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[用于犬猫感染细菌常规药敏试验的微量滴定板布局方案]

[Layout proposal for a microtitre plate to be used in routine antimicrobial susceptibility testing of bacteria from infections of dogs and cats].

作者信息

Werckenthin Christiane, Luhofer Gabriele, Böttner Alexander, Gangl Armin, Goossens Luc, Hafez H Mohamed, Hartmann Katrin, Kaske Martin, Kehrenberg Corinna, Kietzmann Manfred, Klarmann Dieter, Klein Günter, Krabisch Peter, Kühn Tilman, Richter Angelika, Schulz Bianka, Schwarz Stefan, Sigge Claudia, Traeder Wolfgang, Waldmann Karl-Heinz, Jürgen Wallmann

机构信息

Institut für Medizinische Mikrobiologie, Infektions- und Seuchenmedizin, Ludwig-Maximilians-Universität München.

出版信息

Berl Munch Tierarztl Wochenschr. 2008 Jan-Feb;121(1-2):19-26.

Abstract

The determination of minimum inhibitory concentrations by broth microdilution is recommended as method of choice for susceptibility testing of veterinary bacterial pathogens. Accordingly, broth microdilution is used in veterinary routine diagnostic laboratories at a progressive rate. To reduce the costs of susceptibility testing, it is reasonable to develop widely accepted uniform microtitre plate layouts that are produced in large quantities. Such microtitre plate layouts have already been developed and published for the susceptibility testing of pathogens from food-producing animals. However, a microtitre plate layout, especially designed for the testing of bacteria from dogs and cats, should be available, too. The choice of the antimicrobial agents or combinations of antimicrobial agents to be included in a suitable layout should be based on the following criteria: (1) the approval and availability of an antimicrobial agent or combination of agents, (2) known cross-resistances, and (3) availability of approved clinical breakpoints. The latter point is of particular importance for the choice of the numbers of concentrations per antimicrobial agent tested and the range of test concentrations. Taking into account these aspects, a science-based layout proposal for microtitre plates, which are suitable for routine testing of bacteria from dogs and cats, is presented and discussed.

摘要

肉汤微量稀释法测定最低抑菌浓度被推荐为兽医细菌病原体药敏试验的首选方法。因此,肉汤微量稀释法在兽医常规诊断实验室中的使用正在逐步增加。为降低药敏试验成本,开发大量生产且被广泛接受的统一微量滴定板布局是合理的。此类微量滴定板布局已针对来自食用动物的病原体药敏试验进行了开发和发布。然而,也应有专门为犬猫细菌检测设计的微量滴定板布局。在合适的布局中选择抗菌药物或抗菌药物组合应基于以下标准:(1)抗菌药物或药物组合的批准情况和可得性;(2)已知的交叉耐药性;(3)批准的临床断点的可得性。后一点对于选择每种抗菌药物测试的浓度数量和测试浓度范围尤为重要。考虑到这些方面,本文提出并讨论了一种基于科学的微量滴定板布局方案,该方案适用于犬猫细菌的常规检测。

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