DIFFUSION METHOD
DISC DIFFUSION
 (KIRBY_BAUER)
PRIMARY GOALS
           ANNUAL
           REVENU
           E
           GROWTH
3
    PRESENTATION TITLE
                 INTRODUCTION:
4
    PRESENTATION TITLE
5
    PRESENTATION TITLE
6
    PRESENTATION TITLE
7
    PRESENTATION TITLE
8
    PRESENTATION TITLE
9
    PRESENTATION TITLE
10
     PRESENTATION TITLE
PRESENTATION TITLE
                     DISK DIFFUSION: INOCULUM
                     PREPARATION
                      •    A bacterial suspension with turbidity
                          equivalent to 0.5 MacFarland is prepared
                          in saline or nutrient broth.
                      • Soak a sterile cotton swab in the bacterial
                        suspension.
                      •    Remove excess fluid by pressing the swab
                          against the tube wall
11
PRESENTATION TITLE
                     Disk Diffusion: plate streaking
                     • Streak the swab evenly over the surface of the
                       Müller-Hinton medium in three directions to
                       ensure even distribution of bacteria.
                     • With petri dish lid in place, allow 3- 5 minutes
                       (no longer than 15 minutes) for agar surface to
                       dry
12
PRESENTATION TITLE
                     DISK DIFFUSION: APPLYING
                     DISKS
                     • Using sterile thin forceps, place
                       antibiotic discs to the surface of
                       the agar.
                     • Antibiotic discs should be 1.5-2
                       cm spaced otherwise inhibition
                       zones will overlap.
                     • Within 30 minutes of applying
                       the discs, the plates are inverted
                       and incubated overnight at 30-35°
                       C.
13
14
     PRESENTATION TITLE
15
     PRESENTATION TITLE
16
     PRESENTATION TITLE
PRESENTATION TITLE   U S E TR A N S M I TTE D LI G H T , RATH E R T H A N R EF L ECT ED L I G H T,
                     W H EN MEA SU RI N G ZO N ES
17
PRESENTATION TITLE
                     M EA SU RI N G T H E ZO N E O F I N H I BI TI O N BY R U L ER O R M ET RI C I N MM I N
                     D I A MET ER
18
PRESENTATION TITLE
                     •   Do not use disks beyond their expiration date.
                     •    Do not store disks in a frost-free freezer.
                     •    Use FDA cleared products.
                     •   Use disks with the content specified in CLSI standards.
                     •    Do not relocate a disk once it has touched the agar
                         surface
19
20
     PRESENTATION TITLE
PRESENTATION TITLE
                     Click icon to add picture
21
PRESENTATION TITLE
                     Measure the point at which you can see an obvious demarcation
22
                     between growth and no growth. Measure the obvious zone.
                     Ignore the swarm even if it covers the zone
PRESENTATION TITLE
                              • Zones with
                      trimethoprimsulfamethoxazole
                         (and also sulfonamides and
                        trimethoprim alone) may be
                        difficult to read because this
                       agent may not inhibit bacteria
                          from multiplying until the
                         bacteria have gone through
                      several generations of growth.
                     • You may see a light haze of
                           growth within the zone.
                       Measure the zone at the point
                      where there is an 80% reduction
                                   in growth
23
                     ADVANTAGE AND DISADVANTAGES
PRESENTATION TITLE
                           • Convenient and user-
                               friendly method
                            •     It is generally not
                                accepted to test slow
                                growing bacteria that
                                 require extended
                                 incubation such as
                                  mycobacteria and
                                      anaerobes.
                            • Lack of interpretive
24                         criteria for many organism
THANK YOU