Knowledge

Minimum inhibitory concentration

Source đź“ť

236: 206: 192:. Microbes such as bacteria have been gaining resistance to antimicrobials they were previously susceptible to. Usage of incompatible levels of antimicrobials provides the selective pressure that has driven the direction and evolution of resistance of bacterial pathogens. This has been seen at sub-MIC levels of antibiotics. As such, it is increasingly important to determine the MIC in order to make the best choice in prescribing antimicrobials. 153:
determination and clinical usage. Because pathogens continue to evolve, and new drugs continue to be developed, the CLSI's MIC protocols are periodically updated to reflect these changes. The protocols and parameters set by the CLSI are considered to be the "gold standard" in the United States and are used by regulatory authorities, such as the FDA, to make evaluations.
185:. As such, it is difficult to prescribe correct antimicrobials. The MIC is determined in such cases by growing the pathogen isolate from the patient on plate or broth, which is later used in the assay. Thus, knowledge of the MIC will provide a physician valuable information for making a prescription. 161:
Nowadays, the MIC is used in antimicrobial susceptibility testing. The MIC is reported by providing the susceptibility interpretation next to each antibiotic. The different susceptibility interpretations are: "S" (susceptible or responding to a standard dosing regimen), "I" (intermediate or requiring
266:
MIC is used clinically over MBC because MIC is more easily determined. In addition, drug effectiveness is generally similar when taken at both MIC and MBC concentrations because the host immune system can expel the pathogen when bacterial proliferation is at a standstill. When the MBC is much higher
226:
into multiple tubes (or wells) to obtain a gradient. The dilution rate can be adjusted depending on the breakpoint and the practitioner's needs. The microbe, or the inoculating agent, must come from the same colony-forming unit, and must be at the correct concentration. This may be adjusted by
221:
necessary to run this assay: the media, an antimicrobial agent, and the microbe being tested. The most commonly used media is cation-adjusted Mueller Hinton Broth, due to its ability to support the growth of most pathogens and its lack of inhibitors towards common antibiotics. Depending on the
152:
developed the broth dilution technique using the turbidity of the broth for assessment. This is commonly believed to be the conception point of minimum inhibitory concentrations. Later in the 1980s, the Clinical and Laboratory Standards Institute consolidated the methods and standards for MIC
275:
Increasing bacterial outbreaks and newer strains of Microbes and Pathogen invading our lives daily, there is an increasing need to Test these microbes. Mutating Bacteria poses a higher risk to humans more than ever and thus MIC Test is important to ensure we are one step ahead of them.
374:
Pfaller MA, Andes D, Diekema DJ, Espinel-Ingroff A, Sheehan D (December 2010). "Wild-type MIC distributions, epidemiological cutoff values and species-specific clinical breakpoints for fluconazole and Candida: Time for harmonization of CLSI and EUCAST broth microdilution methods".
227:
incubation time and dilution. For verification, the positive control is plated in a hundred fold dilution to count colony forming units. The microbes inoculate the tubes (or plate) and are incubated for 16–20 hours. The MIC is generally determined by turbidity.
246:
can be used as an alternative method to determine the minimum inhibitory concentrations of a wide range of antimicrobial agents against different organisms. They have been widely used in microbiology laboratories around the world. Manufactured by
222:
pathogen and antibiotics being tested, the media can be changed and/or adjusted. The antimicrobial concentration is adjusted into the correct concentration by mixing stock antimicrobial with media. The adjusted antimicrobial is
263:(MBC) is the minimum concentration of an antibacterial agent that results in bacterial death. It is defined by the inability to re-culture bacteria, and the closer the MIC is to the MBC, the more bactericidal the compound. 410:
Bennani FE, Doudach L, El Rhayam Y, Karrouchi K, Cherrah Y, Tarib A, Ansar M, Faouzi ME (November 2022). "Identification of the new progress on pyrazole derivatives molecules as antimicrobial and antifungal agents".
239:
Etest. After the required incubation period, when an even lawn of growth is distinctly visible, the MIC value is read where the pointed end of the inhibition ellipse intersects the side of the strip.
86:
In diagnostic labs, MIC test results are used to grade the susceptibility of microbes. These grades are assigned based on agreed upon values called breakpoints. Breakpoints are published by
267:
than the MIC, drug toxicity makes taking the MBC of the drug detrimental to patient. Antimicrobial toxicity can come in many forms, such as immune hypersensitivity and off-target toxicity.
2469: 2362: 647:
Turnidge JD, Ferraro MJ, Jorgensen JH (2003). "Susceptibility Test Methods: General Considerations". In Murray PR, Baron EJ, Jorgensen JH, Pfaller MA, Yolken RH (eds.).
2124: 167: 99: 83:
potency of the chemical, but other variables can affect results too. The MIC is often expressed in micrograms per milliliter (ÎĽg/mL) or milligrams per liter (mg/L).
