Antimicrobial Resistance Pattern and Plasmid Profile of Salmonella enterica Isolated from Diarrheal Children in Thi-Qar Province/Iraq

2020 ◽  
pp. 49-53
Keyword(s):  
Antimicrobial Agents ◽  
Plasmid Profile ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Disc Diffusion Method ◽  
Alkaline Lysis ◽  
Antibiotic Resistant ◽  
Plasmid Analysis ◽  
Resistance Patterns ◽  
Amoxicillin Clavulanic Acid

The aims of this work were to investigate the antimicrobial pattern and plasmid profile of different antibiotic resistant Salmonella species isolated from diarrheal children in Thi-Qar province and to find a possible relationship between resistance patterns and plasmid profile. Salmonella isolates were tested against 15 commonly used antimicrobial agents using the disc diffusion method to determine the resistance Patterns while plasmid DNA was extracted using alkaline lysis method and separated by agarose gel electrophoresis. all isolates were sensitive to the Amikacin and Gentamycin whereas all isolates were resistances to erythromycin; the most prevalent pattern included resistance to Nalidixic acid (50%) , Cefixim and Cefotaxim (37.5%), and to trimethoprim-sulphamethoxazole, Amoxicillin- clavulanic acid and Ampicillin (33.3%).Furthermore, many isolates were resistant to Tetracycline and Chloramphenicol (29.1%), Ciprofloxacin and Nitrofurantion (25%) and Azithromycin (20.8%), while only 12% of isolates were resistances to Norfloxacin. Plasmid analysis of clinical isolates showed several large and small plasmids were extracted from (91.7%) of the isolates and some isolates carried one or more plasmids.

scholarly journals Occurrence of multiple antibiotic resistance and R plasmids in Enterobacteriaceae isolated from children in the Sudan

1988 ◽  
Vol 100 (1) ◽  
pp. 73-81 ◽  
Author(s):  
P. Shears ◽  
G. Suliman ◽  
C. A. Hart
Keyword(s):  
Antibiotic Resistance ◽  
Antimicrobial Agents ◽  
Plasmid Profile ◽  
Antimicrobial Treatment ◽  
Resistance Pattern ◽  
Plasmid Analysis ◽  
High Prevalence ◽  
Resistance Patterns ◽  
R Plasmids ◽  
High Level

SUMMARYThe prevalence of resistance to six commonly-used antimicrobial agents in faecal coliforms from children in Khartoum, Sudan was studied. A relatively high prevalence of resistance was found, ranging from 96% of children with isolates resistant to ampicillin to 70% of children with isolates resistant to chloramphenicol. Seventy-seven percent of children had isolates with high-level resistance to trimethoprim (MIC > 1000 μg/ml). Twenty-nine different resistance patterns were found. Thirty-nine percent of the children had isolates resistant to all six antibiotics studied, and 80% of children had isolates resistant to at least four. Transfer of resistance to each of the antimicrobials, in varying combinations, was demonstrated, but did not occur for all resistance patterns. Plasmid analysis showed plasmids ranging from 160 MDa to 2·8 MDa and isolates contained from one to five plasmids of different sizes. There were no consistent relationships between resistance pattern and plasmid profile, but multiple resistance transfer was mediated commonly by plasmids with a molecular weight of 62 MDa.The high prevalence of potentially transferable antibiotic resistance in gut commensals of children in the Sudan may be of importance in the management of enteric and other infections requiring antimicrobial treatment.

scholarly journals Drug resistance and plasmid profile of shigellae in Taiwan

1992 ◽  
Vol 108 (1) ◽  
pp. 87-97 ◽  
Author(s):  
S.-R. Lin ◽  
S.-F. Chang
Keyword(s):  
Drug Resistance ◽  
Antimicrobial Agents ◽  
Plasmid Profile ◽  
Resistance Pattern ◽  
Multiple Resistance ◽  
College Hospital ◽  
Medical College ◽  
Transmissible Plasmid ◽  
Resistance Patterns ◽  
Species Specific

