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Minimum inhibitory concentration - Wikipedia

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Available in 18 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-18" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">18 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%A7%D9%84%D8%AA%D8%B1%D9%83%D9%8A%D8%B2_%D8%A7%D9%84%D9%85%D8%AB%D8%A8%D8%B7_%D8%A7%D9%84%D8%A3%D8%AF%D9%86%D9%89" title="التركيز المثبط الأدنى – Arabic" lang="ar" hreflang="ar" data-title="التركيز المثبط الأدنى" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Minim%C3%A1ln%C3%AD_inhibi%C4%8Dn%C3%AD_koncentrace" title="Minimální inhibiční koncentrace – Czech" lang="cs" hreflang="cs" data-title="Minimální inhibiční koncentrace" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Minimale_Hemm-Konzentration" title="Minimale Hemm-Konzentration – German" lang="de" hreflang="de" data-title="Minimale Hemm-Konzentration" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Concentraci%C3%B3n_inhibitoria_m%C3%ADnima" title="Concentración inhibitoria mínima – Spanish" lang="es" hreflang="es" data-title="Concentración inhibitoria mínima" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%BA%D9%84%D8%B8%D8%AA_%D8%A8%D8%A7%D8%B2%D8%AF%D8%A7%D8%B1%D9%86%D8%AF%D9%87_%D8%AD%D8%AF%D8%A7%D9%82%D9%84%DB%8C" title="غلظت بازدارنده حداقلی – Persian" lang="fa" hreflang="fa" data-title="غلظت بازدارنده حداقلی" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Concentration_minimale_inhibitrice" title="Concentration minimale inhibitrice – French" lang="fr" hreflang="fr" data-title="Concentration minimale inhibitrice" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%B5%9C%EC%86%8C_%EC%A0%80%EC%A7%80_%EB%86%8D%EB%8F%84" title="최소 저지 농도 – Korean" lang="ko" hreflang="ko" data-title="최소 저지 농도" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Konsentrasi_hambat_minimum" title="Konsentrasi hambat minimum – Indonesian" lang="id" hreflang="id" data-title="Konsentrasi hambat minimum" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Concentrazione_minima_inibitoria" title="Concentrazione minima inibitoria – Italian" lang="it" hreflang="it" data-title="Concentrazione minima inibitoria" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%A8%D7%99%D7%9B%D7%95%D7%96_%D7%9E%D7%A2%D7%9B%D7%91_%D7%9E%D7%96%D7%A2%D7%A8%D7%99" title="ריכוז מעכב מזערי – Hebrew" lang="he" hreflang="he" data-title="ריכוז מעכב מזערי" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E6%9C%80%E5%B0%8F%E7%99%BA%E8%82%B2%E9%98%BB%E6%AD%A2%E6%BF%83%E5%BA%A6" title="最小発育阻止濃度 – Japanese" lang="ja" hreflang="ja" data-title="最小発育阻止濃度" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Minimalne_st%C4%99%C5%BCenie_hamuj%C4%85ce" title="Minimalne stężenie hamujące – Polish" lang="pl" hreflang="pl" data-title="Minimalne stężenie hamujące" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Concentra%C3%A7%C3%A3o_inibit%C3%B3ria_m%C3%ADnima" title="Concentração inibitória mínima – Portuguese" lang="pt" hreflang="pt" data-title="Concentração inibitória mínima" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Minimalna_inhibitorna_koncentracija" title="Minimalna inhibitorna koncentracija – Slovenian" lang="sl" hreflang="sl" data-title="Minimalna inhibitorna koncentracija" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Minimalna_inhibitorna_koncentracija" title="Minimalna inhibitorna koncentracija – Serbian" lang="sr" hreflang="sr" data-title="Minimalna inhibitorna koncentracija" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Minimalna_inhibitorna_koncentracija" title="Minimalna inhibitorna koncentracija – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Minimalna inhibitorna koncentracija" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%9C%D1%96%D0%BD%D1%96%D0%BC%D0%B0%D0%BB%D1%8C%D0%BD%D0%B0_%D1%96%D0%BD%D0%B3%D1%96%D0%B1%D1%83%D0%B2%D0%B0%D0%BB%D1%8C%D0%BD%D0%B0_%D0%BA%D0%BE%D0%BD%D1%86%D0%B5%D0%BD%D1%82%D1%80%D0%B0%D1%86%D1%96%D1%8F" title="Мінімальна інгібувальна концентрація – Ukrainian" lang="uk" hreflang="uk" data-title="Мінімальна інгібувальна концентрація" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E6%9C%80%E5%B0%8F%E6%8A%91%E8%8F%8C%E6%B5%93%E5%BA%A6" title="最小抑菌浓度 – Chinese" lang="zh" hreflang="zh" data-title="最小抑菌浓度" data-language-autonym="中文" data-language-local-name="Chinese" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet 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data-mw-ve-target-container> <div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">From Wikipedia, the free encyclopedia</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Concentration of chemical that stops bacterial growth</div> <p>In <a href="/wiki/Microbiology" title="Microbiology">microbiology</a>, the <b>minimum inhibitory concentration</b> (<b>MIC</b>) is the lowest concentration of a <a href="/wiki/Chemical" class="mw-redirect" title="Chemical">chemical</a>, usually a drug, which prevents visible <i><a href="/wiki/In_vitro" title="In vitro">in vitro</a></i> <a href="/wiki/Cell_growth" title="Cell growth">growth</a> of <a href="/wiki/Bacteria" title="Bacteria">bacteria</a> or <a href="/wiki/Fungus" title="Fungus">fungi</a>.<sup id="cite_ref-pmid36551405_1-0" class="reference"><a href="#cite_note-pmid36551405-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid21050800_2-0" class="reference"><a href="#cite_note-pmid21050800-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> MIC testing is performed in both <a href="/wiki/Diagnostic" class="mw-redirect" title="Diagnostic">diagnostic</a><sup id="cite_ref-pmid36551405_1-1" class="reference"><a href="#cite_note-pmid36551405-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid21050800_2-1" class="reference"><a href="#cite_note-pmid21050800-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> and <a href="/wiki/Drug_discovery" title="Drug discovery">drug discovery</a> laboratories.