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korean j lab med 2010 30 133 7 original articleclinical microbiology doi 10 3343 kjlm 2010 30 2 133 development and evaluation of the quick anaero system a new disposable ...

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                  Korean J Lab Med 2010;30:133-7                                                             �Original Article∙Clinical Microbiology �
                  DOI 10.3343/kjlm.2010.30.2.133
                  Development and Evaluation of the Quick Anaero-system-A New Disposable
                                                                Anaerobic Culture System
                                                              1                      2                        2                           3
                                   Nam-Woong Yang, M.D. , Jin-Man Kim, M.D. , Gwang-Ju Choi, M.D. , and Sook-Jin Jang, M.D.
                                                     1                2                          3
                        Departments of Microbiology , Ophthalmology , and Laboratory Medicine , Chosun University Medical School, Gwangju, Korea
                                      Background : We developed a new disposable anaerobic culture system, namely, the Quick ana-
                                   ero-system, for easy culturing of obligate anaerobes.
                                      Methods : Our system consists of 3 components: 1) new disposable anaerobic gas pack, 2) dis-
                                   posable culture-envelope and sealer, and 3) reusable stainless plate rack with mesh containing 10
                                   g of palladium catalyst pellets. To evaluate the efficiency of our system, we used 12 anaerobic bac-
                                   teria. We prepared 2 sets of ten-fold serial dilutions of the 12 anaerobes, and inoculated these sam-
                                   ples on Luria-Bertani (LB) broth and LB blood agar plate (LB-BAP) (BD Diagnostic Systems, USA).
                                   Each set was incubated in the Quick anaero-system (DAS Tech, Korea) and BBL GasPak jar with
                                   BD GasPak EZ Anaerobe Container System (BD Diagnostic Systems) at 35-37℃ for 48 hr. The
                                   minimal inoculum size showing visible growth of 12 anaerobes when incubated in both the systems
                                   was compared.
                                      Results : The minimal inoculum size showing visible growth for 2 out of the 12 anaerobes in the
                                   LB broth and 9 out of the 12 anaerobes on LB-BAP was lower for the Quick anaero-system than in
                                                                                                       ±
                                   the BD GasPak EZ Anaerobe Container System. The mean time (           SD) required to achieve abso-
                                                                                                                   ±
                                   lute anaerobic conditions of the Quick anaero-system was 17 min and 56 sec (      3 min and 25 sec).
                                      Conclusions : The Quick anaero-system is a simple and effective method of culturing obligate
                                   anaerobes, and its performance is superior to that of the BD GasPak EZ Anaerobe Container Sys-
                                   tem. (Korean J Lab Med 2010;30:133-7)
                                      Key Words : Anaerobic bacteria, Culture techniques, Culture media
                                         INTRODUCTION                                     The cultivation of obligate anaerobes requires the rapid gen-
                                                                                          eration of an atmosphere with oxygen levels below 0.5% [1].
                    Obligate anaerobes cannot survive in the presence of oxy-                Several techniques can be used to rapidly generate anaer-
                  gen because they are deficient in the enzymes superoxide                obic atmosphere for the cultivation of anaerobes [2-4]. Ana-
                  dismutase and catalase that destroy the lethal superoxide               erobic chamber is a convenient tool for culturing anaerobic
                  radicals formed in the presence of oxygen. Therefore, obli-             organisms in large scale studies. However, it is not com-
                  gate anaerobes are very susceptible to atmospheric oxygen.              monly used in clinical microbiology laboratories because it
                  Received : June 30, 2009                Manuscript No : KJLM09-087      is not cost effective.
                  Revision received : January 29, 2010                                       It is relatively inexpensive to generate anaerobic condi-
                  Accepted : February 10, 2010                                            tions by chemical means as compared to using the expen-
                  Corresponding author : Sook Jin Jang, M.D.