SUMMARYOne hundred and twenty-eight shigella strains isolated from newborn and infant human faecal specimens at Kaohsiung Medical College Hospital in Taiwan were serogrouped, serotyped and examined for drug-resistance patterns and for the presence of plasmids. Forty-seven pre cent of the isolates were found to belong to theShigella sonneiserogroup, 41%to theS.flexnerigroup,9%to theS.boydiigroup and 3%to theS.dysenteriaegroup.The serotype with the greatest number of strains wasS.sonneiI. (29 %) followed byS. flexneri1 (27%). Each strain was tested for resistance to 11 antimicrobial agents. Eighty-eight per cent of the strains were resistant to tetracycline, 87% to chloramphenicol, 84% to streptomycin, 52% to ampicillin, 25% to nalidixic acid, 29% to kanamycin, 11 % to cephalothin, 11% to neomycin, 10% to cotrimoxazole, 1% to amikacin and none to gentamicin. The most prevalent resistance pattern was ApCmSmTc (28%). Clinical isolates demonstrating multiple resistance were found to harbour a large transmissible plasmid of 45–75 MDa while isolates without multiple resistance did not. Two large virulence plasmids of 123 and 110 MDa were found in 12 strains ofS. flexneriand 4 strains ofS. sonneiphase I. Small plasmids of 4·5, 4·2, 3·5, 2·8, 2·5. 2·0 and 1·5 MDa were also present in all strains. These small plasmids were species specific and can be used as marker plasmids to identify species.

scholarly journals Antimicrobial resistance of non-clinical Escherichia coli strains from chicken in Nsukka, South-east Nigeria.

2021 ◽  
Vol 30 (1) ◽  
pp. 101-106
Author(s):  
K. F. Chah ◽  
S. C. Okafor ◽  
S. I. Oboegbulem
Keyword(s):  
Escherichia Coli ◽  
Drug Resistance ◽  
Antimicrobial Resistance ◽  
Antimicrobial Agents ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
E Coli ◽  
Sensitivity Tests ◽  
Resistance Patterns

This study was carried out to determine resistance profiles of Escherichia coli strains isolated from clinically healthy chickens in Nsukka, southeast Nigeria. A total of 324 E. coli strains isolated from cloaca swabs from 390 chickens were tested against 16 antimicrobial agents using the disc diffusion method. The antibiotics used in the study were: ampicillin (25µg), amoxycillin-clavulanic acid (30µg), gentamicin (10µg), Streptomycin (30µg). cefuroxime (20µg), cephalexin (10µg), nalidixic acid (30µg), ciprofloxacin (5µg), norfloxacin (10µg), ofloxacin (5µg), pefloxacin (5µg), tetracycline (30µg), chloramphenicol (10µg), cotrimoxazole (50µg), colistin (25µg) and nitrofurantoin (100µg).The strains demonstrated high rates of resistance (34.6%  66.1%) to ampicillin, tetracycline, nitrofurantoin, cefuroxime and cotrimoxazole. None of the isolates was resistant to colistin, ofloxacin and pefloxacin. For each antimicrobial agent (except cephalexin), strains from the intensively reared chickens (layers and broilers) displayed higher resistance frequencies than those from the local birds. A total of 49 resistant patterns were recorded for the 228 strains resistant to at least one antimicrobial drug, with AmTeCoS and AmTeCfN being the predominant patterns. Because of the great variation in the drug resistance patterns of the Escherichia coli strains, use of antimicrobial agents in the management of E. coli infections in the study area should be based on results of sensitivity tests.

scholarly journals Prevalence and Antibiotic Resistance Pattern of Acinetobacter Isolated from Patients Admitted in ICUs in Mazandaran, Northern Iran

2016 ◽  
Vol 8 (11) ◽  
pp. 112 ◽  
Author(s):  
Roya Ghasemian ◽  
Mohammad Ahanjan ◽  
Ebrahim Fatehi ◽  
Mehran Shokri
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Rate ◽  
Test Method ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Northern Iran ◽  
Cross Sectional ◽  
Antibiotic Resistant

