Jones R N, Edson D C
Arch Pathol Lab Med. 1985 Jul;109(7):595-601.
The antibiotic susceptibility testing results for the College of American Pathologists' Microbiology Surveys subscribers for 1981 to 1983 were compared for accuracy and problem areas with earlier data dating back to 1972. Disk diffusion (Kirby-Bauer) test accuracy was 96.3%, 96.4%, and 95.0% for the Bacteriology, Comprehensive, and Basic Surveys participants, respectively. The overall dilution test and automated system (Autobac I) accuracy was 95.8% and 93.8%, respectively. More laboratories (more than 40% of bacteriology and comprehensive laboratories) were using dilution minimum inhibitory concentration tests, usually frozen-form commercial systems. The current test accuracy was comparable with data for previous years, but the Basic Survey subscribers have demonstrated improvement since mid-1981. Several testing problems were identified, principally in the interpretive criteria available in national consensus publications such as the National Committee for Clinical Laboratory Standards M2-A3. Many of these problems have recently been resolved through the cooperation of the National Committee for Clinical Laboratory Standards' subcommittees and the College of American Pathologists' surveys.
将美国病理学家学会微生物学调查1981年至1983年订阅者的抗生素敏感性测试结果，与可追溯到1972年的早期数据在准确性和问题领域方面进行了比较。对于细菌学、综合和基础调查的参与者，纸片扩散法（Kirby-Bauer）测试的准确率分别为96.3%、96.4%和95.0%。总体稀释试验和自动化系统（Autobac I）的准确率分别为95.8%和93.8%。更多实验室（超过40%的细菌学和综合实验室）正在使用稀释最低抑菌浓度试验，通常是冷冻形式的商业系统。当前的测试准确性与前几年的数据相当，但基础调查的订阅者自1981年年中以来已显示出改进。确定了几个测试问题，主要存在于国家共识出版物（如美国国家临床实验室标准委员会M2-A3）中的解释标准方面。最近，通过美国国家临床实验室标准委员会各小组委员会与美国病理学家学会调查的合作，其中许多问题已得到解决。
