Free 0431h - Federal

PRODUCT

SUB NUMBER

SAMPLE NUMBER

SHIGELLA RECORD
DISTRICT OR DIVISION ANALYST DATE PAGE 1. 2. 3. 4. 5. TSI ENRICHMENT TIME SELECTIVE AGARS COLONY SLANT BUTT GAS H2S 6. SCREENING TESTS UREASE MOTILITY MORPHOLOGY KCN MALONATE 7. TESTS I M V C 8. NEG ACID LACTOSE SUCROSE SALICIN INOSITOL ADONITOL 9. NEG GAS GLUCOSE MALTOSE ARABINOSE XYLOSE MANNITOL 10. UNBOILED A 1 XLD (O) 2 1 24 HOURS (C) DC (P) 2 1 EMB (Q) 2 1 XLD (R) 2 1 GN (A) 48 HOURS (D) DC (S) 2 1 EMB (T) 2 1 XLD (U) 2 1 24 HOURS (E) DC (V) 2 1 EMB (W) 2 1 XLD (X) 2 1 SELENITE-CYSTINE (B) 48 HOURS (F) DC (Y) 2 1 EMB (Z) 2 OF PAGES

SHIGELLA EXCLUSION

B

SEROLOGY

C

D BOILED

AD

11. PRESUMPTIVE IDENTIFICATION GENERAL / GROUP 12. POSTIVE SHIGELLA ISOLATE

SCHEMA LOCATION OF ISOLATES 14. ADDITIONAL TESTS

13. NEGATIVE ISOLATE (Leaker)

FORM FDA 431h (7/85)

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