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Microbiology · General microbiology: biosafety levels
Sample itemA tertiary hospital laboratory plans to start liquid culture and drug susceptibility testing of Mycobacterium tuberculosis from sputum. Which minimum biosafety level and practice is appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Biosafety level 3 with a biosafety cabinet and respiratory protection
Manipulating cultures of M. tuberculosis generates infectious aerosols, so culture and drug susceptibility testing are done in a BSL-3 laboratory with controlled airflow, a class II biosafety cabinet and respirators. Direct smear microscopy can be done at BSL-2. BSL-4 is reserved for agents such as Ebola virus.
Option by option
A. Biosafety level 3 with a biosafety cabinet and respiratory protection (correct)
Correct. Aerosol-generating culture work needs BSL-3 containment.
B. Biosafety level 1 on an open bench
Biosafety level 1 is for well-characterised agents that do not cause disease in healthy adults.
C. Biosafety level 4 with a positive-pressure suit
Biosafety level 4 is for exotic agents with no treatment, such as Ebola and Nipah viruses.
D. Biosafety level 2 without a cabinet
Biosafety level 2 is adequate for smear microscopy but not for culture of tubercle bacilli.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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