2551: 2464: 173:
In clinics, more often than not, exact pathogens cannot be easily determined by symptoms of the patient. Then, even if the pathogen is determined, different
170:. There have been major discrepancies between the breakpoints from various European countries over the years, and between those from the CLSI and EUCAST. 538:"Overview of Changes to the Clinical and Laboratory Standards Institute Performance Standards for Antimicrobial Susceptibility Testing, M100, 31st Edition" 445:"Bioprospecting for antibacterial drugs: a multidisciplinary perspective on natural product source material, bioassay selection and avoidable pitfalls" 2193: 2234: 251:, Etests are a ready-to-use, non-porous plastic reagent strip with a predefined gradient of antibiotic, covering a continuous concentration range. 2117: 995: 95: 2412: 163: 91: 672:
O'Neill AJ, Chopra I (August 2004). "Preclinical evaluation of novel antibacterial agents by microbiological and molecular techniques".
2518: 2110: 490:
McKinnon PS, Davis SL (April 2004). "Pharmacokinetic and pharmacodynamic issues in the treatment of bacterial infectious diseases".
1296: 717:
On the antibacterial action of cultures of a penicillium, with special reference to their use in the isolation of B. influenzae
2603: 128:
against bacteria and fungi of interest. MIC values provide a quantitative measure of an extract or compound's antimicrobial
1388: 1353: 259:
While the MIC is the lowest concentration of an antibacterial or antifungal agent necessary to inhibit visible growth, the
136:
toxicity data is available, MICs can also be used to calculate selectivity index values, a measure of off-target to target
890:"The interface between antibiotic resistance and virulence in Staphylococcus aureus and its impact upon clinical outcomes" 2417: 2082: 1121: 971: 823: 790: 260: 1205: 1180: 938: 656: 1636: 2427: 2432: 2012: 1505: 2387: 2479: 2253: 2067: 1763: 1674: 1540: 1011:"Interplay Between Antibiotic Resistance and Virulence During Disease Promoted by Multidrug-Resistant Bacteria" 2407: 1992: 1617: 1114:
Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically: approved standard
783:
Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically: approved standard
297: 118: 2474: 2437: 2422: 1545: 189: 2656: 1735: 443:
Cushnie TP, Cushnie B, EcheverrĂ­a J, Fowsantear W, Thammawat S, Dodgson JL, Law S, Clow SM (June 2020).
148:
After the discovery and commercialization of antibiotics, microbiologist, pharmacologist, and physician
1470: 1289: 816:
Performance standards for antimicrobial susceptibility testing: twenty-second informational supplement
2357: 1982: 1730: 1724: 720: 2508: 2459: 2275: 2167: 2142: 2047: 1749: 182: 2307: 1798: 1560: 1555: 1465: 1383: 2543: 2442: 2147: 1934: 1695: 1670: 1605: 1494: 1378: 129: 114: 87: 1170: 79:. The value obtained is largely dependent on the susceptibility of the microorganism and the 2500: 2134: 2042: 1834: 1313: 1282: 209:
Broth dilution assay. The MIC is determined by examining tubes containing the microbe and a
2367: 2077: 1939: 1849: 1690: 1570: 1338: 8: 2625: 2566: 2556: 2484: 2270: 1987: 1875: 1844: 1490: 1450: 1373: 1175:(7th ed.). New Delhi, India: Jaypee Brothers Medical Publishers. pp. 696, 697. 290: 285: 72: 2635: 2282: 1957: 1907: 1808: 1621: 1600: 1500: 1421: 1333: 1255: 1230: 1086: 1059: 1058:
Gullberg E, Cao S, Berg OG, Ilbäck C, Sandegren L, Hughes D, Andersson DI (July 2011).
1035: 1010: 989: 697: 562: 537: 515: 472: 348: 321: 2102: 865: 848: 162:
increased exposure), and "R" (resistant). These interpretations were developed by the
2620: 2452: 2229: 1952: 1813: 1803: 1631: 1625: 1460: 1260: 1211: 1201: 1176: 1127: 1117: 1091: 1040: 977: 967: 944: 934: 911: 870: 829: 819: 796: 786: 760: 723: 689: 652: 651:(8th ed.). Washington: American Society of Clinical Microbiology. p. 1103. 604: 567: 507: 476: 464: 420: 392: 353: 149: 121: 964:
Global antimicrobial resistance surveillance system: manual for early implementation
701: 519: 2630: 2528: 1997: 1885: 1880: 1680: 1650: 1436: 1416: 1398: 1250: 1242: 1081: 1071: 1030: 1022: 901: 860: 750: 681: 594: 557: 549: 499: 456: 384: 343: 333: 205: 174: 125: 2447: 2402: 2302: 2292: 2172: 2037: 1912: 1740: 1700: 1685: 1393: 1343: 1076: 223: 210: 188:
Accurate and precise usage of antimicrobials is also important in the context of
64: 1595: 1246: 1145: 338: 2382: 2203: 2198: 2027: 2007: 1926: 1768: 1510: 1455: 755: 742: 685: 599: 586: 460: 388: 110: 57: 800: 503: 2650: 2596: 2533: 2327: 2239: 2213: 2208: 2188: 2032: 1519: 1426: 1215: 1131: 981: 948: 833: 743:"History and development of antimicrobial susceptibility testing methodology" 80: 68: 1026: 727: 248: 235: 2377: 2322: 2297: 2002: 1962: 1863: 1787: 1665: 1348: 1305: 1264: 1116:(Tenth ed.). Wayne, Pa.: Clinical and Laboratory Standards Institute. 1095: 1044: 915: 874: 764: 693: 608: 571: 511: 468: 424: 396: 357: 102:(EUCAST). The purpose of measuring MICs and grading microbes is to enable 20: 2615: 2332: 2087: 1574: 1550: 1231:"Mechanisms of drug toxicity and relevance to pharmaceutical development" 906: 889: 553: 76: 41: 785:(9th ed.). Wayne, Pa: Clinical and Laboratory Standards Institute. 75:, then inoculating with bacteria or fungi, and incubating at a suitable 2591: 2287: 1967: 1899: 1791: 1566: 1060:"Selection of resistant bacteria at very low antibiotic concentrations" 53: 2513: 2372: 1745: 628:. European Committee on Antimicrobial Susceptibility Testing (EUCAST) 103: 444: 2489: 2397: 2337: 2314: 1867: 1839: 1826: 1515: 625: 536:
Humphries R, Bobenchik AM, Hindler JA, Schuetz AN (November 2021).
