Evidence for daptomycin Etest lot-related MIC elevations for Staphylococcus aureus

Abstract MIC testing was performed simultaneously by Etest and broth microdilution (BMD) on 587 Staphylococcus aureus isolates submitted by local laboratories to a reference laboratory for confirmatory testing (May 2005 to July 2008). Testing bias was assessed for Etest to BMD MIC ratios. Categoric...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2009-11, Vol.65 (3), p.306-311
Hauptverfasser: Friedrich, Lawrence, Thorne, Grace, Steenbergen, Judith N, Anastasiou, Diane, Koeth, Laura
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container_end_page 311
container_issue 3
container_start_page 306
container_title Diagnostic microbiology and infectious disease
container_volume 65
creator Friedrich, Lawrence
Thorne, Grace
Steenbergen, Judith N
Anastasiou, Diane
Koeth, Laura
description Abstract MIC testing was performed simultaneously by Etest and broth microdilution (BMD) on 587 Staphylococcus aureus isolates submitted by local laboratories to a reference laboratory for confirmatory testing (May 2005 to July 2008). Testing bias was assessed for Etest to BMD MIC ratios. Categoric and essential agreement, very major (BMD nonsusceptible, Etest susceptible), and major (BMD susceptible, Etest nonsusceptible) errors were evaluated. Agar and broth calcium concentrations were consistent with current Clinical and Laboratory Standards Institute and manufacturer recommendations. There was a consistent bias for higher Etest MIC values compared with BMD. Ratios ranged from 0.25 to 4 (average 1.3), with substantial variability noted among the 8 different Etest lots tested. Overall, 6% of all ratios were >2.0. Categoric agreement and essential agreement among the 8 Etest lots ranged from 73% to 96% and 74% to 100%, respectively; very major errors ranged from 3% to 9%, and major errors ranged from 6% to 35%. However, most of the discrepancies were limited to 3 Etest lots.
doi_str_mv 10.1016/j.diagmicrobio.2009.07.012
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subjects Anti-Bacterial Agents - pharmacology
Bacteriology
Biological and medical sciences
Daptomycin
Daptomycin - pharmacology
Fundamental and applied biological sciences. Psychology
Humans
Infectious Disease
Infectious diseases
Internal Medicine
Medical sciences
Methicillin-Resistant Staphylococcus aureus - drug effects
Microbial Sensitivity Tests
Microbiology
Miscellaneous
MRSA
Staphylococcal Infections - microbiology
Staphylococcus aureus
Staphylococcus aureus - drug effects
Susceptibility testing
title Evidence for daptomycin Etest lot-related MIC elevations for Staphylococcus aureus
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