A large majority of strains of Staphylococcus aureus were found by Gillespie & Alder (1952) to produce opacity when grown in egg yolk broth, apparently through the action of a lipase on certain triglycerides. Of the strains isolated from outpatients, 82 % were 'egg yolk positive' (EY+), but only 45 % of those isolated from in-patients gave a positive reaction; there was a strong association between penicillin-resistance and a negative egg yolk (EY-) reaction. Parker (1958) confirmed the association of negative egg yolk reaction with penicillin resistance, and found that such strains were particularly common in superficial lesions, including wounds; strains which caused deep lesions usually showed a positive egg yolk reaction.We have tested strains of Staph. aureus isolated from burns in three periods (1958, 1960 and 1962) and from several other sources for egg yolk reaction; the association of this reaction with some other features, including phage type, antibiotic sensiiivity and mercuric chloride resistance (Moore, 1960) has been examined. The relevance of these data to the epidemiology of staphylococcal infection is discussed.
MATERIALS AND METHODSTests for egg yolk reaction A liquid egg yolk medium was prepared in the manner described by Gillespie & Alder (1952).To facilitate the examination of large numbers of strains, a solid egg yolk medium was developed by one of the authors (B. J. C.); similar media have been described by Colbeck (1956), Carter (1960), Innes (1960 and Baird-Parker (1962). The formula which was found to give optimal results in tests which will be described separately (Collins, to be published) was yeastrel agar containing 5 % egg yolk and 5 % horse serum. Yeastrel agar contained the following ingredients: Yeastrel, 3 g.; peptone (Oxoid), 5 g.; sodium chloride, 5 g.; sodium dihydrogen phosphate, 3 g.; agar (Oxoid No. 3), 8 g.; and distilled water, 1000 ml. The mixture was steamed, filtered, adjusted to pH 7-4-7*6 and autoclaved at 1210 C. for 15 min. To 18 ml. amounts of this medium cooled to approximately 500 C. were added 1 ml. of horse serum and 1 ml. of egg yolk (obtained aseptically from fresh farm eggs). The medium was poured into sterile plastic Petri dishes, 10 ml. per plate.Plates of egg yolk agar were spot-inoculated with Staph. aureus, 16 strains per