492:
European Journal of Clinical Microbiology & Infectious Diseases
218: 137: 45: 37: 32: 442: 373: 320:
Magréault S, Jauréguy F, Carbonnelle E, Zahar JR (December 2010).
2608: 2162: 1328: 319: 535: 409: 1274: 132:. The lower the MIC, the more potent the antimicrobial. When 49: 293:, pioneer in drinking water chlorination treatment and testing 2561: 2523: 2392: 243: 1720: 1613: 1609: 1411: 928: 106:
to prescribe the most appropriate antimicrobial treatment.
1786: 818:. Wayne, PA: Clinical and Laboratory Standards Institute. 100:
European Committee on Antimicrobial Susceptibility Testing
2060: 961: 849:"How artificial is the antibiotic resistance definition?" 1862: 646: 2132: 2020: 1482: 1057: 846: 16:
Concentration of chemical that stops bacterial growth
587:"Determination of minimum inhibitory concentrations" 1444: 847:Diene SM, Abat C, Rolain JM, Raoult D (July 2017). 966:. World Health Organization. Geneva, Switzerland. 888:Cameron DR, Howden BP, Peleg AY (September 2011). 887: 671: 2648: 1008: 929:Schwalbe R, Steele-Moore L, Goodwin AC (2007). 322:"When and How to Use MIC in Clinical Practice?" 113:is often measurement of the MICs of biological 931:Antimicrobial susceptibility testing protocols 531: 529: 438: 436: 434: 369: 367: 315: 313: 96:British Society for Antimicrobial Chemotherapy 2118: 1925: 1290: 489: 840: 665: 578: 526: 483: 431: 403: 364: 310: 92:Clinical and Laboratory Standards Institute 2125: 2111: 1297: 1283: 1228: 994:: CS1 maint: location missing publisher ( 620: 618: 1898: 1366: 1321: 1254: 1195: 1111: 1085: 1075: 1034: 905: 864: 813: 780: 754: 747:The Journal of Antimicrobial Chemotherapy 626:"New definitions of S, I and R from 2019" 598: 591:The Journal of Antimicrobial Chemotherapy 561: 347: 337: 35:, usually a drug, which prevents visible 1168: 1009:Geisinger E, Isberg RR (February 2017). 962:World Health Organization (2015-12-15). 234: 204: 1825: 1533: 714: 674:Expert Opinion on Investigational Drugs 615: 584: 200: 2649: 1658: 1588: 2106: 1278: 1107: 1105: 776: 774: 740: 213:of antimicrobial agent for turbidity. 63:The MIC is determined by preparing a 1713: 1235:Drug Metabolism and Pharmacokinetics 52:. MIC testing is performed in both 2418:Oxidative/fermentation glucose test 1200:. Jones & Bartlett Publishers. 88:standards development organizations 31:) is the lowest concentration of a 13: 2083:Minimum bactericidal concentration 1172:Essentials of Medical Pharmacology 1102: 1015:The Journal of Infectious Diseases 771: 261:minimum bactericidal concentration 14: 2668: 2544:Antibiotic susceptibility testing 2351:biochemical and immunologic tests 156: 2572:Minimum inhibitory concentration 2264:Manual testing: basic techniques 2073:Minimum inhibitory concentration 1304: 413:West African Journal of Medicine 25:minimum inhibitory concentration 2013:WHO list of essential medicines 1506:Non-specific effect of vaccines 1222: 1189: 1162: 1138: 1051: 1002: 955: 922: 881: 807: 734: 708: 649:Manual of Clinical Microbiology 2480:Novobiocin susceptibility test 2470:Bacitracin susceptibility test 2068:Antimicrobial pharmacodynamics 853:The Lancet Infectious Diseases 640: 593:. 48 Suppl 1 (suppl 1): 5–16. 254: 1: 2363:Amino acid decarboxylase test 1993:Functional analog (chemistry) 866:10.1016/S1473-3099(17)30338-9 749:. 48 Suppl 1 (suppl_1): 1–4. 