Cation-Adjusted Mueller Hinton Broth (CAMHB) AS‑1300 | Microbiology Culture Medium | Ausamics Life Science
Cation-Adjusted Mueller Hinton Broth (CAMHB)
Prepared with Standardized Calcium & Magnesium Supplementation for Antimicrobial Susceptibility Testing | Cat. No. AS-1300
Cation-Adjusted Mueller Hinton Broth (CAMHB, AS-1300) is prepared with standardized calcium and magnesium supplementation for use in broth microdilution and macrodilution Minimum Inhibitory Concentration (MIC) testing of non-fastidious aerobic and facultatively anaerobic bacteria. The formulation follows the composition described in CLSI M07, EUCAST guidelines, and ISO 20776-1 for cation-adjusted broth used in antimicrobial susceptibility testing.
The designation CAMHB (Cation-Adjusted Mueller Hinton Broth) is prepared with standardized divalent cation content targeting Ca²⁺ 20–25 mg/L and Mg²⁺ 10–12.5 mg/L as described in CLSI M07. Users performing validated AST workflows should verify lot performance with appropriate QC organisms. Standardized divalent cation concentrations are important for reproducible MIC results — deviation in either direction can affect MIC values for aminoglycosides, tetracyclines, and polymyxins.
Ca²⁺ — Calcium
High Ca²⁺ reduces aminoglycoside activity against Pseudomonas aeruginosa by competing with drug binding to LPS. Too low → falsely low MICs (apparent susceptibility). Too high → falsely high MICs (apparent resistance).
Mg²⁺ — Magnesium
Same mechanism as Ca²⁺ for aminoglycosides and tetracyclines. Also critical for colistin/polymyxin B MICs — excess Mg²⁺ stabilises LPS and reduces polymyxin binding, causing elevated MICs and false resistance results.
Aminoglycosides
Most affected by Ca²⁺ and Mg²⁺. High cations → elevated MICs (false resistance). Testing P. aeruginosa most sensitive to this effect. pH must be 7.2–7.4.
Sulfonamides / TMP
Require low thymidine and thymine in medium. Excess thymidine causes false resistance to trimethoprim-sulfamethoxazole (SXT). MHB is formulated with minimal thymine content.
Polymyxins / Colistin
Mg²⁺ stabilises LPS outer membrane, competing with polymyxin binding. Excess Mg²⁺ → elevated colistin MICs. Standard CAMHB Mg²⁺ range is critical for valid colistin testing.
Tetracyclines
Tetracyclines chelate divalent cations. High Ca²⁺ and Mg²⁺ reduce free drug concentration, increasing apparent MICs. Standard cation levels prevent this interference.
Macrolides
Activity decreases in acidic conditions. pH below 7.2 causes macrolides to appear falsely less active. pH 7.3 ± 0.1 is essential for valid macrolide MICs.
β-Lactams / Fluoroquinolones
Relatively unaffected by cation levels at standard CAMHB ranges. However, pH outside 7.2–7.4 may affect fluoroquinolone activity. Starch neutralises any toxin interference.
