Multicenter comparison of a colorimetric microdilution broth method with the reference macrodilution method for in vitro susceptibility testing of yeast isolates

Diagn Microbiol Infect Dis. 1994 May;19(1):9-13. doi: 10.1016/0732-8893(94)90044-2.

Abstract

This multicenter study was performed to compare a colorimetric microdilution method with the NCCLS M27-P reference macrodilution method for the testing of yeast isolates against amphotericin B, fluconazole, and 5-fluorocytosine (5FC). Testing was performed on ten yeast isolates in five independent laboratories. All sites tested each isolate a total of 20 times with both methods. MICs were read after 48 h incubation. The macrodilution MIC reference range was defined as the modal MIC +/- 1-log2 dilution for each organism-antifungal agent combination. Agreement between the M27-P reference range results and the microdilution MICs was 86% with amphotericin B, 90% with fluconazole, and 93% with 5FC. Based on these data, it is apparent that new approaches, such as the colorimetric microdilution method, will provide MIC values comparable to the M27-P macrodilution method in a format that is more practical for use in a busy clinical laboratory.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphotericin B / pharmacology
  • Antifungal Agents / pharmacology*
  • Colony Count, Microbial / methods
  • Colony Count, Microbial / standards*
  • Colorimetry
  • Fluconazole / pharmacology
  • Flucytosine / pharmacology
  • Humans
  • Microbial Sensitivity Tests / methods
  • Microbial Sensitivity Tests / standards*
  • Reference Standards
  • Reference Values
  • Yeasts / drug effects*

Substances

  • Antifungal Agents
  • Amphotericin B
  • Fluconazole
  • Flucytosine