Antibiotic Susceptibility Testing

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Questions and Answers

What is the primary method of determining susceptibility in the broth dilution technique?

  • Comparing the MIC to standards
  • Analyzing the MIC breakpoints
  • Observing growth or no growth (correct)
  • Measuring the zone of inhibition

Which genotypic technique is capable of detecting multiple resistance genes simultaneously?

  • PCR
  • Microarray (correct)
  • Etest
  • Whole Genome Sequencing

What is the primary advantage of Whole Genome Sequencing over other genotypic techniques?

  • Lower cost
  • Faster results
  • Ability to predict antibiotic susceptibility (correct)
  • Higher accuracy

Which phenotypic technique combines the features of disk diffusion and broth dilution?

<p>Etest (A)</p> Signup and view all the answers

What is the primary purpose of the zone of inhibition in the disk diffusion technique?

<p>To compare to standards and determine susceptibility (B)</p> Signup and view all the answers

Which of the following genotypic techniques targets specific genes associated with antibiotic resistance?

<p>PCR (B)</p> Signup and view all the answers

What is the primary difference between phenotypic and genotypic techniques?

<p>Phenotypic techniques analyze the bacterial phenotype, while genotypic techniques analyze the bacterial genome (B)</p> Signup and view all the answers

Which phenotypic technique involves placing antibiotic-impregnated disks on a lawn of bacterial growth on an agar plate?

<p>Disk Diffusion (D)</p> Signup and view all the answers

What is the purpose of diluting the antibiotic in Broth Microdilution?

<p>To determine the MIC (D)</p> Signup and view all the answers

What is the term for the process of reducing the concentration of an antibiotic to determine the MIC?

<p>Dilution (C)</p> Signup and view all the answers

Which technique involves incorporating antibiotic into agar plates at varying concentrations?

<p>Agar Dilution (D)</p> Signup and view all the answers

What is the purpose of PCR in antibiotic susceptibility testing?

<p>To detect specific genetic mutations (C)</p> Signup and view all the answers

What is the main difference between phenotypic and genotypic techniques?

<p>Phenotypic techniques assess bacterial growth, genotypic techniques detect genetic mutations (B)</p> Signup and view all the answers

What is the term for the ability of an antibiotic to inhibit the growth of a particular microorganism?

<p>Susceptibility (B)</p> Signup and view all the answers

Which technique is used to determine the minimum inhibitory concentration (MIC) of an antibiotic?

<p>Broth Microdilution (C)</p> Signup and view all the answers

What is the term for the ability of a microorganism to grow in the presence of an antibiotic?

<p>Resistance (D)</p> Signup and view all the answers

Which phenotypic technique involves inoculating bacteria onto agar plates with varying concentrations of antibiotic?

<p>Agar Dilution (C)</p> Signup and view all the answers

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Study Notes

Antibiotic Susceptibility

Phenotypic Techniques

  • Disk Diffusion:
    • Involves placing antibiotic-impregnated disks on agar plates inoculated with bacteria
    • Zones of inhibition around disks indicate susceptibility
    • Zone diameters compared to standards to determine susceptibility
  • Broth Dilution:
    • Involves diluting antibiotics in broth and adding bacteria
    • Minimum Inhibitory Concentration (MIC) determined by observing growth/no growth
    • MIC interpreted using breakpoints to determine susceptibility
  • Etest:
    • Combines features of disk diffusion and broth dilution
    • Antibiotic-impregnated strips placed on agar plates
    • MIC read directly from strip

Genotypic Techniques

  • PCR (Polymerase Chain Reaction):
    • Targets specific genes associated with antibiotic resistance
    • Detects genes encoding resistance enzymes or efflux pumps
  • Microarray:
    • Hybridizes bacterial DNA to probes on a chip
    • Detects multiple resistance genes simultaneously
  • Whole Genome Sequencing (WGS):
    • Analyzes entire bacterial genome
    • Identifies resistance genes, mutations, and genetic variations
    • Enables prediction of antibiotic susceptibility

Antibiotic Susceptibility Testing

Phenotypic Techniques

  • Disk Diffusion:
    • Involves placing antibiotic-impregnated disks on agar plates inoculated with bacteria
    • Zones of inhibition around disks indicate susceptibility
    • Zone diameters compared to standards to determine susceptibility
  • Broth Dilution:
    • Involves diluting antibiotics in broth and adding bacteria
    • Minimum Inhibitory Concentration (MIC) determined by observing growth/no growth
    • MIC interpreted using breakpoints to determine susceptibility
  • Etest:
    • Combines features of disk diffusion and broth dilution
    • Antibiotic-impregnated strips placed on agar plates
    • MIC read directly from strip

Genotypic Techniques

  • PCR (Polymerase Chain Reaction):
    • Targets specific genes associated with antibiotic resistance
    • Detects genes encoding resistance enzymes or efflux pumps
  • Microarray:
    • Hybridizes bacterial DNA to probes on a chip
    • Detects multiple resistance genes simultaneously
  • Whole Genome Sequencing (WGS):
    • Analyzes entire bacterial genome
    • Identifies resistance genes, mutations, and genetic variations
    • Enables prediction of antibiotic susceptibility

Antibiotic Susceptibility Testing

Phenotypic Techniques

  • Disk Diffusion: a widely used method to determine antibiotic susceptibility
    • Involves placing antibiotic-impregnated disks on a lawn of bacterial growth on an agar plate
    • Zone of inhibition around the disk indicates susceptibility to the antibiotic
    • Zone sizes are compared to standardized values to determine susceptibility or resistance
  • Broth Microdilution: a method to determine the minimum inhibitory concentration (MIC) of an antibiotic
    • Involves diluting the antibiotic in a broth and adding bacteria to each dilution
    • The lowest concentration of antibiotic that inhibits bacterial growth is the MIC
    • Used to determine susceptibility and resistance to antibiotics
  • Agar Dilution: a method to determine the MIC of an antibiotic
    • Involves incorporating antibiotic into agar plates at varying concentrations
    • Bacteria are then inoculated onto the agar plates and incubated
    • The lowest concentration of antibiotic that inhibits bacterial growth is the MIC

Genotypic Techniques

  • PCR (Polymerase Chain Reaction): a molecular biology technique used to detect specific genetic mutations associated with antibiotic resistance
    • Involves amplifying specific DNA sequences to detect the presence of resistance genes
    • Can be used to detect antibiotic resistance genes, such as those encoding beta-lactamases or aminoglycoside-modifying enzymes

Key Concepts

  • Dilution: the process of reducing the concentration of an antibiotic to determine the MIC
  • Susceptibility: the ability of an antibiotic to inhibit the growth of a particular microorganism
  • Resistance: the ability of a microorganism to grow in the presence of an antibiotic
  • Phenotypic techniques: methods that assess the ability of an antibiotic to inhibit bacterial growth or kill bacteria
  • Genotypic techniques: methods that detect specific genetic mutations associated with antibiotic resistance

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