Penicillin susceptibility testing of gonococci by disc diffusion

J Antimicrob Chemother. 1981 Apr;7(4):319-30. doi: 10.1093/jac/7.4.319.

Abstract

This study investigated the use of various beta-lactam discs in the detection of penicillin sensitive, intermediate resistant and resistant strains (minimal inhibitory concentrations of penicillin G of less than 0.06, 0.06 to 0.25, and greater than 0.25 mg/l respectively). Discs containing 0.15 and 0.6 microgram of penicillin G, and 5 microgram of methicillin were the most useful in separating the three groups. Cut-off zones between sensitive, intermediate resistant and resistant strains are 12 and 24 mm for 0.15 microgram penicillin discs; 24 and 32 mm for 0.6 microgram penicillin discs; and 20 and 30 mm for 5 microgram methicillin discs. Oxacillin discs (1 microgram) were useful in separating resistant from both sensitive and intermediate resistant strains at a cut-off zone of 8 mm. Use of a combination of discs provides the best index of susceptibility group, and at least two should be used

MeSH terms

  • Dose-Response Relationship, Drug
  • Microbial Sensitivity Tests*
  • Neisseria gonorrhoeae / drug effects*
  • Neisseria gonorrhoeae / enzymology
  • Penicillin G / pharmacology*
  • beta-Lactamases / metabolism

Substances

  • beta-Lactamases
  • Penicillin G