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Ali J, Joshi M, Ahmadi A, Strætkvern KO, Ahmad R. Increased growth temperature and vitamin B12 supplementation reduces the lag time for rapid pathogen identification in BHI agar and blood cultures. F1000Res 2023; 12:131. [PMID: 37122874 PMCID: PMC10133824 DOI: 10.12688/f1000research.129668.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/24/2023] [Indexed: 04/05/2023] Open
Abstract
Background: Rapid diagnostics of pathogens is essential to prescribe appropriate antibiotic therapy. The current methods for pathogen detection require the bacteria to grow in a culture medium, which is time-consuming. This increases the mortality rate and global burden of antimicrobial resistance. Culture-free detection methods are still under development and are not common in the clinical routine. Therefore, decreasing the culture time for accurately detecting infection and resistance is vital for diagnosis. Methods: This study investigated easy-to-implement factors (in a minimal laboratory set-up), including inoculum size, incubation temperature, and additional supplementation (e.g., vitamin B12 and trace metals), that can significantly reduce the bacterial lag time (tlag). These factors were arranged in simple two-level factorial designs using Gram-positive cocci (Staphylococcus aureus), Gram-positive bacilli (Bacillus subtilis), and Gram-negative bacilli (Escherichia coli and Pseudomonas aeruginosa) bacteria, including clinical isolates with known antimicrobial resistance profiles. Blood samples spiked with a clinical isolate of E. coli CCUG 17620 (Culture Collection University of Gothenburg) were also tested to see the effect of elevated incubation temperature on bacterial growth in blood cultures. Results: We observed that increased incubation temperature (42°C) along with vitamin B12 supplementation significantly reduced the tlag (10 – 115 minutes or 4% - 49%) in pure clinical isolates and blood samples spiked with E. coli CCUG17620. In the case of the blood sample, PCR results also detected bacterial DNA after only 3h of incubation and at three times the CFU/mL. Conclusion: Enrichment of bacterial culture media with growth supplements such as vitamin B12 and increased incubation temperature can be a cheap and rapid method for the early detection of pathogens. This proof-of-concept study is restricted to a few bacterial strains and growth conditions. In the future, the effect of other growth conditions and difficult-to-culture bacteria should be explored to shorten the lag phase.
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Affiliation(s)
- Jawad Ali
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Mukund Joshi
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Asal Ahmadi
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Knut Olav Strætkvern
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Rafi Ahmad
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
- Institute of Clinical Medicine, UiT - The Arctic University of Norway, Tromsø, Norway
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Ali J, Joshi M, Ahmadi A, Strætkvern KO, Ahmad R. Increased growth temperature and vitamin B12 supplementation reduces the lag time for rapid pathogen identification in BHI agar and blood cultures. F1000Res 2023; 12:131. [PMID: 37122874 PMCID: PMC10133824 DOI: 10.12688/f1000research.129668.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/18/2023] [Indexed: 02/05/2023] Open
Abstract
Background: The rapid diagnostics of pathogens is essential to prescribe appropriate and early antibiotic therapy. The current methods for pathogen detection require the bacteria to grow in a culture medium, which is time-consuming. This increases the mortality rate and the global burden of antimicrobial resistance. Culture-free detection methods are still under development and are not used in the clinical routine. Therefore decreasing the culture time for accurate detection of infection and resistance is vital for diagnosis. Methods: In this study, we wanted to investigate easy-to-implement factors (in a minimal laboratory set-up), including inoculum size, incubation temperature, and additional supplementation (e.g., vitamin B12 and trace metals), that can significantly reduce the lag time (tlag). These factors were arranged in simple two-level factorial designs using Gram-positive (Escherichia coli and Pseudomonas aeruginosa) and Gram-negative (Staphylococcus aureus and Bacillus subtilis) bacteria, including clinical isolates with known antimicrobial resistance profiles. Blood samples spiked with a clinical isolate of E. coli CCUG17620 were also tested to see the effect of elevated incubation temperature on bacterial growth in blood cultures. Results: We observed that increased incubation temperature (42°C) along with vitamin B12 supplementation significantly reduced the tlag (10 – 115 minutes or 4% - 49%) in pure clinical isolates and blood samples spiked with E. coli CCUG17620. In the case of the blood sample, PCR results also detected bacterial DNA after only 3h of incubation and at three times the CFU/mL. Conclusions: Enrichment of bacterial culture media with growth supplements such as vitamin B12 and increased incubation temperature can be a cheap and rapid method for the early detection of pathogens. This is a proof-of-concept study restricted to a few bacterial strains and growth conditions. In the future, the effect of other growth conditions and difficult-to-culture bacteria should be explored to shorten the lag phase.
