains are sensitive2.
Characteristics
Vibrio species are curved, Gram-negative rods. They produce colonies 2 - 3 mm in diameter on blood
agar and colonies on thiosulphate citrate bile salt sucrose (TCBS) are either yellow or green. Vibrio
species are facultative anaerobes, motile by a single polar flagellum, and are oxidase-positive (except
Vibrio metschnikovii3). They are usually sensitive to the vibriostatic agent O129 (2,4-diamino-6, 7-
diisopropylpteridine phosphate – 150 µg disc). Growth is stimulated by sodium ions (halophilic) - the
concentration required is reflected in the salinity of their natural environment. V. cholerae (the
causative agent of cholera) is not halophilic3.
V. cholerae O1 depends on the detection of the O1 antigen on the surface of the bacterium, and
therefore does not identify V. cholerae O139 strains.
V. cholerae O1 classical biotype is VP-negative and is sensitive to polymyxin (50 IU disc). V. cholerae
O1 El Tor biotype is VP-positive and is resistant to polymyxin4.
Twelve species of the genus Vibrio have been incriminated in gastrointestinal and extra-intestinal
diseases in man - the most important of these is cholera.
Principles of identification
Isolates from primary culture are identified by colonial appearance, Gram’s stain, serology
(agglutination with specific antisera) and biochemical testing. If confirmation of identification is
required, isolates should be sent to the Reference Laboratory. All identification tests should ideally be
performed from non-selective agar. The oxidase test may give false negative results if performed from
TCBS agar.
It should be noted that V. hollisae will not grow on TCBS5.
TECHNICAL INFORMATION
N/A

1 SAFETY CONSIDERATIONS6-16
Hazard Group 2 organisms.
Refer to current guidance on the safe handling of all organisms documented in this NSM.
Laboratory procedures that give rise to infectious aerosols must be conducted in a

microbiological safety cabinet.
The above guidance should be supplemented with local COSHH and risk assessments.
Compliance with postal and transport regulations is essential.
2 TARGET ORGANISMS
Vibrio species reported to have caused human disease17
Vibrio alginolyticus Vibrio furnissii

Vibrio carchariae Vibrio hollisae
Vibrio cholerae Vibrio metschnikovii
Vibrio cincinnatiensis Vibrio mimicus
Vibrio damsela Vibrio parahaemolyticus
Vibrio fluvialis Vibrio vulnificus
Any species of Vibrio may be found in faeces after the ingestion of seafood or water that
contains them.
3 IDENTIFICATION
3.1 MICROSCOPIC APPEARANCE
Gram’s stain (see BSOPTP 39 - Staining Procedures)
Gram-negative rods characteristically curved or comma-shaped. This characteristic

appearance is not always observed when the organism is Gram-stained from solid media.
3.2 PRIMARY ISOLATION MEDIA

Blood agar incubated in air at 35 - 37°C for 18 – 24 h
TCBS agar incubated in air at 35 - 37°C for 18 – 24 h

3.3 COLONIAL APPEARANCE
On blood agar colonies are 2 - 3 mm in diameter. Some strains may be haemolytic. After 18 -
24 hours incubation colonies on TCBS are at least 2 mm in diameter and yellow in the case of
sucrose fermenters and green non-sucrose fermenters. Cultures should be examined quickly
after removal from the incubator as the yellow colouration of the colonies may revert to a
green colour when left at room temperature. Organisms other than Vibrio species grow on
TCBS.

Organism Colour of colonies on TCBS
V. cholerae yellow
V. alginolyticus yellow
V. cincinnatiensis yellow
V. damsela green
V. carchariae yellow/green
V. fluvialis yellow
V. furnissii yellow
V. hollisae (NB has been shown not to green
grow on TCBS5)
V. parahaemolyticus green
V. metschnikovii yellow
V. vulnificus green
V. mimicus green
Aeromonas species yellow
Pseudomonas species blue/green*
Proteus species yellow/green*
Enterococcus species yellow
* The colonies are smaller than those produced by Vibrio species
3.4 TEST PROCEDURES

Oxidase (see BSOPTP 26 - Oxidase test )
Vibrio species are oxidase-positive (oxidase tests may give false negative results on media
containing carbohydrates - subculture to nutrient or blood agar before testing).
Sensitivity to pteridine O129 (10 µg and 150 µg discs)

Most Vibrio species are sensitive with 150 µg but species differ with 10 µg discs (some strains
of V. cholerae O1 and O139 may be resistant to both disc contents).
Serology
Commercial identification kit
These tests may require supplementation with NaCl. Refer to the manufacturer’s instructions.
3.5 FURTHER IDENTIFICATION
Following O129 sensitivity testing (optional), serology and commercial identification system
results
3.6 STORAGE AND REFERRAL
If required, save the pure isolate on a nutrient agar slope for referral to the Reference
Laboratory.

