Abstract
Samples of allograft musculoskeletal tissue are cultured by bacteriology laboratories to determine the presence of bacteria and fungi. In Australia, this testing is performed by 6 TGA-licensed clinical bacteriology laboratories with samples received from 10 tissue banks. Culture methods of swab and tissue samples employ a combination of solid agar and/or broth media to enhance micro-organism growth and maximise recovery. All six Australian laboratories receive Amies transport swabs and, except for one laboratory, a corresponding biopsy sample for testing. Three of the 6 laboratories culture at least one allograft sample directly onto solid agar. Only one laboratory did not use a broth culture for any sample received. An international literature review found that a similar combination of musculoskeletal tissue samples were cultured onto solid agar and/or broth media. Although variations of allograft musculoskeletal tissue samples, culture media and methods are used in Australian and international bacteriology laboratories, validation studies and method evaluations have challenged and supported their use in recovering fungi and aerobic and anaerobic bacteria.
Similar content being viewed by others
References
Aho AJ, Hirn M, Aro HT, Heikkila JT, Meurman O (1998) Bone bank service in Finland: experience of bacteriologic, serologic and clinical results of the Turku bone bank 1972–1995. Acta Orthop 69:559–565
Baron EJ, Thomson RB Jr (2011) Specimen collection, transport and processing: bacteriology. In: Versalovic J, Carroll KC, Funke G, Jorgensen JH, Landry ML, Warnock DW (eds) Manual of clinical microbiology, 10th edn. American Society for Microbiology, Washington, DC, pp 228–271
Barrios RH, Leyes M, Amillo S, Oteiza C (1994) Bacterial contamination of allografts. Acta Orthop Belg 60:293–295
British Pharmacopoeia Commission (2012) British Pharmacopoeia, London, United Kingdom
Cartwright CP, Stock F, Gill VJ (1994) Improved enrichment broth for cultivation of fastidious organisms. J Clin Microbiol 32:1825–1826
Chiu CK, Lau PY, Chan SWW, Fong CM, Sun LK (2004) Microbial contamination of femoral head allografts. Hong Kong Med J 10:401–405
Deijkers RLM, Bloem RM, Petit PLC, Brand R, Vehmeyer SBW, Veen MR (1997) Contamination of bone allografts. Analysis of incidence and predisposing factors. J Bone Jt Surg Br 79-B:161–166
Derby P, Davies R, Oliver S (1997) The value of including broth cultures as part of a routine culture protocol. J Clin Microbiol 35:1101–1102
Dietz FR, Koontz FP, Found EM, Marsh JL (1991) The importance of positive bacterial cultures of specimens obtained during clean orthopaedic operations. J Bone Jt Surg 73:1200–1207
Farrington M, Matthews I, Foreman J, Richardson K, Caffrey E (1998) Microbiological monitoring of bone grafts: two years’ experience at a tissue bank. J Hosp Infect 38:261–271
Gibb PA (1999) Plates are better than broth for recovery of fastidious organisms from some specimen material. J Clin Microbiol 37:875
Guelich DR, Lowe WR, Wilson B (2007) The routine culture of allograft tissue in allograft tissue in anterior cruciate ligament reconstruction. Am J Sports Med 35:1495–1499
Health Outcomes International Pty Ltd. October (2009) Australian Organ and Tissue Donation and Transplantation Authority National Eye and Tissue Network Implementation Final Report—October 2009
Holman WL (1919) The value of a cooked meat medium for routine and special bacteriology. J Bacteriol 4:149–155
Hou CH, Yang RS, Hou SM (2005) Hospital-based allogenic bone bank—10-year experience. J Hosp Infect 59:41–45
Ibrahim T, Stafford H, Esler CAN, Power RA (2004) Cadaveric allograft microbiology. Int Orthop 28:315–318
Ivory JP, Thomas JP (1993) Audit of a bone bank. J Bone Jt Surg 75-B:355–357
James LA, Gower A (2002) The clinical significance of femoral head culture results in donors after hip arthroplasty. J Arthroplast 17:351–358
James LA, Ibrahim T, Esler CN (2004) Microbiological culture results for the femoral head, are they important to the donor? J Bone Jt Surg 86-B:797–800