                            Department of Laboratory Medicine, Research Center for        sive and bulky anaerobic chamber. Generally, several micro-
                            Resistant Cells, Chosun University Medical School, 
                            588 Seoseok-dong, Dong-gu, Gwangju 501-717, Korea             biological laboratories utilize a chemical compound to gen-
                            Tel : +82-62-220-3259 Fax : +82-62-232-2063
                            E-mail : sjbjang@chosun.ac.kr                                 erate anaerobic conditions in an anaerobic jar. Many chem-
                  *This work was financially supported by Chosun University, 2002.        ical  systems produce hydrogen and carbon dioxide from
                                                                                     133133133133
                 134                                                                              Nam-Woong Yang, Jin-Man Kim, Gwang-Ju Choi, et al.
                 tablets of sodium borohydride, sodium bicarbonate-citric              3321), Porphyromonas gingivalis (ATCC 33277), Propioni-
                 acid, etc. In Korea, the most commonly used chemical sys-             bacterium acnes (KCTC 3314), Veillonella criceti (ATCC
                 tems in clinical microbiological laboratories are disposable          17747).
                 anaerobic systems containing sodium borohydride. A vari-
                 ety of commercially available products contain sodium boro-              2. The Quick anaero-system
                 hydride systems such as Anaerobic System (Difco Labora-
                 tories, Detroit, MI, USA), Genbox anaer system (bioMerieux,              The Quick anaero-system-a new disposable anaerobic
                 Marcy-l’Etoile, France), GasGendicator system (Adams Sci-             culture system-consists of 3 components (registered with
                 entific Inc., West Warwick, RI, USA), BBL GasPak, BBL                 the Korean Intellectual Property Office; registration no. 10-
                 GasPakPlus, and BD GasPak EZ Anaerobe Container Sys-                  0791977, no. 20-0436738) (Fig. 1).
                 tems (Becton Dickinson Microbiology Systems, Cockeysville,
                 MD, USA) [5].                                                            1) Disposable anaerobic gas pack
                    However, the existing disposable anaerobic gas systems                To achieve absolute anaerobic conditions, we have de-
                 using sodium borohydride have a disadvantage that they                veloped a new disposable anaerobic gas pack (DAS Tech,
                 require more time to achieve an absolute anaerobic condi-             Gwangju, Korea). The gas pack is based on the following
                 tion [5]. Therefore, sometimes, obligate anaerobes may not            chemical principle: silica (SiO ) and sodium borohydride
                                                                                                                         2
                 grow in such conditions. Among the several systems used               (NaBH) tablets react with tap water to generate a volatile
                                                                                              4
                 for the cultivation of anaerobes, the anaerobic systems               hydride (SiH ). In contrast to other kits based on the boro-
                                                                                                     4
                 based on borohydride, including Anaerobic System (Difco               hydride system, we used SiO for rapid hydride generation.
                                                                                                                      2
                 Laboratories), GasGendicator (Adams Scientific Inc.), Gas-               The generation of the hydride was verified by inductively
                 Pak (BBL), GasPakPlus (BBL), and Genbox anaer (bioMe-                 coupled plasma-mass spectrometry (ICP-MS; Thermo Elec-
                 rieux), showed a 10-20% failure rate, wherein the system              tron Corporation, Waltham, MA, USA) by using the Spec-
                 failure was confirmed when O2 concentration in the sys-               troflame system (SPECTRO A.I. GmbH, Kleve, Germany).
                 tem was approximately 0.16% after 1 hr [5].                           The hydrogen from the volatile hydride reacts easily with
                    To overcome these problems, we developed the Quick                 oxygen in the presence of a palladium catalyst and forms
                 anaero-system for convenient and efficient anaerobic cul-             water vapor. The disposable anaerobic gas pack consists
                 ture. We evaluated the efficacy of the Quick anaero-sys-              of 2 parts. One part generates hydrogen; this part contains
                 tem using 12 anaerobes cultured in commonly used media                2 sodium borohydride tablets and silica. The second part
                 by routine aerobic manipulation methods.                              generates carbon dioxide; this part contains 1 citric acid
                                                                                       tablet and 1 sodium bicarbonate tablet. Both parts have an
                                MATERIALS AND METHODS                                  attached narrow-tipped plastic tube into which 10 mL of
                                                                                       tap water is poured when it is used.
                    1. Bacterial strains
                                                                                          2) Closed anaerobic culture unit
                    We used the following strains in our study: Bacteroides               The unit is composed of a disposable culture envelope, a
                 fragilis (ATCC 25285), Bacteroides vulgatus (KCTC 2639),              reusable rack, and a sealer (DAS Tech).
