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Journal of Clinical Microbiology, October 2001, p. 3718-3720, Vol. 39, No. 10
Diagnostic Laboratory Services, The Queen's
Health Systems,1 and University of
Hawaii School of Medicine,2 Honolulu,
Hawaii, and Focus Technologies, Inc., Cypress,
California3
Received 30 April 2001/Returned for modification 13 June
2001/Accepted 26 July 2001
Contamination of broth cultures of acid-fast bacilli (AFB) by
bacterial species other than Mycobacterium species
frequently occurs. Many of these contaminated cultures require
redecontamination and reincubation before the appropriate tests can be
performed for identification, significantly affecting the turnaround
time for reporting culture results. In this study, the Amplified
Mycobacterium Tuberculosis Direct Test (MTD; Gen-Probe) was performed
to detect the Mycobacterium tuberculosis complex
(MTBC) in 125 BACTEC 12B broth cultures with positive growth indices.
Among these, 41 grew non-AFB bacteria only, and all 41 were
negative by the MTD. The remaining 84 bottles contained contaminated
cultures that grew both AFB and other bacteria or yeasts. Repeat
decontamination and reincubation of these specimens required a mean
time of 13 days (range, 3 to 40 days). The MTD results
were positive for 10 samples, 9 of which were MTBC culture positive and
1 of which grew Myobacterium celatum, a species known to
cross-react in the MTD. All cultures growing other
mycobacterial species were negative by the MTD. The results of this
study demonstrate that the MTD is both sensitive and specific in
detecting MTBC in contaminated broth cultures and that, when used
selectively, the MTD can potentially rule in or out a diagnosis of MTBC
as much as 12 days earlier than using nonamplified DNA probe testing
alone can.
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.10.3718-3720.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Rapid Detection of Mycobacterium
tuberculosis in Contaminated BACTEC 12B Broth Cultures by Testing
with Amplified Mycobacterium Tuberculosis Direct Test
*
Corresponding author. Mailing address: Diagnostic
Laboratory Services, The Queen's Health Systems, 650 Iwilei Rd.,
Suite 300, Honolulu, HI 96817. Phone: (808) 589-5100. Fax: (808)
593-8357. E-mail: xzheng{at}dls.queens.org.
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