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Antimicrobial
susceptibility test
(LAB-1)
Antimicrobial susceptibility test
Agar dilution method
Broth microdilution method
4.1 Disk diffusion assay
4.2 Dilution method
2. Preparation of growth media
3. Preparation of antibiotics
4. AST
1. Preparation of bacterial isolates
& inoculum
Antimicrobial susceptibility test
Day 2 AST
Day 3 Reading results
Day 1 Preparing materials
(Growth media, antibiotics, bacterial culture
etc.)
Bacterial isolates and
inoculum
Streak to get single isolates on MHA,
35oC (37C) overnight
1. Quality control strains
Escherichia coli ATCC 25922
Staphylococcus aureus ATCC 29213
Pseudomonas aeruginosa ATCC 27853
2. Bacterial samples
Bacterial isolates
Routine inoculum preparation
Pure culture, 4-5 isolated colonies,
16-24 hrs old
Standardized inoculum size
using turbidity standard
(McFarland standard)
0.5 McFarland = 1.5 x 108 CFU/ml
Adjust by eye or using instrument
Antimicrobial susceptibility test
Turbidity and McFarland
McFarland Densitometer A BaSO4 turbidity standard
Used conc. 1x108 1x106 1x107
CFU/ml CFU/ml CFU/ml
Bacterial cells in inoculum
Final - 1x104 1x104
CFU/well CFU/spot
Initial 1x108 1x108 1x108
CFU/ml CFU/ml CFU/ml
Growth media
Mueller-Hinton media (agar or broth)
pH
Cation conc.
Blood and serum suppl.
Thymidine content
Thickness
Growth media
Growth media
MHA
Autoclave
(121oC, 1.5 psi,
15 min) or
Antibiotics
Antimicrobial agents
DO NOT use pharmacy stock or other clinical preparation
Store as recommended by the manufacturers
Warm to room temperature before opening
If possible, weigh more than 100 mg.
Potency = (Assay purity).(Active fraction).(1-water content)
Weight = Volume(ml).Concentration(/ml)
Potency(g/mg)
Volume (ml) = Weight(mg). Potency(g/mg)
Concentration (g/ml)
Stock solutions
Prepare stock solution at concentration at least
1000 g/ml or 10 times the highest concentration tested
Filter them through a membrane filter
Store the aliquots of sterile stock at -70oC or colder
(6 months)
Consult Vet01-S2 Tables 2A and 2B for number of
concentrations tested
To prepare 100 ml of a stock solution containing 1280 g/ml
of streptomycin with streptomycin powder with the potency
of 990 g/mg.
Example
Weight = Volume(ml).Concentration(/ml)
Potency(g/mg)
= 100*1280/990
= 129 mg
Strepmycin should be weighed 129-150 mg.
Example
Volume (ml) = Weight mg). Potency(g/mg)
Concentration (g/ml)
= 145*990/1280
= 112 ml
If the actual weight is 145 mg the volume of diluent needed
is as follows:
Antimicrobial susceptibility test
Day 2 AST
Day 3 Reading results
Day 1 Preparing materials
(Growth media, antibiotics, culture etc.)
Disk diffusion method
Disk diffusion method
1. Preparation of agar plates
2. Preparation of bacterial isolates &
inoculum
3. Inoculating agar plates
5. Interpretation
4. Applying disk
MHA
autoclave
Day 1 Preparation of growth media
Day 1 Preparation of bacterial isolates
Streak the bacterial strain on MHA,
Incubate at 35oC (37C) for 16-20 h
QC strains: E. coli ATCC 25922
S. aureus ATCC 29213
P. aeruginosa ATCC 27853
Samples: Salmonella S……
Pick 4-5 single
colonies
Re-suspend the bacterial
colonies and adjust turbidity
to 0.5 McFarland
Inoculate Muller Hinton
agar (MHA) plate using
sterile cotton swab
Sterile cotton swab
60 ₒ 60
ₒ
saline/broth
Day 2 Preparation of inoculum & inoculated
agar plates
Incubate at 35ₒC (37oC), for 16-18 hr
Apply antibiotic disk onto MHA
using sterile forceps or applicators
SXT
GEN
CIP
AMC
Day 2 Application of antimicrobial disk
Agar dilution method
Multiple inoculators
Agar dilution method
1. Preparation of bacterial isolates
2. Prepare agar plates with antibiotics
3. Preparation of the bacterial suspension
