Visual Atlas / Bacteriology

Triple Sugar Iron Agar (TSI)

A visual guide to Triple Sugar Iron Agar (TSI), used to determine glucose/lactose/sucrose fermentation, gas production, and hydrogen sulfide (H2S) synthesis in Gram-negative rods.

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Next step

Carry this visual clue into the Gram-negative bench workflow.

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Bench card visual

TSI slants A-D

Read first

Read both the slant (aerobic) and butt (anaerobic) color reactions, gas cracks, and black H2S precipitate.

Acid/Acid, Gas, No H2S (A/A)Escherichia coli

Yellow slant/yellow butt. Fermentation of glucose plus lactose and/or sucrose. Bubbles/cracks push the agar up (gas positive).

Alkaline/Acid, Gas, H2S+ (K/A H2S+)Salmonella typhimurium

Red slant/black butt. Glucose fermentation only (slant reverts to alkaline red), H2S produced (black FeS butt), and gas bubbles present.

Alkaline/Alkaline, No Gas, No H2S (K/K)Pseudomonas aeruginosa

Red slant/red butt. Non-utilizer of glucose, lactose, and sucrose. No gas and no black precipitate.

Uninoculated ControlBaseline comparison

Uninoculated reddish-orange agar slant for comparing color changes, gas production, and baseline tube integrity.

What to look for

What to look for

Visual clueMeaningStudent shorthand
Yellow Slant / Yellow ButtAcid produced from glucose and lactose/sucrose fermentationA/A (Fermenter)
Red Slant / Yellow ButtGlucose fermented only; peptones oxidized aerobically on slant back to alkaline redK/A (Glucose-only fermenter)
Red Slant / Red ButtNo sugars fermented; peptones utilized aerobically and anaerobicallyK/K (Non-utilizer)
Black ButtH2S gas produced, reacting with iron indicator to form black ferrous sulfide precipitateH2S Positive (usually covers K/A butt)
Bubbles / Cracks / Agar push-upGaseous end-products (CO2 or H2) produced during fermentationGas Positive
Interpretation table

TSI Interpretive Matrix

PatternWhat to call itHow to think about it
Yellow/Yellow (A/A) + GasGlucose, lactose/sucrose fermentedTypical for Escherichia coli, Klebsiella pneumoniae.
Red/Black (K/A H2S+) + GasGlucose fermented, lactose/sucrose negative, H2S and GasTypical for Salmonella typhimurium, Proteus vulgaris.
Red/Red (K/K)No sugars fermented; non-utilizerTypical for Pseudomonas aeruginosa, Acinetobacter.
Red/Yellow (K/A)Glucose fermented onlyTypical for Shigella flexneri.
Key takeaways
  • TSI agar differentiates enteric bacteria based on glucose, lactose, sucrose fermentation, and thiosulfate reduction.
  • It contains glucose (0.1%), lactose (1%), sucrose (1%), ferrous ammonium sulfate (H2S indicator), and phenol red (pH indicator).
  • The slant is aerobic, while the deep butt is anaerobic.
Remember

A = Acid (Yellow). K = Alkaline (Red). A/A = all sugars fermented. K/A = glucose only. Black = H2S. Cracks = Gas.