<p><strong>BACKGROUND &amp; PURPOSE: </strong>Antibiotic resistance rate is increasing in <em>Acinetobacter</em> species, especially in <em>Acinetobacter baumannii</em>, as the most important pathogen of hospital and ICU . This research aimed to evaluate antibiotic resistant rate of <em>Acinetobacter</em> spp. isolated from patients admitted to ICUs in educational hospitals affiliated with Mazandaran University of Medical Sciences.</p><p><strong>METHODS:</strong> In this cross-sectional descriptive study, 50 <em>Acinetobacter</em> isolates were collected during 2013- 2014. After confirming <em>Acinetobacter</em> species, antibacterial sensitivity test was done using disc diffusion method and minimal inhibitor concentration (MIC) was evaluated by E-test in all isolates.</p><p><strong>RESULTS:</strong> Disc diffusion method revealed that 100% of isolates were resistant to Amikacin and Cefepim and 96% were resistant to both Meropenem and Ciprofloxacin antibiotics, 6% were sensitive, 18% were intermediate and 76% were resistant to imipenem. Also, 84% of isolates were sensitive and 16% were resistant to colistin. In E-test method, 92% of isolates were sensitive and 8% were resistant to colistin. Moreover, an isolate was sensitive, one was intermediate and the remaining isolates were resistant to ciprofloxacin, and 100% of isolates were resistant to other antibiotics in E-test. Over 96% of <em>Acinetobacter</em> isolates were resistant to the antibiotics frequently used in ICU (ciprofloxacin, meropenem, amikacin, and cefepim). Colistin was found as  the only appropriate antibiotic that could be used for patients in ICU.</p><p><strong>CONCLUSION:</strong> We hope these results could change the attitude of physicians toward using antibiotics in ICUs and encourage them to follow antibiotic stewardship as the only effective strategy to somewhat control antibiotic resistances.</p>

scholarly journals Shifting serotypes, plasmid profile analysis and antimicrobial resistance pattern of shigellae strains isolated from Kolkata, India during 1995–2000

2002 ◽  
Vol 129 (2) ◽  
pp. 235-243 ◽  
Author(s):  
S. DUTTA ◽  
K. RAJENDRAN ◽  
S. ROY ◽  
A. CHATTERJEE ◽  
P. DUTTA ◽  
...  
Keyword(s):  
Nalidixic Acid ◽  
Antimicrobial Agents ◽  
Profile Analysis ◽  
Plasmid Profile ◽  
Resistance Pattern ◽  
Disk Diffusion Test ◽  
Normal Limits ◽  
Drug Resistance Pattern ◽  
Resistance Patterns ◽  
Antibiotic Resistance Patterns

One hundred and sixty-six shigellae strains, isolated from stool samples of paediatric patients (<5 years old) at a Childrens' Hospital in Kolkata, India during the period of 1995–2000 were examined for serotyping, drug resistance pattern and plasmid profiles. Sh. flexneri (58%) was found to be commonest isolate of total shigellae, followed by Sh. sonnei (28%), Sh. boydii (9%) and Sh. dysenteriae (5%). This profile of species was in sharp contrast to the picture obtained before 1995, when Sh. dysenteriae 1 predominated over Sh. flexneri. In Sh. flexneri strains, Sh. flexneri 2a (35%) was the most prevalent serotype, following Sh. flexneri 3a (31%), Sh. flexneri 6 (14%), Sh. flexneri 2b (11%) and Sh. flexneri 4 (9%). Resistance patterns of the strains to 12 commonly used antimicrobial agents and minimum inhibitory concentrations (MICs) of the antibiotics were also tested. All strains were found uniformly susceptible to norfloxacin, but more than 90% strains were resistant to tetracycline, co-trimoxazole and 67% strains were resistant to ampicillin. Resistance to amoxicillin, chloramphenicol and nalidixic acid was found in 55% (range 45–74%), 46% (range 40–60%) and 29% (range 15–40%) strains respectively. Overall, shigellae strains showed statistically significant increase in resistance against tetracycline, nalidixic acid and furazolidone (P<0.05) over the years of this study. This indicates decreased efficacy of furazolidone, cotrimoxazole and nalidixic acid for the empirical treatment of shigellosis in Kolkata. Although a few strains showed intermediate susceptibility to ciprofloxacin (4%) and cefotaxime (10%) by disk diffusion test, but the MICs of those antibiotics were within the normal limits. Almost 57% of the strains were resistant to four or more drugs with high MICs of the antibiotics. Plasmid profile analysis revealed presence of large plasmid of 220 kb in majority of the strains except in Sh. sonnei and a correlation between presence of smaller plasmids and shigellae serotypes. Hence this study reports epidemiological change of shigellae species in Kolkata, India with regard to serotypes and antibiotic resistance patterns.

scholarly journals Serotipos y resistencia antibiótica en Shigella spp aisladas de infecciones intestinales, Lima, 2012