                 Bifidobacterium bifidum (KCTC 3281), Clostridium difficile
                 (KCTC 5009), Clostridium septicum (ATCC 12464), Eubac-                   3) Catalyst unit
                 terium limosum (KCTC 3266), Fusobacterium nucleatum                      We used 10 g of 0.5% palladium-coated alumina pellets
                 subsp. polymorphum (KCTC 2488), Mobiluncus mulieris                   as catalyst (Heesung Engelhard, Seoul, Korea); the pellets
                 (ATCC 35239), Peptostreptococcus asaccharolyticus (KCTC               were placed on a stainless mesh that was attached below
                                                                                                                                                   135
                 New Quick Anaero-system
                                                            1
                                                            2
                                                            3                                      1      7
                                                                                                   3      8
                                                            4                                             1
                                                                                                          4
                                                            5
                                                            6
                                                      A                                             B                                               C
                 Fig. 1. Features of the Quick anaero-system: Stacked media (A), tube (B), and fully assembled Quick anaero-system with 2 media on
                 which colony formation can be observed through disposable culture-envelope (C). The components of the Quick anaero-system and
                 consumables are indicated by numbers as follows: (1) reusable stainless plate rack with mesh containing palladium catalyst pellet; (2)
                 palladium catalyst pellet; (3) a new disposable anaerobic gas pack; (4) culture media plate; (5) reusable stainless tube rack; (6) tube; (7)
                 sealer; and (8) disposable culture-envelope.
                 the roof of the reusable rack.                                        tion, an aliquot of diluted bacterial suspension from each
                                                                                       dilution well was inoculated on the LB-BAP. Duplicate
                    3. Comparison of the efficiencies of Quick anaero-                 dilution sets were prepared. One set of bacterial dilution
                      system and BD GasPak EZ Anaerobe Container                       was incubated in the Quick-anaero system and the other
                      System in BBL GasPak jar                                         set was incubated in the BBL GasPak jar with BD GasPak
                                                                                       EZ Anaerobe Container System (Becton Dickinson Micro-
                    We isolated 12 anaerobes for this study. The samples               biology Systems). Both systems were incubated at 35-37℃
                 were retrieved from frozen stock culture by using a steril-           for 48 hr. The minimal inoculum size that showed visible
                 ized wire loop, streaked on a brain heart infusion (BHI) agar         bacterial growth for all 12 anaerobes in both the systems
                 plate (Becton Dickinson Microbiology Systems) or Luria-               was recorded. The experiment was repeated 2 times. Final-
                 Bertani blood agar plate (LB-BAP; Becton Dickinson Micro-             ly, the mean values of the test results were calculated for
                 biology Systems), and incubated under anaerobic condi-                both systems and compared.
                 tions at 37℃ for 48 hr. Next, the cells were resuspended
                 in the fresh BHI broth or LB broth and incubated under                  4. Determination of the lag time required by the Quick
                 the same conditions. The density of the organisms in the                   anaero-system to reach an oxygen-free state
                 suspension was adjusted to that of 3 McFarland standards
                 (about 109 colony forming units [CFU]/mL) by adding ster-               The lag time required by the Quick anaero-system with
                 ile normal saline. Subsequently, bacterial suspension was             10 g of palladium catalyst pellets and disposable anaerobic
                 serially diluted in 10-fold steps up to the 9th dilution (about       gas pack to reach an oxygen-free state was determined by
                 100 CFU/mL) with LB broth in 96-well microplates. In addi-            repeatedly measuring the oxygen concentration 99 times
                    136                                                                                           Nam-Woong Yang, Jin-Man Kim, Gwang-Ju Choi, et al.
                    using the PICK-O2 sensor (International Technologies Dr.                         pared to when incubated in the BD GasPak EZ Anaerobe
                    Gambert GmbH, Wismar, Germany).                                                  Container System. In contrast, 9 out of 12 anaerobes cul-
                                                                                                     tured on LB-BAP showed better growth when incubated in
                                                   RESULTS                                           the Quick anaero-system than in the BD GasPak EZ Anaer-
                                                                                                     obe Container System. Although all 12 anaerobes grew in
                       1. Comparison of the efficiencies of the Quick anaero-                        both LB broth and on LB-BAP, most bacteria showed bet-
                          system and BD GasPak EZ Anaerobe Container                                 ter growth in the LB broth than on LB-BAP.
                          System in BBL GasPak jar
                                                                                                        2. Determination of the lag time required by the Quick
                       The results of comparison of the minimal inoculum size                              anaero-system to reach an oxygen-free state
                    (CFU/mL) showing visible growth of all 12 anaerobes when
                                                                                                                                 ±
                    incubated in the Quick anaero-system and BD GasPak EZ                               The mean lag time (         SD) required for reaching an oxy-
                                                                                                                                               ±
                    Anaerobe Container System are shown in Table 1. The min-                         gen-free state was 17 min 56 sec (           3 min 25 sec). The min-
                    imal inoculum size that showed visible bacterial growth in                       imumand maximum lag time required for reaching the oxy-
                                                                 0    5
                    the LB broth was in the range of 10 -10 for the Quick an-                        gen-free state were 14 min 7 sec and 33 min 48 sec, respec-
                                             0     6
                    aero-system and 10 -10 for the BD GasPak EZ Anaerobe                             tively.
