Antibiotic sensitivity
Jay Mone'
jmone at MARAUDER.MILLERSV.EDU
Tue Mar 17 10:27:36 EST 1998
First, be careful; the presence of a gram positive cocci does not
mean that you are looking at S. aureus. Not that it really matters
though, since you merely want to kill the thing.
Depending on the source of the microbe, antibiotic sensitivity will
differ. Most hopspital-acquired Staphylococci are
penicillin-resistant, and also display differing sensitivities against
other beta-lactams. However,. if the treating physician has not
ordered an MIC, the best place to begin to do manual testing is to use
Mueller-Hinton agar as the plate media. Grow a broth culture from an
isolated colony off of an MSA plate. Standardize the turbidity to
that of a 0.5 MacFarland standard, and try the follwing antibiotics:
Penicillin
Methicillin
Ampicillin +sublactam or clavulonic acid
Vancomycin
Nafcillin
Oxacillin
Cefmandole or other cephalosporins
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