DOC # CS-100539 REV 0

Product Insert ANAEROBIC ENRICHMENT AGAR (MTGE) Products: AS-777

Anaerobic Enrichment Agar (MTGE)

4 plates / pkg

Intended Use MTGE is an enriched non-selective medium used for the cultivation of most anaerobic bacteria and other fastidious microorganisms.

Summary MTGE is an enriched non-selective medium developed at Anaerobe Systems for the cultivation and isolation of most anaerobic bacteria and other fastidious microorganisms. A protein formulation and yeast extract comprise the basal medium, which is then supplemented with vitamin K1 and volatile fatty acids as growth factors for many anaerobic bacteria. Inoculation of the medium can be done using a gassing cannula or inside an anaerobic chamber. This medium is prepared, stored and dispensed under oxygen-free conditions to prevent the formation of oxidized products prior to use.

Formula (g/L) Proteose Peptone Heart Infusion Agar Yeast Extract Sodium Bicarbonate Sodium Formate Sodium Fumarate Sodium Succinate Potassium Phosphate, Dibasic Sodium Chloride Magnesium Sulfate, Heptahydrate Dextrose Volatile Fatty Acid Mix Vitamin K1 (1.0% solution) Sodium Pyruvate Thiamine Pyrophosphate L-Cysteine (25.0% solution) Calf Serum DI Water

5.0 g 5.0 g 15.0 g 5.0 g 5.0 g 0.5 g 1.0 g 0.5 g 2.0 g 5.0 g 0.2 g 1.0 g 3.0 mL 1.0 mL 0.8 g 0.025 g 2.0 mL 100.0 mL 1.0 L

Final pH 7.3 +/- 0.4 at 25 degrees C. Final weight 16.0 g +/- 1.6.

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 container until use. Avoid overheating or freezing. Do not use medium if there are signs of deterioration (shrinking, cracking or discoloration due to oxidation of media) 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: 90 days from date of manufacture.

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Anaerobe Systems 15906 Concord Circle Morgan Hill, CA 95037 408 782 7557 Fax 408 782 3031 http://www.anaerobesystems.com

DOC # CS-100539 REV 0

Procedure Specimen Collection: Specimens for anaerobic culture should be protected from oxygen during collection, transportation and processing. Consult appropriate references for detailed instructions concerning collection and transportation of anaerobes. Methods for Use: MTGE should be inoculated directly with clinical material or a broth that has been previously inoculated from clinical material. Inoculated plates should be streaked to obtain isolated colonies, immediately placed in an anaerobic atmosphere and incubated at 35-37oC for 18-48 hours. Additional periods of incubation may be necessary to recover some anaerobes. Detailed instructions for processing anaerobic cultures can be found in the appropriate references.

Materials Required But Not Provided Standard microbiological supplies and equipment such as loops, saline blanks, slides, staining supplies, microscope, incinerator or autoclave, incubators, anaerobic chamber or anaerobic jar, disinfectant, other culture media and serological and biochemical reagents.

Limitations MTGE will not provide complete information for identification of bacterial isolates. Additional test procedures and media are required for complete identification. In some cases, MTGE may be overgrown with swarming Proteus spp. or Clostridium spp. It is recommended that selective media such as Anaerobic Brucella Laked Blood Agar with Kanamycin and Vancomycin (LKV, catalog #: AS-112) and/or Anaerobic Brucella Blood Agar with Phenylethyl Alcohol (PEA, catalog #: AS-113) also be inoculated from clinical specimens to prevent such overgrowth and thus provide isolated colonies. Consult reference materials for additional information.

Quality Control MTGE should support good growth of many fastidious and non-fastidious anaerobes isolated from clinical specimens. The following organisms are routinely used for quality control testing at Anaerobe Systems. Organism Tested ATCC # Results

Time (Hours) Campylobacter ureolyticus 33387 Growth 24 Bacteroides fragilis 25285 Growth 24 Bacteroides vulgatus 8482 Growth 24 Prevotella melaninogenica 25845 Growth 24 Fusobacterium necrophorum 25286 Growth 24 Fusobacterium nucleatum 25586 Growth 24 Clostridium perfringens 13124 Growth 24 Peptostreptococcus anaerobius 27337 Growth 24 Clostridium novyi, Type A 7659 Growth 24 Propionibacterium acnes 6919 Growth 24 Staphylococcus aureus 25923 Growth 24 Porphyromonas gingivalis 33277 Growth 48 - 72 Prevotella intermedia 25611 Growth 24 - 48 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 nutritive capacity of this medium is to be tested for performance, it is recommended that the following ATCC organisms be evaluated for growth. Organism Expected Growth B. fragilis 24 hrs P. melaninogenica 24 hrs F. necrophorum 24 hrs C. perfringens 24 hrs P. anaerobius 24 hrs S. aureus 24 hrs Physical Appearance: Anaerobic Enrichment Agar should appear opaque to translucent yellow in color.

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Anaerobe Systems 15906 Concord Circle Morgan Hill, CA 95037 408 782 7557 Fax 408 782 3031 http://www.anaerobesystems.com

DOC # CS-100539 REV 0

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.

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

4.

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

5.

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

6.

Isenberg, H. D. 1992. Clinical Microbiology Procedures Handbook. American Society for Microbiology Publishing, Washington, D.C.

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.

Revision Date: 9/1/15

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Anaerobe Systems 15906 Concord Circle Morgan Hill, CA 95037 408 782 7557 Fax 408 782 3031 http://www.anaerobesystems.com

anaerobic enrichment agar (mtge)

Anaerobe Systems. 15906 Concord Circle Morgan Hill, CA 95037 408 782 7557 Fax 408 782 3031 .... Virginia Polytechnic Institute and State University.

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