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Antibiotic Susceptibility Test

College of Pharmacy

Department of Pharmacognosy

Practical Medical Microbiology

Second stage- Lab 6

Assist. Lecturer: Shokhan Osman

Question?

???

Why it is important to

doing AST Test in Lab?

Reasons

  • To know the sensitivity and the resistant rates of

a specific microorganism to several antibiotics.

  • It help us to choose an effective antibiotics to stop the growth of Microorganism that infecting individuals.

  • To decrease Antibiotic resistant bacteria by reducing Antibiotic misuse by the physicians patients.

  • To determine Antibiotic sensitive and resistant strains of bacteria and other microorganism in Kurdistan Region.

Headlines

  • Introduction
  • Antibiotic Susceptibility
  • Methods
  • Preparation of Bacterial inoculum
  • Kirby-bauer Method (Disc diffusion Test) & procedure.
  • Measurement of the inhibition zones diameter.

Headlines

Learning Outcomes

Learning Outcomes

At the end of this Lab you will learn:

  • Different methods for determining the sensitivity of bacteria to antibiotics.
  • Procedure of Kirby-Bauer method.
  • Measurement of the sensitivity of bacteria to drug depend on the standard Antibiotic table.

Antibiotic Sensitivity Test

Introduction

  • is a laboratory method for determining the susceptibility of Microorganisms to the antibiotics.

  • AST is carried out to determine which antibiotic will be most successful in

treating bacterial infection invivo.

Methods

AST methods

1. Kirby-Bauer Method (Disc diffusion method).

2. Dilution method.

3. Epsilometer test or simply E-Test.

Pictures

1. Kirby-bauer method

  • Bacterial inoculum: McFarland standards are used as a reference to adjust the turbidity of bacterial suspensions so that the number of bacteria will be within a given range (1.5* 10*8 CFU/mL).

  • emulsify 2-3 colonies in sterile saline matching the turbidity that standard.

Kirby-Bauer Method

Materials

1. Muller Hinton Agar.

2. Bacterial culture.

3. Antibiotic Disks.

4. Turbidity Standard (0.5 Mcfarland)

5. Swabs.

6. Flame.

7. Gloves.

8. Forceps

9. Ruler

Kirby-bauer method

1. Kirby-bauer Procedure

Procedure

1. Muller Hinton agar is used for AST test.

2. Take 24-48 hours old broth (Liquid) culture of bacteria to be tested.

3. Place a sterile cotton swab in the bacterial suspension.

4. Streak the swab in three directions over the surface of the Mueller-Hinton agar to obtain uniform growth.

5. Allow the plates to dry for five minutes.

6. Using sterile forceps to transfer Antibiotic disks with a fixed concentration on the

surface agar plates at equal distance.

7. Incubate the plates at 37C for

24 hours then measure the

diameter of inhibition zones.

2

1

4

5

3

Practical

work

7

5

6

4

Procedure

Video

Measurment of inhibition zones

in diameter

Measurment of results

Questions...?

References

Students activity

  • Group A (AST test for Staphylococcus aureus)
  • Group B (AST test for Streptococcus sp.)
  • Group C (AST test for E. coli)

Students

Activity

Learning material

Learning Materials

HMU-MOODLE;

Shokhan Mahmud

End

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