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Journal of Clinical Microbiology, November 1999, p. 3583-3585, Vol. 37, No. 11
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Comparison of Direct Inoculation and Copan Transport Systems for Isolation of Neisseria gonorrhoeae from Endocervical Specimens

C. C. Olsen,1 J. R. Schwebke,2 W. H. Benjamin Jr.,1 A. Beverly,2 and K. B. Waites1,*

Departments of Pathology1 and Medicine,2 University of Alabama at Birmingham, Birmingham, Alabama

Received 12 April 1999/Returned for modification 22 June 1999/Accepted 16 August 1999

Two commercial swab transport systems, Copan Amies gel agar with and without charcoal (Copan Diagnostics, Corona, Calif.), were compared to direct inoculation onto modified Thayer-Martin medium for detection of Neisseria gonorrhoeae in 1,490 endocervical specimens obtained from women attending a sexually transmitted disease clinic. Copan swabs were held in the transport system for 24 h at room temperature prior to inoculation onto modified Thayer-Martin medium. All cultures were incubated at 35°C in 5% CO2, and bacteria were identified on the basis of Gram stain, oxidase, and biochemical reactions. Copan Amies gel agar transport system without charcoal detected 77 of 81 (95%) direct inoculation culture-positive specimens, and Copan Amies gel agar transport system with charcoal detected 53 of 56 (95%) directly inoculated culture-positive specimens. Copan Amies gel agar without charcoal inoculated after 6 h supported growth of 56 (98%) positive cultures out of only 55 directly inoculated culture-positive specimens. This study demonstrates that Copan swabs represent a reasonable alternative, providing convenience, low cost, and ease of use while still maintaining a satisfactory recovery rate of N. gonorrhoeae from clinical specimens, if specimens can be inoculated onto selective media within a relatively short time period not involving overnight shipment.


* Corresponding author. Mailing address: Department of Pathology, WP230, 618 South 18th St., University of Alabama at Birmingham, Birmingham, AL 35233-7331. Phone: (205) 934-6421. Fax: (205) 975-4468. E-mail: waites{at}path.uab.edu.


Journal of Clinical Microbiology, November 1999, p. 3583-3585, Vol. 37, No. 11
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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