Proteus-typing by proticin production and susceptibility.

A Proteus-typing method based on proticin production and proticin susceptibility (c.f. Senior, 1977) has been modified to increase its sensitivity Proticins were prepared in fluid medium and applied to agar-plates shortly before seeding the plates with indicator bacteria. A given 10 proticin producer strains, which are responsible for the susceptibility patterns of the indicator-bacteria (S-types), form the foundation for this typing method. Using this producer-set and indicator-set (28 strains) was selected which was suitable for the typing of strains with different proticin activities (P-types). Standardization of the temperature for proticin production proved to be necessary. The degree of similarity between proticins was further elaborated by testing all indicator strains for susceptibility to proticin titrations. In the group of 148 clinical Proteus-isolates (four species) used for the development of the typing system 28 S-types and 34 P-types were observed. By combining the S-and P-type parameters 86 S-P-types were obtained for the 4 species combined. Seven strains were not typable. A separate group of 100 clinical Proteus-isolates was tested in order to prove the usefulness of the method. 39 new S-P types were found. Repeated isolations from the same patients yield the same patterns. Proteus S-P-typing is a useful method for the typing of Proteus vulgaris and Proteus mirabilis, but proves inadequate for the typing of Proteus rettgeri and Proteus morganii.