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Affiliation(s)
- Jawad Ali
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Mukund Joshi
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Asal Ahmadi
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Knut Olav Strætkvern
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
| | - Rafi Ahmad
- Department of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway
- Institute of Clinical Medicine, UiT - The Arctic University of Norway, Tromsø, Norway
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MacLeod RA, MacLeod PR, Berthelet M. On the origin of variants of the marine bacteriumDeleya aesta134 able to grow at low Na+concentration. Can J Microbiol 1997. [DOI: 10.1139/m97-126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Deleya aesta 134 grows optimally at 200 mM Na+in a chemically defined medium but at 10 mM Na+only after an extended lag period which was reduced if the cells that grew were reinoculated into medium of the same low Na+concentration. Cells that eventually grew at low Na+formed colonies on agar containing 17 mM Na+in the agar supernatant (the liquid released when the agar was compacted). Cells of the parent failed to form colonies at this Na+concentration when 102cells were plated. Colonies that formed on low Na+agar differed in appearance from colonies of the parent and three colony types were distinguished. When 106cells of D. aesta grown in liquid medium containing optimum Na+were spread on plates containing 17 mM Na+, a few variant colonies first appeared on day 4 and then increased in numbers over a 20-day period. In nine similar cultures the yield of colonies varied over a 3-log range. Fluctuation tests applied to the numbers arising from the similar cultures after different periods of incubation of the plates showed that the ratio of the variance to the mean was much greater than one initially and then increased with time. A total of seven different variants were isolated. These could be distinguished by the colony type formed, the length of the lag time preceding the first appearance of colonies, and the rate of colony accumulation on low (and in one case, high) Na+plates. The variants retained their distinctive characteristics when replated at low Na+after growth at optimum Na+. Differences in lag time and rate of colony accumulation were related to differences in Na+requirement of the variants and to the presence of other colonies on the plates. The variants appear to arise as the result of random mutations in the growing culture. There was no evidence of adaptive mutation.Key words: Deleya aesta, marine bacteria, variants, Na+response, colony accumulation, adaptive mutation.
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Goudie ED, Gow JA. The taxonomic significance of the growth response to Na+by strains ofVibrio. Can J Microbiol 1995. [DOI: 10.1139/m95-128] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Eighty regional Vibrio strains were studied for their growth responses at 13 Na+concentrations. Using a chemically defined plating medium, together with a multipoint inoculation technique, approximately 45% of the strains showed a specific growth requirement for Na+. The remaining strains grew, with a lag period, on the basal medium that contained about 2 mM background Na+. Based on the growth responses to Na+, a numerical analysis was used to explore differences between the strains. A dendrogram was produced in which the strains were grouped into four major clusters. At an equivalent level of similarity the cluster composition was not significantly different from that shown in a second dendrogram that was based on standard tests recommended in the 9th edition of Bergey's Manual of Determinative Bacteriology. The study showed that, over a range of concentrations, the growth response to Na+was taxonomically significant for Vibrio strains.Key words: Vibrio, marine bacteria, Na+requirement, growth response.
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Role of Na+ in growth, respiration and membrane transport in the marine bacterium Pseudomonas doudoroffii 70. Arch Microbiol 1989. [DOI: 10.1007/bf00277543] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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