<sup id="cite_ref-pmid36455285_3-0" class="reference"><a href="#cite_note-pmid36455285-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid32529587_4-0" class="reference"><a href="#cite_note-pmid32529587-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> </p><p>The MIC is determined by preparing a <a href="/wiki/Serial_dilution" title="Serial dilution">dilution series</a> of the chemical, adding <a href="/wiki/Agar_dilution" title="Agar dilution">agar</a> or <a href="/wiki/Broth_microdilution" title="Broth microdilution">broth</a>, then inoculating with bacteria or fungi, and incubating at a suitable <a href="/wiki/Temperature" title="Temperature">temperature</a>. The value obtained is largely dependent on the susceptibility of the microorganism and the <a href="/wiki/Antimicrobial" title="Antimicrobial">antimicrobial</a> potency of the chemical, but other variables can affect results too.<sup id="cite_ref-pmid15015030_5-0" class="reference"><a href="#cite_note-pmid15015030-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> The MIC is often expressed in micrograms per milliliter (μg/mL) or milligrams per liter (mg/L). </p><p>In diagnostic labs, MIC test results are used to grade the susceptibility of microbes. These grades are assigned based on agreed upon values called breakpoints. Breakpoints are published by <a href="/wiki/Standards_organization" title="Standards organization">standards development organizations</a> such as the U.S. <a href="/wiki/Clinical_and_Laboratory_Standards_Institute" title="Clinical and Laboratory Standards Institute">Clinical and Laboratory Standards Institute</a> (CLSI), the <a href="/wiki/British_Society_for_Antimicrobial_Chemotherapy" title="British Society for Antimicrobial Chemotherapy">British Society for Antimicrobial Chemotherapy</a> (BSAC) and the <a href="/wiki/European_Committee_on_Antimicrobial_Susceptibility_Testing" title="European Committee on Antimicrobial Susceptibility Testing">European Committee on Antimicrobial Susceptibility Testing</a> (EUCAST).<sup id="cite_ref-pmid34550809_6-0" class="reference"><a href="#cite_note-pmid34550809-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid11420333_7-0" class="reference"><a href="#cite_note-pmid11420333-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-EUCAST-1_8-0" class="reference"><a href="#cite_note-EUCAST-1-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> The purpose of measuring MICs and grading microbes is to enable <a href="/wiki/Physician" title="Physician">physicians</a> to prescribe the most appropriate antimicrobial treatment. </p><p>The first step in <a href="/wiki/Drug_discovery" title="Drug discovery">drug discovery</a> is often measurement of the MICs of biological <a href="/wiki/Extraction_(chemistry)" title="Extraction (chemistry)">extracts</a>, <a href="/wiki/Natural_product#Isolation_and_purification" title="Natural product">isolated</a> <a href="/wiki/Chemical_compound" title="Chemical compound">compounds</a> or large <a href="/wiki/Chemical_library" title="Chemical library">chemical libraries</a> against bacteria and fungi of interest.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid15268641_10-0" class="reference"><a href="#cite_note-pmid15268641-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> MIC values provide a quantitative measure of an extract or compound's antimicrobial <a href="/wiki/Potency_(pharmacology)" title="Potency (pharmacology)">potency</a>. The lower the MIC, the more potent the antimicrobial.<sup id="cite_ref-pmid32529587_4-1" class="reference"><a href="#cite_note-pmid32529587-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> When <i>in vitro</i> toxicity data is available, MICs can also be used to calculate selectivity index values, a measure of off-target to target <a href="/wiki/Toxicity" title="Toxicity">toxicity</a>.<sup id="cite_ref-pmid32529587_4-2" class="reference"><a href="#cite_note-pmid32529587-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>After the discovery and commercialization of antibiotics, microbiologist, pharmacologist, and physician <a href="/wiki/Alexander_Fleming" title="Alexander Fleming">Alexander Fleming</a> developed the broth dilution technique using the turbidity of the broth for assessment.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> This is commonly believed to be the conception point of minimum inhibitory concentrations.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> Later in the 1980s, the Clinical and Laboratory Standards Institute consolidated the methods and standards for MIC determination and clinical usage. Because pathogens continue to evolve, and new drugs continue to be developed, the CLSI's MIC protocols are periodically updated to reflect these changes.<sup id="cite_ref-:0_13-0" class="reference"><a href="#cite_note-:0-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> The protocols and parameters set by the CLSI are considered to be the "gold standard" in the United States and are used by regulatory authorities, such as the FDA, to make evaluations.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Clinical_usage">Clinical usage</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=2" title="Edit section: Clinical usage"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Nowadays, the MIC is used in antimicrobial susceptibility testing. The MIC is reported by providing the susceptibility interpretation next to each antibiotic. The different susceptibility interpretations are: "S" (susceptible or responding to a standard dosing regimen), "I" (intermediate or requiring increased exposure), and "R" (resistant). These interpretations were developed by the <a href="/wiki/Clinical_and_Laboratory_Standards_Institute" title="Clinical and Laboratory Standards Institute">CLSI</a> and <a href="/wiki/European_Committee_on_Antimicrobial_Susceptibility_Testing" title="European Committee on Antimicrobial Susceptibility Testing">EUCAST</a>.<sup id="cite_ref-pmid34550809_6-1" class="reference"><a href="#cite_note-pmid34550809-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-EUCAST-1_8-1" class="reference"><a href="#cite_note-EUCAST-1-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> There have been major discrepancies between the breakpoints from various European countries over the years, and between those from the CLSI and EUCAST.