Rapid diagnosis of anaerobic infections by direct gas-liquid chromatography of clinical speciments

J Clin Invest. 1976 Feb;57(2):478-84. doi: 10.1172/JCI108300.

Abstract

Current methods to isolate and identify anaerobic bacteria are laborious and time consuming. It was postulated that the short-chain fatty acids (SCFA) produced by these organisms might serve as microbial markers in clinical material. 98 specimens of pus or serous fluid were analyzed by gas-liquid chromatography, and findings were compared with culture results. Good correlations were found for the recovery of anaerobic Gram-negative bacilli and the presence of isobutyric, butyric, and succinic acids. 19 of 20 specimens with significant amounts of these acids (greater than 0.01 mumol/ml) yielded bacteroides or fusobacteria. Culture of the single "false-positive" specimen failed to grow anaerobic Gram-negative bacilli, although clinical data and Gram-stain suggested their presence. 77 of 78 specimens which has insignificant concentrations of the marker acids failed to yield anaerobic, Gram-negative bacilli in culture. The single "false-negative" specimen yielded Bacteroides pneumosintes, an organism which does not ferment carbohydrates. It is concluded that direct gas-liquid chromatographic analysis of clinical specimens provides a rapid presumptive test for the presence of anaerobic, Gram-negative bacilli.

MeSH terms

  • Bacterial Infections / diagnosis*
  • Bacterial Infections / etiology
  • Bacterial Infections / microbiology
  • Butyrates / analysis
  • Exudates and Transudates / analysis
  • Exudates and Transudates / microbiology
  • Gram-Negative Anaerobic Bacteria* / isolation & purification
  • Humans
  • Methods
  • Succinates / analysis

Substances

  • Butyrates
  • Succinates