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Journal of Clinical Microbiology, Feb 1997, 364-368, Vol 35, No. 2
GE Pfyffer, HM Welscher, P Kissling, C Cieslak, MJ Casal, J Gutierrez and S Rusch- Gerdes
In a multicenter study involving three reference centers for mycobacteria,
the rate of recovery of acid-fast bacilli (AFB) and the mean time to their
detection from clinical specimens was determined by using the Mycobacteria
Growth Indicator Tube (MGIT). These parameters were compared to those
assessed by the radiometric BACTEC 460 TB system and by cultivation on
solid media. Clinical specimens (n = 1,500) were pretreated with
N-acetyl-L-cysteine (NALC)-NaOH. The contamination rates for MGITs were
2.0% (center 1), 13.8% (center 2), and 6.1% (center 3). A total of 180
mycobacterial isolates were detected (M. tuberculosis complex, n = 113;
nontuberculous mycobacteria [NTM], n = 67). When using a combination of
liquid and solid media (the current "gold standard" for culture), MGIT plus
solid media detected 156 (86.7%) of the isolates, whereas BACTEC plus solid
media recovered 168 (93.3%) of all AFB. Between these two gold standards
there was no statistically significant difference (P > 0.05). The
combination of MGIT plus BACTEC detected 171 (95.0%) of all isolates
(compared with MGIT plus solid media, P < 0.01; compared with BACTEC
plus solid media, P > 0.05). Considering the efficacies of the different
media separately, MGIT was superior to solid media (although not
significantly; P > 0.05) in detecting AFB but was inferior to the BACTEC
system (P < 0.01). The mean time to the detection of M. tuberculosis
complex was 9.9 days with MGIT, 9.7 days with BACTEC, and 20.2 days with
solid media. NTM needed, on average, 11.9, 13.0, and 22.2 days to appear by
the three methods, respectively. In conclusion, MGIT proved to be a
valuable alternative to the radiometric cultivation system.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Comparison of the Mycobacteria Growth Indicator Tube (MGIT) with radiometric and solid culture for recovery of acid-fast bacilli
Department of Medical Microbiology, Swiss National Center for Mycobacteria, University of Zurich, Switzerland.
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