Previous Article | Next Article ![]()
Journal of Clinical Microbiology, June 1999, p. 1824-1828, Vol. 37, No. 6
Faculté de Pharmacie, Lille, France
Received 27 July 1998/Returned for modification 29 September
1998/Accepted 22 February 1999
We compared the susceptibility results for 200 clinical anaerobes
with nine antibiotics obtained by using a new ATB ANA
(bioMérieux) device against those obtained by the National
Committee for Clinical Laboratory Standards (NCCLS) standard agar
dilution method. For better evaluation of the device, we added
some resistant Bacteroides fragilis group strains
from our own collection: 3, 6, and 12 strains that were resistant
to imipenem, ticarcillin plus clavulanic acid, and
co-amoxiclav, respectively, and 2 other strains with decreased susceptibility to metronidazole. For some strains that did not grow on
ATB S medium, tests were performed by using West-Wilkins medium
supplemented with 1.5% agar. The new ATB ANA device made clinical
categorization of the investigated strains possible, according to
French (Committee of the Antibiogram of the French Society of
Microbiology) or U.S. (NCCLS) breakpoints, with the following
respective results: category agreement, 94.3 and 94.9%; minor errors,
4.8 and 3.8%; major errors, 0.4 and 0.8%; and very major errors 4.6 and 4.2%. The ATB ANA device was able to detect low-level
metronidazole-resistant B. fragilis strains according to
the French breakpoints but not the NCCLS ones. For B. fragilis and
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Susceptibility Testing of Anaerobic Bacteria:
Evaluation of the Redesigned (Version 96) bioMérieux ATB
ANA Device
-lactamase-positive Prevotella
strains, the clustering effect of amoxicillin MICs around the French
breakpoints led to more frequent minor errors. ATB ANA is a very
convenient method to determine the antibiotic susceptibilities of
anaerobes. Results obtained by ATB ANA correlated well with those
obtained by the reference method.
*
Corresponding author. Mailing address: Faculté de
Pharmacie Lille, Lab. de Microbiologie Clinique, 3 Rue Laguesse, BP 83, 59006 Lille Cedex, France. Phone and Fax: 33.3.20.96.40.08. E-mail: ldubreui{at}phare.univ-lille2.fr.
This article has been cited by other articles:
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»