Drug Resistance Testing Using Electrical Impedance Counting Method

Jindai Huang, Dianchen Zhang
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Abstract

Traditional methods for testing drug sensitivity values include broth dilution methods including micro broth dilution and macro broth dilution methods, agar dilution methods, E-test methods and paper diffusion methods[1]. These traditional methods have a common shortcoming, that is, the test often takes a long time to obtain drug sensitivity results, which can lead to missed diagnosis, misdiagnosis and delayed treatment.This paper describes how the electrical impedance counting method was used for the study of drug sensitivity testing and what advantages it has over traditional drug sensitivity testing. The impedance counting method still uses the broth dilution method and the existing parameter MIC (minimum inhibitory concentration)[1], which is the most relied upon parameter to guide the use of antibiotics, as an indicator, with the Coulter principle[2] technique as the underlying principle, and the IT system to collect, process and analyze the data. The MIC values were obtained by calculating the number of bacteria at different doses of antibiotics, analyzing the graphical changes such as growth indices, using software algorithms and referring to the CLSI M100[3] standard to discriminate the drug susceptibility of bacteria. The results show that the electrical impedance counting method will provide us with a more rapid and effective method for drug sensitivity analysis, and can be used in medical institutions and related medical industries for drug sensitivity analysis, which is of great significance for rapid and accurate clinical drug use and new antibiotic research.
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电阻抗计数法耐药试验
传统的药敏值检测方法有肉汤稀释法(包括微肉汤稀释法和宏肉汤稀释法)、琼脂稀释法、e试验法和纸扩散法[1]。这些传统方法都有一个共同的缺点,即检测往往需要很长时间才能获得药敏结果,从而导致漏诊、误诊和延误治疗。本文介绍了电阻抗计数法在药敏试验研究中的应用,以及电阻抗计数法相对于传统药敏试验的优势。阻抗计数法仍然采用肉汤稀释法和现有的MIC (minimum inhibitory concentration,最小抑菌浓度)参数[1]作为指标,这是指导抗生素使用最依赖的参数,以Coulter原理[2]技术为基础原理,利用IT系统对数据进行采集、处理和分析。MIC值是通过计算不同抗生素剂量下的细菌数量,分析其生长指标等图形变化,采用软件算法,参照CLSI M100[3]标准对细菌进行药敏鉴别得到的。结果表明,电阻抗计数法将为我们提供一种更为快速有效的药敏分析方法,可用于医疗机构及相关医疗行业进行药敏分析,对临床快速准确用药及新型抗生素研究具有重要意义。
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