<sup id="cite_ref-pmid28653629_15-0" class="reference"><a href="#cite_note-pmid28653629-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> </p><p>In clinics, more often than not, exact pathogens cannot be easily determined by symptoms of the patient. Then, even if the pathogen is determined, different <a href="/wiki/Strain_(biology)" title="Strain (biology)">strains</a> of pathogens, such as <i>Staphylococcus aureus,</i> have varying levels of <a href="/wiki/Antimicrobial_resistance" title="Antimicrobial resistance">resistance to antimicrobials</a>. As such, it is difficult to prescribe correct antimicrobials.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup> The MIC is determined in such cases by growing the pathogen isolate from the patient on plate or broth, which is later used in the assay.<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> Thus, knowledge of the MIC will provide a physician valuable information for making a prescription. </p><p>Accurate and precise usage of antimicrobials is also important in the context of <a href="/wiki/Multidrug-resistant_bacteria" title="Multidrug-resistant bacteria">multidrug-resistant bacteria</a>. Microbes such as bacteria have been gaining resistance to antimicrobials they were previously susceptible to.<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> Usage of incompatible levels of antimicrobials provides the selective pressure that has driven the direction and evolution of resistance of bacterial pathogens.<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> This has been seen at sub-MIC levels of antibiotics.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> As such, it is increasingly important to determine the MIC in order to make the best choice in prescribing antimicrobials. </p> <div class="mw-heading mw-heading2"><h2 id="Methods">Methods</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=3" title="Edit section: Methods"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Broth_dilution_assay">Broth dilution assay</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=4" title="Edit section: Broth dilution assay"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Minimum_Inhibitory_Concentration.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/Minimum_Inhibitory_Concentration.jpg/368px-Minimum_Inhibitory_Concentration.jpg" decoding="async" width="368" height="276" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/Minimum_Inhibitory_Concentration.jpg/552px-Minimum_Inhibitory_Concentration.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/a/a2/Minimum_Inhibitory_Concentration.jpg 2x" data-file-width="720" data-file-height="540" /></a><figcaption>Broth dilution assay. The MIC is determined by examining tubes containing the microbe and a <a href="/wiki/Serial_dilution" title="Serial dilution">dilution series</a> of antimicrobial agent for turbidity.</figcaption></figure><p> There are three main <a href="/wiki/Reagents" class="mw-redirect" title="Reagents">reagents</a> necessary to run this assay: the media, an antimicrobial agent, and the microbe being tested. The most commonly used media is cation-adjusted Mueller Hinton Broth, due to its ability to support the growth of most pathogens and its lack of inhibitors towards common antibiotics.<sup id="cite_ref-:1_21-0" class="reference"><a href="#cite_note-:1-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> Depending on the pathogen and antibiotics being tested, the media can be changed and/or adjusted. The antimicrobial concentration is adjusted into the correct concentration by mixing stock antimicrobial with media. The adjusted antimicrobial is <a href="/wiki/Serial_dilution" title="Serial dilution">serially diluted</a> into multiple tubes (or wells) to obtain a gradient. The dilution rate can be adjusted depending on the breakpoint and the practitioner's needs. The microbe, or the inoculating agent, must come from the same colony-forming unit, and must be at the correct concentration. This may be adjusted by incubation time and dilution. For verification, the positive control is plated in a hundred fold dilution to count colony forming units. The microbes inoculate the tubes (or plate) and are incubated for 16–20 hours. The MIC is generally determined by turbidity.<sup id="cite_ref-:1_21-1" class="reference"><a href="#cite_note-:1-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> </p><div class="mw-heading mw-heading3"><h3 id="Etest">Etest</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=5" title="Edit section: Etest"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Etest_Vancomycin_S_aureus.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a4/Etest_Vancomycin_S_aureus.jpg/369px-Etest_Vancomycin_S_aureus.jpg" decoding="async" width="369" height="156" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a4/Etest_Vancomycin_S_aureus.jpg/554px-Etest_Vancomycin_S_aureus.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a4/Etest_Vancomycin_S_aureus.jpg/738px-Etest_Vancomycin_S_aureus.jpg 2x" data-file-width="1013" data-file-height="428" /></a><figcaption>Etest. After the required incubation period, when an even lawn of growth is distinctly visible, the MIC value is read where the pointed end of the inhibition ellipse intersects the side of the strip.</figcaption></figure> <p><a href="/wiki/Etest" title="Etest">Etests</a> can be used as an alternative method to determine the minimum inhibitory concentrations of a wide range of antimicrobial agents against different organisms. They have been widely used in microbiology laboratories around the world. Manufactured by <a href="/wiki/BioM%C3%A9rieux" title="BioMérieux">bioMérieux</a>, Etests are a ready-to-use, non-porous plastic reagent strip with a predefined gradient of antibiotic, covering a continuous concentration range.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="MBC_testing">MBC testing</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=6" title="Edit section: MBC testing"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>While the MIC is the lowest concentration of an antibacterial or antifungal agent necessary to inhibit visible growth, the <a href="/wiki/Minimum_bactericidal_concentration" title="Minimum bactericidal concentration">minimum bactericidal concentration</a> (MBC) is the minimum concentration of an antibacterial agent that results in bacterial death. It is defined by the inability to re-culture bacteria, and the closer the MIC is to the MBC, the more bactericidal the compound.