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Is rapid antibacterial susceptibility testing medium reliable for routine laboratory practices?

Author(s)
Gulhan Yagmur Department of Postmortem Microbiology, Council of Forensic Medicine, Istanbul, Turkey
Baris Derya Ercal Department of Medical Microbiology, Erciyes University Medical Faculty, Kayseri, Turkey
Zafer Mengeloglu Department of Medical Microbiology, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey
Fatma Mutlu Sariguzel Department of Microbiology, Kayseri Training and Research Hospital, Kayseri, Turkey
Elife Berk Department of Medical Microbiology, Erciyes University Medical Faculty, Kayseri, Turkey
Derya Saglam Department of Microbiology, Kayseri Training and Research Hospital, Kayseri, Turkey
Abstract
Objective: Early detection of antibiotic susceptibility profile of the isolates has critical importance in terms of immediate beginning of the appropriate treatment and increasing of treatment success, such as meningitis, bacteriemia and sepsis. In the present study, it was aimed to compare the antibiotic susceptibility results of Quicolor (Salubris Inc., Massachusetts, USA) and standard disk diffusion method. Methods: One hundred twenty three isolates were included in this study (80 Enterobacteriaceae, 15 Staphylococci and 28 nonfermentative Gram-negative bacteria). Antibiotic susceptibility in clinical isolates was evaluated using Mueller-Hinton (MH) agar and Quicolor (ES and NF) agar plates. Results: For Enterobacteriaceae, frequency of total concordance, major error, and minor error between the tests were found as 96.8%, 0.8%, and 2.4%, respectively. For Staphylococci, frequency of total concordance, major error, and minor error among the tests were found as 95.7%, 3.5%, and 0.8%, respectively. For non fermentative bacteria, frequency of total concordance, major error, and minor error among the tests were found as 83.9%, 9.6%, and 6.4%, respectively. Conclusions: Quicolor media provided reliable susceptibility results in enteric bacteria and Staphylococci. However, further studies including higher number of nonfermentative bacteria are required to determine whether the chromogenic media are appropriate for this group of bacteria.
Publication Details
Page(s) 351-354
DOI DOI not available
Published Journal: Pakistan Journal of Medical Sciences, Volume: 31, Issue: 2, Year: 2015

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