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Interpretive criteria and quality control parameters for determining bacterial susceptibility to fosfomycin tromethamine
Authors:A. L. Barry  M. A. Pfaller  P. C. Fuchs  F. C. Tenover  L. B. Reller  S. D. Allen  D. J. Hardy  E. H. Gerlach
Affiliation:(1) The Clinical Microbiology Institute, P.O. Box 947, 97062 Tualatin, Oregon, USA;(2) Oregon Health Sciences University, 97201 Portland, Oregon, USA;(3) St. Vincent Hospital and Medical Center, 97225 Portland, Oregon, USA;(4) Centers for Disease Control, 30333 Atlanta, Georgia, USA;(5) Duke University Medical Center, 27710 Durham, North Carolina, USA;(6) University of Indiana Medical Center, 46223 Indianapolis, Indiana, USA;(7) University of Rochester Medical Center, 14642 Rochester, New York, USA;(8) St. Francis Regional Medical Center, 67214 Wichita, Kansas, USA
Abstract:Studies with fosfomycin tromethamine disks containing 200 µg of fosfomycin and 50 µg of glucose-6-phosphate confirmed the following zone diameter criteria for the NCCLS method: le12 mm for resistant (MICge256 µg/ml), 13–15 mm for intermediate (MIC 128 µg/ml) and ge16 mm for susceptible (MICle64 µg/ml). Additional studies defined acceptable MIC and zone diameter ranges for the following quality control strains:Escherichia coli ATCC 25922, MIC 0.5 to 4.0 µg/ml, zone diameter 23 to 29 mm;Staphylococcus aureus ATCC 25923, zone diameter 26 to 32 mm;Pseudomonas aeruginosa ATCC 27813, MIC 2.0 to 8.0 µg/ml; andEnterococcus faecalis, ATCC 29212, MIC 16 to 64 µg/ml.
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