4 IDENTIFICATION OF VIBRIO – FLOW CHART
The flowchart is for guidance only

5 REPORTING
5.1 PRESUMPTIVE IDENTIFICATION
If appropriate growth characteristics, colonial appearance, Gram’s stain of the culture and
oxidase results are demonstrated.
5.2 CONFIRMATION OF IDENTIFICATION
N/A
5.3 MEDICAL MICROBIOLOGIST
Inform the medical microbiologist of all positive cultures from normally sterile sites, of all
presumptive and confirmed Vibrio species that are known to be pathogenic or potentially
pathogenic, and all isolates in outbreaks.
Inform the medical microbiologist if the request card bears information which suggests
infection with V. cholerae or V. parahaemolyticus, according to local protocols eg
• Severe watery diarrhoea
• Suspected cholera
• History of foreign travel, or laboratory work
• Suspected food poisoning (especially cases involving consumption of seafood)
The medical microbiologist should also be informed of presumptive or confirmed Vibrio

species in association with:
• Wound infection or (necrotising) myofasciitis
• Septicaemia
• History of foreign travel
• Contact with (brackish) water, fishing/eating fish or seafood (suggestive of infection with
V. vulnificus, V. damsela or Aeromonas hydrophila sensu lato)
• Medicinal use of leeches, as in plastic surgery (suggestive of infection with Aeromonas
hydrophila sensu lato)
• Alcoholism, substance abuse, immunodeficiency
• Other serious medical condition such as cancer, or persons receiving treatment for
cancer which induces neutropenia and/or mucositis
Follow local protocols for reporting to clinician

5.4 CCDC
Refer to local Memorandum of Understanding.
5.5 CENTRE FOR INFECTIONS18
Refer to current guidelines on CDSC and COSURV reporting.
5.6 INFECTION CONTROL STAFF
Inform the infection control team of presumptive and confirmed isolates of Vibrio species.

6 REFERRALS
6.1 REFERENCE LABORATORY
For information on the tests offered, turn around times, transport procedure and the other
requirements of the reference laboratory refer to: http://www.hpa.org.uk/cfi/lep/default.htm
Laboratory of Enteric Pathogens

Health Protection Agency
61 Colindale Avenue
London
NW9 5HT
Contact CFI main switchboard: Tel. +44 (0) 20 8200 6173

7 ACKNOWLEDGEMENTS AND CONTACTS
This National Standard Method has been developed, reviewed and revised by the National
Standard Methods Working Group for Clinical Bacteriology
(http://www.hpa-standardmethods.org.uk/wg_bacteriology.asp). The contributions of many
individuals in clinical bacteriology laboratories and specialist organisations who have provided
information and comment during the development of this document, and final editing by the
Medical Editor are acknowledged.
The National Standard Methods are issued by Standards Unit, Evaluations and Standards
Laboratory, Centre for Infections, Health Protection Agency London.
For further information please contact us at:
Standards Unit
Evaluations and Standards Laboratory
Health Protection Agency
Colindale
London
NW9 5EQ
E-mail: [email protected]

REFERENCES
1. Department of Health NHS Executive: The Caldicott Committee. Report on the review of patient-
identifiable information. London. December 1997.
2. Sack DA, Sack RB, Nair GB, Siddique AK. Cholera. Lancet 2004;363:223-33.
3. Tantillo GM, Fontanarosa M, Di Pinto A, Musti M. Updated perspectives on emerging vibrios

associated with human infections. Lett Appl Microbiol 2004;39:117-26.
4. Color Atlas and Textbook of Diagnostic Microbiology. In: Konemann EW, Allen SD, Janda WM,
Schreckenberger PC, Winn WJ, editors. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 1997.
p. 346-8.
5. Hickman FW, Farmer JJ, III, Hollis DG, Fanning GR, Steigerwalt AG, Weaver RE, et al.
Identification of Vibrio hollisae sp. nov. from patients with diarrhea. J Clin Microbiol 1982;15:395-
401.
6. Advisory Committee on Dangerous Pathogens. 2004 Approved List of Biological Agents.

