Liofilchem® Middlebrook 7H11 + Amikacin, 8.5mL

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Specifications:
Application Microbiology
Storage Temperature 2-8°C
Product Type Culture Medium Forms Liquid
Product Brand Liofilchem
Product Grade Microbiology grade

Middlebrook 7H11 + Drug is a solid, agar-based medium designed for susceptibility testing of Mycobacterium spp., particularly Mycobacterium tuberculosis. The medium contains specific anti-tuberculous drugs and is ideal for assessing drug resistance directly from clinical specimens. Compared to egg-based media like Lowenstein formulations, Middlebrook 7H11 demonstrates enhanced performance due to reduced drug inactivation.

Features and Benefits

  1. Agar-Based Medium:
    • Promotes superior drug susceptibility testing compared to coagulated egg-based media.
    • Enhanced viability and growth of M. tuberculosis, especially for fastidious strains.
  2. Comprehensive Composition:
    • Nutrients: Pancreatic digest of casein, glutamic acid, and glucose provide nitrogen, vitamins, and energy.
    • Selective Agents: Malachite green inhibits contaminants while protecting pH.
    • Stabilizers: Catalase and albumin safeguard bacilli from toxic agents.
    • Growth Enhancers: Oleic acid supports fatty acid metabolism.
  3. Specific Drug Inclusion:
    • Available with various anti-tuberculous drugs at precise concentrations to assess resistance.
  4. Improved Diagnostic Accuracy:
    • Enables clear interpretation of drug resistance in Mycobacterium tuberculosis complex (MTBC).
  5. Compliance with Standards:
    • Recommended by CLSI and CDC for tuberculosis susceptibility testing.

Composition

ComponentConcentration (g/l or ml/l)
Pancreatic Digest of Casein1.0
L-Glutamic Acid0.5
Sodium Citrate0.4
Pyridoxine Hydrochloride1.0
Biotin0.0005
Ferric Ammonium Citrate0.04
Ammonium Sulfate0.5
Disodium Phosphate1.5
Monopotassium Phosphate1.5
Magnesium Sulfate0.05
Malachite Green1.0
Agar15.0
Glycerol5 ml
Sodium Chloride0.85
Glucose2.0
Bovine Albumin (Fraction V)5.0
Catalase0.003
Oleic Acid0.06 ml
Anti-Tuberculous DrugVaries based on type
pH6.6 ± 0.2

Available Drug Formulations

Drug TypeConcentrationPackaging (10 x 8.5 ml tubes)Ref.
Amikacin2 µg/mlSlant tubes37001
Amikacin4 µg/mlSlant tubes37002
Ethambutol7.5 µg/mlSlant tubes37006
Ethionamide10 µg/mlSlant tubes37011
Isoniazid0.2 µg/mlSlant tubes37016
Rifampicin1 µg/mlSlant tubes37041

(Refer to full product list in "Presentation" for additional formulations.)

Test Procedure

  1. Prepare Inoculum:
    • Use freshly grown Mycobacterium tuberculosis from Middlebrook 7H9 Broth.
  2. Inoculate Media:
    • Inoculate drug-free control (Middlebrook 7H11 Agar) alongside drug-containing media.
  3. Incubation:
    • Shield plates and tubes from light.
    • Incubate at 37 ± 1°C in 5-10% CO₂ for up to 3 weeks.
  4. Observation:
    • Monitor weekly for growth and interpret results following CLSI/CDC guidelines.

Quality Control

MicroorganismExpected Growth
Mycobacterium tuberculosis H37RaInhibited

Storage and Shelf Life

  • Storage Conditions: 2-8°C, shielded from light.
  • Shelf Life: 4 months from the date of production.

Applications

  • Drug resistance testing of Mycobacterium tuberculosis.
  • Research and clinical diagnostics in tuberculosis management.
  • Differentiation of susceptible and resistant MTBC strains.

Ordering Information

Product DescriptionRef.Packaging
Middlebrook 7H11 + Amikacin 2 µg/ml3700110 x 8.5 ml tubes
Middlebrook 7H11 + Rifampicin 1 µg/ml3704110 x 8.5 ml tubes
Middlebrook 7H11 + Ethambutol 7.5 µg/ml3700610 x 8.5 ml tubes

  • Drug Concentration:   Amikacin 2 µg/mL Amikacin 4 µg/mL Ethambutol 7.5 µg/mL Ethionamide 10 µg/mL Isoniazid 0.2 µg/mL Isoniazid 1 µg/mL Kanamicin 6 µg/mL p-Aminosalycilic acid 8 µg/mL Pyrazinamide 25 µg/mL Rifabutin 1 µg/mL Rifampicin 1 µg/mL Streptomycin 2 µg/mL Ofloxacin 2 µg/mL Cycloserine 30ug/mL


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