February 1987, Volume 37, Issue 2

Original Article


Syed J. Khurshid  ( Nuclear Chemistry Division, Pakistan Institute of Nuclear Science & Technology, P.O. Nilore, Rawalpindi. )
M. Mubashir A. Khan  ( Pakistan Medical Research Council, National Institute of Health, Islamabad. )
B. Shahnaz  ( Pakistan Medical Research Council, National Institute of Health, Islamabad. )


The radiometric method has been used to detect the presence of bacteria in serial dilutions of nine bacterial species with and without agitation. It was also found that the detection time is proportional to the dilution showing high sensitivity down to one colony forming unit and the agitation resulted in different manners depending upon bacterial species (JPMA 37 : 34 , 1987).


The automation in thç clinical microbiology has eased the diagnosis and treatment of the patients by providing the information with rapidity, accuracy, and uniformity. The radio-metric methodology is now utilized in variety of microbiological techniques such as to detect bacteria in blood1-5 rapid anti-biotic susceptibility test6-8 detection of bacteria in food9 and cosmetics, detection of white cell metabolism10 and sterility testing of radiopharmaceuticals11-12.This technique was developed and used by NASA to search life on planets (Mars) 13.
The results with the radiometric method of detection of bacteria has been reported by number of workers. Our experience with the automated Bactec 460 (Figure 1),

an instrument using radio-metric procedure for detection of radiolabelled metabolites is reported here.


In this automated procedure a 3-5m1 sample is incubated at 35.37°C in a sealed rubber septum vial with a liquid14 C-labelled sterilized substrate with an activity of: 2 uCi per vial. If bacteria are present they metabolize carbohydrate or protein, the components of the substrate as energy source, releasing14 co2 by catabolizing glucose or by decarboxylation of aminoacid produced during incubation. The sterile needles of Bactec 460 pierce through rubber septum into the vial above nutritive media and the14 C02 produced during the incubation period is then aspirated from the test vial through sterilizing filter into the ioniza­tion chamber, the electrometer present in Bactec unit then measures the current produced in the ionization chamber. This measurement is converted to growth index (GI) reading which is an arbitrary liner scale related to the amount of radioactivity in the ionization chamber. The amount of 14 CO2 liberated is proportional to the amount of the bacterial growth in the nutrient media. A reading of 100 GI corresponds to 0.025 microcurie of14 C. A threshold GI may be set which is usually 30 for aerobic vials and 20 for anaerobic vials, a reading above threshold level indicates the presence of bacteria.
The ionization chamber of Bactec is exhausted through a CO2 trap to prevent release of radioactive material into room air. The model Bactec 460 which we have, allows 60 vials to be placed on it at one time and do sequential testing, printing the data simultaneously, flagging the sample as positive above threshold GI reading, taking only one minute for each sample. The bacterial concentrations of 10,3 102. 10 and 1 of nine species were prepared in peptone water and used for this experiment. These bacterial species namely were Escherichia co/i 0111, Salmonella typhi, Shigella flexnerii, Salmonella paratyphi B, Proteus mirabilis, Pseu­domonas peutrifaciens, Pseudomonas aeruginosa, Providencia steuartti, Salmonella enteritidis, Citro­bacter freudii and 2 ml of each bacterial concentration injected in 6B aerobic vial containing tryptic soy broth and14 C labelled substrate and incubated at 37°C to find the effect of concentration on detection time. Another set of each species was prepared in duplicate, one set was incubated without agitation and one with agitation at a speed of 200 strokes min1 at 37°C to find the difference between the behaviour of agitated and non-agitated samples. The samples were checked after every 2 hours upto 12 hours and then after 24 hours, 48 hours, 72 hours and 96 hours.


The results of bacterial dilution are plotted against the time of detection in Figure 2.

The results show that the bacterial detection time is proportional to the initial concentration of bacterial suspension which varies from species to species. Our results have shown bacterial recovery in a little longer time as compared to others depending on the use of 200 strokes min1 instead to 250 strokes min1. It also shows high sensitivity of the radiometric method, showing that the method can be used for quantification of the bacterial contents in different samples.
The results of the agitated and non-agitated samples have also been plotted as growth index versus time (Figure 3-11).