& plate inoculation
4. Reading results & Interpretation
256 g/ml 128 g/ml 16 g/ml 32 g/ml 64 g/ml
2 ml 2 ml 2 ml 2 ml 2 ml
Day 1 Prepare agar plates with antibiotics
Total volume = 20 ml per plate (18 + 2)
Antibiotic stock solution
Tetracycline 10 mg/ml
C1V1 = C2V2
C1(2ml) = 256 g/ml(20ml)
C1 = 2,560 g/ml
Two-fold antibiotic dilution
C1V1 = C2V2
10 mg/ml V1 = 2,560 g/ml(10ml)
V1 = 2,560 l
Highest concentration = 256 g/ml
Day 1 Prepare antibiotic stock solution
Add 2 ml of antibiotic solution (2,560 g/ml) into
18 ml of MHA separately into plates
C1V1 = C2V2
C1(2ml) = 256 g/ml(20ml)
C1 = 2,560 g/ml
Method A
Day 1 Prepare agar plates with antibiotics
Mix 2 ml of antibiotic solution &
18 ml of MHA separately in tubes (1:10)
and pour into plates
Method B
Day 1 Prepare agar plates with antibiotics
256 g/ml 128 g/ml
8 g/ml
16 g/ml 32 g/ml 64 g/ml
4 g/ml 2 g/ml 1 g/ml 0 g/ml
Control
plates
Day 1 Prepare agar plates with antibiotics
Day 1 Preparation of bacterial isolates
Grow the bacterial strains on MHA, 37C overnight
Control strains: E. coli ATCC 25922
S. aureus ATCC 29213
P. aeruginosa ATCC 27853
Samples: Salmonella S1-S10
Transfer 3-5 colonies of a overnight culture into 2 ml of 0.85%NaCl
Adjust turbidity to 0.5 McFarland Standard (1 to 2 x108 CFU/ml)
Dilute the bacterial suspensions 1:10 in 0.85%NaCl (107 CFU/ml)
(depend on the size of the pin)
Day 2 Preparation of inoculum
Day 2 Inoculating the agar plates
Pipette 50 l of dilution into wells of a microtiter plate
Incubate the plates at 35-37C for 16–20 hrs.
Place the replicator into the microtiter plate and
transfer it onto the agar plate
1 l/spot (1x104 CFU/spot)
Broth microdilution method
Broth microdilution method
1. Preparation of bacterial isolates
2. Preparation of broth with a serially-diluted
antibiotic
3. Preparation of the bacterial suspension
4. Inoculation of bacterial suspension
5. Reading results & Interpretation
autoclave
Day 1 Preparation of growth media
Cation adjusted MHB (CAMHB)
Cation adjusted MHB (CAMHB)
20–25 mg Ca2+/L
10–12.5 mg Mg2+/L
10 mg/ml
CaCl2
10 mg/ml
MgCl2
Day 1 Preparation of growth media
For 200 ml MHB,
Ca2+ = 450 l
Mg2+ = 225 l
Day 2 Preparation of broth with a serially-diluted antibiotics
256 128 64 32 16 8 4 2 1 0.5 0 µg/ml
Label the plates
Add 50 µl of CAMHB in the
microtitre plate
(Except the first column)
Do it in triplicate
Antibiotic stock solution
Tetracycline 10 mg/ml
C1V1 = C2V2
10mg/ml V1 = 512 g/ml(10ml)
V1 = 512 l
512 g/ml
Day 2 Preparation of broth with a serially-diluted antibiotics
Add 50 µl of antibiotic stock solution (2X, 512) to the first
column
Add 50 µl of antibiotic stock solution (2X, 512) to the second
column
Mix suspension thoroughly and transfer 50 µl of
suspension to the next column
Repeat until finish (except for control the last column)
Day 2 Preparation of broth with a serially-diluted antibiotics
256 128 64 32 16 8 4 2 1 0.5 0 µg/ml
Day 2 Preparation of broth with a serially-diluted antibiotics
Day 1 Preparation of bacterial isolates
Grow the bacterial strains on MHA, 35-37C overnight
Control strains: E. coli ATCC 25922
S. aureus ATCC 29213
P. aeruginosa ATCC 27853
Samples: Salmonella S….
Day 2 Preparation of the bacterial suspension
Transfer 4-5 colonies of a culture into
5 ml of 0.85%NaCl
Adjust turbidity to 0.5 McFarland Standard 0.5
(1 to 2 x 108 CFU/ml)
Dilute the bacterial suspensions
1:10 in 9 ml of CAMHB (107 CFU/ml)
Dilute the bacterial suspensions
1:10 in 9 ml of CAMHB
(106 CFU/ml)
Day 2 Inoculation of bacterial suspension
Transfer 50 µl of bacterial suspension into microtiter plate
Seal with parafilm and incubate the plates at 35-37◦C for
16-20 hours
5 x 105 CFU/ml
104 CFU/well