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p><p>MIC is used clinically over MBC because MIC is more easily determined.<sup id="cite_ref-:0_13-1" class="reference"><a href="#cite_note-:0-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> In addition, drug effectiveness is generally similar when taken at both MIC and MBC concentrations because the host immune system can expel the pathogen when bacterial proliferation is at a standstill.<sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> When the MBC is much higher than the MIC, drug toxicity makes taking the MBC of the drug detrimental to patient. Antimicrobial toxicity can come in many forms, such as immune hypersensitivity and off-target toxicity.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Importance">Importance</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=7" title="Edit section: Importance"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Increasing bacterial outbreaks and newer strains of Microbes and Pathogen invading our lives daily, there is an increasing need to Test these microbes. Mutating Bacteria poses a higher risk to humans more than ever and thus MIC Test is important to ensure we are one step ahead of them. </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=8" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/Disk_diffusion_test" title="Disk diffusion test">Kirby–Bauer test</a></li> <li><a href="/wiki/Arthur_Thomas_Palin" title="Arthur Thomas Palin">Arthur Thomas Palin</a>, pioneer in drinking water chlorination treatment and testing</li> <li>MIC Test Flow And <a rel="nofollow" class="external text" href="https://microbe-investigations.com/minimum-inhibitory-concentration-test/">How to Perform MIS Test</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Minimum_inhibitory_concentration&amp;action=edit&amp;section=9" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-pmid36551405-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-pmid36551405_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-pmid36551405_1-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon 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href="/wiki/Template:Cite_book" title="Template:Cite book">cite book</a>}}</code>: CS1 maint: location missing publisher (<a href="/wiki/Category:CS1_maint:_location_missing_publisher" title="Category:CS1 maint: location missing publisher">link</a>)</span></span> </li> <li id="cite_note-19"><span class="mw-cite-backlink"><b><a href="#cite_ref-19">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFGeisingerIsberg2017" class="citation journal cs1">Geisinger E, Isberg RR (February 2017). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853982">"Interplay Between Antibiotic Resistance and Virulence During Disease Promoted by Multidrug-Resistant Bacteria"</a>. <i>The Journal of Infectious Diseases</i>. <b>215</b> (suppl_1): S9–S17. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" 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class="Z3988"></span></span> </li> <li id="cite_note-:1-21"><span class="mw-cite-backlink">^ <a href="#cite_ref-:1_21-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-:1_21-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCockerill2015" class="citation book cs1">Cockerill F (2015). <i>Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically: approved standard</i> (Tenth&#160;ed.). 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Retrieved <span class="nowrap">2019-04-23</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=bioM%C3%A9rieux&amp;rft.atitle=ETEST&amp;rft_id=https%3A%2F%2Fwww.biomerieux-usa.com%2Fclinical%2Fetest&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AMinimum+inhibitory+concentration" class="Z3988"></span></span> </li> <li id="cite_note-23"><span class="mw-cite-backlink"><b><a href="#cite_ref-23">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFTripathi2013" class="citation book cs1">Tripathi KD (2013). <a rel="nofollow" class="external text" href="https://books.google.com/books?id=FfG8AQAAQBAJ&amp;pg=PA696"><i>Essentials of Medical Pharmacology</i></a> (7th&#160;ed.). New Delhi, India: Jaypee Brothers Medical Publishers. pp.&#160;696, 697. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/9789350259375" title="Special:BookSources/9789350259375"><bdi>9789350259375</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Essentials+of+Medical+Pharmacology&amp;rft.place=New+Delhi%2C+India&amp;rft.pages=696%2C+697&amp;rft.edition=7th&amp;rft.pub=Jaypee+Brothers+Medical+Publishers&amp;rft.date=2013&amp;rft.isbn=9789350259375&amp;rft.aulast=Tripathi&amp;rft.aufirst=KD&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3DFfG8AQAAQBAJ%26pg%3DPA696&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AMinimum+inhibitory+concentration" class="Z3988"></span></span> </li> <li id="cite_note-24"><span class="mw-cite-backlink"><b><a href="#cite_ref-24">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFGallagher2016" class="citation book cs1">Gallagher JC (2016-11-21). <i>Antibiotics simplified</i>. Jones &amp; Bartlett Publishers. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/9781284111293" title="Special:BookSources/9781284111293"><bdi>9781284111293</bdi></a>. <a href="/wiki/OCLC_(identifier)" class="mw-redirect" title="OCLC (identifier)">OCLC</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/oclc/952657550">952657550</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Antibiotics+simplified&amp;rft.pub=Jones+%26+Bartlett+Publishers&amp;rft.date=2016-11-21&amp;rft_id=info%3Aoclcnum%2F952657550&amp;rft.isbn=9781284111293&amp;rft.aulast=Gallagher&amp;rft.aufirst=JC&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AMinimum+inhibitory+concentration" class="Z3988"></span></span> </li> <li id="cite_note-25"><span class="mw-cite-backlink"><b><a href="#cite_ref-25">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFGuengerich2011" class="citation journal cs1">Guengerich FP (2011). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707670">"Mechanisms of drug toxicity and relevance to pharmaceutical development"</a>. <i>Drug Metabolism and Pharmacokinetics</i>. <b>26</b> (1): 3–14. