Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

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pISSN 2288-0585 eISSN 2288-6850

Incidence of False-Positive Cultures of Mycobacterium tuberculosis in A Microbiology Laboratory

Original article

Annals of Clinical Microbiology (Ann Clin Microbiol) 2001 June Volume 4, Issue 1, pages 1-8. 40-44

Incidence of False-Positive Cultures of Mycobacterium tuberculosis in A Microbiology Laboratory

Chulhun L. Chang, M.D., Dae Young Seo, M.D.,* Tae Hee Park, M.D., Jeong Seon Park, M.D., and Weon Joo Hwang, M.T.

Department of Clinical Pathology, Pusan National University Hospital, Pusan; Department of Clinical Pathology,* Dong-A University Hospital, Pusan, Korea

Abstract

Background: Mycobacterial false-positive cultures have rarely been recognized in Korea, even though the rate of false-positive cultures of Mycobaterium tuberculosis has ranged from 0.4% to 4.0%. We estimated the false-positive rates by the review of medical records from whom mycobacterial cultures were requested, retrospeaively, after a bout of false-positive cultures was discovered in specimens treated in a single day.

Methods : Of the total 2,245 specimens, including 337 positive cultures of mycobacteria, during the period of January and June 1999, seventy-two specimens that showed colonies less than or equal to 5 colonies were reviewed, and classified as tuberculosis-likely group, tuberculosis-unlikely group and unclassifiable group by the clinical and radiological evidences, anti-tuberculosis therapy, and microbiological results.

Results : Tuberculosis-unlikely group was 21 specimens from 20 patients, and unclassifiable group was five specimens from four patients. So, the false-positive rates were estimated as 0.91.1% of total cultures and 6.2-7.7% of positive cultures, according to excluding or including the unclassifiable group.

Conclusion: Care should be taken for lowering false-positive mycobacterial cultures. Especially when a culture turned out to be positive with low colony isolates, more careful interpretations should be preceded before reporting the results by the review of medical records and communication with physician in charge. (Korean J Clin Microbiol 2001;4:40-44)

Keywords

Mycobacterium tuberculosis culture, False-positive culture, Laboratory crosscontamination