Revision of standards for adjusting the cation content of Mueller-Hinton broth for testing susceptibility of Pseudomonas aeruginosa to aminoglycosides

Author:

Barry A L1,Reller L B1,Miller G H1,Washington J A1,Schoenknect F D1,Peterson L R1,Hare R S1,Knapp C1

Affiliation:

1. Clinical Microbiology Institute, Tualatin, Oregon 97062.

Abstract

A multilaboratory study was undertaken to reassess the amount of calcium and magnesium that should be added to Mueller-Hinton broth when testing Pseudomonas aeruginosa against amikacin, gentamicin, isepamicin, netilmicin, and tobramycin. To achieve parity with agar dilution tests, cation-adjusted broth should contain 20 to 25 mg of calcium and 10 to 12.5 mg of magnesium per liter rather than the 50- and 25-mg/liter supplements recommended previously. For quality control of tests with contemporary media, MIC control limits should be adjusted by lowering the current MIC limits by at least 1 doubling-dilution interval.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference9 articles.

1. Netilmicin disk susceptibility tests: effect of cations on the MIC correlates;Barry A. L.;Eur. J. Clin. Microbiol.,1987

2. Influence of cation supplements on activity of netilmicin against Pseudomonas aeruginosa in vitro and in vivo;Barry A. L.;Antimicrob. Agents Chemother.,1987

3. Cation components of Mueller-Hinton agar affecting testing of Pseudomonas aeruginosa susceptibility to gentamicin;Kenny M. A.;Antimicrob. Agents Chemother.,1990

4. National Committee for Clinical Laboratory Standards. 1986. Evaluating production lots of dehydrated Mueller-Hinton agar. Proposed standard M6-P. National Committee for Clinical Laboratory Standards Villanova Pa.

5. National Committee for Clinical Laboratory Standards. 1990. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. Approved standard M7-A2 2nd ed. National Committee for Clinical Laboratory Standards Villanova Pa.

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