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Journal of Clinical Microbiology, November 1999, p. 3583-3585, Vol. 37, No. 11
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.
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
*
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.
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