Is a new standard needed for diffusion methods for in vitro susceptibility testing of fosfomycin against Pseudomonas aeruginosa?

Abstract

We analyzed fosfomycin susceptibility results in Pseudomonas aeruginosa clinical isolates obtained by MIC gradient strips and disk diffusion methods using two different inocula, 108 and 106 CFU/ml, and compared them to the agar dilution reference method. Essential and categorical agreements were 93.6% and 95%, respectively, for the 106 CFU/ml alternative inoculum, and they were 67.6% and 78.2%, respectively, for the standard inoculum (108 CFU/ml). The use of the 106 CFU/ml inoculum improves the agreement values and inhibition zone readings.