303: 270: 2475:Optochin susceptibility test 2438:Sulfide indole motility test 2423:Phenylalanine deaminase test 1546:Hill equation (biochemistry) 1077:10.1371/journal.ppat.1002158 894:Clinical Infectious Diseases 190:multidrug-resistant bacteria 183:resistance to antimicrobials 7: 1247:10.2133/dmpk.DMPK-10-RV-062 1196:Gallagher JC (2016-11-21). 339:10.3390/antibiotics11121748 279: 10: 2673: 2061:Antimicrobial pharmacology 1541:Dose–response relationship 1471:Desensitization (medicine) 721:H. K. Lewis & Co. Ltd. 686:10.1517/13543784.13.8.1045 461:10.1007/s11095-020-02849-1 389:10.1016/j.drup.2010.09.002 195: 143: 2584: 2542: 2519:Polymerase chain reaction 2498: 2348: 2263: 2252: 2222: 2181: 2155: 2141: 1983:Coinduction (anesthetics) 1976: 1777: 1649: 1435: 1312: 933:. Boca Raton: CRC Press. 504:10.1007/s10096-004-1107-7 2509:Analytical profile index 2048:Multiple drug resistance 2021:Tolerance and resistance 1389:Physiological antagonist 756:10.1093/jac/48.suppl_1.1 600:10.1093/jac/48.suppl_1.5 585:Andrews JM (July 2001). 548:(12): Article e0021321. 230: 67:of the chemical, adding 1799:Neuropsychopharmacology 1561:Cheng-Prussoff Equation 1556:Del Castillo Katz model 1483:Other effects of ligand 1466:Receptor (biochemistry) 1384:Irreversible antagonist 449:Pharmaceutical Research 377:Drug Resistance Updates 298:How to Perform MIS Test 181:have varying levels of 2443:Triple sugar iron test 1935:Classical pharmacology 1696:Plasma protein binding 1671:Volume of distribution 1379:Competitive antagonist 1229:Guengerich FP (2011). 1198:Antibiotics simplified 741:Wheat PF (July 2001). 240: 214: 179:Staphylococcus aureus, 177:of pathogens, such as 2501:point-of-care testing 2182:Cultures by body site 2135:clinical microbiology 2043:Antibiotic resistance 1835:Clinical pharmacology 1354:Physiological agonist 1314:Ligand (biochemistry) 1027:10.1093/infdis/jiw402 781:Cockerill FR (2012). 238: 217:There are three main 208: 2460:Voges–Proskauer test 2368:Bile solubility test 2223:Cultures by organism 2156:Isolation techniques 1940:Reverse pharmacology 1850:Pharmacoepidemiology 1691:Biological half-life 1571:Ligand binding assay 1445:Activity at receptor 1339:Irreversible agonist 1169:Tripathi KD (2013). 1112:Cockerill F (2015). 814:Cockerill F (2012). 554:10.1128/JCM.00213-21 332:(12): Article 1748. 201:Broth dilution assay 2567:McFarland standards 2557:Disk diffusion test 2552:Beta-lactamase test 2485:Lancefield grouping 2465:X and V factor test 2433:Salt tolerance test 2308:Ziehl–Neelsen stain 2271:Colonial morphology 1988:Combination therapy 1876:Pharmacoinformatics 1845:Medicinal chemistry 1451:Mechanism of action 1021:(suppl_1): S9–S17. 291:Arthur Thomas Palin 2657:Microbiology terms 2636:Inoculation needle 1958:Immunopharmacology 1908:Pharmacotoxicology 1809:Psychopharmacology 1601:Intrinsic activity 1501:Pleiotropy (drugs) 1422:Agonist-antagonist 1334:Endogenous agonist 907:10.1093/cid/cir473 715:Fleming A (1944). 455:(7): Article 125. 296:MIC Test Flow And 241: 215: 126:chemical libraries 109:The first step in 2644: 2643: 2621:Biosafety cabinet 2580: 2579: 2428:Reverse CAMP test 2248: 2247: 2230:Bacterial culture 2100: 2099: 2096: 2095: 2056: 2055: 1953:Photopharmacology 1948: 1947: 1921: 1920: 1894: 1893: 1858: 1857: 1821: 1820: 1814:Electrophysiology 1804:Neuropharmacology 1759: 1758: 1709: 1708: 1645: 1644: 1632:Therapeutic index 1584: 1583: 1529: 1528: 1478: 1477: 1407: 1406: 1362: 1361: 419:(11): 1217–1244. 