2018 ◽  
pp. 35-42
Keyword(s):  
Antibiotic Resistance ◽  
Antimicrobial Agents ◽  
Shigella Flexneri ◽  
Shigella Sonnei ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Intestinal Infections ◽  
Shigella Spp ◽  
Resistance Patterns ◽  
Antibiotic Resistance Patterns

Serotipos y resistencia antibiótica en Shigella spp aisladas de infecciones intestinales, Lima, 2012 Serotypes and antibiotic resistance in Shigella spp. isolated from intestinal infections, Lima, 2012 César E. Guerrero Barrantes1, Alfredo Guillén O.1, Roberto Rojas L1, Nora Bravo2 & Paola Muñoz1 1 Universidad Nacional Federico Villarreal, Facultad de Tecnología Médica, Lima 10 2 Universidad Nacional Federico Villarreal, Facultad de Ciencias Naturales, Lima 10 DOI: https://doi.org/10.33017/RevECIPeru2013.0005/ Resumen Se ha descrito que la distribución mundial de los serogrupos de Shigella no es igual en las distintas regiones. El objetivo es determinar los serotipos, la frecuencia de éstos y el patrón de resistencia a los antimicrobianos de los cultivos de Shigella  spp. aislados de infecciones intestinales.  Se evaluaron 75 cultivos   de  Shigella spp., identificados bioquímicamente y serológicamente, tanto su serogrupo como su serotipo, por aglutinación en lámina.  Los patrones de resistencia antibiótica se determinaron mediante el método de difusión de disco en agar. De los 75 cultivos de Shigella, 54 fueron Shigella flexneri (72%) y 21 Shigella sonnei (28%). De los 54 cultivos de Shigella flexneri, el 48,15% resultó ser del serotipo 2a, seguidos por los serotipos 1b y 6 con el 12,96% cada uno, luego el serotipo 3a con 11,11% y por último los serotipos 1a, 4b y 2b, con 5,56%, 5,56% y 3,70%, respectivamente. La resistencia antibiótica observada en los cultivos de Shigella, independientemente del serogrupo, fue muy frecuente para Sulfametoxazol Trimetoprim, ampicilina, cloranfenicol y tetraciclina; además, algunos cultivos fueron resistentes a Aztreonam, Furazolidona y Amoxicilina-Acido Clavulánico. Los serotipos de Shigella flexneri desde infecciones intestinales, en Lima, son 2a – 1b – 6 –3a – 1a – 4b – 2b; el más frecuente es el 2a, seguido por el 1b y 6 y el patrón de resistencia observado en Shigella spp, fue elevado para sulfametoxazol-Trimetoprim, Tetraciclina, Cloranfenicol y Ampicilina. Descriptores: Shigella, serotypes, resistance. Abstract The global distribution of serogroups in Shigella is not equal across regions. The objective is to determine  serotypes, the frequency and pattern of resistance to antimicrobial agents of cultures of Shigella spp. isolated from intestinal infections.  The  75 cultures of Shigella spp., identified biochemically and serologically, were evaluated for serogroup and serotype, by agglutination on slide.  Antibiotic resistance patterns were determined by disk agar diffusion method. Of the 75 strains of Shigella, 54 were Shigella flexneri (72%) and 21 Shigella sonnei (28%). Of the 54 strains of Shigella flexneri, 48,15% proved serotype 2a, while 12,96% corresponded  to the 1b and 6 serotypes  one each,  than the serotype 3a with 11,11%, and finally the serotypes 1a, 4b and 2b, with 5.56%, 5,56 and  3,70%, respectively.  Antibiotic resistance observed in cultures of Shigella, regardless of the serogroup, was very frequent for Sulfametoxazol Trimetoprim, ampicillin, chloramphenicol, and tetracycline; in addition, some strains were resistant for Aztreonam, furazolidone and amoxicillin-Clavulanic acid. The serotypes of Shigella flexneri from intestinal infections, in Lima, are 2a - 1b - 6- 3a - 1a - 4b -2b; the most frequent is the 2a, followed by 1b and 6 serotypes, and the resistance pattern observed in Shigella spp., was elevated to trimethoprim-sulfamethoxazole, tetracycline, chloramphenicol and ampicillin. Keywords: Shigella, serotypes, resistance.

scholarly journals Plasmid profile analysis in identification of epidemic strains of Salmonella enterica serovar Enteritidis

