Agar dilution is one of two methods (along with Broth Dilution) used by researchers to determine the Minimum Inhibitory Concentration (MIC) of antibiotics. It is the dilution method most frequently used to test the effectiveness of new antibiotics when a few antibiotics are tested against a large panel of different bacteria.
Process
The antibiotic to be tested is diluted with water to produce a series of concentrations. An appropriate volume is then combined with melted agar to produce plates in which the final antibiotic concentrations represent a 2-fold dilution series. After this, bacteria prepared to a standard concentration are added as a spot to each plate, with 10
4 colony forming units (CFU) per spot. This technique allows for replicate spots of one bacterial type to be tested or spots of different bacteria so that the MIC of the antibiotic against multiple types of bacteria can be tested. Necessary controls include a control plate that does not receive any antibiotics and bacterial spread plates demonstrating that the bacterial included are in the correct concentration range. The dilution plates are then incubated at a temperature of 37 degrees
Celsius
The degree Celsius is the unit of temperature on the Celsius scale (originally known as the centigrade scale outside Sweden), one of two temperature scales used in the International System of Units (SI), the other being the Kelvin scale. The ...
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The plates are then incubated for sixteen to eighteen hours, although incubation time may be less for bacteria populations that divide quickly.
[ After incubation, the plates are examined to determine if bacterial growth has occurred in the inoculated spots. The lowest concentration of antibiotics that prevented bacterial growth is considered to be the minimum inhibitory concentration of that antibiotic against that bacterium.][
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Advantages
Agar dilution is considered to be the gold standard
A gold standard is a monetary system in which the standard economic unit of account is based on a fixed quantity of gold. The gold standard was the basis for the international monetary system from the 1870s to the early 1920s, and from the la ...
of susceptibility testing, or the most accurate way to measure the resistance of bacteria to antibiotics. The results of agar dilution are easily reproduced and they can be monitored at a much cheaper cost than what is required of other dilution methods. Additionally, up to thirty pathogen samples (plus two controls) can be tested at once, so agar dilution is useful for batch tests.
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Disadvantages
Each dilution plate in agar testing has to be manually inoculated with the pathogen to be tested, so agar dilution testing is both labor-intensive and expensive.[ Unlike ]broth microdilution
Broth microdilution is a method used to test the susceptibility of microorganisms to antibiotics. It is the most commonly used method to perform this test in the United States.
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Process
During testing, multiple microtiter plates are filled ...
tests, agar dilution cannot be used to test more than one antibiotic at a time.
References
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Antimicrobial resistance