http://www.hse.gov.uk/pubns/misc208.pdf. p. 1-17.
7. Public Health Laboratory Service Standing Advisory Committee on Laboratory Safety. Safety
Precautions: Notes for Guidance. 4th ed. London: Public Health Laboratory Service (PHLS); 1993.
8. Control of Substances Hazardous to Health Regulations 2002. General COSHH. Approved Code
of Practice and Guidance, L5. Suffolk: HSE Books; 2002.
9. Health and Safety Executive. 5 steps to risk assessment: a step by step guide to a safer and
healthier workplace, IND (G) 163 (REVL). Suffolk: HSE Books; 2002.
10. Health and Safety Executive. A guide to risk assessment requirements: common provisions in
health and safety law, IND (G) 218 (L). Suffolk: HSE Books; 2002.
11. Health Services Advisory Committee. Safety in Health Service laboratories. Safe working and the
prevention of infection in clinical laboratories and similar facilities. 2nd ed. Suffolk: HSE Books;
2003.
12. NHS Estates. Health Building Note 15. Facilities for pathology services. 2nd ed. London: The
Stationary Office; 2005.
13. BS EN 12469: 2000. Biotechnology - performance criteria for microbiological safety cabinets.
London: British Standards Institution (BSI); 2000.
14. BS 5726: 1992. Microbiological safety cabinets. Part 2. Recommendations for information to be
exchanged between purchaser, vendor and installer and recommendations for installation.
London: British Standards Institution (BSI); 1992.
15. BS 5726: 1992. Microbiological safety cabinets. Part 4. Recommendations for selection, use and
maintenance. London: British Standards Institution (BSI); 1992.
16. Advisory Committee on Dangerous Pathogens. The management, design and operation of
microbiological containment laboratories. Suffolk: HSE Books; 2001.
17. Farmer JJ, III, Hickman-Brenner FW. The genera Vibrio and Photobacterium. In: Balows A, Truper
HG, Dworkin M, Harder W, Schleifer KH, editors. The Prokaryotes. 2nd ed. Vol 3. New York:
Springer-Verlag; 1992. p. 2952-3011.

18. Health Protection Agency. Laboratory Reporting to the Health Protection Agency. Guide for
diagnostic laboratories. February. 2007.


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NATIONAL STANDARD METHOD

Issued by Standards Unit, Evaluations and Standards Laboratory

IDENTIFICATION OF VIBRIO SPECIES

More details can be found on the website at www.evaluations-standards.org.uk. Contributions to the

Suggested citation for this document:

IDENTIFICATION OF VIBRIO SPECIES

AMENDMENT PROCEDURE ................................................................................................................. 4

SCOPE OF DOCUMENT ........................................................................................................................ 5

TECHNICAL INFORMATION ................................................................................................................. 5

1 SAFETY CONSIDERATIONS ......................................................................................................... 6

2 TARGET ORGANISMS ................................................................................................................... 6

IDENTIFICATION OF VIBRIO SPECIES

Amendment Issue no. Insert Page Section(s) involved Amendment

8 Flow chart Title changed and

6 6 Referrals Links to reference

12 References References reviewed

All All PDF links inserted to

IDENTIFICATION OF VIBRIO SPECIES

It should be noted that V. hollisae will not grow on TCBS5.

IDENTIFICATION OF VIBRIO SPECIES

Laboratory procedures that give rise to infectious aerosols must be conducted in a

Compliance with postal and transport regulations is essential.

Vibrio alginolyticus Vibrio furnissii

Gram-negative rods characteristically curved or comma-shaped. This characteristic

3.2 PRIMARY ISOLATION MEDIA

TCBS agar incubated in air at 35 - 37°C for 18 – 24 h

IDENTIFICATION OF VIBRIO SPECIES

* The colonies are smaller than those produced by Vibrio species

3.4 TEST PROCEDURES

Sensitivity to pteridine O129 (10 µg and 150 µg discs)

Commercial identification kit

IDENTIFICATION OF VIBRIO SPECIES

The flowchart is for guidance only

IDENTIFICATION OF VIBRIO SPECIES

The medical microbiologist should also be informed of presumptive or confirmed Vibrio

Follow local protocols for reporting to clinician

IDENTIFICATION OF VIBRIO SPECIES

Laboratory of Enteric Pathogens

Contact CFI main switchboard: Tel. +44 (0) 20 8200 6173

IDENTIFICATION OF VIBRIO SPECIES

For further information please contact us at:

IDENTIFICATION OF VIBRIO SPECIES

3. Tantillo GM, Fontanarosa M, Di Pinto A, Musti M. Updated perspectives on emerging vibrios

6. Advisory Committee on Dangerous Pathogens. 2004 Approved List of Biological Agents.

IDENTIFICATION OF VIBRIO SPECIES

IDENTIFICATION OF VIBRIO SPECIES

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