
Alain Rambach, the biologist and inventor, pioneer of the unique testing of the detection of pathogens by chromogens in 1979, established his company in Paris not far from the famous Pasteur Institute where he initially started as a researcher.
A first generation of CHROMagar chromogenic media allowed differentiation of a single pathogen by a single color. These were the first generation media, known as Rambach Agar and CHROMagar E.coli. Further development led to the second generation of CHROMagar chromogenic media allowing differentiation of several pathogens by a multicolor method; for example: CHROMagar Orientation which allows detection and differentiation of urinary tract pathogens; and CHROMagar Candida which allows the differentiation of various Candida species.
CHROMagar chromogenic media revolutionized
microbiological testing while still maintaining traditional agar testing
techniques.
This assures easy differentiation
of microorganism without complex and costly traditional detection procedures.
Colonies of specific microorganism
are recognizable at a glance by the color. This increases the efficiency
of laboratory testing and also saves time and labor costs.
CHROMagar is a research
oriented high-tech company based in Paris, France, consisting of a small
team of professionally trained technicians and scientists developing its
marketing through a worldwide distribution network. It has become the
leader in this innovative technology of chromogenic culture media as well
as a successful business oriented company.
From this humble pioneering
start a new diagnostic field has been successfully created. The result
of this research and application can help the world to solve its chronic
and constant difficulties, and help to check and identify the emerging
infectious diseases.
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Yeasts are increasingly
important pathogens, particularly for immuno-depressed people - elderly,
AIDS victims, etc.
CHROMagar Candida -
will not only allow the growth and detection of yeasts - like traditional
media (Sabouraud) but in addition, just by the color of the colony,
will instantly allow to differentiate various Candida species.
CHROMagar Candida helps
to recognize the major population of Candida infecting the
patient as well as for the first time - it offers a panoramic view
on a mixed population with ability to recognize the presence of a
minor population within a patient.
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The major target of
this medium is for the detection of urinary tract pathogens, but CHROMagar
Orientation has a broader application as a general nutrient agar for
isolation of various microorganisms. For the first time, it presents
an instant palette of colors to obtain larger spectrum of differentiation
of species. In case of urine samples this allows, in most cases, full
differentiation of the pathogens. In addition, CHROMagar Orientation
can be also used to differentiate various microorganisms in other
infected areas; e.g. scars. CHROMagar Orientation is also useful when
supplemented with various antibiotics in detecting increasingly important
nosocomial and multiple resistant microorganisms. The proper use of
CHROMagar Orientation will correctly pinpoint the presence of a minor
population and will help to establish the right diagnosis and therapy.
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The conventional media
for the detection of Salmonella has a very poor specificity
creating an abondance of false positives (Citrobacter, Proteus,
etc. as suspect colonies) among the rare real positive Salmonella.
The workload for unnecessary examination of suspect colonies is so
high that the real positive Salmonella colonies might often
be missed in routine testing.
In order to distinguish
the real positive, the conventional method requires the tedious examination
of 10 colonies per suspected sample.
On the other hand -
Rambach Agar or CHROMagar Salmonella - will eliminate most false positives
and allow the technicians to focus all attention on rare suspected
samples.
These samples could
be correctly identified as a real positive for Salmonella.
Because Rambach Agar
and CHROMagar Salmonella have very high specificity: (1) fewer samples
are positive and have to be checked and (2) there is no further need
to investigate 10 different colonies per sample. Overall workload
will be reduced and in a routine examination one can detect with higher
frequency the samples containing Salmonella.
This is particularly
useful in case of a sudden, dangerous outbreak of Salmonella food
poisoning.
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Staphylococcus
aureus is a major pathogenic bacterium found in clinical field
and in food industry. Nosocomial infections due to Staphylococcus
aureus create an increasing number of problems, so it is becoming
more and more important to detect Staphylococcus aureus and
in particular, methicillin resistant Staphylococcus aureus
(MRSA).