                    Container System. The dilutions inoculated on LB-BAP
                              2    6                                               0    9
                    were 10 -10 for the Quick anaero-system and 10 -10 for                              3. Deduction of the chemical formula and determining
                    the BD GasPak EZ Anaerobe Container System. The com-                                   the efficiency of palladium catalyst in the Quick
                    parison of the minimal inoculum size showing visible growth                            anaero-system
                    on the LB broth revealed 2 out of 12 anaerobes grew bet-
                    ter when incubated in the Quick anaero-system as com-                               The chemical reaction for the generation of the volatile
                                                                                                                                                   -      +
                                                                                                     hydride was deduced as follows: BH +15H +3SiO →H BO +
                    Table 1. The results of comparison of the minimal inoculum size                                                               4               2     3   4
                                                                                                     3SiH ↑+2HO. We postulated that the volatile SiH gas
                    showing visible growth of 12 anaerobes when incubated in the                           4        2                                                   4
                    Quick anaero-system and BD GasPak EZ Anaerobe Container                          generated in this reaction reacts with oxygen in the air to
                    System                                                                           yield water as follows: SiH +O →Si+2H O.
                                                                                                                                      4    2          2
                                                        Minimal inoculum size (CFU/mL)
                                                        showing visible bacterial growth
                    Bacterial species                    LB broth        LB blood agar plate                                      DISCUSSION
                                                      QAS  BD GasPak   QAS BD GasPak 
                                                                                                        It is difficult for a clinical microbiologist to set up an an-
                                                         1          1         2          7
                     Bacteroides fragilis              10        10         10        10
                                                         5          6         4          9           aerobic culture because it needs complicated culture media
                     Bacteroides vulgatus              10        10         10        10
                                                         4          6         4          7
                     Bifidobacterium bifidum           10        10         10        10             and rapid methods to reduce the lag time for achieving
                                                         0          0         3          5
                     Clostridium difficile             10        10         10        10
                                                         0          0         6          7           oxygen-free state.
                     Clostridium septicum              10        10         10        10
                                                         0          0         3          5
                     Eubacterium limosum               10        10         10        10                We developed the Quick anaero-system and evaluated
                                                         0          0         2          4
                     Fusobacterium nucleatum           10        10         10        10
                      subsp. polymorphum                                                             its efficiency based on the growth of 12 strains of obligate
                                                         0          0         2          0
                     Mobiluncus mulieris               10        10         10        10             anaerobes on commonly used LB broth or LB-BAP after
                                                         0          0         4          4
                     Peptostreptococcus                10        10         10        10
                      asaccharolyticus                                                               aerobic manipulation.
                                                         0          0         4          4
                     Porphyromonas gingivalis          10        10         10        10                The lag time to achieve an oxygen-free environment in
                                                         0          0         4          5
                     Propionibacterium acnes           10        10         10        10
                                                         0          0         4          5           the anaerobic jar may have an important effect on the via-
                     Veillonella criceti               10        10         10        10
                    Abbreviations: LB, Luria-Bertani; QAS, Quick anaero-system; BD Gas-              bility of highly sensitive anaerobes. The mean time to reach
                    Pak, BD GasPak EZ Anaerobe Container System.                                     an O2 concentration of 0.5% was 72-370 min for several
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...Korean j lab med original articleclinical microbiology doi kjlm development and evaluation of the quick anaero system a new disposable anaerobic culture nam woong yang m d jin man kim gwang ju choi sook jang departments ophthalmology laboratory medicine chosun university medical school gwangju korea background we developed namely ana ero for easy culturing obligate anaerobes methods our consists components gas pack dis posable envelope sealer reusable stainless plate rack with mesh containing g palladium catalyst pellets to evaluate efficiency used bac teria prepared sets ten fold serial dilutions inoculated these sam ples on luria bertani lb broth blood agar bap bd diagnostic systems usa each set was incubated in das tech bbl gaspak jar ez anaerobe container at hr minimal inoculum size showing visible growth when both compared results out lower than mean time sd required achieve abso lute conditions min sec conclusions is simple effective method its performance superior that sys tem k...

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