A series of six flow charts have been developed to identify the Gram-negative nonfermentative bacilli most commonly isolated from clinical specimens. Colonial morphology and oxidase reactivity determine the pathway to be followed on the flow chart which then indicates the specific test to be performed. Most isolates can be identified within 24 hours using 3 to 5 tests. Each pathway was selected on the basis of 94-100 per cent confidence limits otherwise an alternate pathway is shown. Results of 2,788 nonfermenters identified by this scheme are discussed.
A comparison was made between the Microstainer II, an automatic staining machine, and the traditional, manual gram-staining method using clinical material and known organisms in a double blind study. Gram-reactions were in agreement with 98.4% of the organisms. The machine-stained microorganisms were generally found to be of the same or better quality than manually-stained organisms. Transfer of bacteria from slide to slide or smear to smear was not a significant problem. The Microstainer II would appear to be a useful addition to the large volume bacteriology laboratory.