Liu JW, Chao LH, Su LH, Wang JW, Wang CJ (2002) Experience with a bone bank operation and allograft bone infection in recipients at a medical centre in southern Taiwan. J Hosp Infect 50:293–297
Meermans G, Roos R, Hopkens L, Cheyns P (2007) Bone banking in a community hospital. Acta Orthop Belg 73:754–759
Miles RS, Hood N, Bundredr J, Jeffrey G, Davies A, Collee JG (1985) The role of Robertson’s cooked meat broth in the bacteriological evaluation of surgical specimens. J Med Microbiol 20:373–378
Morris AJ, Wilson SJ, Marx CE, Wilson ML, Mirrett S, Reller LB (1995) Clinical impact of bacteria and fungi recovered only from broth cultures. J Clin Microbiol 33:161–165
Reinhold CE, Nickolai DJ, Piccinini TE, Byford BA, York MK, Brooks GF (1988) Evaluation of broth media for routine culture of cerebrospinal and joint fluid specimens. Am J Clin Pathol 89:671–674
Saegeman VSM, Lismont D, Verduyckt B, Ectors NL, Verhaegen J (2007) Comparison of microbiological culture methods in screening allograft tissue. Swab versus nutrient broth. J Microbiol Methods 10:374–378
Schubert T, Bigare′ E, Van Isacker T, Gigi J, Delloye C, Cornu O (2012) Analysis of predisposing factors for contamination of bone and tendon allografts. Cell Tiss Banking 13:421–429. doi:10.1007/s10561-011-9291-z
Scythes KD, Louie M, Simor AE (1996) Evaluation of nutritive capacities of 10 broth media. J Clin Microbiol 34:1804–1807
Segur JM, Suso S, Garcia S, Combalia A, Farinas O, Llovera A (2000) The procurement team as a factor of bone allograft contamination. Cell Tiss Banking 1:117–119
Silletti RP, Ailey E, Sun S, Tang D (1997) Microbiological and clinical value of primary broth cultures of wound specimens collected with swabs. J Clin Microbiol 35:2003–2006
Sutherland AG, Raafat A, Yates P, Hutchinson JD (1997) Infection associated with the use of allograft bone from the North East Scotland bone bank. J Hosp Infect 35:215–222
Therapeutic Goods Administration (2000) Australian Code of Good Manufacturing Practice—Human Blood and Tissues Commonwealth Department of Health & Aged Care, Canberra
Therapeutic Goods Administration (2006) TGA Guidelines for sterility testing of therapeutic goods department of health and ageing. Australian Government, Canberra
Tomford WW, Thongphasuk KJ, Mankin HJ, Feraro MJ (1990) Frozen musculoskeletal allografts: a study of the clinical incidence and causes of infection associated with their use. J Bone Jt Surg 72A:1137–1143
Van de Pol GJ, Sturm PDJ, van Loon CJ, Verhagen C, Schreurs BW (2007) Microbiological cultures of allografts of the femoral head just before transplantation. J Bone Jt Surg 89:1225–1228
Varettas K (2012) Bacteriology laboratories and musculoskeletal tissue banks in Australia. ANZ J Surg 82:775–779. doi:10.1111/j.1445-2197.2012.06145.x
Veen MR, Bloem RM, Petit PL (1994) Sensitivity and negative predictive value of swab cultures in musculoskeletal allograft procurement. Clin Orthop Relat Res 300:259–263
Vehmeyer SBW, Bloem RM, Deijker RLM, Veen MR, Petits PLC (1999) A comparative study of blood and bone marrow cultures in cadaveric bone donation. J Hosp Infect 43:305–308
Vehmeyer SBW, Slooff ARM, Bloem RM, Petits PLC (2002) Bacterial contamination of femoral head allografts from living donors. Acta Orthop Scand 73:165–170
Winn WC, Allen SD, Janda WM, Koneman EW, Procop GW, Schreckenberger PC, Woods GL (eds) (2006) Koneman’s colour atlas and textbook of diagnostic microbiology, 6th edn. Lippincott Williams & Williams, Philadelphia
Acknowledgments
The author would like to thank staff at the Australian bacteriology laboratories and tissue banks who participated in the survey.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Varettas, K. Culture methods of allograft musculoskeletal tissue samples in Australian bacteriology laboratories. Cell Tissue Bank 14, 609–614 (2013). https://doi.org/10.1007/s10561-012-9361-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10561-012-9361-x