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Brucella Media Brucella Agar • Brucella Agar with 5 ... - BVA Scientific

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Section III<br />

B<br />

m Brilliant Green Broth, cont.<br />

3. Cool to room temperature. Dispense 2 mL amounts onto<br />

sterile absorbent pads.<br />

4. Use rehydrated medium <strong>with</strong>in 24 hours.<br />

5. Test samples of the finished product for performance using<br />

stable, typical control cultures.<br />

Procedure<br />

1. Inoculate a water sample using the membrane filtration<br />

procedure.<br />

2. Place the filter on a pad saturated <strong>with</strong> m Brilliant Green<br />

Broth.<br />

3. Incubate at 35 ± 2°C in a humid atmosphere for 18-24<br />

hours.<br />

4. After incubation, examine for growth and the color of the<br />

colonies.<br />

Expected Results<br />

Salmonella species form pink to red colonies.<br />

References<br />

1. Murray, Baron, Pfaller, Tenover and Yolken (ed.). 1995. Manual of clinical microbiology, 6th ed.<br />

American Society for Microbiology, Washington, D.C.<br />

2. Kauffmann. 1935. Z. Hyg. Infektionskr. 117:26.<br />

3. Kabler and Clark. 1952. Am. J. Public Health 42:390.<br />

4. Geldreich and Jeter. 1952. Abstr. Bacteriol. Proc. 52nd Gen. Meet. Soc. Am. Bacteriologists 1952.<br />

Availability<br />

Difco m Brilliant Green Broth<br />

Cat. No. 249410 Dehydrated – 500 g<br />

<strong>Brucella</strong> <strong>Media</strong><br />

<strong>Brucella</strong> <strong>Agar</strong> • <strong>Brucella</strong> <strong>Agar</strong> <strong>with</strong> 5% Horse Blood<br />

<strong>Brucella</strong> Broth<br />

104<br />

Intended Use<br />

<strong>Brucella</strong> <strong>Agar</strong> is a culture medium for the cultivation of <strong>Brucella</strong><br />

organisms. With the addition of 5% horse blood, the medium is<br />

used in qualitative procedures for the isolation and cultivation<br />

of nonfastidious and fastidious microorganisms from a variety<br />

of clinical and nonclinical specimens.<br />

<strong>Brucella</strong> Broth is used for the cultivation of <strong>Brucella</strong> species<br />

and for the isolation and cultivation of a wide variety of<br />

fastidious and nonfastidious microorganisms.<br />

Summary and Explanation<br />

<strong>Brucella</strong> <strong>Agar</strong> was developed for the cultivation of <strong>Brucella</strong><br />

species from diagnostic specimens, such as blood, and from<br />

foods and other potentially contaminated material. <strong>Brucella</strong><br />

<strong>Agar</strong> <strong>with</strong> 5% Horse Blood plates are particularly useful for<br />

the cultivation of the more fastidious aerobic and anaerobic<br />

microorganisms,including streptococci, pneumococci, Listeria,<br />

Neisseria meningitidis and Haemophilus influenzae.<br />

<strong>Brucella</strong> Broth may be used for the isolation and cultivation<br />

of a wide variety of microorganisms including nutritionally<br />

fastidious specimens. 1 This medium is recommended for<br />

the cultivation of <strong>Brucella</strong> species and was recommended as<br />

one of several media suitable for use as the liquid medium<br />

component of biphasic blood culture bottles. 1,2 It is also used<br />

to cultivate Campylobacter spp. 3<br />

Principles of the Procedure<br />

<strong>Brucella</strong> <strong>Agar</strong> and <strong>Brucella</strong> Broth support the growth of<br />

fastidious microorganisms due to their content of peptones,<br />

dextrose and yeast extract. The peptones supply organic<br />

nitrogen. The yeast extract is a potent source of the B-complex<br />

vitamins. Dextrose is utilized as an energy source. Sodium<br />

bisulfite is a reducing agent, and sodium chloride maintains<br />

the osmotic equilibrium. <strong>Agar</strong> is the solidifying agent in<br />

<strong>Brucella</strong> <strong>Agar</strong>.<br />

In BBL <strong>Brucella</strong> <strong>Agar</strong> <strong>with</strong> 5% Horse Blood plates, the horse<br />

blood supplies both the X and V factors which are growth<br />

requirements for certain organisms; e.g., Haemophilus<br />

influenzae. 3 Sheep and human blood are not suitable for this<br />

purpose because they contain enzymes that inactivate the nicotinamide<br />

adenine dinucleotide (NAD) which is the V factor. 4<br />

Defibrinated horse blood may give hemolytic reactions different<br />

than sheep blood. 5 Some streptococci (e.g., group D) give<br />

hemolytic reactions on horse blood but not on sheep blood<br />

and may be mistakenly reported as group A. If a hemolytic<br />

reaction is obtained, the organism should be tested <strong>with</strong> a<br />

