Comparison of Lowenstein-Jensen medium and MGIT culture system for recovery of Mycobacterium tuberculosis from abscess samples

Diagn Microbiol Infect Dis. 2020 Apr;96(4):114969. doi: 10.1016/j.diagmicrobio.2019.114969. Epub 2019 Dec 17.

Abstract

Purpose: In this study, our aim was to assess Lowenstein-Jensen (L-J) medium and MGIT culture system for recovery of Mycobacterium tuberculosis (MTB) from abscess samples in skeletal tuberculosis (TB) cases.

Methods: Abscess samples were collected from patients suggestive of skeletal TB in Beijing Chest Hospital for laboratory examination, including smear microscopy, L-J culture and MGIT culture.

Results: Of the 232 abscess samples, 72 (31.0%) were culture-positive for mycobacteria. Of 72 isolates recovered, 94.4% were detected in MGIT 960 and 75.0% on L-J medium. MGIT could recover significantly higher rate of MTB isolates from smear-positive specimens than L-J medium. The mean time to detection of MTB in MGIT 960 was significantly lower than that on L-J medium.

Conclusion: The BACTEC MGIT 960 outperforms the conventional L-J medium in recovering MTB from abscess samples. The combination of MGIT and L-J method also increases the overall recovery rate of MTB in culture.

Keywords: Abscess; Culture; Recovery; Skeletal tuberculosis.

Publication types

  • Comparative Study

MeSH terms

  • Abscess / microbiology*
  • Bacteriological Techniques
  • China
  • Clinical Laboratory Techniques
  • Culture Media / chemistry*
  • Humans
  • Mycobacterium tuberculosis / growth & development
  • Mycobacterium tuberculosis / isolation & purification*
  • Prospective Studies
  • Tuberculosis / diagnosis
  • Tuberculosis / microbiology*

Substances

  • Culture Media