| Organism / Group | Supplement Required | Concentration | Reference |
|---|---|---|---|
| Streptococcus spp. (including S. pneumoniae) | Lysed horse blood | 2–5% v/v | CLSI M07; EUCAST |
| Haemophilus influenzae | Haemophilus Test Medium (HTM) supplements | Per HTM protocol | CLSI M07 |
| Sulfonamide / TMP testing (any organism) | Thymidine phosphorylase | Per validated protocol | CLSI M07; EUCAST |
| MRSA / oxacillin testing | NaCl supplementation | 2% (w/v) NaCl | CLSI M100 |
| Cefiderocol testing | Iron-depleted CAMHB (ID-CAMHB) | Specific iron depletion protocol | CLSI / EUCAST cefiderocol guidelines |
| Manufacturer | Product Name | Cat. No. |
|---|---|---|
| BD BBL | Mueller Hinton II Broth (Cation-Adjusted) | 211438 |
| BD Difco | Mueller Hinton Broth | 275730 |
| Sigma-Aldrich / Merck | Mueller Hinton Broth 2, Cation-Adjusted | 90922 |
| Thermo Scientific / Oxoid | Mueller Hinton Broth | CM0405 |
| Liofilchem | Mueller Hinton II Broth (MH II Broth) | 610015 |
| HiMedia | Mueller Hinton Broth No. 2 | M391 |
| Product Name | Mueller Hinton Broth (MHB / CAMHB) |
| Catalogue Number | AS-1300 |
| Synonyms | CAMHB; Cation-Adjusted Mueller Hinton Broth; CA-MHB; MH Broth; Mueller Hinton Broth |
| Standards | Follows composition guidelines of CLSI M07 | EUCAST | ISO 20776-1 | ISO/TS 16782 |
| Equivalents | BD BBL 211438 | BD Difco 275730 | Sigma 90922 | Oxoid CM0405 | Liofilchem 610015 |
| Medium Type | Non-selective liquid broth — MIC testing reference medium |
| Dissolution | 21–22 g/L in purified water (refer to batch label for exact amount) |
| Final pH at 25°C | 7.3 ± 0.1 — CRITICAL. Verify every lot before use. pH 7.2–7.4 acceptable range. |
| Ca²⁺ content | 20–25 mg/L — verified by AAS or ICP per ISO/TS 16782 |
| Mg²⁺ content | 10–12.5 mg/L — verified by AAS or ICP per ISO/TS 16782 |
| Sterilisation | Autoclave 121°C for 10–15 minutes. DO NOT OVERHEAT — excess heat may precipitate divalent cations and alter pH. |
| Appearance (powder) | Light yellow to beige, free-flowing, hygroscopic powder |
| Appearance (prepared) | Pale to light yellow, clear solution without precipitate |
| Incubation | 35 ± 1°C for 16–20 hours in ambient air — NO CO₂ |
| Inoculum | ~5 × 10⁵ CFU/mL final concentration (0.5 McFarland → 1:100–1:200 dilution) |
| Storage (powder) | Cool, dry, tightly sealed; protected from moisture and light |
| Storage (prepared broth) | 2–8°C up to 1 month; aliquots may be frozen at −20°C or −70°C |
| HS Tariff Code | 3821.00.00 |
| Ingredient | g / L | Function |
|---|---|---|
| Beef Infusion Solids (Beef Extract) | 2.0 | Amino acids, vitamins, minerals, growth factors — balanced nutrient base for diverse organism growth |
| Acid Hydrolysate of Casein | 17.5 | Primary nitrogen source — free amino acids; low thymidine/thymine content essential for accurate SXT MIC results |
| Starch | 1.5 | Detoxifying agent — adsorbs fatty acids and bacteriostatic substances; prevents non-specific growth inhibition that would falsely elevate MICs |
| Calcium salts (added) | Adjusted | Final Ca²⁺ target: 20–25 mg/L per CLSI M07 / ISO/TS 16782 |
| Magnesium salts (added) | Adjusted | Final Mg²⁺ target: 10–12.5 mg/L per CLSI M07 / ISO/TS 16782 |
| Dissolution | 21–22 g/L | pH 7.3 ± 0.1 at 25°C | Autoclave 121°C / 10–15 min | DO NOT OVERHEAT |
| # | Reference |
|---|---|
| 1 | CLSI. Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically. CLSI Standard M07. Current edition. Wayne, PA: CLSI. [Primary reference — CAMHB specification] |
| 2 | CLSI. Performance Standards for Antimicrobial Susceptibility Testing. CLSI Supplement M100. Current edition. Wayne, PA: CLSI. |
| 3 | EUCAST. Breakpoint Tables for Interpretation of MICs and Zone Diameters. European Committee on Antimicrobial Susceptibility Testing; current version. eucast.org |