Taxo A bacitracin (0.04 unit) disc and it also should be<br />

grouped serologically or tested by the fluorescent antibody<br />

method. 6 Beta-hemolytic streptococci and Haemophilus<br />

haemolyticus may be differentiated by performing a Gram stain<br />

on a smear prepared from the colony.<br />

Formulae<br />

BBL <strong>Brucella</strong> <strong>Agar</strong><br />

Approximate Formula* Per Liter<br />

Pancreatic Digest of Casein ...................................... 10.0<br />

Peptic Digest of Animal Tissue ................................. 10.0<br />

Dextrose ..................................................................... 1.0<br />

Yeast Extract .............................................................. 2.0<br />

Sodium Chloride ........................................................ 5.0<br />

Sodium Bisulfite ......................................................... 0.1<br />

<strong>Agar</strong> ......................................................................... 15.0<br />

BBL <strong>Brucella</strong> Broth<br />

Consists of the same ingredients <strong>with</strong>out the agar.<br />

*Adjusted and/or supplemented as required to meet performance criteria.<br />

g<br />

g<br />

g<br />

g<br />

g<br />

g<br />

g


<strong>Brucella</strong> <strong>Media</strong>, cont.<br />

User Quality Control<br />

Identity Specifications<br />

BBL <strong>Brucella</strong> <strong>Agar</strong><br />

Dehydrated Appearance:<br />

Fine, homogeneous, free of extraneous<br />

material.<br />

Solution:<br />

4.3% solution, soluble in purified<br />

water upon boiling. Solution is light<br />

to medium, tan to yellow, clear to<br />

slightly hazy, may contain small<br />

amount of sediment.<br />

Prepared Appearance: Light to medium, tan to yellow, clear<br />

to slightly hazy.<br />

Reaction of 4.3%<br />

Solution at 25°C: pH 7.0 ± 0.2<br />

BBL <strong>Brucella</strong> Broth<br />

Dehydrated Appearance:<br />

Fine, homogeneous, free of extraneous<br />

material.<br />

Solution:<br />

2.8% solution, soluble in purified<br />

water upon heating. Solution is pale<br />

to medium, tan to yellow, clear to<br />

slightly hazy.<br />

Prepared Appearance: Pale to medium, tan to yellow, clear<br />

to slightly hazy.<br />

Reaction of 2.8%<br />

Solution at 25°C: pH 7.0 ± 0.2<br />

Cultural Response<br />

BBL <strong>Brucella</strong> <strong>Agar</strong><br />

Prepare the medium per label directions <strong>with</strong>out (plain) and <strong>with</strong> 5%<br />

defibrinated horse blood (HB). Inoculate and incubate at 35 ± 2°C for<br />

3 days <strong>with</strong> 3-5% CO 2<br />

(incubate S. aureus <strong>with</strong>out CO 2<br />

).<br />

INOCULUM RECOVERY RECOVERY<br />

ORGANISM ATCC CFU PLAIN WITH HB<br />

<strong>Brucella</strong> abortus 11192* 10 3 -10 4 Good Good<br />

<strong>Brucella</strong> melitensis 4309* 10 3 -10 4 Good N/A<br />

<strong>Brucella</strong> suis 4314* 10 3 -10 4 Good N/A<br />

Staphylococcus aureus 25923 10 3 -10 4 Good N/A<br />

Streptococcus pneumoniae 6305 10 3 -10 4 N/A Good<br />

Streptococcus pyogenes 19615 10 3 -10 4 N/A Good<br />

*Minimally one strain of <strong>Brucella</strong> should be used for performance testing. If these strains are<br />

not available, verify performance <strong>with</strong> a known isolate.<br />

BBL <strong>Brucella</strong> Broth<br />

Prepare the medium per label directions. Inoculate and incubate at<br />

35 ± 2°C for 7 days <strong>with</strong> 3-5% CO 2<br />

(incubate S. pyogenes for 66-72<br />

hours <strong>with</strong>out CO 2<br />

).<br />

ORGANISM ATCC INOCULUM CFU RECOVERY<br />

<strong>Brucella</strong> abortus 11192* < 10 3 Growth<br />

<strong>Brucella</strong> melitensis 4309* < 10 3 Growth<br />

<strong>Brucella</strong> suis 4314* < 10 3 Growth<br />

Streptococcus pyogenes 19615 < 10 3 Growth<br />

*Minimally one strain of <strong>Brucella</strong> should be used for performance testing. If these strains are<br />

