Abstract
An efficient protocol for the manual fluorescent MGIT culture system combined          with rapid confirmation of Mycobacterium avium subsp.            paratuberculosis (MAP) growth in the broth culture was established and          evaluated for the detection of viable MAP in direct quantitative PCR (QPCR) positive          bovine feces. Manually detected fluorescence emissions from MGIT tubes were analyzed          objectively using an open source software, ImageJ. For molecular confirmation of MAP          growth, DNA samples harvested by simply boiling the broth, an inexpensive and time- and          labor-saving DNA preparation method, yielded adequate results. The sheep strain of MAP          required longer incubation time relative to the cattle strain, suggesting that the MGIT          system may not support well the growth of ovine isolates as described previously. Of 61          direct QPCR positive bovine feces, the recovery rate of MAP in the MGIT system (62.3%) was          significantly higher (P<0.05) than that using 7H10 agar-based slants          (44.3%). The time to obtain a final result for fecal culture by the MGIT system was          several weeks earlier compared to solid media. In MGIT culture positive samples, the time          to detect fluorescence was correlated with the DNA quantity detected in fecal QPCR. As a          positive result in the direct fecal QPCR test does not mean fecal excretion of viable MAP,          bacterial isolation by fecal culture could be conducted to verify the QPCR result. For          this purpose, the manual MGIT system is a sensitive and rapid culture method at least for          bovine samples.