Two methods are in use;
- a conventional tube method requiring overnight incubation, which identifies weak indole producing organisms and
- a spot indole test, which detects rapid indole producing organisms
a. Inoculate the tryptophan broth with broth culture or emulsify isolated colony of the test organism in tryptophan broth.
b. Incubate at 37°C for 24-28 hours in ambient air.
c. Add 0.5 ml of Kovac’s reagent to the broth culture.
Photo Courtesy: Karen M. Kiser
- Positive: Pink colored rink after the addition of an appropriate reagent
- Negative: No color change even after the addition of an appropriate reagent. e.g. Klebsiella pneumoniae
Spot Indole Test
- Saturate a piece of filter paper with the 1% paradimethylaminocinnamaldehyde reagent.
- Use a wooden stick or bacteriologic loop to remove a small portion of a bacterial colony from the agar surface and rub the sample on the filter paper.
Note: The bacterial inoculum should not be taken from MacConkey Agar because the color of lactose fermenting colonies on this medium can interfere with test interpretation.
- Positive: Development of a blue color within 30 seconds. Most indole positive organisms turn blue within 30 seconds.
- Negative: No color development or slightly pink color.
- Spot indole tests along with gram stain result and colony characteristics can assist in the rapid identification of isolates. For example
A flat, dry lactose fermenting (pink) colony on MacConkey agar that is also spot indole positive and oxidase negative can be reported presumptively as E.coli.
- Organisms that swarm on 5% sheep blood agar, exhibit a characteristics odor, and are oxidase negative can be presumptively identified as Proteus spp. With further testing by spot indole, the positive isolates may be presumptively reported as Proteus vulgaris and the negative ones as Proteus mirabilis.
Indole positive organisms: Most strains of E.coli, P. vulgaris, M. morganii and Providenica are indole positive.
Point to remember: Indole test can also aid in species differentiation.
- Klebsiella species: Klebsiella oxytoca is indole positive whereas Klebsiella pneumoniae is indole negative.
- Citrobacter species: Citrobacter Koseri is indole positive where as Citrobacter freundii is indole negative
- Proteus species: Proteus Vulgaris is indole positive whereas Proteus mirabilis is indole negative
I used to remember the above-mentioned information with the help of MNEMONIC, which can be useful for you.
For this remember the phrase “OK VIP”
Where: O means: Oxytica (Klebsiella oxytoca), K means (koseri-i.e. Citrobacter koseri), V means vulgaris (Proteus vulgaris) and IP means Indole Positive.
In Diagnostic laboratories, Indole test can is performed using multitest agar. Three most commonly used agar medium are:
- Sulfide-indole-motility (SIM) medium: The SIM medium is a multitest agar used to test for indole production while simultaneously determining motility and hydrogen sulfide producing abilities of the isolate.
- Motility-indole-urease (MIU) medium: MIU medium is used to test for indole and urease producing characteristics of the organism along with a test for motility.
- Motility-indole-ornithine (MIO) medium: In addition to testing for indole production, MIO agar is used to test for motility and ornithine decarboxylase.