Pollock H M, Barry A L, Gavan T L, Fuchs P C, Hansen S, Thornsberry C L, Frankel H, Forsythe S B
J Clin Microbiol. 1986 Jul;24(1):1-6. doi: 10.1128/jcm.24.1.1-6.1986.
A collaborative study was undertaken to evaluate the performance of currently marketed Mueller-Hinton agars from seven manufacturers by replicate disk diffusion tests with standard quality control strains. Identification of the manufacturers was concealed, and the resulting data were evaluated for the selection of a physical reagent standard against which the performance of future production lots would be tested and made to conform. A medium was selected which was sufficiently close to existing National Committee for Clinical Laboratory Standards quality control limits that current interpretive criteria would require minimum modification. Two of the seven lots were eliminated from further consideration because the final pHs were outside acceptable limits. The remaining four lots had 96% of mean zone diameters less than or equal to 2 mm from those of the chosen lot and 65% of the means were less than or equal to 1 mm from those of the chosen lot for all 28 antimicrobial agent-organism combinations. Manufacturers then attempted to produce new lots of Mueller-Hinton agar which performed within the prescribed limits of the chosen lot. One lot performed in close conformity with the selected standard, but the overall performance of the media was essentially the same as that of the randomly chosen lots in the initial study. It was concluded that one of the original seven lots demonstrated properties which made it a tentative candidate for a physical reagent standard and that the use of a physical reagent standard in evaluating production lots might aid in stabilizing the performance of Mueller-Hinton agar.
开展了一项合作研究,通过使用标准质量控制菌株进行重复纸片扩散试验,评估了七家制造商目前市售的穆勒-欣顿琼脂的性能。制造商的身份被隐瞒,对所得数据进行评估,以选择一种物理试剂标准,据此对未来生产批次的性能进行测试并使其符合要求。选择了一种与现有美国国家临床实验室标准委员会质量控制限度足够接近的培养基,这样当前的解释标准只需进行最小程度的修改。七批产品中有两批因最终pH值超出可接受限度而被排除在进一步考虑之外。对于所有28种抗菌剂-菌株组合,其余四批产品的平均抑菌圈直径与所选批次相比,96%小于或等于2毫米,65%的平均值与所选批次相比小于或等于1毫米。制造商随后试图生产性能在所选批次规定限度内的新批次穆勒-欣顿琼脂。有一批产品的性能与选定标准非常接近,但培养基的总体性能与初始研究中随机选择的批次基本相同。得出的结论是,最初的七批产品中有一批表现出的特性使其成为物理试剂标准的暂定候选者,并且在评估生产批次时使用物理试剂标准可能有助于稳定穆勒-欣顿琼脂的性能。