| 4 | ISO 20776-1:2019. Clinical laboratory testing and in vitro diagnostic test systems — Susceptibility testing of infectious agents. Geneva: ISO; 2019. |
| 5 | ISO/TS 16782:2016. Clinical laboratory testing — Criteria for acceptable lots of dehydrated Mueller-Hinton agar and broth for antimicrobial susceptibility testing. Geneva: ISO; 2016. |
| 6 | Mueller JH, Hinton J. A protein-free medium for primary isolation of the Gonococcus and Meningococcus. Proc Soc Exp Biol Med. 1941;48:330–333. [Original medium description] |
| Product Name | Mueller Hinton Broth (MHB / CAMHB) |
| Catalogue No. | AS-1300 |
| Intended Use | Cation-adjusted liquid medium for antimicrobial susceptibility testing applications (MIC determination). Laboratory use only. |
| Supplier | AuSaMicS Pty Ltd | ABN 56 676 640 467 |
| Address | 31 Longview CT, Thomastown VIC 3074, Australia |
| Emergency | Poisons Information Centre: 13 11 26 (24 hr) |
| Phone | +61 412 520 598 | support@ausamics.com.au |
| GHS Classification | NOT classified as a hazardous substance under Australian WHS Regulations 2023. All components are food-grade or GRAS at supplied concentrations. |
| Signal Word | None required |
| Other Hazards | Combustible powder. Hygroscopic — absorbs moisture rapidly. Dust may cause mild respiratory irritation during bulk weighing. |
| Component | g/L | CAS | Hazard |
|---|---|---|---|
| Beef Infusion Solids | 2.0 | Mixture | Not hazardous |
| Acid Hydrolysate of Casein | 17.5 | 65072-00-6 | Not hazardous |
| Starch | 1.5 | 9005-84-9 | Not hazardous |
| Calcium / Magnesium salts | Adjusted | Various | Not hazardous at use level |
| PPE | P1 respirator when weighing bulk powder (hygroscopic — clumping possible); safety glasses; nitrile gloves; lab coat |
| Storage (powder) | Cool, dry, tightly sealed. Hygroscopic — keep container closed except during weighing. |
| Waste (inoculated broth) | Autoclave 121°C / 15 min before disposal as microbiological waste per institutional biosafety procedures |
| Transport | Not dangerous goods — ADG, IMDG, IATA |
| Regulatory | Australian WHS Regulations 2023 | GHS 7th Edition | AICIS compliant |
| Parameter | Specification | Method |
|---|---|---|
| Appearance (powder) | Light yellow to beige, free-flowing, hygroscopic powder | Visual |
| Appearance (prepared) | Pale to light yellow, clear without precipitate | Visual after dissolution |
| pH (prepared, 25°C) | 7.3 ± 0.1 — CRITICAL. Acceptable range 7.2–7.4. | pH meter (calibrated) |
| Ca²⁺ (Calcium) | 20–25 mg/L | Atomic Absorption Spectrophotometry (AAS) or ICP per ISO/TS 16782 |
| Mg²⁺ (Magnesium) | 10–12.5 mg/L | AAS or ICP per ISO/TS 16782 |
| Moisture Content | ≤5.0% (w/w) | Loss on drying |
| Clarity | Clear solution; no precipitate post-sterilisation | Visual inspection |
| Growth — E. coli ATCC 25922 | Good growth; MIC of ampicillin in expected range when tested against CLSI M100 QC guidelines | CLSI M07 QC method |
| Growth — S. aureus ATCC 29213 | Good growth; MIC of oxacillin in expected range when tested against CLSI M100 QC guidelines | CLSI M07 QC method |
| Growth — P. aeruginosa ATCC 27853 | Good growth; aminoglycoside MICs within CLSI QC range | CLSI M07 QC method |
| Batch COA | Lot-specific including Ca²⁺ and Mg²⁺ values | Included with every order |
31 Longview CT, Thomastown VIC 3074, Australia | ABN 56 676 640 467
✓ Formulated per CLSI M07 / ISO 20776-1 / BD BBL 211438 reference specification
✓ Ca²⁺ and Mg²⁺ verified by AAS/ICP — lot values on COA
✓ pH verified 7.3 ± 0.1 every batch
✓ Starch 1.5 g/L — CLSI-specified detoxifier
✓ COA, TDS, SDS included with every order
✓ Australian stock — same-week dispatch