2013
DOI: 10.1128/jcm.01947-13
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Evaluation of Agar-Based Medium with Sheep Sera for Testing of Drug Susceptibility of Mycobacterium tuberculosis to Isoniazid, Rifampin, Ethambutol, and Streptomycin

Abstract: The performance of sheep sera instead of sheep blood in agar-based media was investigated for susceptibility testing of Mycobacterium tuberculosis against primary drugs. The levels of agreement between agar-based medium supplemented with sheep sera and the proportion method on Middlebrook 7H11 agar as the reference method for determining susceptibility to isoniazid (INH), rifampin (RIF), ethambutol (EMB), and streptomycin (STR) were 98.4, 98.4, 95.3, and 100%, respectively. T uberculosis is a major public heal… Show more

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Cited by 5 publications
(2 citation statements)
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“…Concerning isolation, routine sheep blood medium sustains the isolation and growth of the vast majority of mycobacteria encountered in clinical microbiology laboratories, including M. tuberculosis, Mycobacterium avium, and Mycobacterium intracellulare (24,141,142), with the notable exception of M. leprae, which cannot be propagated outside animals (143) but can be cultured in the footpads of immunocompromised mice. In addition, sheep blood agar and sheep serum agar media have also been used to analyze in vitro susceptibility to antibiotics (144). Incubation temperature is another key factor for the successful culture of mycobacteria.…”
Section: Mycobacteriamentioning
confidence: 99%
“…Concerning isolation, routine sheep blood medium sustains the isolation and growth of the vast majority of mycobacteria encountered in clinical microbiology laboratories, including M. tuberculosis, Mycobacterium avium, and Mycobacterium intracellulare (24,141,142), with the notable exception of M. leprae, which cannot be propagated outside animals (143) but can be cultured in the footpads of immunocompromised mice. In addition, sheep blood agar and sheep serum agar media have also been used to analyze in vitro susceptibility to antibiotics (144). Incubation temperature is another key factor for the successful culture of mycobacteria.…”
Section: Mycobacteriamentioning
confidence: 99%
“…This may have been a mistake because the time to detection routinely achieved is usually longer than the 1 week reported by R. Koch. The chance observation that sheep‐blood agar supported the growth of M. tuberculosis led to a renewed interest in media containing sheep blood and recently, a sheep serum‐agar medium was reported for testing M. tuberculosis antibiotic susceptibility . We recommend that the basic R. Koch medium is not forgotten.…”
Section: R Koch's Lessonmentioning
confidence: 99%