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Also, add sterile calf serum 100 ml

Mix the above carefully and distribute, under sterile conditions, in 10 ml amounts.

Check sterility by overnight incubation at 37

o

C and store in the cold.

5. CULTURE BY SOLID CULTURE METHODS

5.1CSF and pericardial fluid

Smear:

1. Label a clean dry slide with the lab number and place the slide and the

sample container inside the cabinet

2. Mix well and aseptically remove one loopful of the fluid and place in the

centre of the slide; close the container and allow the drop to air-dry

3. Place one more drop of the CSF on the same spot and let dry.

4. Place the third drop after processing the sample as below:

Culture:

Culture of CSF is done in two steps:

1. Direct inoculation in media 2. Inoculation after decontamination

Direct

1. Place one loopful of CSF on to one slope each of LJ and LJ-P

2. Add 0.2 ml of CSF in to one bottle containing SK medium

3.

Decontamination

1. Add 1ml of 5% H

2

SO

4

to CSF

2. Mix well and let stand for 15 minutes

3. Fill the container with sterile distilled water and centrifuge at 3000 x g for

15 minutes

4. Aspirate the supernatant carefully without disturbing the deposit or discard

carefully in to a disinfectant bin containing 5% phenol or any other

mycobactericidal solution

5. Inoculate one slope each of LJ and LJ-P with one loopful of deposit for

each slope

6. Transfer the remaining deposit in to one bottle of SK

7.

8. Incubate both set A and B at 37

o

C

5.2 BAL

1. Make a direct smear

2. Process using 5% H

2

SO

4

as in CSF

3.

Inoculate two slopes each of

LJ and LJ-P with one loopful of deposit using

5mm twisted wireloop

4. Transfer the remaining deposit in to one bottle of SK

5. Incubate the slopes and SK medium at

37

o

C

146