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Antimicrobial Agents and Chemotherapy, June 2001, p. 1810-1814, Vol. 45, No. 6
Queensland Institute of Medical Research,
Brisbane, Queensland 4029, Australia
Received 2 November 2000/Returned for modification 21 December
2000/Accepted 19 March 2001
A simple technique for routine, reproducible global surveillance of
the drug susceptibility status of the anaerobic protozoa Trichomonas, Entamoeba, and Giardia is
described. Data collected using this technique can be readily compared
among different laboratories and with previously reported data. The
technique employs a commercially available sachet and bag system to
generate a low-oxygen environment and log2 drug dilutions
in microtiter plates, which can be monitored without aerobic exposure,
to assay drug-resistant laboratory lines and clinically resistant
isolates. MICs (after 2 days) of 3.2 and 25 µM indicated
metronidazole-sensitive and highly clinically resistant isolates of
T. vaginalis in anaerobic assays, respectively. The aerobic
MICs were 25 and >200 µM. MICs (1 day) of 12.5 to 25 µM were found
for axenic lines of E. histolytica, and MICs for G. duodenalis (3 days) ranged from 6.3 µM for
metronidazole-sensitive isolates to 50 µM for laboratory
metronidazole-resistant lines. This technique should encourage more
extensive monitoring of drug resistance in these organisms.
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.45.6.1810-1814.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Drug Susceptibility Testing of Anaerobic
Protozoa
*
Corresponding author. Mailing address: Queensland
Institute of Medical Research, PO Royal Brisbane Hospital, Brisbane,
Queensland 4029, Australia. Phone: 61 7 3362 0369. Fax: 61 7 3362 0105. E-mail: jacquiU{at}qimr.edu.au.
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