Viability of BCG suspensions, freshly prepared, stored, and light-exposed, estimated in different ways.

Tested by the roll-tube method, the inclusion in Dubos medium of oleic acid, Tween 80, or glucose hastens colony growth of tubercle bacilli (BCG), but the variability in counts between replicate bottles is large, and the mean count is low compared with that obtained in media free of these substances.The addition of glycerol hastens the development of colonies, and counts on glycerol medium may differ from those on glycerol-free medium. BCG suspensions stored at about 23 degrees C or exposed to skyshine or sunlight become glycerol-sensitive. Results obtained with glycerol medium may not, therefore, always be acceptable.The preparation and use in the roll-tube method of a simple medium is described. This consists of horse serum, M/15 phosphate buffer, and agar, and is preferable to more complex media as it tends to give higher viable counts and is easier to store and prepare.Stored at about 23 degrees C, the viability of BCG is better preserved in neutral phosphate buffer than in suspending fluids containing Sauton medium; no such difference is noticed with cold storage.Glutamic acid added in a concentration of 0.35% is without effect on the viability of suspensions stored in the cold, but under certain conditions it may have some preserving value at higher storage temperatures.Exposure to daylight in the laboratory, even for several hours, does not kill BCG or render it glycerol-sensitive. Exposure to intense skyshine does kill, but the mortality observed at the South African Institute for Medical Research is low compared with that recorded elsewhere. Possible explanations of this discrepancy are discussed.