Herrlinger Frithjof, Schulz Tino, Pruß Axel, Schulz Eva
University Tissue Bank, Institute for Transfusion Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Transfus Med Hemother. 2021 Feb;48(1):23-31. doi: 10.1159/000513646. Epub 2020 Dec 16.
The European Pharmacopoeia (Ph. Eur.) provides principles for microbiological testing of tissue preparations. According to the Ph. Eur., tests should be performed at different temperatures for detection of aerobic bacteria and fungi (20-25°C) vs. anaerobic bacteria (30-35°C). Semiautomated systems using blood culture bottles are already widely used and they are adequate for growth detection. Resin-containing bottles and the addition of penicillinase permit testing of culture media containing antibiotics.
At 3 temperatures (21, 30, and 35°C) cornea culture media with and without dextran (CM II and CM I) and thermal disinfected femoral head medium (FH) were spiked with the 6 reference strains recommended by the Ph. Eur. (additionally: and ). Microbial growth was monitored with the BACTEC FX unit or visually at 21°C.
Growth for all strains was detected with each medium at all 3 temperatures, except for at 21°C (all media) and 30°C with FH. had the highest times to detection, requiring test durations of 14 days. Microbial growth was faster at 30 and 35°C compared to 21°C.
The requirements according to the Ph. Eur. for a successful method suitability test could be fulfilled for the semiautomated blood culture bottle system with the BACTEC FX unit for the media and microorganisms used. In the presented validation study 35°C was shown to be the incubation temperature with the fastest growth, of the majority of the test strains used, and complete detection within 14 days.
欧洲药典(Ph. Eur.)提供了组织制剂微生物检测的原则。根据欧洲药典,检测需在不同温度下进行,以检测需氧菌和真菌(20 - 25°C)与厌氧菌(30 - 35°C)。使用血培养瓶的半自动系统已被广泛使用,且足以检测生长情况。含树脂的瓶子以及添加青霉素酶可用于检测含抗生素的培养基。
在3个温度(21、30和35°C)下,将欧洲药典推荐的6种参考菌株(另外: 和 )接种到含和不含葡聚糖的角膜培养基(CM II和CM I)以及热消毒的股骨头培养基(FH)中。使用BACTEC FX装置监测微生物生长情况,或在21°C下进行肉眼观察。
除21°C(所有培养基)下的 和30°C下FH中的 外,所有菌株在所有3个温度下的每种培养基中均检测到生长。 的检测时间最长,需要14天的检测时长。与21°C相比,微生物在30和35°C下生长更快。
对于所使用的培养基和微生物,使用BACTEC FX装置的半自动血培养瓶系统可满足欧洲药典对成功的方法适用性测试的要求。在本验证研究中,35°C被证明是大多数测试菌株生长最快的培养温度,且能在14天内完成检测。