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Antimicrobial agents and Susceptibility Testing

Match the term with the appropriate description

AB
RifampinUsed for treatment of TB and as prophylaxis for N. meningitidis
ColistinRisk of toxicity. Used as topical agent.
CephalosporinsStructurally similar to penicillin but better able to withstand the action of beta lactamases
VancomycinEffective against Gram Positives. Used to treat MRSA
ChloramphenicolCan be toxic to bone marrow
MetronidazoleEffective against most clinically significant anaerobes
NitrofurantoinUsed to treat UTI
PenicillinCannot be used with MRSA. Beta streps still universally susceptible
AminoglycosidesToxic to kidneys and ears. Used to treat serious GNR infections.
TetracyclineEffective against Gram positives, Gram negatives, Rickettsial illness, and Chlamydia. Side effects common
TrimethoprimEffective against many Gram positives and some Gram negatives. Frequently combined with a sulfonamide
Minimal Bactericidal Concentration (MBC)Lowest concentration of antimicrobial agent that kills 99.9% of the test bacteria
Minimal Inhibitory Concentration (MIC)Lowest concentration of antimicrobial agent that inhibits the growth of a bacterium
SynergyOccurs when the antimicrobial activity of a combination of antimicrobial agents is greater than the activity of the individual agents alone
0.5 McFarland StandardStandard used for Kirby Bauer Disk Diffusion Testing
Modified Hodge TestTest for Carbapenemase Detection in Enterobacteriaceae
D testTest for Inducible Clindamycin Resistance in S. aureus isolates
Epsilometer (E) TestMIC level is determined where the growth of the ellipse meets the strip after overnight incubation (Gradient diffusion)
S. aureus, N. gonorrhoeae, Moraxella, Enterococcus, Anaerobes, Haemophilus influenzaeOrganisms that require testing for Beta lactamase production
Zones too large in KB testing0.5 McFarland standard too light
Zones too small in KB testing05 McFarland standard too heavy
Mueller-Hinton AgarAgar used for Kirby Bauer testing
Lysed Horse BloodSupplement used for KB testing for Strep pneumo isolates



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