not available, verify performance <strong>with</strong> a known isolate.<br />

B<br />

Precautions 7<br />

1. Biosafety Level 2 practices, containment equipment and<br />

facilities are recommended for activities <strong>with</strong> clinical specimens<br />

of human or animal origin containing or potentially<br />

containing pathogenic <strong>Brucella</strong> spp.<br />

2. Biosafety Level 3 practices, containment equipment and<br />

facilities are recommended for all manipulations of cultures<br />

of the pathogenic <strong>Brucella</strong> spp. and for experimental<br />

animal studies.<br />

Directions for Preparation from<br />

Dehydrated Product<br />

1. Suspend the powder in 1 L of purified water:<br />

BBL <strong>Brucella</strong> <strong>Agar</strong> – 43 g;<br />

BBL <strong>Brucella</strong> Broth – 28 g.<br />

Mix thoroughly.<br />

2. For the agar, heat <strong>with</strong> frequent agitation and boil for<br />

1 minute to completely dissolve the powder. For the broth,<br />

heat slightly, if necessary, to obtain solution.<br />

3. Autoclave at 121°C for 15 minutes.<br />

4. For preparation of blood plates, add 5 to 10% sterile<br />

defibrinated blood to sterile agar which has been cooled to<br />

45-50°C.<br />

5. Test samples of the finished product for performance using<br />

stable, typical control cultures.<br />

Procedure<br />

<strong>Agar</strong> (<strong>with</strong>out or <strong>with</strong> added blood)<br />

Use standard procedures to obtain isolated colonies from<br />

specimens.<br />

Since many pathogens require carbon dioxide on primary<br />

isolation, incubate plates at 35 ± 2°C for 24-72 hours in an<br />

aerobic atmosphere supplemented <strong>with</strong> carbon dioxide.<br />

Broth<br />

For liquid specimens, use a sterile inoculating loop to transfer<br />

a loopful to the broth medium. Swab specimens may be<br />

inserted into the broth after the inoculation of plated media.<br />

Incubate tubes for up to 7 days at 35 ± 2°C in an aerobic atmosphere<br />

<strong>with</strong> or <strong>with</strong>out supplementation <strong>with</strong> carbon dioxide.<br />

For the preparation of biphasic blood culture bottles, aseptically<br />

add sterile <strong>Brucella</strong> Broth to a blood culture bottle containing<br />

solidified sterile <strong>Brucella</strong> <strong>Agar</strong>, <strong>with</strong> increased agar at a final<br />

concentration of 2.5%. The bottles should contain 5-10% CO 2<br />

and be vented. Blood cultures should be incubated at 35°C for<br />

up to 30 days <strong>with</strong> subcultures prepared every 4 to 5 days. 1,2<br />

Expected Results<br />

<strong>Agar</strong> (<strong>with</strong>out or <strong>with</strong> added blood)<br />

After incubation, most plates will show an area of confluent<br />

growth. Because the streaking procedure is, in effect, a<br />

“dilution” technique, diminishing numbers of microorganisms<br />

are deposited on the streaked areas. Consequently, one or more<br />

105


Section III<br />

B<br />

<strong>Brucella</strong> <strong>Media</strong>, cont.<br />

of these areas should exhibit isolated colonies of the organisms<br />

contained in the specimen. Further, growth of each<br />

organism may be semi-quantitatively scored on the basis of<br />

growth in each of the streaked areas.<br />

Broth<br />

Growth in the tubes is indicated by the presence of turbidity<br />

compared <strong>with</strong> an uninoculated control.<br />

If growth appears, cultures should be examined by Gram<br />

stain and subcultured onto appropriate media; e.g., Trypticase <br />

Soy <strong>Agar</strong> <strong>with</strong> 5% Sheep Blood and/or <strong>Brucella</strong> <strong>Agar</strong> and<br />

Chocolate II <strong>Agar</strong>, Eosin Methylene Blue <strong>Agar</strong>, Levine or<br />

MacConkey II <strong>Agar</strong>.<br />

References<br />

1. MacFaddin. 1985. <strong>Media</strong> for isolation-cultivation-identification-maintenance of medical bacteria,<br />

vol. 1. Williams & Wilkins, Baltimore, Md.<br />

2. Moyer, Holcomb and Hausler. 1991. In Balows, Hausler, Herrmann, Isenberg, and Shadomy (ed.),<br />

Manual of clinical microbiology, 5th ed. American Society for Microbiology, Washington, D.C.<br />

3. Chapin and Murray. 1999. In Murray, Baron, Pfaller, Tenover and Yolken (ed.). Manual of<br />

clinical microbiology, 7th ed. American Society for Microbiology, Washington, D.C.<br />

