Interpretive criteria for disk diffusion tests using 5-microgram cefdinir disks with rapidly growing clinical isolates

J Clin Microbiol. 1992 Apr;30(4):1022-3. doi: 10.1128/jcm.30.4.1022-1023.1992.

Abstract

Preliminary interpretive zone diameter criteria were calculated for the 5-micrograms cefdinir disk diffusion test by using two potential MIC breakpoints (less than or equal to 0.5 and less than or equal to 1 micrograms/ml). The absolute agreement between tests ranged from 85.9 to 92.4%, and the false-susceptibility errors were principally contributed by the Enterobacter spp. (2.2% error). One proposed criterion was greater than or equal to 20-mm zone diameter (less than or equal to 1 micrograms/ml) for susceptibility and less than or equal to 16-mm zone diameter (greater than 2 micrograms/ml) for resistance to cefdinir. Clinical laboratory users of the disk diffusion method should be cautioned about the possibility of very major interpretive errors among enterobacter isolates.

Publication types

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

MeSH terms

  • Cefdinir
  • Cephalosporins / administration & dosage
  • Cephalosporins / pharmacology*
  • Diagnostic Errors
  • Enterobacter / drug effects*
  • Enterobacter / growth & development
  • Enterobacter / isolation & purification
  • Evaluation Studies as Topic
  • Humans
  • Microbial Sensitivity Tests / methods*
  • Microbial Sensitivity Tests / statistics & numerical data

Substances

  • Cephalosporins
  • Cefdinir