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Agar Diluation

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Agar Dilution method

• Agar dilution susceptibility testing is the solid equivalent of

broth dilution susceptibility testing

• Agar dilution is a quantitative susceptibility testing method

because MIC values can be obtained using the method

• This method is specially used if a single antibiotic is to be tested

against a number of bacteria. Up to 30 different bacteria can be

tested by this method at a time.


• Standard media; Mueller-Hinton agar (MHA)
• Antibiotic dilation preparation ; In this method, two-fold
serial dilutions of an antibiotic
• the range of antibiotic dilution needed Its based on the
MIC range for organism,its different for each antibiotic
• Each doubling dilution of an antimicrobial agent is
incorporated in single agar plate.
• a standardized bacterial suspension adjusted to 0.5
McFarland
• bacterial suspensions were inoculated on the MHA using
a Cathra replicator with 1 mm pins, as recommended by
the CLSI

 One control plate is inoculated without antibiotics.


Temperature and Duration

 Most organisms should be incubated at 35°C to 37°C.


 The duration of incubation depends on the species.
• For rapidly growing species such as the Enterobacteriaceae, the glucose-
nonfermenting gram-negative bacilli, Enterococcus species, and Staphylococcus
species, overnight incubation for a minimum of 16 hours is needed.
• Longer incubation is recommended for fastidious species (18 to 20 hours plus),
for Staphylococcus species when testing against antistaphylococcal penicillins (24
hours), for Campylobacter species (24 to 48 hours depending on the standard and
incubation temperature),
• for Helicobacter pylori (3 days), and for anaerobes (42 to 48 hours).
Result and interpretation

 The MIC is taken as the first concentration at which no growth occurs


 The organisms are reported sensitive, intermediate, or resistant by
comparing the test MIC values with that given in CLSI guidelines.
The key difference between agar diffusion and
disc diffusion method
is that in agar  diffusion method, the inoculum is filled into a hole or a
well created on the agar medium while in agar disc diffusion method, a
filter paper disc containing the antimicrobial solution is placed on the
agar surface.

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Advantages
• The advantages of agar dilution include the ability to simultaneously
test the susceptibility of a number of bacteria in one plate
• the ability to test susceptibility of fastidious organisms since the agar
with supplements is able to adequately support the bacteria growth.
• Microbial contamination easily detected as compared with broth method
• Moreover, as mentioned above, the test results yield MIC values for
testing bacteria.
• It is therefore well suited to the rapid evaluation of new compounds or for
large-scale centralized surveillance programs
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Disadvantages

However, agar dilution is not commonly used in most microbiology


laboratories due to the time consuming and labor- intensive

• Agar dilution testing generally is not performed in


routine clinical laboratories but can be ideal for regional
reference laboratories or research laboratories that
must test large numbers of isolates.

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THANK
YOU

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