533559183 Document type: SOP Document code: TB 05-05 MYCOBACTERIAL SUSPENSIONS AND VIABLE COUNT PROCEDURE Confidentiality: none TABLE OF CONTENTS 1. PURPOSE ...................................................................................................................... 2 2. SCOPE ........................................................................................................................... 2 3. RESPONSIBILITIES ...................................................................................................... 2 4. CROSS-REFERENCES ................................................................................................. 2 5. PROCEDURES .............................................................................................................. 2 5.1. Reagents and equipment required .............................................................................................. 2 5.2. Preparation of suspensions from solid cultures ........................................................................... 3 5.3. Determining the viable count of mycobacterial suspensions ...................................................... 3 6. REFERENCES ............................................................................................................... 3 7. CHANGE HISTORY ....................................................................................................... 4 This SOP template has been developed by FIND for adaption and use in TB laboratories Release date: ddMMMyy Page 1 of 4 533559183 1. PURPOSE This SOP describes the techniques of preparing mycobacterial suspensions and performing viable counts. Standardized suspensions of mycobacteria, particularly M. tuberculosis, are routinely prepared for experimental purposes and for preparation of inoculated sputum, where it is important to estimate the approximate viable count of the input suspension so that performance of diagnostic tests can be evaluated in advance of viable count data. Viable counts are routinely performed to determine the number of viable organisms in a suspension. 2. SCOPE This SOP relates to all procedures involving preparation of mycobacterial suspensions for experimental purposes in the ________________TB Laboratory. Viable counts must be performed on all mycobacterial suspensions prepared for experimental purposes, unless stated otherwise in specific SOPs. 3. RESPONSIBILITIES All staff members working in the ____________TB Laboratory are responsible for the implementation of this operating procedure. All users of this procedure who do not understand it or are unable to carry it out as described are responsible for seeking advice from their supervisor. 4. CROSS-REFERENCES See: Document Matrix_TB 01-01_V1.0.doc Location: 5. PROCEDURES 5.1. Reagents and equipment required 1µL disposable loop Middlebrook 7H9 medium or phosphate buffer pH 6.8 Sterile glass ‘bijou’ bottle ≥3 mm diameter glass beads Vortex mixer Timer 0.5 McFarland Standard Middlebrook 7H11 agar plates Plastic bags Page 2 of 4 533559183 5.2. Preparation of suspensions from solid cultures Take a 1µL (one microlitre) loopful of mycobacterial culture from Löwenstein Jensen (LJ) or Middlebrook 7H11 media (no antibiotic present) using a sterile loop. Fresh cultures (cultures aged up to 2 weeks from positive confirmation of M. tuberculosis (that have been stored at room temperature or 37°C) should be used. Add the fresh growth to 5ml of Middlebrook 7H9 medium in a sterile screw cap bottle containing 6-8 glass beads. Vortex for 15-20 seconds to homogenize the suspension. Allow any large clumps to settle by standing for 10-15 minutes. The supernatant will be used as the test suspension. Adjust the concentration of the supernatant to 0.5 McFarland Standard (0.5 mL 1% Barium Sulfate in 99.5 mL 1% Sulphuric acid) by visualization. Use 7H9 medium to dilute if the supernatant is too concentrated, or add more growth if the supernatant turbidity is too low. A 0.5 McFarland standard suspension corresponds to approximately 107 cfu/ml for M. tuberculosis and M. kansasii and 108 cfu/ml for other mycobacteria (and other bacteria). Dilute the suspension according the requirements of the particular experiment. 5.3. Determining the viable count of mycobacterial suspensions Dilute the suspension by a series of 1:10 dilutions (0.1 mL of the suspension into 0.9ml 7H9 medium) until an expected concentration of 102 cfu/mL is obtained. Mix each dilution by several inversions. Prepare 7H11 agar plates. Use: Media Preparation_TB 02-09_V1.0.doc Location: Inoculate two 7H11 plates each with 0.5 ml of each appropriate dilution. Calculate the dilutions expected to give between 20 and 300 colonies on the plate, and include at least one dilution either side to ensure that a countable number of colonies will be obtained Allow the plates to dry in the biological safety cabinet. Seal the plates in a plastic bag, and incubate inverted at 37°C for up to 8 weeks. Check for the presence of growth on a weekly basis. After incubation, count the number of colonies on each plate. Plates should yield 20-300 colonies. Add the number of colonies from each dilution with between 20 and 300 colonies together (mean colony count). Determine the viable count (cfu/ml) by using the following formula: Viable count (cfu/ml) = 6. mean colony count x 100 dilution factor REFERENCES Kent P.T., and G.P. Kubica. 1985. Public Health Mycobacteriology. A Guide for the Level III Laboratory. U.S. Department of Health and Human Services, Centers for Disease Control, Altlanta, GA. Isenberg H.D. (Ed.). Clinical Microbiology Procedures Handbook. Second edition. NY Page 3 of 4 533559183 7. CHANGE HISTORY New version # / date Old version # / date No. of changes Description of changes Source of change request Page 4 of 4