Concurrent comparability of automated systems and commercially prepared microdilution trays for susceptibility testing

Abstract

Susceptibility test results from 100 clinical bacterial isolates, using the AMS, MS-2, Autobac MTS, Micro-Media system and Sensititre, were compared with results from the proposed National Committee for Clinical Laboratory Standards [NCCLS] reference microdilution method for minimum inhibitory concentrations and with Bauer-Kirby results. Isolates were tested concurrently by each method on consecutive days to obtan duplicate results. The data were computer-analyzed, using NCCLS guidelines for break-point interpretation. Analysis was centered on drug-organism combinations and not on overall percent correlation. Data were analyzed for comparability to the reference methods and for reproducibility within each system. Commercial system results were very reproducible. Results from 4-8 h tests (AMS, MS-2, MTS) gave more very major discrepancies when compared with either reference method than did results from 15-18 h systems (Micro-Media, Sensititre).