For clinical samples, for instance, the

For clinical samples, for instance, the sensitivity and specificity of culture for respiratory secretions are approximately 42.8% and 100%, respectively [5, 6]. The standard detection method (ISO/DIS 11731) for Legionella in environmental samples consists of inoculating samples on selective glycine–vancomycin–Selleck H 89 polymyxin B–cycloheximide (GVPC)

agar or on non-selective buffered-charcoal-yeast-extract (BCYE) [5, 7]. Limitations of the plating method are prolonged incubation periods [5, 8]; bacterial losses due to sample centrifugation or filtration and decontamination steps [8]; presence of contaminating microorganisms that may interfere with Legionella growth, thus decreasing sensitivity; and presence of Legionella cells as viable but not cultivable (VBNC) organisms [9]. The sensitivity of the culture method for samples with low Legionella BV-6 counts (e.g. bioaerosols and rain) may be enhanced with an efficient enrichment or concentration step; correspondingly, samples with a rich and diverse flora (e.g. soils and composts) should

be decontaminated before culture to inhibit growth of concurrent microorganisms [5], because the use of selective media cannot completely inhibit the growth of moulds, bacteria and yeasts [5]. Free-living amoebae (FLA) have long been used to enhance isolation of amoeba-resistant bacteria [10] and already more than 20 years ago Rowbotham BI 10773 datasheet proposed to use amoebal enrichment (co-culture) to recover Legionella from natural habitats and clinical specimens [11]. Co-culture aims to enrich the bacteria present in the specimen by exposing them to viable host amoebae [12]. The relative numbers of amoebae used for enrichment is important because too few amoebae may be destroyed before infection [13] and too many may encyst before spread, because L. pneumophila is able to penetrate Galactosylceramidase trophozoites but not cysts [13]. Using co-culture, Legionella bacteria could be easily detected even in samples with high contaminant loads [12]. Macrophages have also been employed for enrichment steps [11]. L. pneumophila serogroup 1 strains are known to grow inside Acanthamoeba (A. castellanii and

A. polyphaga) and Naegleria[14]. Non-pneumophila strains, e.g. L. anisa[12], L. drancourtii[15], L. micdadei[16], have also been isolated by co-culture with A. polyphaga. Because of its sensitivity, the co-culture has the potential of improving bacterial yields in surveys of environmental samples with low Legionella counts or containing contaminating microorganisms. Co-culture has been described as the method of choice for the isolation of Legionella species, but no investigations have so far been carried out to compare the recovery efficiency for Legionella by co-culture with that of conventional culturing methods. In addition, the efficiency of recovery and the detection limit of Legionella after co-culture with A. polyphaga are not known. In the present work, we utilized L.

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