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.2133%2Fdmpk.DMPK-10-RV-062">10.2133/dmpk.DMPK-10-RV-062</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707670">4707670</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/20978361">20978361</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Drug+Metabolism+and+Pharmacokinetics&amp;rft.atitle=Mechanisms+of+drug+toxicity+and+relevance+to+pharmaceutical+development&amp;rft.volume=26&amp;rft.issue=1&amp;rft.pages=3-14&amp;rft.date=2011&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC4707670%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F20978361&amp;rft_id=info%3Adoi%2F10.2133%2Fdmpk.DMPK-10-RV-062&amp;rft.aulast=Guengerich&amp;rft.aufirst=FP&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC4707670&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AMinimum+inhibitory+concentration" class="Z3988"></span></span> </li> </ol></div></div> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist 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.hlist td ol,.mw-parser-output .navbox .hlist td ul,.mw-parser-output .navbox td.hlist dl,.mw-parser-output .navbox td.hlist ol,.mw-parser-output .navbox td.hlist ul{padding:0.125em 0}.mw-parser-output .navbox .navbar{display:block;font-size:100%}.mw-parser-output .navbox-title .navbar{float:left;text-align:left;margin-right:0.5em}body.skin--responsive .mw-parser-output .navbox-image img{max-width:none!important}@media print{body.ns-0 .mw-parser-output .navbox{display:none!important}}</style></div><div role="navigation" class="navbox" aria-labelledby="Pharmacology" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Pharmacology" title="Template:Pharmacology"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Pharmacology" title="Template talk:Pharmacology"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Pharmacology" title="Special:EditPage/Template:Pharmacology"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Pharmacology" style="font-size:114%;margin:0 4em"><a href="/wiki/Pharmacology" title="Pharmacology">Pharmacology</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Ligand_(biochemistry)" title="Ligand (biochemistry)">Ligand (biochemistry)</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Excitatory" scope="row" class="navbox-group" style="width:1%;text-align: center;">Excitatory</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Agonist" title="Agonist">Agonist</a></li> <li><a href="/wiki/Endogenous_agonist" title="Endogenous agonist">Endogenous agonist</a></li> <li><a href="/wiki/Irreversible_agonist" title="Irreversible agonist">Irreversible agonist</a></li> <li><a href="/wiki/Partial_agonist" title="Partial agonist">Partial agonist</a></li> <li><a href="/wiki/Superagonist" title="Superagonist">Superagonist</a></li> <li><a href="/wiki/Physiological_agonism_and_antagonism" title="Physiological agonism and antagonism">Physiological agonist</a></li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Inhibitory" scope="row" class="navbox-group" style="width:1%;text-align: center;">Inhibitory</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Receptor_antagonist" title="Receptor antagonist">Antagonist</a></li> <li><a href="/wiki/Competitive_antagonist" class="mw-redirect" title="Competitive antagonist">Competitive antagonist</a></li> <li><a href="/wiki/Irreversible_antagonist" title="Irreversible antagonist">Irreversible antagonist</a></li> <li><a href="/wiki/Physiological_agonism_and_antagonism" title="Physiological agonism and antagonism">Physiological antagonist</a></li> <li><a href="/wiki/Inverse_agonist" title="Inverse agonist">Inverse agonist</a></li> <li><a href="/wiki/Enzyme_inhibitor" title="Enzyme inhibitor">Enzyme inhibitor</a></li></ul> </div></td></tr></tbody></table><div> <ul><li><a href="/wiki/Drug" title="Drug">Drug</a></li> <li><a href="/wiki/Neurotransmitter" title="Neurotransmitter">Neurotransmitter</a></li> <li><a href="/wiki/Agonist-antagonist" title="Agonist-antagonist">Agonist-antagonist</a></li> <li><a href="/wiki/Pharmacophore" title="Pharmacophore">Pharmacophore</a></li></ul></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Pharmacodynamics" title="Pharmacodynamics">Pharmacodynamics</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Activity_at_receptor" scope="row" class="navbox-group" style="width:1%;text-align: center;">Activity at receptor</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <li><a href="/wiki/Mechanism_of_action" title="Mechanism of action">Mechanism of action</a></li> <li><a href="/wiki/Mode_of_action" title="Mode of action">Mode of action</a></li> <li><a href="/wiki/Molecular_binding" title="Molecular binding">Binding</a></li> <li><a href="/wiki/Receptor_(biochemistry)" title="Receptor (biochemistry)">Receptor (biochemistry)</a></li> <li><a href="/wiki/Desensitization_(medicine)" title="Desensitization (medicine)">Desensitization (medicine)</a></li> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Other_effects_of_ligand" scope="row" class="navbox-group" style="width:1%;text-align: center;">Other effects of ligand</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li>Selectivity (<a href="/wiki/Binding_selectivity" title="Binding selectivity">Binding</a>, <a href="/wiki/Functional_selectivity" title="Functional selectivity">Functional</a>)</li> <li><a href="/wiki/Pleiotropy_(drugs)" title="Pleiotropy (drugs)">Pleiotropy (drugs)</a></li> <li><a href="/wiki/Non-specific_effect_of_vaccines" title="Non-specific effect of vaccines">Non-specific effect of vaccines</a></li> <li><a href="/wiki/Adverse_effect" title="Adverse effect">Adverse effect</a></li> <li><a href="/wiki/Toxicity" title="Toxicity">Toxicity</a> (<a href="/wiki/Neurotoxicity" title="Neurotoxicity">Neurotoxicity</a>)</li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Analysis" scope="row" class="navbox-group" style="width:1%;text-align: center;">Analysis</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Dose%E2%80%93response_relationship" title="Dose–response relationship">Dose–response relationship</a></li> <li><a href="/wiki/Hill_equation_(biochemistry)" title="Hill equation (biochemistry)">Hill equation (biochemistry)</a></li> <li><a href="/wiki/Schild_plot" class="mw-redirect" title="Schild plot">Schild plot</a></li> <li><a href="/wiki/Del_Castillo_Katz_model" class="mw-redirect" title="Del