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U.S. Department of Health and Human Services

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TITLE:  Development of a standardized susceptibility test for campylobacter with quality-control ranges for ciprofloxacin, doxycycline, erythromycin, gentamicin, and meropenem
 
AUTHORS:  McDermott PF;Bodeis SM;Aarestrup FM;Brown S;Traczewski M;Fedorka-Cray P;Wallace M;Critchley IA;Thornsberry C;Graff S;Flamm R;Beyer J;Shortridge D;Piddock LJ;Ricci V;Johnson MM;Jones RN;Reller B;Mirrett S;Aldrobi J;Rennie R;Brosnikoff C;Turnbull L;Stein G;Schooley S;Hanson RA;Walker RD;
 
YEAR:  2004
 
JOURNAL ABBREV:  Microb Drug Resist
 
TYPE:  JOUR
 
REFMAN INDEX:  317
 
JOURNAL FULL:  Microbial drug resistance (Larchmont, N Y )
 
VOLUME:  10
 
ISSUE:  2
 
START PAGE:  124
 
END PAGE:  131
 
KEYWORDS:  Agar;Atmosphere;blood;Campylobacter;Campylobacter jejuni;Ciprofloxacin;Doxycycline;drug effects;Erythromycin;Food;Gentamicins;Humans;isolation & purification;Microbial Sensitivity Tests;pharmacology;Quality Control;Research;Sheep;standards;Temperature;Thienamycins;veterinary;Veterinary Medicine;
 
ABSTRACT:  A standardized agar dilution susceptibility testing method was developed for Campylobacter that consisted of testing on Mueller-Hinton medium supplemented with 5% defibrinated sheep blood in an atmosphere of 10% CO2, 5% O2, and 85% N2. Campylobacter jejuni ATCC 33560 was identified as a quality-control (QC) strain. Minimal inhibitory concentration (MIC) QC ranges were determined for two incubation time/temperature combinations: 36 degrees C for 48 hr and 42 degrees C for 24 hr. Quality-control ranges were determined for ciprofloxacin, doxycycline, erythromycin, gentamicin, and meropenem. For all antimicrobial agents tested at both temperatures, 95-100% of the QC MIC results fell within recommended QC ranges. Twenty-one Campylobacter clinical isolates, encompassing five species of Campylobacter (C. jejuni, C. coli, C. jejuni, subsp. doylei, C. fetus, and C. lari) were tested in conjunction with the C. jejuni QC strain. While C. jejuni and C. coli could be reliably tested under both test conditions, growth of C. jejuni subsp. doylei, C. fetus, and C. lari isolates was inconsistent when incubated at 42 degrees C. Therefore, it is recommended that these species only be tested at 36 degrees C
 
AFFILIATIONS:  Office of Research, Center for Veterinary Medicine, US Food and Drug Administration, Laurel, MD 20708, USA. PMcDermo@cmv.fda.gov
 
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