title: Effect of zinc concentration in Mueller-Hinton agar on susceptibility of Pseudomonas aeruginosa to imipenem.
abstract: The susceptibility of Pseudomonas aeruginosa to imipenem has been shown to vary according to zinc concentration in the media. MICs of imipenem for 68 unique clinical isolates of P. aeruginosa were determined in media supplemented with zinc at concentrations between 0.5 and 6.0 micrograms/ml. In agar containing up to 3 micrograms of zinc/ml, 75 to 82% of the strains were susceptible to imipenem at an MIC of < or = 4 micrograms/ml. In agar supplemented to contain 6 micrograms of zinc/ml, however, only 40% of the strains were susceptible to imipenem. Manufacturers should ensure that the concentration of zinc in commercial media is below 3 micrograms/ml to avoid false classification of isolates as resistant to imipenem.
authors.affiliation: Department of Medicine, Medical Center of Central Massachusetts, Worcester 01605, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Daly
authors.forename: R A
authors.initials: RA
authors.lastname: Dodge
authors.forename: R H
authors.initials: RH
authors.lastname: Glew
authors.forename: D T
authors.initials: DT
authors.lastname: Soja
authors.forename: B A
authors.initials: BA
authors.lastname: DeLuca
authors.forename: S
authors.initials: S
authors.lastname: Hebert
mesh_terms: D000362:Agar; D015378:Imipenem / Q000494:pharmacology*; D008826:Microbial Sensitivity Tests; D011550:Pseudomonas aeruginosa / Q000187:drug effects*; D013845:Thienamycins / Q000494:pharmacology*; D015032:Zinc
chemical_list: D013845:Thienamycins; D015378:Imipenem; D000362:Agar; D015032:Zinc