ESTIMATES of the numbers of Pseudomonas aeruginosa in food, water supplies and medicaments may be made either by direct enumeration methods (Selenka, 1960;Drake, 1966;Kielwein, 1969), or by presence-or-absence tests (Favero, Drake and Randall, 1964;Black et al., 1970). In the former, material is seeded on to a solid diagnostic medium and the relevant colonies are counted; in the latter, portions are first enriched in a liquid selective medium and streaks are subsequently made on to a similar solid medium. Cetrimide agar (Lowbury and Collins, 1955;Brown and Lowbury, 1965) is a useful medium for this purpose, but it is not completely selective for Ps. aeruginosa (Goto and Enomoto, 1970); and colonies of this organism on it cannot always be identified with certainty unless confirmatory tests are made (Azuma and Witter, 1970).
PRELIMINARY EXPERIMENTSAn attempt was made to increase the diagnostic value of the cetrimide medium by making use of three fairly constant metabolic attributes of Ps. aeruginosa: (1) rapid growth at 41'42°C (Seleen and Stark, 1943;Haynes, 1951 ;Stanier, Palleroni and Doudoroff, 1966); (2) no formation of acid from polyols (Mossel and Indacochea, unpublished) and (3) rapid deamination of acetamide (Riihlmann, Vischer and Bruhin, 1961 ;Kelly and Clark, 1962;Hedberg, 1969).Hedberg's peptone-free acetamide agar was first tried as the basal medium; but, as shown by Hedberg herself, it readily supported the growth of some other Gram-negative bacteria. Moreover, we found that approximately 20 per cent. of some 200 strains of Ps. aeruginosa freshly isolated from clinical material did not deaminate acetamide on Hedberg's medium at 42°C.Next, acetamide was added to Brown and Lowbury's modified cetrimide agar. Brown and Lowbury included glycerol in their medium to promote pigment formation. This was useful for our purpose also, because the enterobacteria that were able to grow on this medium and to attack glycerol produced sufficient acid to mask any alkalinity resulting from the deamination of acetamide. However, some of them did not attack glycerol, and such strains might deaminate acetamide and hence be recorded as Ps. aeruginosa. This was remedied by replacing half the glycerol by D-mannitol, from which such strains produce acid; virtually all of the Enterobacteriaceae produce acid either from glycerol or mannitol.Phenol red was included in the medium as indicator to reveal whether or not the net effect of polyol dissimilation and acetamide deamination is alkalinisation of the medium as in the case of Ps. aeruginosa. A red zone around the area of growth was therefore taken to be presumptive evidence for the presence of this organism. The medium thus composed was called GMAC (glycerol-mannitol-acetamide-cetrimide) agar.
COMPOSITION OF THE MEDIUMTo prepare the medium, 0.2 g peptone, 10 g KzS04,1.4 g MgC12 . 6H20,0.3 g cetrimide (AR), 5 ml glycerol (AR), 5 g D-mannitol (AR) and 15 g agar were added to 900 ml distilled water; the pH was adjusted to 7-0 and the mixture sterilised for 20 min. at 118"-121°C;