use a combination of at least one solid & one liquid medium
best cyulture medium is cheap, allows rapid & abundant growth, inhibits growth of cotaminating organisms use test controls incubated 35° C in dark environment with 5-10% carbon dioxide & high humidity ifcultured in tubes, incubate in slanted position with loose screw caps for at least 1 week to allow evaporation of excess fluid and the entry of carbon dioxied if plated, incubate in carbon dioxide-permeable plastic bag or wrapped with carbon dxide-permeable tape examined incubated plates weekly for contaminated cultures - discarded & reported as “contaminated, unable to detect presence of mycobacteria” additional specimens are requested isolates appear between 3 6 weeks a few isolates appear after 7 or 8 weeks of incubation