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[阿莫西林纸片扩散法药敏试验研究]

[A study on the disc sensitivity test for amoxicillin].

作者信息

Kanazawa Y, Kuramata T, Matsumoto K

出版信息

Jpn J Antibiot. 1984 Sep;37(9):1661-8.

PMID:6569087
Abstract

Susceptibilities of 101 strains of 25 bacterial species or subspecies to amoxicillin (AMPC) were determined by the 2-fold agar dilution method in parallel with the diameter of inhibition zone by the single-disc method, under the experimental conditions established by Kanazawa. The experiments demonstrated significant correlation between the MIC by the dilution method and the diameter of inhibition zone in each of conventional assay of the over-night (about 16 hours) incubation, delayed assay (about 24 hours incubation), and rapid assay (after 3 approximately 4 or 5 approximately 6 hours incubation), thus confirming applicability of the single-disc assay for AMPC. Analysis of the data obtained by using AMPC disc containing 30 micrograms revealed the primary regression equation to be: D (diameter, mm) = 27.1-9.9 log MIC (micrograms/ml) in conventional assay, D = 32.2-12.8 log MIC (micrograms/ml) in delayed assay, D = 19.8-6.2 log MIC (micrograms/ml) in 3 approximately 4 hours rapid assay, and D = 24.0-7.8 log MIC (micrograms/ml) in 5 approximately 6 hours rapid assay, and particularly for beta-lactamase producing Staphylococci, D = 23.7-8.1 log MIC (micrograms/ml) in conventional assay, D = 16.7-9.0 log MIC (micrograms/ml) in 3 approximately 4 hours rapid assay, and D = 20.7-9.2 log MIC (micrograms/ml) in 5 approximately 6 hours rapid assay, respectively. The range of variations in MICs estimated from the diameter of inhibition zone by the disc test was then calculated in comparison with that in MIC determined by the 2-fold agar dilution assays, as reference for the experimental errors which may be involved in the estimation of MIC of AMPC by the single-disc assay.

摘要

按照金泽建立的实验条件,采用2倍琼脂稀释法测定了25种细菌或亚种的101株菌株对阿莫西林(AMPC)的敏感性,并与单纸片法测定的抑菌圈直径同时进行。实验表明,在过夜(约16小时)培养的常规检测、延迟检测(约24小时培养)和快速检测(3至4小时或5至6小时培养后)中,稀释法测得的最低抑菌浓度(MIC)与抑菌圈直径之间均存在显著相关性,从而证实了单纸片法检测AMPC的适用性。对含30微克AMPC纸片所得数据的分析显示,常规检测的主要回归方程为:D(直径,毫米)=27.1 - 9.9 log MIC(微克/毫升);延迟检测中,D = 32.2 - 12.8 log MIC(微克/毫升);3至4小时快速检测中,D = 19.8 - 6.2 log MIC(微克/毫升);5至6小时快速检测中,D = 24.0 - 7.8 log MIC(微克/毫升)。特别是对于产β-内酰胺酶的葡萄球菌,常规检测中,D = 23.7 - 8.1 log MIC(微克/毫升);3至4小时快速检测中,D = 16.7 - 9.0 log MIC(微克/毫升);5至6小时快速检测中,D = 20.7 - 9.2 log MIC(微克/毫升)。然后,将通过纸片试验抑菌圈直径估算的MIC变化范围与通过2倍琼脂稀释法测定的MIC变化范围进行比较,作为单纸片法估算AMPC MIC时可能涉及的实验误差参考。

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