The formulation of Sorbitol MacConkey Agar with Cefixime Tellurite is identical to MacConkey Agar No.3, except that lactose has been replaced with sorbitol.
E. coli O157:H7 does not ferment sorbitol and, therefore, produces colorless colonies. In contrast, most
E. coli strains ferment sorbitol and form pink colonies. The addition of cefixime and tellurite significantly reduces the number of sorbitol non-fermenters that need to be screened during the attempted isolation of
E. coli O157:H7.
The efficiency of Sorbitol MacConkey Agar has been confirmed by March and Ratnam
1. These workers reported a sensitivity of 100% and a specificity of 85% and recommended the medium as a simple, inexpensive, rapid and reliable means of screening for
E. coli O157.
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1. March S. B. and Ratnam S. (1986) J. Clin. Microbiol. 23. 869-872.