Peer-Reviewed Journal Details
Mandatory Fields
Smith, P
2008
April
Aquaculture
How difficult is it to achieve compliance with the quality control requirements of the Clinical and Laboratory Standards Institute's guideline M42-A?
Published
()
Optional Fields
disc diffusion epidemiological cut-off values M42-A normalised resistance interpretation inter-laboratory variation AEROMONAS-SALMONICIDA NORMALIZED INTERPRETATION ANTIMICROBIAL RESISTANCE FISH DISEASES CUTOFF VALUES SUSCEPTIBILITY BREAKPOINTS BACTERIA STRAINS AGENTS
276
1
4
Data accumulated in a multi-laboratory study of disc diffusion susceptibility data for Escherichia coli ATCC 25922 was analysed with respect to the acceptable ranges for this strain specified in the Clinical and Laboratory Standards Institute's M42-A guidelines. Seven laboratories each generated 60 zone size measurements for discs containing five agents for which acceptable ranges had been published. Of the 35 data sets analysed 37% contained > 10% of their measurements outside the acceptable ranges. For each agent, between one and four of the seven data sets obtained contained > 10% of the zone sizes outside the acceptable ranges. Only one laboratory obtained data sets that for all agents, contained 10% non-compliant measurements were eliminated; significant inter-laboratory variation in mean zone sizes would remain.Laboratory-independent cut-off values will be of value only if inter-laboratory variation in disc diffusion data can be reduced to a minimum. It is argued that the data presented here provides strong grounds for questioning whether, particularly in the case of laboratories with small strain throughputs, inter-laboratory variation can be appropriately resolved by rigorous specifications of test protocols and quality control criteria. Thus, they would rather support the development of cut-off values by the application of normalised resistance interpretation. As the cut-off values generated by this approach are laboratory-specific, they are not influenced by inter-laboratory variation. (c) 2008 Elsevier B.V All rights reserved.
DOI 10.1016/j.aquaculture.2008.02.017
Grant Details
Publication Themes