150:Alexander Fleming 90:such as the U.S. 2664: 2631:Inoculation loop 2529:Rapid strep test 2261: 2260: 2153: 2152: 2127: 2120: 2113: 2104: 2103: 2058: 2057: 2018: 2017: 1998:Polypharmacology 1923: 1922: 1896: 1895: 1886:Pharmacogenomics 1881:Pharmacogenetics 1860: 1859: 1823: 1822: 1784: 1783: 1711: 1710: 1681:Rate of infusion 1656: 1655: 1651:Pharmacokinetics 1586: 1585: 1531: 1530: 1480: 1479: 1442: 1441: 1437:Pharmacodynamics 1417:Neurotransmitter 1399:Enzyme inhibitor 1364: 1363: 1319: 1318: 1299: 1292: 1285: 1276: 1275: 1269: 1268: 1258: 1226: 1220: 1219: 1193: 1187: 1186: 1166: 1160: 1159: 1157: 1156: 1142: 1136: 1135: 1109: 1100: 1099: 1089: 1079: 1055: 1049: 1048: 1038: 1006: 1000: 999: 993: 985: 959: 953: 952: 926: 920: 919: 909: 885: 879: 878: 868: 844: 838: 837: 811: 805: 804: 778: 769: 768: 758: 738: 732: 731: 712: 706: 705: 669: 663: 662: 644: 638: 637: 635: 633: 622: 613: 612: 602: 582: 576: 575: 565: 542:J Clin Microbiol 533: 524: 523: 487: 481: 480: 440: 429: 428: 407: 401: 400: 371: 362: 361: 351: 341: 317: 286:Kirby–Bauer test 224:serially diluted 2672: 2671: 2667: 2666: 2665: 2663: 2662: 2661: 2647: 2646: 2645: 2640: 2576: 2538: 2494: 2403:Methyl red test 2350: 2349:Manual testing: 2344: 2303:India ink stain 2293:Acid-fast stain 2256: 2244: 2218: 2194:Genital culture 2177: 2173:Selective media 2145: 2137: 2131: 2101: 2092: 2052: 2038:Drug resistance 2016: 1972: 1944: 1917: 1913:Neurotoxicology 1890: 1854: 1817: 1779: 1773: 1755: 1705: 1701:Bioavailability 1686:Onset of action 1641: 1580: 1525: 1474: 1431: 1403: 1394:Inverse agonist 1358: 1344:Partial agonist 1308: 1303: 1273: 1272: 1227: 1223: 1208: 1194: 1190: 1183: 1167: 1163: 1154: 1152: 1144: 1143: 1139: 1124: 1110: 1103: 1070:(7): e1002158. 1056: 1052: 1007: 1003: 987: 986: 974: 960: 956: 941: 927: 923: 886: 882: 845: 841: 826: 812: 808: 793: 779: 772: 739: 735: 713: 709: 670: 666: 659: 645: 641: 631: 629: 624: 623: 616: 583: 579: 534: 527: 488: 484: 441: 432: 408: 404: 372: 365: 318: 311: 306: 282: 273: 257: 233: 211:dilution series 203: 198: 159: 146: 98:(BSAC) and the 65:dilution series 17: 12: 11: 5: 2670: 2660: 2659: 2642: 2641: 2639: 2638: 2633: 2628: 2623: 2618: 2613: 2612: 2611: 2601: 2600: 2599: 2588: 2586: 2582: 2581: 2578: 2577: 2575: 2574: 2569: 2564: 2559: 2554: 2548: 2546: 2540: 2539: 2537: 2536: 2531: 2526: 2521: 2516: 2511: 2505: 2503: 2499:Automated and 2496: 2495: 2493: 2492: 2487: 2482: 2477: 2472: 2467: 2462: 2457: 2456: 2455: 2445: 2440: 2435: 2430: 2425: 2420: 2415: 2410: 2405: 2400: 2395: 2390: 2385: 2383:Coagulase test 2380: 2375: 2370: 2365: 2360: 2354: 2352: 2346: 2345: 2343: 2342: 2341: 2340: 2335: 2330: 2325: 2317: 2312: 2311: 2310: 2305: 2300: 2295: 2290: 2280: 2279: 2278: 2267: 2265: 2258: 2254:Identification 2250: 2249: 2246: 2245: 2243: 2242: 2237: 2235:Fungal culture 2232: 2226: 2224: 2220: 2219: 2217: 2216: 2211: 2206: 2204:Throat culture 2201: 2199:Sputum culture 2196: 2191: 2185: 2183: 2179: 2178: 2176: 2175: 2170: 2165: 2159: 2157: 2150: 2139: 2138: 2133:Techniques in 2130: 2129: 2122: 2115: 2107: 2098: 2097: 2094: 2093: 2091: 2090: 2085: 2080: 2078:Bacteriostatic 2075: 2070: 2064: 2062: 2054: 2053: 2051: 2050: 2045: 2040: 2035: 2030: 2028:Drug tolerance 2024: 2022: 2015: 2010: 2008:Lists of drugs 2005: 2000: 1995: 1990: 1985: 1980: 1978: 1974: 1973: 1971: 1970: 1965: 1960: 1955: 1949: 1946: 1945: 1943: 1942: 1937: 1931: 1929: 1927:Drug discovery 1919: 1918: 1916: 1915: 1910: 1904: 1902: 1892: 1891: 1889: 1888: 1883: 1878: 1872: 1870: 1856: 1855: 1853: 1852: 1847: 1842: 1837: 1831: 1829: 1819: 1818: 1816: 1811: 1806: 1801: 1796: 1794: 1781: 1775: 