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Journal of Clinical Microbiology, March 2003, p. 1062-1068, Vol. 41, No. 3
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.3.1062-1068.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Comparison of Broth Microdilution, E Test, and Agar Dilution Methods for Antibiotic Susceptibility Testing of Campylobacter jejuni and Campylobacter coli

Petra Luber,1* Edda Bartelt,1 Elke Genschow,1 Jutta Wagner,2 and Helmut Hahn2

Division of Food Hygiene, Federal Institute for Risk Assessment, D-12277 Berlin,1 Department of Medical Microbiology, Benjamin Franklin Medical Center, FU Berlin, D-12203 Berlin, Germany2

Received 22 April 2002/ Returned for modification 8 July 2002/ Accepted 8 October 2002

A standardized broth microdilution method was compared to the E test and an agar dilution method for the antimicrobial susceptibility testing of Campylobacter jejuni and C. coli isolates. A group of 47 human clinical isolates, 37 isolates from retail poultry, and 29 isolates from living turkeys (total, 113 isolates) was included in the study. These encompassed 92 C. jejuni and 21 C. coli strains. The MICs of six antimicrobial agents were determined by the broth microdilution and E test methods, and the strains of human origin were additionally tested by the agar dilution method. In general, broth microdilution MICs agreed within 1 log2 MIC increment with 90.0% of E test results and 78.7% of agar dilution test results. The agar dilution method gave much lower gentamicin MICs than the broth microdilution method, but the data were significantly (P < 0.01) correlated and there was 100% agreement in the sensitivities and specificities in the comparison of the tests. The broth microdilution method had the highest sensitivity for analysis of the susceptibilities of Campylobacter to nalidixic acid and trimethoprim-sulfamethoxazole. The MICs of ciprofloxacin and erythromycin complied numerically by all three methods. The classification of the results and the correlation of the data demonstrated a high degree of agreement. All methods were equally suitable for the testing of the sensitivity of Campylobacter to tetracycline. Thus, the broth microdilution method appears to be an easy and reliable method for determination of the MICs of antibiotics for C. jejuni and C. coli, and it may offer an interesting alternative to MIC determination by the agar dilution technique or the E test.


* Corresponding author. Mailing address: Division of Food Hygiene, Federal Institute for Risk Assessment, Diedersdorfer Weg 1, D-12277 Berlin, Germany. Phone: (0049-188) 8412-2135. Fax: (0049-188) 8412-2957. E-mail: p.luber{at}bfr.bund.de.


Journal of Clinical Microbiology, March 2003, p. 1062-1068, Vol. 41, No. 3
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.3.1062-1068.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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