Abe C, Hosojima S
Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo.
Kekkaku. 1992 Dec;67(12):781-6.
The rate of recovery and time to the detection of mycobacteria from clinical specimens were measured for biphasic and radiometric liquid-based culture systems and egg-based media (3% Ogawa and Ogawa K). From the 245 sputum specimens processed, a total of 86 (35.1%) mycobacterial isolates were detected. Of these, 81 (94.2%) and 80 (93.0%) isolates were detected with the MB-Check and BACTEC systems, respectively, and 65 (75.6%) isolates were detected with the 3% Ogawa egg method. The difference in the percentages of positive cultures between the two systems based on liquid media and the 3% Ogawa egg method was significant (P < 0.01). This difference was even greater among smear-negative specimens. The detection time was shorter with the liquid-based systems. The mean times to the detection of the Mycobacterium tuberculosis complex were 19.1 days with the MB-Check system, 13.4 days with the BACTEC system, and 21.7 days with the 3% Ogawa egg method. These results indicate that both the MB-Check and the BACTEC systems, based on liquid media, are efficient for the recovery of mycobacteria.
对双相和放射性液体培养系统以及基于鸡蛋的培养基(3% 小川培养基和小川K培养基),测量了从临床标本中回收分枝杆菌的速率和检测时间。在处理的245份痰标本中,共检测到86株(35.1%)分枝杆菌分离株。其中,分别用MB-Check系统和BACTEC系统检测到81株(94.2%)和80株(93.0%)分离株,用3% 小川鸡蛋培养基法检测到65株(75.6%)分离株。基于液体培养基的两种系统与3% 小川鸡蛋培养基法之间阳性培养百分比的差异具有统计学意义(P < 0.01)。在涂片阴性标本中,这种差异更大。基于液体的系统检测时间更短。用MB-Check系统检测结核分枝杆菌复合群的平均时间为19.1天,用BACTEC系统为13.4天,用3% 小川鸡蛋培养基法为21.7天。这些结果表明,基于液体培养基的MB-Check系统和BACTEC系统在回收分枝杆菌方面都是有效的。