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Részletek

A cikk állandó MOB linkje:
http://mob.gyemszi.hu/detailsperm.jsp?PERMID=166790
MOB:2025/1
Szerzők:Yildiz, Serap Süzük; Sahin, Sevgi; Tavukcu, Esra; Mumcuoglu, Ipek; Hekimoglu, Can Hüseyin; Güreser, Ayse Semra; Dal, Tuba
Tárgyszavak:VÉR; GYÓGYSZER-REZISZTENCIA; ANTIBIOTIKUMOK; LABORATÓRIUMI VIZSGÁLATOK
Folyóirat:Acta Microbiologica et Immunologica Hungarica - 2025. 72. évf. 1. sz.
[https://akjournals.com/view/journals/030/030-overview.xml]


  Usage of 150mm Mueller - Hinton Agar for the EUCAST rapid antimicrobial susceptibility test (RAST) directly from positive blood culture bottles / Serap Süzük Yildiz [et al.]
  Bibliogr.: p. 47-48. - Abstr. eng. - DOI: https://doi.org/10.1556/030.2025.02538
  In: Acta Microbiologica et Immunologica Hungarica. - ISSN 1217-8950, eISSN 1588-2640 . - 2025. 72. évf. 1. sz., p. 43-48. : ill.


In this study, we evaluated the performance of modified rapid antimicrobial susceptibility test (mRAST) with 150mm Mueller Hinton Agar (MHA) plates which was earlier standardized for 90mm MHA by EUCAST. Blood culture bottles spiked with ATCC quality control strains were prepared. For quality control Escherichia coli ATCC 25922, Pseudomonas aeruginosa ATCC 27853, Staphylococcus aureus ATCC 29213, and Enterococcus faecalis ATCC 29212 strains were used. By calculating and proportioning the surface areas of the plates comparing with 90mm plates, 350 +- 50 ěL undiluted blood culture samples were inoculated in 150mm MHA, and 12 disks were placed. This process was repeated independently for three days and three times on each day for reproducibility. The mRAST test was performed on 50 samples with positive signals and gram-negative bacilli on Gram-stained samples (20 Klebsiella pneumoniae, 15 E. coli, 10 Acinetobacter baumannii, and five P. aeruginosa). Comparison of 90mm MHA and 150mm MHA showed that the categorical agreement of ATCC strains and 50 gram negative isolates was 100% and >95%, respectively, for all antibiotics. For K. pneumoniae, only 0.4 major error (ME) was detected at 4 h. For E. coli, 3.2, 1.6, and 1.5 ME were detected at 4, 8, and 20 h, respectively, whereas 1.6 very major error (VME) was detected at 4 h and 1.0 VME was detected at both 8, and 20 h, respectively. No errors were detected for P. aeruginosa or A. baumannii. These results indicated that 350 +- 50 eL of undiluted blood culture in 150mm MHA was suitable for the mRAST test in vitro.  Kulcsszavak: blood culture, rapid antimicrobial susceptibility test, antimicrobial susceptibility testing, disk diffusion