Improved detection of non-tuberculous mycobacteria in hospital water samples - 05/08/21
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Highlights |
• | Filtration is an effective means of concentrating the NTM presented in water samples (at least 81% of recovery). |
• | CPC is more preservative for NTM than NaOH as a means of decontaminating water samples with mesophilic bacteria. |
• | CPC at 0.005% combined with filtration followed by culture onto Middlebrook (7H10) media at 30̊C appears to be a suitable protocol for recovery of NTM in hospital water samples during investigation of healthcare-associated infections. |
Abstract |
Non-tuberculous mycobacteria (NTM) are opportunistic pathogens commonly colonizing hospital water systems, and may be responsible for healthcare-associated infections (HAI). Investigation of HAI and outbreaks caused by NTM necessitates water analyses. However, NTM are slow-growing bacteria within the mesophilic community present in water, and are difficult to detect. Prior to culture on specific media, their recovery usually requires decontamination and concentration steps. We assessed the effectiveness of filtration as regards the recovery of 7 NTM species in hospital water samples. We also compared the use of cetylpyridinium chloride (CPC) at different concentrations and Sodium Hydroxide (NaOH) 4% in decontamination of water samples with mesophilic bacteria. Our laboratory protocol showed that membrane filtration was suitable for concentration and recovery of NTM from water. Sample decontamination with CPC was more NTM-preservative than NaOH. A combination of CPC at 0.005% and filtration allowed detection of NTM at low concentrations, ranging from 3 to 98 CFU/100mL according to the NTM species.
Le texte complet de cet article est disponible en PDF.Keywords : Mycobacterium chimaera, Cetylpyridinium chloride, Decontamination, Water safety, Healthcare-associated infections
Plan
Vol 51 - N° 5
P. 488-491 - août 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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