A single-tube PCR method was developed for efficient identification of nontuberculous mycobacteria (NTM) and their environmental isolates in about 3 h without conventional DNA isolation. The following three steps were optimized or developed: (i) a simple, 6-min direct cell lysis protocol as a PCR prestep for generation of DNA-template, (ii) an improved Mycobacterium-specific PCR amplification protocol with a broader species specificity using newly designed primers targeting a 228-bp region of the 65-kDa heat shock protein (hsp) gene and optimal PCR amplification conditions, and (iii) a genus-specific restriction analysis of the PCR product for conclusive identification of the unknown NTM isolates.Nontuberculous mycobacteria (NTM) are important causes of nosocomial infections and occupational illnesses. These organisms are commonly associated with natural ecosystems such as water supplies, aerosols, food, and soil (3,4,6,7,17). NTM that cause nosocomial infections are frequently associated with hospital water supplies and washing equipment. From an occupational health standpoint, NTM are considered causal agents for hypersensitivity pneumonitis, asthma, and bronchitis in machine workers exposed to metalworking fluids (MWF) and their aerosols, which are used in metalworking industries for cooling and lubrication (8,10,12,14,18). A method for early and reliable detection of mycobacteria from these environments might help minimize these illnesses. The existing practice of identification of mycobacteria from clinical and environmental sources includes isolation using enrichment and selective agar media, a method which often results in the collection of a large number of putative isolates for subsequent screening and confirmation by morphological, culture, and biochemical methods (20). Molecular methods such as PCR offer a significant alternative for rapid screening and identification of these bacteria (11). In practical terms, the major limiting steps of the PCR approach for the rapid screening are the extraction of amplifiable-quality genomic DNA and the availability of genus-specific primers with broad specificity for different species. Due to the complexity and rigidity of the cell walls of these acid-fast bacteria, several efforts have been reported for the rapid isolation of amplifiable genomic DNA by using physical, chemical, or enzymatic strategies or combinations thereof (1,5,9,13,16,22). However, these cumbersome and/or time-consuming protocols failed to yield effective cell lysis, thereby preventing their use in routine screening and diagnosis of diverse environmental species of Mycobacterium. The two existing genus-specific PCR-protocols, one based on a 16S rRNA gene (15) and the other based on Mycobacteriumspecific 65-kDa heat shock protein (hsp), are applied for identification of mycobacteria (16). The latter protocol has received wider acceptance. However, this protocol fails to reliably amplify the target hsp sequence in some environmental species such as Mycobacterium immunogenum, which is an importan...