Evaluating decontamination protocols for the isolation of Mycobacterium ulcerans from swabs

BMC Microbiol. 2017 Jan 5;17(1):2. doi: 10.1186/s12866-016-0918-x.

Abstract

Background: Mycobacterium ulcerans (M. ulcerans) is the causative agent of Buruli Ulcer (BU) disease. In order to inhibit the growth of the microbial contaminants during culture of M. ulcerans, it is necessary to decontaminate BU samples with effective chemical agents. This study aimed at investigating some selected chemicals as potential decontamination agents for the isolation of M. ulcerans from swabs.

Results: Povidone iodine at 0.5 and 1% exhibited the lowest contamination and recovery rate for microbial contaminants and M. ulcerans. The most effective decontamination method was the protocol using 2% cetylpyridinium chloride/4% sodium chloride (recovery rate = 53%, contamination rate = 14%). The observed difference between the recovery rate of 2% CPC/4% NaC and the other protocols was however not statistically significant (p = 0.76).

Conclusions: Two percent (2%) cetylpyridinium chloride/4% sodium chloride can be conveniently used as an alternative decontamination method for the isolation of M. ulcerans from swabs.

Keywords: Buruli ulcer; Cetyl pyridinium chloride; Decontamination; Ghana; Mycobacterium ulcerans; Oxalic acid.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Infective Agents / pharmacology*
  • Bacteriological Techniques
  • Buruli Ulcer / microbiology
  • Cetylpyridinium / pharmacology
  • Decontamination / methods*
  • Ghana
  • Humans
  • Microbial Sensitivity Tests
  • Mycobacterium ulcerans / drug effects*
  • Mycobacterium ulcerans / growth & development
  • Mycobacterium ulcerans / isolation & purification*
  • Oxalic Acid / pharmacology
  • Povidone-Iodine / pharmacology
  • Sodium Chloride / pharmacology

Substances

  • Anti-Infective Agents
  • Sodium Chloride
  • Povidone-Iodine
  • Oxalic Acid
  • Cetylpyridinium