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Quality control limits for the agar overlay disk diffusion antimicrobial susceptibility test

A L Barry, R E Badal

    Journal of Clinical Microbiology
    |December 1, 1982
    PubMed
    Summary
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    Quality control tests show that the agar overlay method is comparable to the Kirby-Bauer technique for antimicrobial susceptibility testing. Established quality control limits for Kirby-Bauer can be applied to the agar overlay method.

    Area of Science:

    • Clinical microbiology
    • Antimicrobial susceptibility testing

    Background:

    • The Kirby-Bauer method is a standard for antimicrobial susceptibility testing.
    • The agar overlay technique is an alternative method for determining bacterial susceptibility to antibiotics.

    Purpose of the Study:

    • To compare the results of the agar overlay technique with the Kirby-Bauer method.
    • To determine if existing quality control limits are applicable to the agar overlay technique.

    Main Methods:

    • Replicate control tests were conducted using both agar overlay and Kirby-Bauer techniques.
    • Two sources of Mueller-Hinton agar were utilized for the tests.

    Main Results:

    • Mean zone diameters showed minor differences (1–3 mm) between the two methods.

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  • The National Committee for Clinical Laboratory Standards (NCCLS) quality control limits for the Kirby-Bauer method were found to be applicable to the agar overlay technique.
  • Conclusions:

    • The agar overlay technique provides comparable results to the Kirby-Bauer method for antimicrobial susceptibility testing.
    • NCCLS quality control limits established for the Kirby-Bauer method can be effectively used for the agar overlay technique, simplifying quality control procedures.