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Br J Ophthalmol 86:1422-1427 doi:10.1136/bjo.86.12.1422
  • Original Article
    • Laboratory science

Sensitivity and rapidity of blood culture bottles in the detection of cornea organ culture media contamination by bacteria and fungi

Table 2

Mean time to detection (hours) of residual contamination of organ culture medium by the three methods: visual, conventional and blood bottles. Of 14 bacteria initially inoculated, five were fully eradicated by the antibiotics in the organ culture medium and therefore did not appear in this table. Of the remaining nine bacteria and three fungi, only the inocula presenting residual growth after the 48 hour incubation in the organ culture medium are presented. Detection times corresponded to the interval between inoculation and detection of a change in turbidity and/or colour using the visual method and the conventional microbiological method, and to automat detection of growth using the blood bottle method. Identification of micro-organisms required each time a further 24–48 hours. All three methods detected contamination of the fungi, but the quickest results were obtained by the fungal or aerobic blood bottles

Time between inoculation and positivity (hours)
Micro-organism Inoculum Visual method (aspect of the medium) Conventional method (mean, triplicate) Blood bottle method (mean, triplicate)
No = no detection.
Methicillin resistant Staphylococcus aureus
    107 48 (turbid) 48 (48–48–48) 17.7 (19–17–17)
    105 no 80 (72–48–120) 19.3 (13–22–23)
    103 no no 36 (28–48–32)
    102 no no 39.3 (38–37–43)
Methicillin sensitive Staphylococcus aureus
    107 no no 19.7 (16–25–18)
    105 no no 37.7 (33–52–28)
Staphylococcus epidermidis
    107 24 (yellow) 24 (24–24–24) 3 (3–3–3)
    105 72 (yellow) 24 (24–24–24) 16 (21–4–23)
Staphylococcus haemolyticus
    107 no no 43.3 (38–40–52)
Pseudomonas aeruginosa
    107 24 (turbid) 24 (24–24–24) 3.3 (3–3–4)
     105 24 (turbid) 24 (24–24–24) 8.6 (7–4–15)
Acinetobacter baumannii
    107 24 (turbid) 32 (48–24–24) 5 (3–8–4)
    105 24 (turbid) 32 (48–24–24) 4 (3–4–5)
Bacillus subtilis
    107 96 (yellow) 48 (48–48–48) 13 (12–14–13)
Klebsiella pneumoniae
    107 no 48 (24–72–48) 14.7 (20–13–11)
    105 no no 20.7 (24–18–20)
Enterococcus faecalis
    107 48 (yellow) 48 (48–48–48) 14.7 (25–15–4)
    105 no no 35 (30–25–50)
Candida albicans
    107 24 (orange) 24 (24–24–24) 3 (3–3–3)
    105 24 (orange) 24 (24–24–24) 3 (3–3–3)
    103 24 (orange) 24 (24–24–24) 3 (3–3–3)
    102 24 (orange) 24 (24–24–24) 3 (4–2–3)
Candida krusei
    107 24 (yellow) 24 (24–24–24) 2.7 (2–3–3)
    105 24 (yellow) 24 (24–24–24) 3 (3–3–3)
    103 24 (yellow) 24 (24–24–24) 3 (3–3–3)
    102 24 (orange) 24 (24–24–24) 3.3 (4–3–3)
Aspergillus fumigatus
    107 48 (turbid) 24 (24–24–24) 11.3 (13–15–6)
    105 48 (turbid) 24 (24–24–24) 15.7 (17–15–15)
    103 48 (turbid) 24 (24–24–24) 20 (20–17–23)
    102 48 (turbid) 40 (24–72–24) 27.7 (17–50–16)

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