2008 ◽  
Vol 65 (4) ◽  
pp. 303-307
Author(s):  
Biljana Miljkovic-Selimovic ◽  
Zorica Lepsanovic ◽  
Tatjana Babic ◽  
Branislava Kocic ◽  
Gordana Randjelovic
Keyword(s):  
Profile Analysis ◽  
Plasmid Profile ◽  
Geographic Region ◽  
Diffusion Method ◽  
Salmonella Enterica Serovar Enteritidis ◽  
Discrimination Power ◽  
Alkaline Lysis ◽  
Plasmid Profiles ◽  
Correlation Degree ◽  
Sporadic Cases

Background/Aim. As illness caused by Sallmonella enterica serovar Enteritidis (S. Enteritidis) occurs not only as sporadic cases but as outbreaks, to reveal the source and routes of spreading of infection it is necessary to identify epidemic strain by the use of some typing methods. To determine whether plasmid profile analysis, as genotyping method, could be applied for the investigation of epidemic strains, isolates of S. Enteritidis, recovered from patient's stools and food associated with outbreaks and those isolated from sporadic cases of diarrhea, were investigated. Methods. Investigation of antibiotic resistance was performed by Kirby - Bauer disc-diffusion method. Isolation of plasmid DNA was carried out by Birnboim and Dolly alkaline lysis method, modified by Ish-Horovitz. Results. Out of 276 izolates of S. Enteritidis 94 were isolated from patient's stools and food associated with outbreaks and 182 were isolated from sporadic cases of diarrhea. The presence of 12 plasmid profiles was established. An average correlation degree of plasmid profiles between the strains was 0.84, that implies high degree of similarity of plasmid profiles of epidemic and non- epidemic strains isolated at our geographic region for the given period of time. Conclusion. The strains of S. Enteritidis, isolated in outbreaks of enterocolitis as well as from spordic cases of diarrhea in the same period of time and at the same area, frequently exhibit the same plasmid profile characterized by a single plasmid of 38 MDa. Therefore, in most cases plasmid profile analysis is not valuable in the identification of epidemic strains of S. Enteritidis. However, for this purpose plasmid profile analysis could be used when drug-resistant strains of S. Enteritidis are isolated, as they often possess additional resistant plasmids what increases discrimination power of this method.

scholarly journals Evaluation of Antibiotic Resistance Pattern, Alginate and Biofilm Production in Clinical Isolates of Pseudomonas aeruginosa

2021 ◽  
Author(s):  
Fateme DAVARZANI ◽  
Navid SAIDI ◽  
Saeed BESHARATI ◽  
Horieh SADERI ◽  
Iraj RASOOLI ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Biofilm Formation ◽  
Bacterial Resistance ◽  
Antimicrobial Agents ◽  
Clinical Isolates ◽  
Diffusion Method ◽  
Clinical Samples ◽  
Resistance Pattern ◽  
Alginate Production ◽  
Opportunistic Bacteria

Background: Pseudomonas aeruginosa is one of the most common opportunistic bacteria causing nosocomial infections, which has significant resistance to antimicrobial agents. This bacterium is a biofilm and alginate producer. Biofilm increases the bacterial resistance to antibiotics and the immune system. Therefore, the present study was conducted to investigate the biofilm formation, alginate production and antimicrobial resistance patterns in the clinical isolates of P. aeruginosa. Methods: One hundred isolates of P. aeruginosa were collected during the study period (from Dec 2017 to Jul 2018) from different clinical samples of the patients admitted to Milad and Pars Hospitals at Tehran, Iran. Isolates were identified and confirmed by phenotypic and genotypic methods. Antimicrobial susceptibility was specified by the disk diffusion method. Biofilm formation and alginate production were measured by microtiter plate and carbazole assay, respectively. Results: Sixteen isolates were resistant to all the 12 studied antibiotics. Moreover, 31 isolates were MultidrugResistant (MDR). The highest resistance rate was related to ofloxacin (36 isolates) and the least resistance was related to piperacillin-tazobactam (21 isolates). All the isolates could produce the biofilm and alginate. The number of isolates producing strong, medium and weak biofilms was equal to 34, 52, and 14, respectively. Alginate production was more than 400 μg/ml in 39 isolates, 250-400 μg/ml in 51 isolates and less than 250 μg/ml in 10 isolates. Conclusion: High prevalence of MDR, biofilm formation, and alginate production were observed among the clinical isolates of P. aeruginosa. The results also showed a significant relationship between the amount of alginate production and the level of biofilm formation.

scholarly journals Nasal Carriage of Methicillin Resistant Staphylococcus aureus Among Health Care Workers At Tertiary Care Hospital In Dhaka.

