Introduction

The Urease Test is an important biochemical test in microbiology used to detect the ability of bacteria to produce the enzyme urease, which hydrolyzes urea into ammonia and carbon dioxide.
This test is widely used for differentiating Enterobacteriaceae, identifying Proteus species, and detecting Helicobacter pylori.

Principle

  • The enzyme urease hydrolyzes urea into:

    • Ammonia (NH₃)

    • Carbon dioxide (CO₂)

  • Ammonia increases the pH of the medium, making it alkaline.

  • The medium contains phenol red as a pH indicator:

    • Yellow → Neutral/Acidic

    • Pink/Red → Alkaline (positive result)

Procedure

  1. Prepare Christensen’s urea agar slant (contains urea and phenol red indicator).

  2. Inoculate the medium with the test organism.

  3. Incubate at 37°C for 24–48 hours.

  4. Observe for color change:

    • Pink → Positive

    • No color change (remains yellow/orange) → Negative

Interpretation

ResultObservationInterpretation
PositivePink or red color in the mediumUrease enzyme present, urea hydrolyzed
NegativeNo color change (remains yellow/orange)Urease enzyme absent

Examples of Bacteria

Urease Positive Bacteria

  • Proteus spp. (strongly positive, rapid)

  • Klebsiella pneumoniae

  • Helicobacter pylori

  • Corynebacterium urealyticum

  • Cryptococcus neoformans (fungus)

Urease Negative Bacteria

  • Escherichia coli

  • Salmonella spp.

  • Shigella spp.

  • Pseudomonas aeruginosa

Uses of Urease Test

  • Differentiation of Proteus spp. (urease positive) from other Enterobacteriaceae.

  • Identification of Helicobacter pylori in gastric infections.

  • Helps distinguish Klebsiella (positive) from E. coli (negative).

  • Useful in mycology (e.g., Cryptococcus detection).

  • Important in clinical microbiology laboratories for bacterial identification.

Conclusion

The Urease Test is a simple and rapid biochemical test that detects urease enzyme activity in bacteria. It plays a crucial role in differentiating Proteus, Klebsiella, and Helicobacter pylori, making it highly valuable in diagnostic microbiology.

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