The results show that agitation affects the detection time and growth of bacterial species in the following manner but again our results have shown a late maxima in the peaks due to less agitation speed. This also shows that as we increase the speed of the agitation the recovery increases to certain extent beyond which damage can occur.
a. The species Escherichi.a coli, Proteus mirabilis and Citrobacterfreundll have shown faster detection besides a higher growth index.
b.  The Pseudomonas aeruginosa, Salmonella paratyphi B have also shown a faster detection but the same growth index.
c.  The Pseudomonas peutrifici ens, Providencia steuartti have shown no or little effect on detection time as well as on growth index.
These findings have shown that usually the agitation affects the detection time and growth index.
The advantage of radiometric method is standardized methodology, short time required for detection of growth compared to conventional system, repetitive monitoring, detection of organisms to single colony, detection of nonvisualized bacteria, identification of Neisseria in 3 hours14  suspectibility test of mycobacteria in 3-6 days15 and detection of mycobacterium tuberculosis in 10-12 days16 estimation of gentamycin and vitamin B12 in patients serum17 and sterility testing of short live radiopharmaceuheals.17


1. Brooks, K. and Sodeman, T. Rapid detection of bacteremia by a radiometric system. A clinical evaluation. Am. J. Clin. Pathol., 1974; 61: 859.
2. Renner, E.D., Gatheridge, L.A. and Washington, J.A. Evaluation of radiometric system of detec­ting bacteria. Appi. Microbiol., 1974; 28 : 435.
3. Smith, A.G. and Little, R.R. Comparison of the bactec system with the blind subculture for detection of bacteremia. Ann. Clin Lab. Sci., 1974;4 :448.
4. Deland, F. and Wagner, H.N. Jr. Automated radiometric detection of bacterial growth in blood cultures. J.Lab Clin. Med., 1970; 75 :529.
5. DeBlanc, H. J., Deland, F. and Wagner, H.N. Jr. Automated radiometric detection of bacteria in 2967 blood cultures. Appl. Microbiol., 1971; 22: 846.
6. DeBlanc, H.J., Charache, P. and Wagner, H.N. Jr. Automatic radiometric measurement of antibiotic effect on bacterial growth. Anti­microb. Agents Chemther., 1972; 2:360.
7. Beckwith, D. G. and Guidon, P.T.Jr. Develop­ment of a five-hour radiometric serum antibac­terial assay for gram-positive cocci. J. Nucl. Med., l98l;22: 274.
8. D’ Antiono, R.G., Camargo, E.E., Gedra, T., Wagner, H.N. Jr. and Charache, P. Rapid radio-metric serum test for antibiotic activity. Anti­microb. Agents Chemother., 1982; 21:236.
9. Previte, JJ. Radiometric detection of some food-borne bacteria. App. Microbiol., 1972; 24: 535.
10. Amerin, P.C., Larson, S.M. and Wagner, H.N. Jr. An automated system for measurement of leuco­cyte metabolism. J. NucI. Med., 1974; 15:352.
11. Waters, J. and Zwarm, A. Results of an auto­mated radiometric sterility test as applied to clinical blood cultures. Am. Lab., 1973; 5 : 59.
12. Chen, M., Rhodes, B.A., Larson, S.M., et al. Sterility testing of radiopharmaceuticals. J. Nucl. Med., 1974; 15: 1142.
13. Levin, G.V., Heim, A.H., Clendenning, J.R. and Thompson, M. “Guiliver”. A quest for life on mars. Science, 1962; 138:114.
14. Pizzuto, D.J. and Washington, J.A. 2d. Evalua­tion of rapid carbohydrate degradation tests for identification of pathogenic Neisseria. J. Clin. Microbiol., 1980; 11: 394.
15. Siddiqi, S.H., Libonati, J.P. and Middlebrook, G. Evaluation of a rapid radiometric method for drug suspectibility testing of mycobacterium tuberculosis. J. Clin. Microbiol., 1981; 13:908.
16. Hiroshi, T. and Vera, F. Detection and recovery of mycobacteria by a radiometric procedure. J. Clin. Microbiol., 1983; 17:380.
17. Chen, M.E., McIntyre, P.A. and Wagner, H.N. Jr. A radiometric microbiological method for vitamin B12 assay. J. Nucl. Med., 1977; 18:388.

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