A
conventional media for the detection of Staphylococcus aureus
is Mannitol Salt Agar (called Chapman Agar in Europe). This media
based on hypersalinity and fermentation of mannitol has an excessive
rate of false positives and of false negatives. CHROMagar Staph. aureus
is a selective chromogenic medium of high specificity and high sensitivity.
Another
conventional media to detect Staphylococcus aureus is Blood
Agar which requires the tedious and costly examination with immunological
tests of 5-10 colonies per suspected sample. On the other hand CHROMagar
Staph. aureus, in eliminating most false positives, is more convenient
and more powerful than conventional methods. With CHROMagar Staph.
aureus, testing a single colony with typical color for further identification
will generally be sufficient for high probability detection of Staphylococcus
aureus.
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Staphylococcus
aureus is one the most frequently isolated pathogens in clinical
field, among them methicillin resistant Staphylococuus aureus
(MRSA) is an important nosocomial pathogen.
CHROMagar MRSA is a new chromogenic media allowing by a single direct
step pre-identification of MRSA including low level resistant strains
with a higher specificity and sensitivity than classical methods.
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CHROMagar
VRE
Vancomycin-resistant
Enterococcus (VRE) infections are especially aggressive and
have been associated with high mortality rates. Also, the possibility
of transfer of vancomycin resistance genes to other gram-positive
organisms raises significant concerns. The detection and differentiation
of the Enterococci strains carrying a transmissible resistance
(E.faecalis and E.faecium) is a top priority in the epidemic
control.
The CHROMagar VRE gives a rapid detection and clear differentiation
of the VRE.faecalis/VRE.faecium from other bacteria.
The conventional medium for
the detection of E.coli O157 is Sorbitol Mac Conkey which has
a very poor specificity thus exhibiting the abundance of false positive
(Proteus, E.hermanii, etc.). Sorbitol Mac Conkey is also difficult
to read because there is a change of coloration in case of prolonged
incubation. CHROMagar O157 is a chromogenic medium with an interesting
specificity and a very high sensitivity. CHROMagar O157 is very successful
in Japan where it finds its main application in the food industry.
To increase the specificity
for detection of E.coli O157 one can supplement this medium with
Tellurite.
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The bacteria E.coli
is an indicator of fecal contamination, very useful in monitoring
the food hygiene. The general food standard limits are usually approx.
50 E.coli bacteria per gram and thus it is important to detect
and enumerate them correctly. Traditional methods for E.coli are
extremely tedious and require heavy overload with experimental studies
of many colonies.
On the contrary - CHROMagar
E.coli - is a culture medium showing directly E.coli colonies
in blue color - thus making the detection and the enumeration of this
important hygiene indicator as simple as possible.
CHROMagar ECC will
in addition show the other coliforms as red colonies - another useful
indicator of questionable hygiene conditions.
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Listeria monocytogenes
is a pathogenic bacteria which can cause serious food poisoning. For
the detection of Listeria monocytogenes, conventional methods
are long and they require heavy work load. On the contrary, the medium
CHROMagar Listeria helps to easily differentiate Listeria monocytogenes
from other Listeria directly at the isolation step. Listeria
monocytogenes colonies are blue and are surrounded by a white
halo due to a specific phospholipase activity.
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V.
parahaemolyticus, V.vulnificus
and V.cholerae are a pathogenic bacteria which can cause
serious seafood poisoning. For the detection of those bacteria, conventional
methods (TCBS) are long, require heavy workload and are not very sensitive.
On the contrary, the medium CHROMagar Vibrio helps to easily differentiate
V. parahaemolyticus, V.vulnificus and V.cholerae
from other Vibrio directly at the isolation step by colony colour
with a sensitivity higher than conventional methods.
V. parahaemolyticus colonies are mauve, V.vulnificus
and V.choleare appear as blue colonies while V. alginolyticus
colonies are colourless. This medium is selective against most major
enterobacteriaceae and Gram positivebacteria.
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