Abstract
Sodium polyanetholesulfonate (SPS), in concentrations commonly used in blood culture media, inhibited the growth of a significant number of isolates of Neisseria gonorrhoeae in an agar dilution system. This SPS toxicity, shown to be bactericidal when examined in broth culture, could be reversed by hemoglobin and gelatin. Gelatin in 1% concentration allowed optimal growth of SPS-sensitive isolates in the presence of 0.025% SPS. Of 50 clinical isolates of N. gonorrheae tested under simulated blood cultures conditions with SPS, 16 isolates failed to grow on subculture at days 1, 3, and 10 after inoculation. Recovery was delayed with eight isolates as compared to controls. Early subcultures at 4, 8, and 12 h failed to recover SPS-sensitive isolates, whereas 1% gelatin, added even as late as 8 h after inoculation, reversed the SPS toxicity. The data reported suggest that SPS at concentrations routinely used in blood cultures can delay or prevent isolation of N. gonorrhoeae, but 1% gelatin can eliminate this adverse effect.
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