1774: 1772: 1771: 1769:Bioequivalence 1766: 1760: 1757: 1756: 1754: 1753: 1743: 1738: 1733: 1728: 1717: 1715: 1707: 1706: 1704: 1703: 1698: 1693: 1688: 1683: 1678: 1668: 1662: 1660: 1653: 1647: 1646: 1643: 1642: 1640: 1639: 1634: 1629: 1603: 1598: 1592: 1590: 1582: 1581: 1579: 1578: 1563: 1558: 1553: 1548: 1543: 1537: 1535: 1527: 1526: 1524: 1523: 1513: 1511:Adverse effect 1508: 1503: 1498: 1486: 1484: 1476: 1475: 1473: 1468: 1463: 1458: 1456:Mode of action 1453: 1448: 1446: 1439: 1433: 1432: 1430: 1429: 1424: 1419: 1414: 1408: 1405: 1404: 1402: 1401: 1396: 1391: 1386: 1381: 1376: 1370: 1368: 1360: 1359: 1357: 1356: 1351: 1346: 1341: 1336: 1331: 1325: 1323: 1316: 1310: 1309: 1302: 1301: 1294: 1287: 1279: 1271: 1270: 1221: 1206: 1188: 1181: 1161: 1137: 1123:978-1562387839 1122: 1101: 1064:PLOS Pathogens 1050: 1001: 973:978-9241549400 972: 954: 939: 921: 880: 839: 825:978-1562387853 824: 806: 792:978-1562387846 791: 770: 733: 707: 680:(8): 1045–63. 664: 657: 639: 614: 577: 525: 482: 430: 402: 383:(6): 180–195. 363: 308: 307: 305: 302: 301: 300: 294: 288: 281: 278: 272: 269: 256: 253: 232: 229: 202: 199: 197: 194: 158: 157:Clinical usage 155: 145: 142: 111:drug discovery 60:laboratories. 58:drug discovery 15: 9: 6: 4: 3: 2: 2669: 2658: 2655: 2654: 2652: 2637: 2634: 2632: 2629: 2627: 2624: 2622: 2619: 2617: 2614: 2610: 2607: 2606: 2605: 2604:Anaerobic jar 2602: 2598: 2597:Growth medium 2595: 2594: 2593: 2590: 2589: 2587: 2583: 2573: 2570: 2568: 2565: 2563: 2560: 2558: 2555: 2553: 2550: 2549: 2547: 2545: 2541: 2535: 2534:Monospot test 2532: 2530: 2527: 2525: 2522: 2520: 2517: 2515: 2512: 2510: 2507: 2506: 2504: 2502: 2497: 2491: 2488: 2486: 2483: 2481: 2478: 2476: 2473: 2471: 2468: 2466: 2463: 2461: 2458: 2454: 2451: 2450: 2449: 2446: 2444: 2441: 2439: 2436: 2434: 2431: 2429: 2426: 2424: 2421: 2419: 2416: 2414: 2411: 2409: 2406: 2404: 2401: 2399: 2396: 2394: 2391: 2389: 2386: 2384: 2381: 2379: 2376: 2374: 2371: 2369: 2366: 2364: 2361: 2359: 2356: 2355: 2353: 2347: 2339: 2336: 2334: 2331: 2329: 2326: 2324: 2321: 2320: 2318: 2316: 2313: 2309: 2306: 2304: 2301: 2299: 2296: 2294: 2291: 2289: 2286: 2285: 2284: 2281: 2277: 2274: 2273: 2272: 2269: 2268: 2266: 2262: 2259: 2255: 2251: 2241: 2240:Viral culture 2238: 2236: 2233: 2231: 2228: 2227: 2225: 2221: 2215: 2214:Wound culture 2212: 2210: 2209:Urine culture 2207: 2205: 2202: 2200: 2197: 2195: 2192: 2190: 2189:Blood culture 2187: 2186: 2184: 2180: 2174: 2171: 2169: 2166: 2164: 2161: 2160: 2158: 2154: 2151: 2149: 2144: 2140: 2136: 2128: 2123: 2121: 2116: 2114: 2109: 2108: 2105: 2089: 2086: 2084: 2081: 2079: 2076: 2074: 2071: 2069: 2066: 2065: 2063: 2059: 2049: 2046: 2044: 2041: 2039: 2036: 2034: 2033:Tachyphylaxis 2031: 2029: 2026: 2025: 2023: 2019: 2014: 2011: 2009: 2006: 2004: 2001: 1999: 1996: 1994: 1991: 1989: 1986: 1984: 1981: 1979: 1975: 1969: 1966: 1964: 1961: 1959: 1956: 1954: 1951: 1950: 1941: 1938: 1936: 1933: 1932: 1930: 1928: 1924: 1914: 1911: 1909: 1906: 1905: 1903: 1901: 1897: 1887: 1884: 1882: 1879: 1877: 1874: 1873: 1871: 1869: 1865: 1861: 1851: 1848: 1846: 1843: 1841: 1838: 1836: 1833: 1832: 1830: 1828: 1824: 1815: 1812: 1810: 1807: 1805: 1802: 1800: 1797: 1795: 1793: 1789: 1785: 1782: 1776: 1770: 1767: 1765: 1762: 1761: 1751: 1747: 1744: 1742: 1739: 1737: 1734: 1732: 1729: 1726: 1722: 1719: 1718: 1716: 1712: 1702: 1699: 1697: 1694: 1692: 1689: 1687: 1684: 1682: 1679: 1676: 1672: 1669: 1667: 1664: 1663: 1661: 1657: 1654: 1652: 1648: 1638: 1635: 1633: 