Castillo Katz model">Del Castillo Katz model</a></li> <li><a href="/wiki/Cheng-Prussoff_Equation" class="mw-redirect" title="Cheng-Prussoff Equation">Cheng-Prussoff Equation</a></li> <li>Methods (<a href="/wiki/Organ_bath" title="Organ bath">Organ bath</a>, <a href="/wiki/Ligand_binding_assay" title="Ligand binding assay">Ligand binding assay</a>, <a href="/wiki/Patch_clamp" title="Patch clamp">Patch clamp</a>)</li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Metrics" scope="row" class="navbox-group" style="width:1%;text-align: center;">Metrics</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Efficacy#Pharmacology" title="Efficacy">Efficacy</a></li> <li><a href="/wiki/Intrinsic_activity" title="Intrinsic activity">Intrinsic activity</a></li> <li><a href="/wiki/Potency_(pharmacology)" title="Potency (pharmacology)">Potency</a> (<a href="/wiki/EC50" title="EC50">EC50</a>, <a href="/wiki/IC50" title="IC50">IC50</a>, <a href="/wiki/Effective_dose_(pharmacology)" title="Effective dose (pharmacology)">ED50</a>, <a href="/wiki/Median_lethal_dose" title="Median lethal dose">LD50</a>, <a href="/wiki/Median_toxic_dose" title="Median toxic dose">TD50</a>)</li> <li><a href="/wiki/Therapeutic_index" title="Therapeutic index">Therapeutic index</a></li> <li><a href="/wiki/Dissociation_constant#Protein-ligand_binding" title="Dissociation constant">Affinity</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Pharmacokinetics" title="Pharmacokinetics">Pharmacokinetics</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Metrics" scope="row" class="navbox-group" style="width:1%;text-align: center;">Metrics</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Loading_dose" title="Loading dose">Loading dose</a></li> <li><a href="/wiki/Volume_of_distribution" title="Volume of distribution">Volume of distribution</a> (<a href="/wiki/Initial_volume_of_distribution" title="Initial volume of distribution">Initial</a>)</li> <li><a href="/wiki/Rate_of_infusion" title="Rate of infusion">Rate of infusion</a></li> <li><a href="/wiki/Onset_of_action" title="Onset of action">Onset of action</a></li> <li><a href="/wiki/Biological_half-life" title="Biological half-life">Biological half-life</a></li> <li><a href="/wiki/Plasma_protein_binding" title="Plasma protein binding">Plasma protein binding</a></li> <li><a href="/wiki/Bioavailability" title="Bioavailability">Bioavailability</a></li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="LADME" scope="row" class="navbox-group" style="width:1%;text-align: center;">LADME</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/ADME" title="ADME">(L)ADME</a>: (<a href="/wiki/Liberation_(pharmacology)" title="Liberation (pharmacology)">Liberation</a>)</li> <li><a href="/wiki/Absorption_(pharmacology)" title="Absorption (pharmacology)">Absorption</a></li> <li><a href="/wiki/Distribution_(pharmacology)" title="Distribution (pharmacology)">Distribution</a></li> <li><a href="/wiki/Drug_metabolism" title="Drug metabolism">Metabolism</a></li> <li><a href="/wiki/Excretion" title="Excretion">Excretion</a> (<a href="/wiki/Clearance_(pharmacology)" title="Clearance (pharmacology)">Clearance</a>)</li></ul> </div></td></tr></tbody></table><div> <ul><li><a href="/wiki/Compartment_(pharmacokinetics)" title="Compartment (pharmacokinetics)">Compartment</a></li> <li><a href="/wiki/Bioequivalence" title="Bioequivalence">Bioequivalence</a></li></ul></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;">Related<br /> fields</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Neuroscience_and_psychology" scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Neuroscience" title="Neuroscience">Neuroscience</a> and <a href="/wiki/Psychology" title="Psychology">psychology</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <li><a href="/wiki/Neuropsychopharmacology" title="Neuropsychopharmacology">Neuropsychopharmacology</a></li> <li><a href="/wiki/Neuropharmacology" title="Neuropharmacology">Neuropharmacology</a></li> <li><a href="/wiki/Psychopharmacology" title="Psychopharmacology">Psychopharmacology</a></li> <li><a href="/wiki/Electrophysiology" title="Electrophysiology">Electrophysiology</a></li> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Medicine" scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Medicine" title="Medicine">Medicine</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Clinical_pharmacology" title="Clinical pharmacology">Clinical pharmacology</a></li> <li><a href="/wiki/Pharmacy" title="Pharmacy">Pharmacy</a></li> <li><a href="/wiki/Medicinal_chemistry" title="Medicinal chemistry">Medicinal chemistry</a></li> <li><a href="/wiki/Pharmacoepidemiology" title="Pharmacoepidemiology">Pharmacoepidemiology</a></li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Biochemistry_and_genetics" scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Biochemistry" title="Biochemistry">Biochemistry</a> and <a href="/wiki/Genetics" title="Genetics">genetics</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Pharmacoinformatics" title="Pharmacoinformatics">Pharmacoinformatics</a></li> <li><a href="/wiki/Pharmacogenetics" class="mw-redirect" title="Pharmacogenetics">Pharmacogenetics</a></li> <li><a href="/wiki/Pharmacogenomics" title="Pharmacogenomics">Pharmacogenomics</a></li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Toxicology" scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Toxicology" title="Toxicology">Toxicology</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Pharmacotoxicology" title="Pharmacotoxicology">Pharmacotoxicology</a></li> <li><a href="/wiki/Neurotoxicology" class="mw-redirect" title="Neurotoxicology">Neurotoxicology</a></li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Drug_discovery" scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Drug_discovery" title="Drug discovery">Drug discovery</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Classical_pharmacology" title="Classical pharmacology">Classical pharmacology</a></li> <li><a href="/wiki/Reverse_pharmacology" title="Reverse pharmacology">Reverse pharmacology</a></li></ul> </div></td></tr></tbody></table><div> <ul><li><a href="/wiki/Photopharmacology" title="Photopharmacology">Photopharmacology</a></li> <li><a