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Journal of Clinical Microbiology, May 1999, p. 1602-1605, Vol. 37, No. 5
Department of Clinical
Microbiology1 and Department of
Infectious Diseases,2 Ege University Medical
School, Izmir, Turkey
Received 30 September 1998/Returned for modification 4 November
1998/Accepted 20 January 1999
The feasibility of using nucleic acid probes directly from positive
MB/BacT broth to identify mycobacteria was determined in this study. A
total number of 2,727 specimens were cultured into the MB/BacT (Organon
Teknika) automated system and on conventional Loweinstein-Jensen (LJ)
slants. The Gen-Probe AccuProbe culture identification tests (DNA
probes) were used on samples from bottles which were identified as
positive for mycobacteria by MB/BacT. Samples of positive MB/BacT broth
(0.1 ml) were used directly in the broth culture method for the DNA
probes as published by Gen-Probe. Centrifugation of the contents of the
bottle was not done prior to probe testing. The number of mycobacteria
detected by MB/BacT and LJ was 253 (221 isolates of M. tuberculosis and 32 isolates of mycobacteria other than M. tuberculosis [MOTT]). A total of 96.4% (213 of 221) of the
bottles growing M. tuberculosis produced a positive direct
DNA probe result for M. tuberculosis complex. One hundred
percent (16 of 16) of the bottles growing M. gordonae
produced a positive direct DNA probe result for M. gordonae. A total of 3.6% (8 of 221) of the bottles growing
M. tuberculosis did not yield a positive direct DNA probe
result for M. tuberculosis complex. The testing of
subcultures made onto solid media from the positive bottles by
AccuProbe identified six of these eight M. tuberculosis
isolates. Two (0.9%) M. tuberculosis isolates gave a
negative result for the M. tuberculosis probe test applied
on the MB/BacT broth and its subculture. The rest of the positive
MB/BacT bottles growing MOTT (16 of 32) were negative for M. gordonae, M. avium, M. intracellulare,
and M. kansasii probes. The sensitivity and specificity of
AccuProbe for the identification of M. tuberculosis and
M. gordonae directly from MB/BacT broth were 96.4 and 100%
for M. tuberculosis and 100 and 100% for M. gordonae, respectively. The direct testing of positive MB/BacT broth by AccuProbe, without prior centrifugation, allows for the accurate and rapid identification of M. tuberculosis and
M. gordonae.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Use of Nucleic Acid Probes for Identification
of Mycobacterium tuberculosis Directly from
MB/BacT Bottles
*
Corresponding author. Present address: 201 Harrison
St., #425, San Francisco, CA 94105. Phone: (415) 546-0460. Fax: (415) 278-6666. E-mail: zarinc{at}juno.com.
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