The oxidase test is another biochemical test that was originally developed for
Neisseria bacteria and later used for the
Enterobacteriaceae group. It is used to check for the presence of the enzyme cytochrome oxidase, which plays a crucial role in electron transfer during aerobic respiration. This test is a differential method for distinguishing species such as
Pseudomonas,
Neisseria,
Moraxella,
Vibrio,
Campylobacter,
Pasteurella, and
Brucella. Among the gram-negative pathogenic bacteria,
Neisseria and
Pseudomonas are oxidase-positive, while the
Enterobacteriaceae family is oxidase-negative, allowing for differentiation through this simple test (
13,
15,
16).
Oxidase enzymes are integral to the electron transport system in aerobic respiration, where cytochrome oxidase uses oxygen as an electron acceptor (
17). The ability of bacteria to produce the enzyme cytochrome oxidase can be determined by performing an oxidase test. Cytochrome oxidase can oxidize the substrate tetramethyl-para-phenylenediamine-dihydrochloride, forming the colored product indophenol. When a small amount of the organism producing this enzyme is applied to a piece of paper soaked in the substrate, a dark purple color is observed (
Figure 3). This substrate acts as an electron donor in the presence of the oxidase enzyme and free oxygen, oxidizing to a black compound.
In this test, a 1% solution of tetramethyl-para-phenylenediamine-dihydrochloride is used. Typically, 50 mg of the powder is placed into small plastic lidded containers for daily use, with 5 mL of distilled water added, and one vial used each day. A clean filter paper is placed on the surface of a sterile plastic plate and moistened with a few drops of fresh reagent. A small amount of a young colony (less than 24 hours old) is removed using a clean wooden applicator and placed on the moistened filter paper. The color change to blue and purple within 10 to 20 seconds is observed, noting that the timing of the color check is crucial (
13).
There are various methods for performing this test, including the filter paper method, direct method, swab method, oxidase test strip method, and tube method. One technique employed is the dry filter paper method, where Whatman 1 filter paper is soaked in a freshly prepared 1% solution of tetramethyl-p-phenylenediamine dihydrochloride. After approximately 30 seconds, the strips undergo freeze-drying and are preserved in a dark, airtight container with a screw cap. To conduct the test, a strip is extracted and positioned in a Petri dish or on a slide. The surface is dampened with distilled water, and the colony intended for testing is collected using a loupe or a glass or plastic Pasteur pipette and immersed in the moist region. It is important to avoid using metal instruments in this test, as they may produce a false positive outcome (
18).
2.2.1. Oxidase Analyze
In this test, organisms that contain the enzyme oxidase, such as species of the genus Neisseria, change the color of the colony to purple within 10 seconds. Conversely, organisms that do not possess this enzyme, such as Escherichia coli, show no color alteration within the same timeframe. This reaction yields a positive result as a consequence of oxidation in the air; therefore, if the test results are evaluated after 20 to 30 seconds, it may yield a false positive outcome, rendering it diagnostically insignificant.
Bacteria that are classified as oxidase-negative can be anaerobic, aerobic, or facultative. A negative oxidase result indicates merely the absence of cytochrome c oxidase, which is responsible for oxidizing the reactant, while these organisms may utilize alternative oxidases for electron transfer during respiration (
19).
A positive result from the dry filter paper method is indicated by the appearance of a dark purple color within 5 to 10 seconds. A 'delayed positive' result is recognized when a color change occurs between 10 and 60 seconds, whereas a negative result is indicated by the paper remaining colorless or changing color after more than 60 seconds (
18).