Does anyone have an efficient protocol to decontaminate tissue specimens (lung, liver, gut, ...) for mycobacteria culture? We have tried 2 published ones but we still have some contaminants in our media. Any advices ?
We use NaOH for 15 minutes followed by an indicator buffer to bring the specimen back to pH 7 once decontaminated. We find that if the tissue is cut up finely enough with a scalpel (under strict safety protocols), the specimen will be sufficiently decontaminated. However, you will always have a number of specimens that are grossly contaminated with bacteria/fungus that will need re-decontamination at some point. The BD MGIT medium enriches for all organisms unfortunately (I assume you are using the MGIT 960 system). We re-decontaminate for 30 minutes if required. The timing of decontamination is a fine balance between killing all organisms (including the mycobacteria) and just killing the bacteria/fungus (and keeping the mycobacteria alive).
You could add antibiotic mixture which can kill bacteria / fungus but not inhibit M.tb growth, the final concentration we used is as the following: 40 U/ml polymyxin B, 4 mg/ml amphotericin, 50 mg/ml carbenicillin, 2 mg/ml trimethoprim.
We used PANTA before, but it's time to order it. We are processing those tissus for research project to describe M. xenopi infection in birds (that is rarely reported). I am aware of treating with NaOH for more time to overkill mycobacteria since M. xenopi grows slowly. Thank you