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Journal of Clinical Microbiology, March 2000, p. 1151-1155, Vol. 38, No. 3
Nosocomial Pathogens Laboratory Branch,
Hospital Infections Program, National Center for Infectious Diseases,
Centers for Disease Control and Prevention, Atlanta, Georgia 30333
Received 21 June 1999/Returned for modification 6 August
1999/Accepted 2 December 1999
Present methods of antimicrobial susceptibility testing of
Bordetella pertussis are time consuming and require
specialized media that are not commercially available. We tested 52 isolates of B. pertussis for resistance to erythromycin,
trimethoprim-sulfamethoxazole, chloramphenicol, and rifampin by agar
dilution with Bordet-Gengou agar (BGA) containing 20% horse blood
(reference method), Etest using BGA and Regan-Lowe agar without
cephalexin (RL
0095-1137/00/$04.00+0
A Simplified Method for Testing Bordetella pertussis
for Resistance to Erythromycin and Other Antimicrobial
Agents
C), and disk diffusion using BGA and RL
C. The
organisms tested included four erythromycin-resistant isolates of
B. pertussis from a single patient, a second
erythromycin-resistant strain of B. pertussis from an
unrelated patient in another state, and 47 nasopharyngeal surveillance
isolates of B. pertussis from children in the
western United States. The results of agar dilution testing using
direct inoculation of the organisms suspended in Mueller-Hinton broth were within ±1 dilution of those obtained after overnight passage of
the inoculum in Stainer-Scholte medium, which is the traditional method
of testing B. pertussis. The Etest method
produced MICs similar to those of the agar dilution reference method
for three of the four antimicrobial agents tested; the
trimethoprim-sulfamethoxazole results were lower with Etest,
particularly when the direct suspension method was used. Most of the
Etest MICs, except for that of erythromycin, were on scale. Disk
diffusion testing using RL
C medium was helpful in identifying the
erythromycin-resistant strains, which produced no zone of inhibition
around the disk; susceptible isolates produced zones of at least 42 mm.
Thus, the antimicrobial susceptibility testing of B. pertussis can be simplified by using the Etest or disk diffusion
on RL
C to screen for erythromycin-resistant isolates of B. pertussis.
*
Corresponding author. Mailing address: Hospital
Infections Program (G08), Centers for Disease Control and Prevention,
1600 Clifton Rd., Atlanta, GA 30333. Phone: (404) 639-3375. Fax: (404) 639-1381. E-mail: fnt1{at}cdc.gov.
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