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2007 | 56 | 3 |

Tytuł artykułu

Reliability of the etest in light of the correlation between an antibiotic's critical concentration [Cc] and MIC values

Autorzy

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The study relates to the theory of diffusion methods for antibiotic sensitivity testing. The aim of the study was to show the relationship between the antibiotic critical concentration (Cc) and its minimum inhibitory concentration (MIC). The results contribute to the explanation of the Etest's reliability and support the scientific basis for MIC determination using agar diffusion methods. Susceptibility among 90 clinical isolates of 12 common aerobic bacterial species to gentamicin, erythromycin, or oxacillin was assessed using the multidisc method (for Cc), by the agar dilution method (for MIC) and by the Etest. The results of all three methods were statistically compared and found to be closely related. The regression equation for Cc values and MIC was log₂(MIC)=0.99 x log₂(Cc)-0.13; r=0.99; p<0.05; the regression equation for Cc values and Etest-MIC (Et) was log₂(Et)=0.86xlog₂(Cc)+0.34; r=0.96; p<0.05; the regression equation for Etest-MIC values and MIC was log₂(MIC)=1.12xlog₂(Et)-0.50; r=0.96; p<0.05.

Wydawca

-

Rocznik

Tom

56

Numer

3

Opis fizyczny

p.165-168,fig.,ref.

Twórcy

autor
  • Charles University, Ruska 87, 100 00 Prague, Czech Republic

Bibliografia

  • Barry A.L. 1980. Procedure for testing antibiotics in agar media: Theoretical consideration, pp: 1-23. In: V. Lorian (ed.) Antibiotics in Laboratory Medicine. The Williams and Wilkins Co., Baltimore/London.
  • Cooper K.E. 1963. The theory of antibiotic inhibition zones, pp: 1-85. In F. Kavanagh (ed.) Analytical Microbiology. Academic Press, New York and London.
  • Delignette-Muller M.L. and J.P. Flandrois. 1994. An accurate diffusion method for determining bacterial sensitivity to antibiotics. J. Antimicrob. Chemother. 34: 73-81.
  • Drugeon H.B., M.E. Juvin, J.Caillon and A.L. Courtieu. 1987. Assessment of formulas for calculating critical concentration by the agar diffusion method. Antimicrob. Agents Chemother. 31: 870-875.
  • Hedges A.J. 1999. The influence of factors affecting the 'critical population' density of inocula on the determination of bacterial susceptibility to antibiotics by disc diffusion methods. J. Antimicrob. Chemother. 43: 313.
  • Humphrey J.H. and J.W.Lightbown. 1952. A general theory for plate assay of antibiotics with some practical applications. J. Gen. Microbiol. 7: 129-143.
  • Koch A.L. 1999. Diffusion through agar blocks of finite dimensions: a theoretical analysis of three systems of practical significance in microbiology. Microbiology 145: 643-654.
  • Kronvall G. 1982. Analysis of a single reference strain for determination of gentamicin regression line constants and inhibition zone diameter breakpoints in quality control of disk diffusion antibiotic susceptibility testing. J. Clin. Microbiol. 16: 784-793.
  • Kronvall G. 2000. MIC determination of fusidic acid and of ciprofloxacin using multidisk diffusion tests. Clin. Microbiol. Infect. 6: 483-489.
  • Linton A.H. 1961. Interpreting antibiotic sensitivity tests. J. Med. Lab. Technol. 18: 1-20.
  • NCCLS. 1993a. National Committee for Clinical laboratory Standards. Performance Standards for Antimicrobial Disk Susceptibility Tests - Fifth Edition: Approved Standard M2-A5. NCCLS, Villanova, PA, LSA.
  • NCCLS. 1993b. National Committee for Clinical laboratory Standards. Methods for Dilution Antimicrobial Susceptibility Tests for bacteria that Grow Aerobically - Third Edition: Approved Standard M7-A3. NCCLS, Villanova, PA, USA.
  • Pfaller M.A., S.A. Messer, A. Houston, K. Mills, A. Bolmstrom and R.N. Jones. 2000. Evaluation of the Etest method for determining voriconazole susceptibilities of 312 clinical isolates of Candida species by using three different agar media. J. Clin. Microbiol. 38: 3715-3717.
  • Vesterdal J. 1947. Studies on the incubation zones observed in the agar cup method for penicillin assay. Acta Pathol. Microbiol. Scand. 24: 272-282.

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Bibliografia

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