BS EN ISO 20776-1:2020:2024 Edition
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Susceptibility testing of infectious agents and evaluation of performance of antimicrobial susceptibility test devices – Broth micro-dilution reference method for testing the in vitro activity of antimicrobial agents against rapidly growing aerobic bacteria involved in infectious diseases
Published By | Publication Date | Number of Pages |
BSI | 2024 | 30 |
This document describes one reference method, broth micro-dilution, for determination of MICs. The MIC can be a guide for the clinician, and reflects the activity of the drug under the described test conditions, by taking into account other factors, such as drug pharmacology, pharmacokinetics, or bacterial resistance mechanisms. This allows categorisation of bacteria as “susceptible” (S), “intermediate” (I), or “resistant” (R). In addition, MIC distributions can be used to define wild type or non-wild type bacterial populations. Although clinical interpretation of the MIC value is beyond the scope of this document, modifications of the basic method are required for certain antimicrobial agent – bacteria combinations to facilitate clinical interpretation. These modifications are included in a separate annex of this document. It is necessary to compare other susceptibility testing methods (e.g. disc diffusion or diagnostic test devices) with this reference method for validation, in order to ensure comparable and reliable results.
PDF Catalog
PDF Pages | PDF Title |
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2 | undefined |
5 | European foreword Endorsement notice |
8 | Foreword |
9 | Introduction |
11 | 1 Scope 2 Normative references 3 Terms and definitions |
13 | 4 Test procedures 4.1 General 4.2 Medium 4.3 Antimicrobial agents 4.3.1 General 4.3.2 Preparation of stock solutions |
14 | 4.3.3 Preparation of working solutions 4.3.4 Preparation of micro-dilution trays 4.3.5 Storage of micro-dilution trays |
15 | 4.4 Preparation of inoculum 4.4.1 General 4.4.2 Broth culture method 4.4.3 Direct colony suspension method 4.5 Inoculation of micro-dilution trays |
16 | 4.6 Incubation of micro-dilution trays 4.7 Reading results 4.8 Special test situations where the MIC result might give unreliable results 5 Quality control |
18 | Annex A (informative) Requirements for Mueller-Hinton broth |
21 | Annex B (informative) Solvents and diluents for making stock solutions of selected antimicrobial agents |
26 | Annex C (informative) Preparation of working dilutions of antimicrobial agents for use in broth dilution susceptibility tests |
27 | Annex D (informative) Special test situations |
28 | Bibliography |