MIDDLEBROOK AGAR CAT Nº: 2043 For the isolation and cultivation of Micobacteria, used with the ENRICHMENT OADC SUPPLEMENT FORMULA IN g/l Disodium Phosphate 1.50 Pyridoxine 1.0 mg Monopotassium Phosphate 1.50 Zinc Sulfate 1.0 mg Ammonium Sulfate 0.50 Cooper Sulfate 1.0 mg L-Glutamic Acid 0.50 Biotin 0.5 mg Sodium Citrate 0.40 Calcium Chloride 0.5 mg Magnesium Sulfate 0.025 Malaquite Green 250 µg Ferric Ammonium Citrate 0.04 Bacteriological Agar 15.00 Final pH 6.6± 0.2 at 25ºC PREPARATION Suspend 19 grams of the medium in 900 ml of distilled water. Add 5 ml of Glycerol. Mix well and dissolve by heating with frequent agitation. Boil for one minute until complete dissolution. Sterilize in autoclave at 121ºC for 10 minutes. Cool to 45-50ºC and aseptically add one 100 ml flask of the Enrichment Supplement OADC (Cat. 6037). Homogenize gently and dispense in Petri plates. The prepared medium should be stored at 8-15°C. The color is light amber, slightly opalescence. The dehydrated medium should be homogeneous, free-flowing and beige in color. If there are any physical changes, discard the medium. ENRICHMENT OADC SUPPLEMENT (Cat. 6037) (Composition: each flask for one liter of medium) Sodium Chloride……………………8.5 g Bovine Albumin Fraction V…… 50 g Dextrose………………………………20 g Catalase……………………………….0.03 g Oleic Acid……………………………..0.6 ml USES MIDDLEBROOK AGAR can be used when supplemented with glycerol, Bovine Albumin Fraction V, dextrose, catalase and Oleic Acid to cultivate and isolate a wide variety of Mycobacteria, including M.tuberculosis, excepting M.bovis that is inhibited by glycerol. Inorganic salts provide substances essential for the growth of Mycobacteria. Sodium citrate, when converted to citric acid, serves to hold certain inorganic cations in solution. Albumin neutralizes toxic products that form during the development of the organisms. Catalase catalyzes the decomposition of hydrogen peroxide to water and oxygen. Dextrose is is the fermentable carbohydrate providing carbon and energy. Sodium chloride supplies essential electrolytes for transport and osmotic balance. Supplementation with glycerol enhances the growth of mycobacteria.Bacteriological Agar is the solidifying agent. M. fortuitum, M. fortuitum and M. kansasii grow on this medium while most other mycobacteria strains are inhibited. Inoculate and incubate at 35 ± 2°C under 10% of CO2, and observed after 21 days 1 LABORATORIOS CONDA, S.A. www.condalab.com MICROBIOLOGICAL TEST The following results were obtained in the performance of the medium, with glycerol and the Enrichment OADC Supplement, after incubation at a temperature of 35 ± 2°C under 10% of CO2, and observed after 21 days Microorganisms Mycobacterium tuberculosis H37RV Mycobacterium fortuitum ATCC 6841 Mycobacterium kansasii ATCC 12478 Growth Good Good Good BIBLIOGRAPHY Middlebrook, G., M. L. Cohn, W. B. Dye, W. B. Russell, Jr., and D. Levy. 1960. Microbiologic procedures of value in tuberculosis. Acta. Tubercul. Scand., 38:66. Cohn, M. L., R. F. Waggoner, and J. K. McClatchy. 1968. The 7H11 Medium for the cultivation of mycobacteria. Am. Rev. Resp. Dis., 98:295. Tenover, F. C., J. T. Crawford, R. E. Huebner, L. J. Geiter, C. R. Horsburgh, Jr., and R. C. Good. 1993. The resurgence of tuberculosis: is your laboratory ready. J. Clin. Microbiol. 31:767-770. Isenberg, H. D. (ed.). 1994. Clinical microbiology procedures handbook. Chelikani P, Fita I, Loewen PC (January 2004). "Diversity of structures and properties among catalases". Cell. Mol. Life Sci. 61 (2): 192– 208. doi:10.1007/s00018-003-3206-5. PMID 14745498. STORAGE 25ºC Once opened keep powdered medium closed to avoid hydration. 2ºC 2 LABORATORIOS CONDA, S.A. www.condalab.com