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[The implementation of the broth microdilution method to determine bacterial susceptibility to antimicrobial agents].

Authors: Anja, Rocksin; Gerald-Friedrich, Gerlach; Stefan, Schwarz;

[The implementation of the broth microdilution method to determine bacterial susceptibility to antimicrobial agents].

Abstract

The determination of quantitative data (minimal inhibitory concentrations [MIC values]) using the broth microdilution method is considered the method of choice for in-vitro susceptibility testing of bacterial pathogens. For the inoculation of microtiter plates used in the broth microdilution method, an inoculation density of 5x10(5) CFU/ml has to be achieved according to the CLSI standard. In this study, it was shown that the requested CFU/ml corresponded to an optical density of 0.00027 of a bacterial suspension determined in a spectrophotometer at 625 nm (OD625). The comparison of susceptibility data of clinical isolates determined by agar disk diffusion and, in parallel, by broth microdilution confirmed the comparability of both methods. For most antibiotics the frequency of "very major errors" was below 10%. However, a higher frequency of errors was observed for combinations of antimicrobial agents and bacteria for which no valid breakpoints are available. The comparative testing of cephalothin showed a frequency of"very major errors" of 20.3% for staphylococci and 18.4% for Enterobacteriaceae; for apramycin the frequency of "major errors"was found to be 46.0% for Enterobacteriaceae. The reference strains as recommended in the CLSI Standard M31-S1 should be used for quality assurance.

Keywords

Treatment Outcome, Dose-Response Relationship, Drug, Drug Resistance, Bacterial, Colony Count, Microbial, Animals, Bacterial Infections, Microbial Sensitivity Tests, Anti-Bacterial Agents

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Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Average
Average
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