href="/wiki/Immunopharmacology" class="mw-redirect" title="Immunopharmacology">Immunopharmacology</a></li> <li><a href="/wiki/Cell_biology" title="Cell biology">Cell biology</a></li> <li><a href="/wiki/Physiology" title="Physiology">Physiology</a></li></ul></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;">Other</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <li><a href="/wiki/Coinduction_(anesthetics)" title="Coinduction (anesthetics)">Coinduction (anesthetics)</a></li> <li><a href="/wiki/Combination_therapy" title="Combination therapy">Combination therapy</a></li> <li><a href="/wiki/Functional_analog_(chemistry)" title="Functional analog (chemistry)">Functional analog (chemistry)</a></li> <li><a href="/wiki/Polypharmacology" title="Polypharmacology">Polypharmacology</a></li> <li><a href="/wiki/Chemotherapy" title="Chemotherapy">Chemotherapy</a></li> <li><a href="/wiki/Lists_of_drugs" title="Lists of drugs">Lists of drugs</a></li> <li><a href="/wiki/WHO_list_of_essential_medicines" class="mw-redirect" title="WHO list of essential medicines">WHO list of essential medicines</a></li> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Tolerance_and_resistance" scope="row" class="navbox-group" style="width:1%;text-align: center;">Tolerance and resistance</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Drug_tolerance" title="Drug tolerance">Drug tolerance</a></li> <li><a href="/wiki/Tachyphylaxis" title="Tachyphylaxis">Tachyphylaxis</a></li> <li><a href="/wiki/Drug_resistance" title="Drug resistance">Drug resistance</a></li> <li><a href="/wiki/Antibiotic_resistance" class="mw-redirect" title="Antibiotic resistance">Antibiotic resistance</a></li> <li><a href="/wiki/Multiple_drug_resistance" title="Multiple drug resistance">Multiple drug resistance</a></li></ul> </div></td></tr></tbody></table><div> </div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Antimicrobial_pharmacology" scope="row" class="navbox-group" style="width:1%;text-align: center;">Antimicrobial pharmacology</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Antimicrobial_pharmacodynamics" title="Antimicrobial pharmacodynamics">Antimicrobial pharmacodynamics</a></li> <li><a class="mw-selflink selflink">Minimum inhibitory concentration</a></li> <li><a href="/wiki/Bacteriostatic_agent" title="Bacteriostatic agent">Bacteriostatic</a></li> <li><a href="/wiki/Minimum_bactericidal_concentration" title="Minimum bactericidal concentration">Minimum bactericidal concentration</a></li> <li><a href="/wiki/Bactericide" title="Bactericide">Bactericide</a></li></ul> </div></td></tr></tbody></table><div> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Techniques_in_clinical_microbiology" style="padding:3px"><table class="nowraplinks mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Clinical_microbiology_techniques" title="Template:Clinical microbiology techniques"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Clinical_microbiology_techniques" title="Template talk:Clinical microbiology techniques"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Clinical_microbiology_techniques" title="Special:EditPage/Template:Clinical microbiology techniques"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Techniques_in_clinical_microbiology" style="font-size:114%;margin:0 4em">Techniques in <a href="/wiki/Clinical_microbiology" class="mw-redirect" title="Clinical microbiology">clinical microbiology</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Isolation_(microbiology)" title="Isolation (microbiology)">Isolation</a><br />and <a href="/wiki/Culture_(microbiology)" class="mw-redirect" title="Culture (microbiology)">culture</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Isolation techniques</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Asepsis" title="Asepsis">Asepsis</a></li> <li><a href="/wiki/Streaking_(microbiology)" title="Streaking (microbiology)">Streak plate</a></li> <li><a href="/wiki/Selective_media" class="mw-redirect" title="Selective media">Selective media</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Cultures by body site</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Blood_culture" title="Blood culture">Blood culture</a></li> <li><a href="/w/index.php?title=Genital_culture&amp;action=edit&amp;redlink=1" class="new" title="Genital culture (page does not exist)">Genital culture</a></li> <li><a href="/wiki/Sputum_culture" title="Sputum culture">Sputum culture</a></li> <li><a href="/wiki/Throat_culture" title="Throat culture">Throat culture</a></li> <li><a href="/wiki/Urine_culture" class="mw-redirect" title="Urine culture">Urine culture</a></li> <li><a href="/wiki/Wound_culture" class="mw-redirect" title="Wound culture">Wound culture</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Cultures by organism</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Bacterial_culture" class="mw-redirect" title="Bacterial culture">Bacterial culture</a></li> <li><a href="/w/index.php?title=Fungal_culture&amp;action=edit&amp;redlink=1" class="new" title="Fungal culture (page does not exist)">Fungal culture</a></li> <li><a href="/wiki/Viral_culture" title="Viral culture">Viral culture</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Microbiological_identification" class="mw-redirect" title="Microbiological identification">Identification</a><br />and testing</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Manual testing: basic techniques</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Colonial_morphology" title="Colonial morphology">Colonial morphology</a> <ul><li><a href="/wiki/Hemolysis_(microbiology)" title="Hemolysis (microbiology)">Hemolysis</a></li></ul></li> <li><a href="/wiki/Staining_(biology)" class="mw-redirect" title="Staining (biology)">Staining</a> <ul><li><a href="/wiki/Gram_stain" title="Gram stain">Gram stain</a></li> <li><a href="/wiki/Acid-fast_stain" class="mw-redirect" title="Acid-fast stain">Acid-fast stain</a></li> <li><a href="/wiki/Giemsa_stain" title="Giemsa stain">Giemsa stain</a></li> <li><a href="/wiki/India_ink_stain" class="mw-redirect" title="India ink stain">India ink stain</a></li> <li><a href="/wiki/Ziehl%E2%80%93Neelsen_stain" title="Ziehl–Neelsen stain">Ziehl–Neelsen stain</a></li></ul></li> <li><a