Details for Establishing quality control ranges for temocillin following CLSI-M23-A3 guideline

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Name:Establishing quality control ranges for temocillin following CLSI-M23-A3 guideline
Description:

Objectives: This study aimed to establish acceptable quality control ranges for temocillin disk diffusion tests

and EtestH minimal inhibitory concentrations.

Methods: According to Clinical and Laboratory Standards Institute (CLSI) guideline, a Tier 2 quality control

study was performed and involves seven laboratories. Each of them tested 10 replicates of two quality

control strains (Escherichia coli ATCC 25922 and E. coli ATCC 35218) on three different media lots and, for

disk diffusion, two disk lots.

Results: Proposed zone diameter quality control ranges were 12–25 mm for E. coli ATCC 25922 and 19–

28 mm for E. coli ATCC 35218. Proposed Etest quality control ranges were 3–24 mg/l for E. coli ATCC

25922 and 2–6 mg/l E. coli ATCC 35218.

Conclusion: Based on our results, we would advise the use of E. coli ATCC 35218 as QC strain for temocillin

susceptibility testing and Etest because ranges obtained are narrower than with E. coli ATCC 25922 and do

not overlap temocillin breakpoint.

Keywords: Temocillin, Quality control, Susceptibility testing, Etest