Anaerobic Transport Medium Surgery Pack (ATMSP) is a mineral salt base semi-solid media with reducing agents designed as a holding medium for maintaining viability of microorganisms, especially anaerobic bacteria through collection, transport and shipment of clinical specimens from a sterile surgical environment. ATMSP contains buffered mineral salts in a semi-solid media with sodium thioglycolate and cysteine added to provide a reduced environment.  Resazurin is added as a redox indicator to reveal exposure to oxygen by turning pink. This product has been prepared to provide an environment, whichm maintains viability of most microorganisms without significant multiplication and allows for dilution of inhibitors present in clinical material. This medium is designed to meet the stringent viability requirements of obligate anaerobes. All items are supplied with screw caps containing rubber septa (Hungate caps), which allows for either direct injection of aspirated clinical material or introduction of tissue samples.  The contents and outer surface of the tube are sterile.  This medium is prepared, dispensed and packaged under oxygen-free conditions to prevent the formation of oxidized products prior to use.

Anaerobe Systems PRAS Anaerobic Tissue Transport Medium
                 Sterile Surgery Pack (ATTMSP) AS-915

 View the full product insert: ATTMSP INSERT 

Formula

Sodium Thioglycolate, 1.0 g

Sodium Phosphate, dibasic, 1.15 g

Sodium Chloride, 3.0 g

Potassium Chloride, 0.2 g

Potassium Phosphate, monobasic, 0.2 g

Magnesium Sulfate, heptahydrate, 0.1 g

L-Cysteine, 1.0 g

Resazurin, 1.0 mg

Gelrite, 4.0 g

Distilled Water, 1000.0 ml

 

Final pH 7.5 +/- 0.5 at 25^oC.

Final volume 8.0 ml +/- 1.2.

 

Precautions

For IN VITRO DIAGNOSTIC USE only.  Approved biohazard precautions and aseptic techniques should be observed when using this product.  This product is for use only by properly-trained and qualified personnel.  Sterilize all biohazard waste prior to disposal.

 

 Storage and Shelf Life

Storage:  Upon receipt, store at room temperature (13°C-27°C) in original packaging until use.  Avoid overheating or freezing.  Do not use medium if there are signs of deterioration (discoloration or evaporation), oxygen exposure or contamination.  The expiration date applies to the product in its original packaging and stored as directed.  Do not use product past the expiration date shown on the container.

Shelf Life:               6 months from date of manufacture.

 

Procedure

Specimen Collection:  Specimens for anaerobic culture should be protected from air (oxygen) during collection, transport and processing of specimens.  Consult appropriate references for detailed instructions concerning collection and transport of anaerobes.

Methods for Use:  ATTM is suitable for use as a transport and holding medium for clinical specimens collected as tissue samples.  With any clinical specimen, ATTM should be inoculated by aseptic technique immediately upon collection.  For tissue samples, open tube by screw cap and place tissue on the surface of the semisolid medium; inserting the tissue into the agar column is not necessary.  Immediately close tube.  Contact with air of tube contents should be minimized.  Once inoculated, keep at room temperature and deliver to the laboratory for processing as soon as possible.  Swabs are not recommended for use as anaerobic specimen collection devices; however this medium can accommodate swabs, if necessary.  Detailed instructions for processing anaerobic cultures can be found in the appropriate references.

ATTM - Sterile Pack:  To expose the surgical packaging of the tissue transport, remove the outer foil bag.  The contents and outer surface of the tube are sterile.  To open, peel the envelope apart; have an individual wearing sterile gloves remove the tube from the packaging and take the tube into the surgical area.

 

Materials Required But Not Provided

Standard microbiological supplies and equipment such as loops, paper points, disinfectant, syringes with needles, sterile forceps, saline blanks, slides, staining supplies, microscope, incinerator/autoclave, incubators, anaerobic chamber, other culture media and serological and biochemical reagents.

