Microbiology · Mycobacterial and Fungal Diagnostics (NAAT, LPA, Culture, DST, IGRA, Galactomannan)

Which feature of the BACTEC MGIT 960 system explains its shorter time to detection of M. tuberculosis compared with culture on Lowenstein-Jensen medium?

  • A Radiometric detection of C14-labelled palmitate metabolism
  • B In-built nucleic acid amplification targeting IS6110
  • C Liquid Middlebrook 7H9 broth with a fluorescence-quenching oxygen sensor read daily
  • D Use of a solid egg-based medium enriched with glycerol and pyruvate
Correct answer: C. Liquid Middlebrook 7H9 broth with a fluorescence-quenching oxygen sensor read daily

Explanation

MGIT 960 tubes contain liquid 7H9 broth with an oxygen-quenched fluorochrome at the base. Growing mycobacteria consume dissolved oxygen, fluorescence increases, and the instrument flags the tube, giving a mean time to positivity of roughly 10 to 14 days versus 3 to 6 weeks on LJ. Option A describes the older BACTEC 460TB radiometric system, which was largely withdrawn because of radioactive waste. MGIT has no built-in amplification.

Reference: Koneman's Color Atlas and Textbook of Diagnostic Microbiology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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