Houcke I, Pagniez C, Segard-Roussel V, Dubreuil L
Faculté de pharmacie de Lille, Lille, France.
Pathol Biol (Paris). 1994 May;42(5):454-9.
A simple, rapid and reliable method that can be used to test individual isolates in routine is needed. Two systems are now marketed in France. As these two methods have not been studied extensively and never compared, the aim of our study was to evaluate them concurrently. For that 56 anaerobes were collected, including 31 Bacteroides fragilis group strains. The MIC's of 10 antibiotics were determined by the reference agar method. All results were further interpreted in SIR categories. Agreements of the results obtained for each method were assessed comparatively to the reference method results. For E Test and ATB ANA respectively, agreements of results were: 93 and 92.8 p. cent, major discrepancies (R/S): 4.2 and 5.7 p. cent, very major discrepancies (S/R): 3.7 and 1.5 p. cent. Clindamycin was involved in one-third of the discrepancies observed with E test. This study shows that E test and ATB ANA demonstrated interesting alternatives for the susceptibility testing of anaerobes.
需要一种可用于常规检测单个分离株的简单、快速且可靠的方法。目前在法国有两种系统上市。由于这两种方法尚未得到广泛研究且从未进行过比较,我们研究的目的是同时对它们进行评估。为此收集了56株厌氧菌,其中包括31株脆弱拟杆菌群菌株。通过参考琼脂法测定了10种抗生素的最低抑菌浓度(MIC)。所有结果进一步按照敏感(S)/中介(I)/耐药(R)类别进行解释。将每种方法获得的结果与参考方法的结果进行比较,评估其一致性。对于E试验和ATB ANA,结果的一致性分别为:93%和92.8%,主要差异(R/S):4.2%和5.7%,非常主要差异(S/R):3.7%和1.5%。在E试验观察到的差异中,三分之一涉及克林霉素。这项研究表明,E试验和ATB ANA为厌氧菌药敏试验提供了有趣的替代方法。