Comparative analysis of different loop types for urine culture collection: Implications for quantitative bacterial growth and culture results

Diagn Microbiol Infect Dis. 2024 Apr;108(4):116192. doi: 10.1016/j.diagmicrobio.2024.116192. Epub 2024 Jan 24.

Abstract

We hypothesized that the loop material and size could affect the results of the culture when compared to the calibrated pipette. A total of 484 urine samples were included in the study, and each sample was plated by using different loop types and the calibrated pipette. The bacterial counts per milliliter were calculated and compared, with a focus on the important cutoff values of 10³ and 10⁴ CFU/ml for further identification. When considering the 10³ CFU/ml as cutoff value, 1 µl and 10 µl plastic loops gave the highest sensitivity (86.8 %), whereas the 10 µl metal loop had the lowest sensitivity (64.2 %). For the 10⁴ CFU/ml cutoff value, 1 µl plastic loop inoculation demonstrated the highest sensitivity (75.9 %), while the 10 µl metal loop provided the lowest sensitivity (26.5 %). These results suggest that the single use plastic loops are functional, sensitive, useful especially for critical sample.

Keywords: Loop; Quantitative analysis; Urine culture.

MeSH terms

  • Bacterial Load
  • Humans
  • Sensitivity and Specificity
  • Urinalysis
  • Urinary Tract Infections* / microbiology
  • Urine / microbiology
  • Urine Specimen Collection