href="/wiki/Wet_prep" class="mw-redirect" title="Wet prep">Wet prep</a></li> <li>Rapid tests <ul><li><a href="/wiki/Oxidase_test" title="Oxidase test">Oxidase</a></li> <li><a href="/wiki/Catalase_test" class="mw-redirect" title="Catalase test">Catalase</a></li> <li><a href="/wiki/Indole_test" title="Indole test">Indole</a></li> <li><a href="/wiki/PYR_test" class="mw-redirect" title="PYR test">PYR</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Manual testing:<br />biochemical and immunologic tests</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Diagnostic_microbiology#ALA" title="Diagnostic microbiology">ALA test</a></li> <li><a href="/w/index.php?title=Amino_acid_decarboxylase_test&amp;action=edit&amp;redlink=1" class="new" title="Amino acid decarboxylase test (page does not exist)">Amino acid decarboxylase test</a></li> <li><a href="/wiki/Bile_solubility_test" class="mw-redirect" title="Bile solubility test">Bile solubility test</a></li> <li><a href="/wiki/CAMP_test" title="CAMP test">CAMP test</a></li> <li><a href="/wiki/Citrate_test" title="Citrate test">Citrate test</a></li> <li><a href="/wiki/Coagulase_test" class="mw-redirect" title="Coagulase test">Coagulase test</a></li> <li><a href="/wiki/Diagnostic_microbiology#DNA_hydrolysis" title="Diagnostic microbiology">DNAse test</a></li> <li><a href="/wiki/IMViC" title="IMViC">IMViC</a></li> <li><a href="/wiki/KOH_test" title="KOH test">KOH test</a></li> <li><a href="/wiki/Methyl_red_test" class="mw-redirect" title="Methyl red test">Methyl red test</a></li> <li><a href="/wiki/Diagnostic_microbiology#Nitrite_test" title="Diagnostic microbiology">Nitrite test</a></li> <li><a href="/w/index.php?title=ONPG_test&amp;action=edit&amp;redlink=1" class="new" title="ONPG test (page does not exist)">ONPG test</a></li> <li><a href="/wiki/Oxidative/fermentation_glucose_test" title="Oxidative/fermentation glucose test">Oxidative/fermentation glucose test</a></li> <li><a href="/wiki/Phenylalanine_deaminase_test" class="mw-redirect" title="Phenylalanine deaminase test">Phenylalanine deaminase test</a></li> <li><a href="/wiki/Diagnostic_microbiology#Reverse_CAMP_test" title="Diagnostic microbiology">Reverse CAMP test</a></li> <li><a href="/wiki/Diagnostic_microbiology#6.5%_salt_broth" title="Diagnostic microbiology">Salt tolerance test</a></li> <li><a href="/wiki/Sulfide_indole_motility_test" class="mw-redirect" title="Sulfide indole motility test">Sulfide indole motility test</a></li> <li><a href="/wiki/Triple_sugar_iron_test" class="mw-redirect" title="Triple sugar iron test">Triple sugar iron test</a></li> <li><a href="/wiki/Urease#As_diagnostic_test" title="Urease">Urease test</a> <ul><li><a href="/wiki/Rapid_urease_test" title="Rapid urease test">rapid</a></li></ul></li> <li><a href="/wiki/Voges%E2%80%93Proskauer_test" title="Voges–Proskauer test">Voges–Proskauer test</a></li> <li><a href="/w/index.php?title=X_and_V_factor_test&amp;action=edit&amp;redlink=1" class="new" title="X and V factor test (page does not exist)">X and V factor test</a></li> <li><a href="/w/index.php?title=Bacitracin_susceptibility_test&amp;action=edit&amp;redlink=1" class="new" title="Bacitracin susceptibility test (page does not exist)">Bacitracin susceptibility test</a></li> <li><a href="/wiki/Optochin_susceptibility_test" class="mw-redirect" title="Optochin susceptibility test">Optochin susceptibility test</a></li> <li><a href="/wiki/Novobiocin_susceptibility_test" class="mw-redirect" title="Novobiocin susceptibility test">Novobiocin susceptibility test</a></li> <li><a href="/wiki/Lancefield_grouping" title="Lancefield grouping">Lancefield grouping</a></li> <li><a href="/wiki/RPR_test" class="mw-redirect" title="RPR test">RPR test</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Automated and <a href="/wiki/Point-of-care_testing" title="Point-of-care testing">point-of-care testing</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Analytical_profile_index" title="Analytical profile index">Analytical profile index</a></li> <li><a href="/wiki/MALDI-TOF" class="mw-redirect" title="MALDI-TOF">MALDI-TOF</a></li> <li><a href="/wiki/Polymerase_chain_reaction#Infectious_disease_applications" title="Polymerase chain reaction">Polymerase chain reaction</a></li> <li><a href="/wiki/VITEK" title="VITEK">VITEK</a></li> <li><a href="/wiki/Rapid_strep_test" title="Rapid strep test">Rapid strep test</a></li> <li><a href="/wiki/Monospot_test" class="mw-redirect" title="Monospot test">Monospot test</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Antibiotic_sensitivity" class="mw-redirect" title="Antibiotic sensitivity">Antibiotic susceptibility testing</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/w/index.php?title=Beta-lactamase_test&amp;action=edit&amp;redlink=1" class="new" title="Beta-lactamase test (page does not exist)">Beta-lactamase test</a></li> <li><a href="/wiki/Disk_diffusion_test" title="Disk diffusion test">Disk diffusion test</a></li> <li><a href="/wiki/Etest" title="Etest">Etest</a></li> <li><a href="/wiki/McFarland_standards" title="McFarland standards">McFarland standards</a></li> <li><a class="mw-selflink selflink">Minimum inhibitory concentration</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Equipment</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Agar_plate" title="Agar plate">Agar plate</a> <ul><li><a href="/wiki/Growth_medium" title="Growth medium">Growth medium</a></li></ul></li> <li><a href="/wiki/McIntosh_and_Filde%27s_anaerobic_jar" class="mw-redirect" title="McIntosh and Filde&#39;s anaerobic jar">Anaerobic jar</a> <ul><li><a href="/wiki/Gas-pak" title="Gas-pak">Gas-pak</a></li></ul></li> <li><a href="/wiki/Durham_tube" title="Durham tube">Durham tube</a></li> <li><a href="/wiki/Biosafety_cabinet" title="Biosafety cabinet">Biosafety cabinet</a></li> <li><a href="/wiki/Incubator_(culture)" title="Incubator (culture)">Incubator</a></li> <li><a href="/wiki/Inoculation_loop" title="Inoculation loop">Inoculation loop</a></li> <li><a href="/wiki/Inoculation_needle" title="Inoculation needle">Inoculation needle</a></li></ul> </div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐f69cdc8f6‐sw5fn Cached time: 20241122141825 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU 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