1630: 1627: 1623: 1619: 1615: 1611: 1607: 1604: 1602: 1599: 1597: 1594: 1593: 1591: 1587: 1576: 1572: 1568: 1564: 1562: 1559: 1557: 1554: 1552: 1549: 1547: 1544: 1542: 1539: 1538: 1536: 1532: 1521: 1520:Neurotoxicity 1517: 1514: 1512: 1509: 1507: 1504: 1502: 1499: 1496: 1492: 1489:Selectivity ( 1488: 1487: 1485: 1481: 1472: 1469: 1467: 1464: 1462: 1459: 1457: 1454: 1452: 1449: 1447: 1443: 1440: 1438: 1434: 1428: 1427:Pharmacophore 1425: 1423: 1420: 1418: 1415: 1413: 1410: 1409: 1400: 1397: 1395: 1392: 1390: 1387: 1385: 1382: 1380: 1377: 1375: 1372: 1371: 1369: 1365: 1355: 1352: 1350: 1347: 1345: 1342: 1340: 1337: 1335: 1332: 1330: 1327: 1326: 1324: 1320: 1317: 1315: 1311: 1307: 1300: 1295: 1293: 1288: 1286: 1281: 1280: 1277: 1266: 1262: 1257: 1252: 1248: 1244: 1240: 1236: 1232: 1225: 1217: 1213: 1209: 1207:9781284111293 1203: 1199: 1192: 1184: 1182:9789350259375 1178: 1174: 1173: 1165: 1151: 1147: 1141: 1133: 1129: 1125: 1119: 1115: 1108: 1106: 1097: 1093: 1088: 1083: 1078: 1073: 1069: 1065: 1061: 1054: 1046: 1042: 1037: 1032: 1028: 1024: 1020: 1016: 1012: 1005: 997: 991: 983: 979: 975: 969: 965: 958: 950: 946: 942: 940:9781420014495 936: 932: 925: 917: 913: 908: 903: 900:(6): 576–82. 899: 895: 891: 884: 876: 872: 867: 862: 858: 854: 850: 843: 835: 831: 827: 821: 817: 810: 802: 798: 794: 788: 784: 777: 775: 766: 762: 757: 752: 748: 744: 737: 729: 725: 722: 718: 711: 703: 699: 695: 691: 687: 683: 679: 675: 668: 660: 658:1-55581-255-4 654: 650: 643: 627: 621: 619: 610: 606: 601: 596: 592: 588: 581: 573: 569: 564: 559: 555: 551: 547: 543: 539: 532: 530: 521: 517: 513: 509: 505: 501: 498:(4): 271–88. 497: 493: 486: 478: 474: 470: 466: 462: 458: 454: 450: 446: 439: 437: 435: 426: 422: 418: 414: 406: 398: 394: 390: 386: 382: 378: 370: 368: 359: 355: 350: 345: 340: 335: 331: 327: 323: 316: 314: 309: 299: 295: 292: 289: 287: 284: 283: 277: 268: 264: 262: 252: 250: 245: 237: 228: 225: 220: 212: 207: 193: 191: 186: 184: 180: 176: 171: 169: 165: 154: 151: 141: 139: 135: 131: 127: 123: 120: 116: 112: 107: 105: 101: 97: 93: 89: 84: 82: 81:antimicrobial 78: 74: 70: 66: 61: 59: 55: 51: 47: 43: 40: 39: 34: 30: 26: 22: 2571: 2408:Nitrite test 2378:Citrate test 2319:Rapid tests 2298:Giemsa stain 2168:Streak plate 2072: 2003:Chemotherapy 1963:Cell biology 1864:Biochemistry 1788:Neuroscience 1736:Distribution 1666:Loading dose 1349:Superagonist 1306:Pharmacology 1238: 1234: 1224: 1197: 1191: 1171: 1164: 1153:. Retrieved 1149: 1140: 1113: 1067: 1063: 1053: 1018: 1014: 1004: 963: 957: 930: 924: 897: 893: 883: 856: 852: 842: 815: 809: 782: 746: 736: 716: 710: 677: 673: 667: 648: 642: 630:. Retrieved 590: 580: 545: 541: 495: 491: 485: 452: 448: 416: 412: 405: 380: 376: 329: 325: 274: 265: 258: 242: 216: 187: 178: 172: 160: 147: 133: 108: 94:(CLSI), the 85: 62: 36: 28: 24: 21:microbiology 18: 2616:Durham tube 2448:Urease test 2257:and testing 2088:Bactericide 1764:Compartment 1575:Patch clamp 1551:Schild plot 1241:(1): 3–14. 326:Antibiotics 255:MBC testing 77:temperature 2592:Agar plate 2388:DNAse test 2288:Gram stain 1968:Physiology 1900:Toxicology 1792:psychology 1741:Metabolism 1731:Absorption 1725:Liberation 1567:Organ bath 1495:Functional 1374:Antagonist 1367:Inhibitory 1322:Excitatory 1155:2019-04-23 1150:bioMĂ©rieux 859:(7): 690. 