2017 ◽  
Vol 11 (2) ◽  
pp. 17-19
Author(s):  
Rahima Akter ◽  
Shikha Paul ◽  
Akhtarun Naher ◽  
Moshiur Rahman ◽  
Sharmin Sultana ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Nasal Carriage ◽  
Healthcare Personnel ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Dilution Method ◽  
Care Hospital ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Mannitol Salt Agar

Nasal carriage of MRSA among hospital stuff act as a source of endogenous infection and becomes a source for hospital and community acquired infection. The study was conducted to determine the rate antibiotic resistance pattern of nasal carriage of MRSA among the hospital stuff of Sir Salimullah Medical College and Mitford Hospital, Dhaka. Pre moistened nasal swabs from hospital stuff (doctor, nurses, lab technicians and other helping stuff were obtained. These swabs were inoculated into Blood agar and Mannitol salt agar media. Antibiogram was done by modified Kirby Bauer disc diffusion method. MRSA were detected by oxacillin and cefoxitin disc diffusion method. The resistance was confirmed by MIC of oxacillin agar dilution method. Out of 142 samples 34 strains of Staphylococcus were isolated among them 07 (4.93%) were MRSA and 27 (19.01%) were MSSA. The carriage rate of MRSA was higher among nurse than other healthcare provider. Nasal carriage of MRSA is responsible for spreading infection from healthcare personnel to normal individual. So, regular screening of carrier is required from prevention of hospital acquired infection. Bangladesh J Med Microbiol 2017; 11 (2): 17-19

scholarly journals Russia-made Mueller–Hinton agar: compliance with contemporary requirements

2019 ◽  
Vol 9 (2) ◽  
pp. 409-416
Author(s):  
L. V. Domotenko ◽  
I. S. Kosilova ◽  
A. P. Shepelin
Keyword(s):  
Quality Control ◽  
Antimicrobial Agents ◽  
Susceptibility Testing ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Nutrient Media ◽  
Mueller Hinton ◽  
Mueller Hinton Agar

At present, a rise of antimicrobial resistance requires that susceptibility of infectious agents to antimicrobial agents could be accurately evaluated as related errors may lead to selecting improper therapeutics provoking spread of drug resistance. Pathogen sensitivity to antimicrobial agents is commonly determined by a disc diffusion method. A quality of nutrient medium used in assays plays a crucial role influencing final results. In Russia, it turned out that regulatory documents such as the nationwide guidelines and clinical recommendations outlining methodology for antimicrobial susceptibility testing underlay availability in domestic market few nutrient media, including Mueller–Hinton Agar, AGV medium etc. exhibiting sometimes unsatisfactory quality. To harmonize such methodology with international requirements, theStateResearchCenterfor Applied Microbiology and Biotechnology has developed a technology and promoted manufacture of Russia-made Mueller–Hinton agar satisfying requirements of EUCAST documents, clinical guidelines, and ISO/TS 16782:2016. The main objective of this study was to compare quality of new agar product with five similar foreign media while examining 11 test strains by disc diffusion method. As a result, some of nutrient media available to the Russian market turned out to be off-standard: not all of them satisfy to the EUCAST requirements and clinical guidelines since diameter distribution for growth inhibition recommended by EUCAST for quality control does not fit into permissible range. Moreover, susceptibility of P. aeruginosa ATCC 27853 to aminoglycosides, fluoroquinolones, Meropenem, as well as S. aureus ATSS 25923 and E. faecalis ATCC 29212 to tigecycline was assessed with certain mistakes. The data obtained by us were analyzed in accordance to the new document ISO/TS 16782:2016 “Clinical laboratory testing — criterion for acceptable lots of dehydrated Mueller–Hinton agar and broth for antimicrobial susceptibility testing”, not approved yet In Russia. To determine potential reason for deviation of data from reference range, we measured concentration of bivalent metals in all nutrient media examined by atomic emission spectrometry with inductively coupled plasma. We determined new patterns affecting reliability of results on microbial antibiotic susceptibility. A need to check intralaboratory quality control of nutrient media was emphasized.  

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