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Journal of Clinical Microbiology, February 2006, p. 617-618, Vol. 44, No. 2
0095-1137/06/$08.00+0 doi:10.1128/JCM.44.2.617-618.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
East Kent Microbiology Service, The William Harvey Hospital, Kennington Road, Ashford, Kent TN24 0LZ,1 Department of Biosciences, University of Kent, Canterbury, Kent CT2 6NJ, United Kingdom2
Received 26 August 2005/ Returned for modification 18 October 2005/ Accepted 23 November 2005
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Fresh isolates were collected from clinical specimens submitted to the Microbiology Department at the William Harvey Hospital, Ashford, United Kingdom, between March 2002 and August 2005. Reference strains were obtained from the National Collection of Pathogenic Fungi, Bristol, United Kingdom. Representative strains of dermatophytes were used to assess a commercially available freezer bead storage kit (Microbank; Pro-Labs Diagnostics, Richmond Hill, Ontario, Canada). Each 2-ml tube contains approximately 50 plastic beads (diameter, 3 mm) with a hole through the center (this hole retains approximately 1 µl of suspension), which allows repeated recovery of an isolate before the preparation of a new stored culture is needed. This is in contrast to traditional long-term storage methods, in which the isolates are stored in multiple single-use vials, and has the added advantage of taking up less space.
Mycelium and conidia were harvested from 7-day-old cultures incubated at 27°C on Sabouraud dextrose agar (SDA; Oxoid Ltd., United Kingdom) by using a sterile scalpel and inoculated into a freezer bead tube containing a suspension medium prepared according to the manufacturer's instructions to give a density approximately equal to or greater than that of a McFarland no. 4 standard. The suspension was shaken vigorously to evenly distribute the fungus and was left to stand for 5 min. Excess fluid was removed with a Pasteur pipette. Before the tubes were frozen and stored at 70°C, a single bead was removed with sterile forceps and was placed on a fresh SDA plate, and the resulting drop of fungal suspension was spread by using a 10-µl loop to obtain single colonies and to check for viability and purity. These plates were incubated at 27°C for 7 days to assess the amount of inoculum present on a single bead. At various time intervals over 24 months, the tubes were removed from the freezer and a bead was removed from the frozen clump, plated, and incubated as described above. The tubes were immediately returned to the 70°C freezer before the contents had thawed. The number of colonies recovered, their growth rate, and the macroscopic and microscopic morphologies of the isolates were noted.
A detailed time course study was conducted with four isolates (Trichophyton interdigitale WHH1268, Trichophyton mentagrophytes WHH692, T. rubrum WHH3229, and Epidermophyton floccosum WHH1471). Single beads were removed at 0, 1, 2, 3, 4, 5, 6, 7, 8, 12, 16, 20, 24, 32, and 36 weeks and were cultured as described above. Epidermophyton floccosum was included, as it is known to die rapidly if it is kept at 4°C. In all cases, at all time intervals, successful reestablishment of the cultures ensued. At least 1,000 CFU was typically recovered from each bead. The growth rates and the hyphal densities were comparable to those of an initial control culture before it was frozen. Colonial and microscopic morphologies remained true to type throughout.
In addition to this time course study, a second trial was conducted with 58 stored isolates representing 15 species of dermatophytes. The isolates were selected to give a range of species but also to sample a range of isolates within some of these species (e.g., Arthroderma benhamiae, Trichophyton interdigitale, and Trichophyton tonsurans). For this trial, isolates stored for different time periods over the previous 24 months were recultured in triplicate to assess the uniformity of the distribution of viable organisms in frozen tubes. Three freezer beads were taken from each tube of preserved isolates and cultured as described above. In all cases, successful reestablishment from all three replicates occurred for all isolates tested. No adverse effects on morphology or growth rates compared to those of cultures not subjected to cryopreservation were noted.
Following these initial trials, this method of preservation was adopted for the storage of all stock strains in the laboratory. To date, all cultures kept in this manner have been successfully revived as required at times ranging from 1 week to 2 years, and these cultures represent 200 isolates of 21 species of dermatophytes (Table 1). Espinel-Ingroff et al. (1) have discussed the advantages of using the Microbank freezer bead system in terms of its availability and ease of use. Their results suggested that dermatophytes would not be well preserved by use of this method. Our results for a wider range of isolates suggest that the limited numbers of dermatophytes that they tested were not representative or that a different preservation technique might have given better recovery rates. For example, half the specimens prepared by Epinel-Ingroff et al. (1) were preserved in liquid nitrogen and kept for up to 8 years, whereas all our specimens were kept at 70°C and tested within 2 years. The recovery of all the isolates used in our study was successful, with no apparent effect on culture phenotype. All four specimens of T. rubrum were recovered in our study, including the isolate used in the detailed time course study. This is in contrast to the 54% recovery rate of T. rubrum isolates in the earlier study (1). As a consequence, we can now recommend this method of preservation of dermatophytes for clinical laboratories worldwide.
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TABLE 1. Selected isolates recovered after preservation for 1 week to 24 monthsa
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