801:1016466655 304:References 271:Importance 249:bioMĂ©rieux 104:physicians 54:diagnostic 2626:Incubator 2585:Equipment 2514:MALDI-TOF 2413:ONPG test 2373:CAMP test 2276:Hemolysis 2143:Isolation 1750:Clearance 1746:Excretion 1565:Methods ( 1216:952657550 1132:932608948 990:cite book 982:950637154 949:666899344 834:795927370 477:254932190 124:or large 122:compounds 2651:Category 2490:RPR test 2398:KOH test 2358:ALA test 2328:Catalase 2315:Wet prep 2283:Staining 1868:genetics 1840:Pharmacy 1827:Medicine 1637:Affinity 1596:Efficacy 1534:Analysis 1516:Toxicity 1265:20978361 1096:21811410 1045:28375515 916:21865195 875:28653629 765:11420332 728:25424051 702:24016698 694:15268641 609:11420333 572:34550809 520:28455936 512:15015030 469:32529587 425:36455285 397:21050800 358:36551405 280:See also 219:reagents 138:toxicity 134:in vitro 119:isolated 115:extracts 46:bacteria 38:in vitro 33:chemical 2609:Gas-pak 2323:Oxidase 2163:Asepsis 2148:culture 1778:Related 1721:(L)ADME 1675:Initial 1659:Metrics 1606:Potency 1589:Metrics 1491:Binding 1461:Binding 1329:Agonist 1256:4707670 1146:"ETEST" 1087:3141051 1036:5853982 563:8601225 349:9774413 196:Methods 175:strains 144:History 130:potency 2333:Indole 1780:fields 1263:  1253:  1214:  1204:  1179:  1130:  1120:  1094:  1084:  1043:  1033:  980:  970:  947:  937:  914:  873:  832:  822:  799:  789:  763:  726:  700:  692:  655:  607:  570:  560:  518:  510:  475:  467:  423:  395:  356:  346:  244:Etests 168:EUCAST 42:growth 23:, the 2562:Etest 2524:VITEK 2453:rapid 2393:IMViC 1977:Other 1714:LADME 698:S2CID 632:5 May 516:S2CID 473:S2CID 231:Etest 73:broth 50:fungi 2146:and 1866:and 1790:and 1626:TD50 1622:LD50 1618:ED50 1614:IC50 1610:EC50 1412:Drug 1261:PMID 1212:OCLC 1202:ISBN 1177:ISBN 1128:OCLC 1118:ISBN 1092:PMID 1041:PMID 996:link 978:OCLC 968:ISBN 945:OCLC 935:ISBN 912:PMID 871:PMID 830:OCLC 820:ISBN 797:OCLC 787:ISBN 761:PMID 724:OCLC 690:PMID 653:ISBN 634:2023 605:PMID 568:PMID 508:PMID 465:PMID 421:PMID 393:PMID 354:PMID 166:and 164:CLSI 69:agar 56:and 2338:PYR 1723:: ( 1251:PMC 1243:doi 1082:PMC 1072:doi 1031:PMC 1023:doi 1019:215 902:doi 861:doi 751:doi 682:doi 595:doi 558:PMC 550:doi 500:doi 457:doi 385:doi 344:PMC 334:doi 71:or 48:or 44:of 29:MIC 19:In 2653:: 1624:, 1620:, 1616:, 1612:, 1573:, 1569:, 1493:, 1259:. 1249:. 1239:26 1237:. 1233:. 1210:. 1148:. 1126:. 1104:^ 1090:. 1080:. 1066:. 1062:. 1039:. 1029:. 1017:. 1013:. 992:}} 988:{{ 976:. 943:. 910:. 898:53 896:. 892:. 869:. 857:17 855:. 851:. 828:. 795:. 773:^ 759:. 745:. 719:. 696:. 688:. 678:13 676:. 617:^ 603:. 589:. 566:. 556:. 546:59 544:. 540:. 528:^ 514:. 506:. 496:23 494:. 471:. 463:. 453:37 451:. 447:. 433:^ 417:39 415:. 391:. 381:13 379:. 366:^ 352:. 342:. 330:11 328:. 324:. 312:^ 140:. 117:, 2126:e 2119:t 2112:v 1752:) 1748:( 1727:) 1677:) 1673:( 1628:) 1608:( 1577:) 1522:) 1518:( 1497:) 1298:e 1291:t 1284:v 1267:. 1245:: 1218:. 1185:. 1158:. 1134:. 1098:. 1074:: 1068:7 1047:. 1025:: 998:) 984:. 951:. 918:. 904:: 877:. 863:: 836:. 803:. 767:. 753:: 730:. 704:. 684:: 661:. 636:. 611:. 597:: 574:. 552:: 522:. 502:: 479:. 459:: 427:. 399:. 387:: 360:. 336:: 27:(

Index

microbiology
chemical
in vitro
growth
bacteria
fungi
diagnostic
drug discovery
dilution series
agar
broth
temperature
antimicrobial
standards development organizations
Clinical and Laboratory Standards Institute
British Society for Antimicrobial Chemotherapy
European Committee on Antimicrobial Susceptibility Testing
physicians
drug discovery
extracts
isolated
compounds
chemical libraries
potency
toxicity
Alexander Fleming
CLSI
EUCAST
strains
resistance to antimicrobials

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