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[德国实验室间测试结果:建立用于测定动物源细菌最低抑菌浓度的肉汤微量稀释法]

[Results from a German interlaboratory test to establish the broth microdilution method for the determination of the minimum inhibitory concentration of bacteria from animals].

作者信息

Wallmann Jürgen, Böttner Alexander, Hafez H Mohamed, Kehrenberg Corinna, Kietzmann Manfred, Klarmann Dieter, Klein Günter, Krabisch Peter, Kühn Tilman, Luhofer Gabriele, Richter Angelika, Schwarz Stefan, Sigge Claudia, Traeder Wolfgang, Waldmann Karl-Heinz, Werckenthin Christiane, Zschiesche Eva

机构信息

Bundesamt für Verbraucherschutz und Lebensmittelsicherheit, Berlin.

出版信息

Berl Munch Tierarztl Wochenschr. 2005 May-Jun;118(5-6):205-13.

Abstract

In accordance with NCCLS guideline M31-A2, the DVG working group "antimicrobial resistance" developed a standard operating procedure (SOP) for the determination of the minimal inhibitory concentration (MIC) of antimicrobial agents by broth microdilution. This SOP was evaluated for its fitness for use in a national interlaboratory test. A total of 32 participating laboratories tested five strains (including two internationally accepted reference strains and three field strains representing in total three different bacterial species) three times at a one week interval each, using uniform microtitre plates. In 31 of the 32 laboratories more than 80% of MIC determinations performed yielded values in the expected range. In total 94.0% of the results were reproducible, with a lesser deviation of 4.0% from the expected values for laboratories performing MIC determination as a matter of routine (46.9%), compared to 7.9% for laboratories without such routine (53.1%). Comparing the consistency of results on the basis of the tested strains, a higher reproducibility of the results was observed for reference strains (96.1%) than for field strains (92.6%). In particular results obtained for the Streptococcus uberis field strain were afflicted with a higher error ratio (98 deviations from the expected values). Among the tested antimicrobial agents, a higher variability of results was recorded only for gentamicin with 16.7% divergent MIC determinations (mean value 6.0%). The high reproducibility of the results confirmed by this interlaboratory study underlines the robustness of the developed SOP as well as broth microdilutions as the method of choice for MIC determina tion.

摘要

根据美国国家临床实验室标准化委员会(NCCLS)的M31 - A2指南,“抗菌药物耐药性”DVG工作组制定了一项通过肉汤微量稀释法测定抗菌药物最低抑菌浓度(MIC)的标准操作规程(SOP)。该SOP在全国性实验室间测试中进行了适用性评估。共有32个参与实验室,每隔一周对五株菌株(包括两株国际认可的参考菌株和三株代表三种不同细菌种类的野外菌株)进行三次测试,使用统一的微量滴定板。在32个实验室中的31个,超过80%的MIC测定值在预期范围内。总体而言,94.0%的结果具有可重复性,与非常规进行MIC测定的实验室(53.1%)相比,常规进行MIC测定的实验室(46.9%)结果与预期值的偏差较小,为4.0%。基于测试菌株比较结果的一致性,参考菌株(96.1%)的结果再现性高于野外菌株(92.6%)。特别是乳房链球菌野外菌株获得的结果错误率较高(与预期值有98个偏差)。在所测试的抗菌药物中,仅庆大霉素的结果变异性较高,有16.7%的MIC测定值不同(平均值为6.0%)。这项实验室间研究证实的结果的高再现性强调了所制定SOP的稳健性以及肉汤微量稀释法作为MIC测定首选方法的可靠性。

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