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Evaluation of three swab transport systems for the maintenance of clinically important bacteria in simulated mono- and polymicrobial samples
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Bacteriology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Bacteriology.
2011 (English)In: Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS), ISSN 0903-4641, E-ISSN 1600-0463, Vol. 119, no 3, 198-203 p.Article in journal (Refereed) Published
Abstract [en]

In this study, three swab transport systems were evaluated: M40 Transystem, Amies broth with a relatively new type of swab (both Copan Diagnostics, Corona, CA, USA), and SSI transportmedium (Statens Serum Institut, Copenhagen Denmark). The CLSI M40-A standard procedures and 11 culture collection strains were used. The transport systems were tested at room temperature for holding times of 0, 24, and 48 h, and both mono- and polymicrobial samples were included. After 24 h of simulated transportation, all systems were able to maintain the viability of all organisms tested. SSI transportmedium exhibited the lowest maintaining ability, whereas the two Copan systems were the most growth-promoting system. In polymicrobial samples, this latter feature was a problem. At 48 h, no transport system could maintain the viability of all strains, and the recovery rates differed depending on organism and device. The species most difficult to recover in all the three systems was Neisseria gonorrhoeae. When selecting a swab transport system, consideration must be given to the sample type, the conditions that prevail locally, and the performance in the clinical setting.

Place, publisher, year, edition, pages
2011. Vol. 119, no 3, 198-203 p.
Keyword [en]
Transportation, swab, fastidious bacteria, polymicrobial samples, Neisseria gonorrhoeae
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:uu:diva-149062DOI: 10.1111/j.1600-0463.2010.02710.xISI: 000286838400005PubMedID: 21284737OAI: oai:DiVA.org:uu-149062DiVA: diva2:403775
Available from: 2011-03-15 Created: 2011-03-15 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Survival of infectious agents and detection of their resistance and virulence factors
Open this publication in new window or tab >>Survival of infectious agents and detection of their resistance and virulence factors
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In the first study, three different transport systems for bacteria were evaluated. The CLSI M40-A guideline was used to monitor the maintenance of both mono- and polymicrobial samples during a simulated transportation at room temperature that lasted 0-48 h. All systems were able to maintain the viability of all organisms for 24 h, but none of them could support all tested species after 48 h.  The most difficult species to recover was Neisseria gonorrhoeae, and in polymicrobial samples overgrowth was an observed problem. The aim of the second study was to study the presence of TSST-1 and three other important toxin genes in invasive isolates of Staphylococcus aureus collected during the years 2000-2012 at two tertiary hospitals. The genes encoding the staphylococcal toxins were detected by PCR, and whole-genome sequencing was used for analyzing the genetic relatedness between isolates. The results showed that the most common toxin was TSST-1, and isolates positive for this toxin exhibited a clear clonality independent of year and hospital. The typical patient was a male aged 55-74 years and with a bone or a joint infection. The third study was a clinical study of the effect of silver-based wound dressings on the bacterial flora in chronic leg ulcers. Phenotypic and genetic silver-resistance were investigated before and after topical silver treatment, by determining the silver nitrate MICs and by detecting sil genes with PCR. The silver-based dressings had a limited effect on primary wound pathogens, and the activity of silver nitrate on S. aureus was mainly bacteriostatic. A silver-resistant Enterobacter cloacae strain was identified after only three weeks of treatment, and cephalosporin-resistant members of the Enterobacteriaceae family were relatively prone to developed silver-resistance after silver exposure in vitro. The last study was undertaken in order to develop an easy-to-use method for simulating the laundering process of hospital textiles, and apply the method when evaluating the decontaminating efficacy of two different washing temperatures. The laundering process took place at professional laundries, and Enterococcus faecium was used as a bioindicator. The results showed that a lowering of the washing temperature from 70°C to 60°C did not affect the decontamination efficacy; the washing cycle alone reduced the number of bacteria with 3-5 log10 CFU, whereas the following tumble drying reduced the bacterial numbers with another 3-4 log10 CFU, yielding the same final result independent of the washing temperature. To ensure that sufficient textile hygiene is maintained, the whole laundering process needs to be monitored. The general conclusion is that all developmental work in the bacterial field requires time and a large strain collection.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2015. 48 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1098
Keyword
Transportation system; swab; polymicrobial samples; Neisseria gonorrhoeae; bacteremia; exotoxins; Staphylococcus aureus; TSST-1; silver; silver resistance; wound dressing; sil genes; laundry; tumble drying; bacterial decontamination
National Category
Clinical Laboratory Medicine
Identifiers
urn:nbn:se:uu:diva-248786 (URN)978-91-554-9232-8 (ISBN)
Public defence
2015-05-28, Hörsalen, Klinisk Mikrobiologi, Dag Hammarskjöldsväg 17, Ing D1, Uppsala, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2015-05-05 Created: 2015-04-08 Last updated: 2015-07-07

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Tano, EvaMelhus, Åsa

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