4. Krumweide and Kuttner. 1938. J. Exp. Med. 67:429.<br />

5. Vera and Power. 1980. In Lennette, Balows, Hausler and Truant (ed.), Manual of clinical microbiology,<br />

3rd ed. American Society for Microbiology, Washington, D.C.<br />

6. Vera. 1971. Health Lab. Sci. 8:176.<br />

7. U.S. Public Health Service, Centers for Disease Control and Prevention, and National Institutes of<br />

Health. 1999. Biosafety in microbiological and biomedical laboratories, 4th ed. HHS Publication<br />

No. (CDC) 93-8395. U.S. Government Printing Office, Washington, D.C.<br />

Availability<br />

BBL <strong>Brucella</strong> <strong>Agar</strong><br />

ISO USDA<br />

Cat. No. 211086 Dehydrated – 500 g<br />

221547 Prepared Plates <strong>with</strong> 5% Horse Blood – Pkg. of 20*<br />

221548 Prepared Plates <strong>with</strong> 5% Horse Blood –<br />

Ctn. of 100*<br />

BBL <strong>Brucella</strong> <strong>Agar</strong> <strong>with</strong> 5% Horse Blood//<br />

MacConkey II agar <strong>with</strong> MUG<br />

Cat. No. 298303 Prepared I Plate Dishes – Ctn. of 100*<br />

BBL <strong>Brucella</strong> Broth<br />

USDA<br />

Cat. No. 211088 Dehydrated – 500 g<br />

296185 Dehydrated – 5 lb (2.3 kg)<br />

*Store at 2-8°C.<br />

<strong>Brucella</strong> <strong>Media</strong> for Anaerobes<br />

<strong>Brucella</strong> <strong>Agar</strong> <strong>with</strong> 5% Sheep Blood, Hemin and<br />

Vitamin K 1 • <strong>Brucella</strong> Laked Sheep Blood <strong>Agar</strong> <strong>with</strong><br />

Kanamycin and Vancomycin (KV)<br />

Intended Use<br />

<strong>Brucella</strong> <strong>Agar</strong> <strong>with</strong> 5% Sheep Blood, Hemin and Vitamin K 1 is<br />

used for the isolation and cultivation of fastidious, obligately<br />

anaerobic microorganisms.<br />

<strong>Brucella</strong> Laked Sheep Blood <strong>Agar</strong> <strong>with</strong> Kanamycin and Vancomycin<br />

(KV) is used for the selective isolation of fastidious<br />

and slow growing, obligately anaerobic bacteria from the same<br />

specimen.<br />

Summary and Explanation<br />

The isolation of obligately anaerobic bacteria from clinical and<br />

nonclinical materials requires the use of selective, nonselective<br />

and enrichment media. 1 <strong>Brucella</strong> <strong>Agar</strong> <strong>with</strong> 5% Sheep Blood,<br />

Hemin and Vitamin K 1 is an enriched, nonselective medium<br />

for the isolation and cultivation of a wide variety of obligately<br />

anaerobic microorganisms. Nonselective media are used to<br />

isolate organisms present in low numbers and to provide an<br />

indication of the numbers and types of organisms present in<br />

the specimen or sample.<br />

Kanamycin and vancomycin are included in <strong>Brucella</strong> Laked<br />

Blood KV <strong>Agar</strong> for use in selective isolation of gram-negative<br />

anaerobes, especially Bacteroides. The combination of kanamycin<br />

and vancomycin for this purpose was first described by<br />

Finegold et al. 2 Vancomycin, however, may inhibit<br />

Porphyromonas asaccharolytica. 3<br />

Principles of the Procedure<br />

<strong>Brucella</strong> <strong>Agar</strong> supports the growth of fastidious microorganisms<br />

due to its content of peptones, dextrose and yeast extract. The<br />

sheep blood, hemin and vitamin K 1 , provide essential nutrients<br />

for certain obligate anaerobes. 4<br />

The addition of the antimicrobial agents, kanamycin and<br />

vancomycin, renders <strong>Brucella</strong> Laked Blood KV <strong>Agar</strong> selective<br />

for gram-negative microorganisms. The kanamycin inhibits<br />

protein synthesis in susceptible organisms, whereas the<br />

vancomycin inhibits gram-positive bacteria by interfering <strong>with</strong><br />

cell wall synthesis. 5 The laked blood improves pigmentation<br />

of the Prevotella melaniogenica - P. asaccharolytica group.<br />

Procedure<br />

These media should be reduced immediately prior to inoculation<br />

by placing under anaerobic conditions for 18-24 hours. 6<br />

An efficient and easy way to obtain suitable anaerobic<br />

conditions is through the use of BBL GasPak EZ anaerobic<br />

systems or an alternative system. 7<br />

106

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