This medium can be used as a screening method for the differentiation of enterobacteriaceae based on the ability of some species to utilise citrate as a sole source of carbon. It is often used as a screening test for Klebsiella pneumoniae (positive reaction) while Escherichia coli is negative.
Species that metabolize citrate as their sole source of carbon and ammonium as the sole source of nitrogen cause an increase in alkalinity of the medium resulting in a colour change from green to blue due to the presence of the pH indicator bromthymole blue.