Table 2. Campylobacter-specific laboratory practices for 107 Pennsylvania laboratories performing testing of stool specimens, 2009*.
Laboratory practice/method | No. (%) laboratories |
---|---|
Included in routine testing | 104 (97.2) |
Special request culture | 1 (0.9) |
Culture plus antigen testing | 1 (0.9) |
Perform culture on positive antigen assay | 2 (1.9) |
Campylobacter antigen testing only | 17 (15.8) |
Culture broth enrichment usage | |
Yes (9 Campy-Thio, 1 GNB, 4 unspecified) | 14 (13.1) |
No | 89 (83.2) |
No response | 4 (3.7) |
Length of Incubation, h | |
24 | 1 (<1) |
48 | 64 (59.8) |
72 | 33 (30.8) |
No response | 9 (8.4) |
Type of medium used for Campylobacter culture | |
Campy-BAP | 65 (60.7) |
CVA | 30 (27.8) |
Skirrow | 2 (1.9) |
CSM | 2 (1.8) |
CCDA or mCCDA | 0 |
Not specified or not cultured | 8 (7.5) |
Temperature used for culture, °C | |
37 | 3 (2.8) |
42 | 96 (89.7) |
Not specified | 8 (7.5) |
Atmosphere used for culture | |
Microaerobic, 5% O2 | 96 (89.7) |
10% CO2 | 1 (0.9) |
Both | 1(0.9) |
Not specified | 9 (8.4) |
Tests used for identification of Campylobacter spp. | |
Gram stain | 96 (89.7) |
Oxidase | 92 (86) |
Catalase | 70 (65.4) |
Hippurate hydrolysis | 51 (47.7) |
Naladixic acid/cephalothin disk identification | 21 (19.6) |
Indoxyl acetate | 7 (6.5) |
Send to a reference laboratory | 6 (5.6) |
Other, not specified | 33 (30.8) |
Performs susceptibility testing | 4 (3.7) |
*Campy-Thio, Campylobacter thioglycollate broth; GNB, gram-negative broth; Campy-BAP, Campylobacter blood agar plates; CVA, cefoperazone-vancomycin-amphotericin; CSM, charcoal-based selective medium; CCDA, charcoal-cefoperazone-deoxycholate agar; mCCDA, modified CCDA.