Limitations

ATTM is designed as a holding medium to maintain viability of microorganisms contained within a specimen during transport.  This medium will not provide complete information for identification of bacterial isolates.  Additional test procedures and media are required for complete identification.  Specimens should be transported and processed in the laboratory in a timely manner since delay may result in overgrowth by one organism present in a specimen from polymicrobic infections.  Consult reference materials for additional information.

 

Quality Control

If used properly, this medium should maintain the viability of microorganisms present within a clinical specimen until transported and processed within the laboratory.

The following organisms are routinely used for quality assurance testing at Anaerobe Systems.  For determining the holding capacity of ATTM for each isolate listed below, an ATCC strain, from 24-hour growth, is inoculated into the media aerobically and held overnight.  In an anaerobic environment, each organism is streaked onto an Anaerobic Brucella Blood Agar plate to obtain isolated colonies.  Plates are incubated aerobically at 37^oC and growth is observed.  

Organism Tested	ATCC #	Results	Time (Hours)
Bacteroides fragilis	25285	Growth	24 h
Prevotella melaninogenica	25845	Growth	24 – 48 h
Bacteroides vulgatus	8482	Growth	24 h
Fusobacterium nucleatum	25586	Growth	24 h
Fusobacterium necrophorum	25286	Growth	24 h
Clostridium perfringens	13124	Growth	24 h
Clostridium novyi	7659	Growth	24 – 48 h
Peptostreptococcus anaerobius	27337	Growth	24 h
Clostridium difficile*	9689	Growth	24-48 h
Staphylococcus aureus	25923	Growth	24 h

*Isolates of Clostridium difficile can survive transport at room temperature or 2-8oC storage for seven days.

User Quality Control: The final determination to the extent and quantity of user laboratory quality control must be determined by the end user.

If sterility testing is to be performed on this product, the appropriate percentage of the original shipment amount should be incubated anaerobically and aerobically for 48 – 96 hours.

If the holding capacity of this medium is to be tested for performance, it is recommended that the following ATCC organisms be evaluated for growth/inhibition.

 

Organism	Growth in
	Hours
B. fragilis	24 hrs
P. melaninogenica	48 hrs
C. perfringens	24 hrs
F. necrophorum	24 hrs
S. aureus	24 hrs

 

Physical Appearance:  ATTM should appear as a clear, translucent, semi-solid medium in a 28mm x 61mm glass tube.

 

References

1.        Dowell, V. R., Jr. and T. M. Hawkins.  1974.  Laboratory Methods in Anaerobic Bacteriology.  CDC Laboratory Manual.  USDHEW C. D. C. Atlanta, GA 30333.

 

2.        Dowell, V. R., Jr. and G. L. Lombard.  1977.  Presumptive Identification of Anaerobic Non-sporeforming Gram-negative Bacilli.  USDHEW, CDC.  Atlanta, GA 30333.

 

3.        Dowell, V. R., Jr., G. L. Lombard, F. S. Thompson and A. Y. Armfield.  1977.  Media for the Isolation, Characterization and Identification of Obligately Anaerobic Bacteria.  USDHEW, CDC, Atlanta, GA 30333.

 

4.        Engelkirk, P. G., Duben-Engelkirk, J. and Dowell, V. R.  1992.  Principles and Practices of Clinical Anaerobic Bacteriology.  Star Publishing Co., Belmont, CA 94002.

 

5.        Holdeman, L. V., F. P. Cato and W. E. C. Moore.  1977.  Anaerobe Laboratory Manual.  Virginia Polytechnic Institute and State University.  Blacksburg, VA 24061

 

6.        Jousimeis-Somer, H. R., Summanen, P., Citron, D. M., Baron, E. J., Wexler, H. M. and S. M. Finegold.  2002.  Wadsworth – KYL Anaerobic Bacteriology Manual.  Star Publishing Co., Belmont, CA 94002.

 

7.        NCCLS.  Quality Control for Commercially Prepared Microbiological Culture Media; Approved Standard- Third Edition.  (2004).  NCCLS document M22-A3.  NCCLS, 940 West Valley Road, Suite 1400, Wayne, PA 19087-1898.