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Table 1 Mean annular radius and expected ranges of WHO Neisseria gonorrhoeae reference strains (F, G, K, L, M, N, O and P)

From: Antimicrobial susceptibility testing of Neisseria gonorrhoeae isolates in Pakistan by Etest compared to Calibrated Dichotomous Sensitivity and Clinical Laboratory Standards Institute disc diffusion techniques

Methods

Antibiotics tested

F

G

K

L

M

N

O

P

CDS

Penicillin G

Mean annular radius (range)

13.2 (12–15)

5.5 (3–7)

00

00

00

00

00

6 (5–7)

Expected result

>9 (S)

3–9 (I)

<3 (R)

<3 (R)

<3 (R)

<3 (R)

<3 (R)

3–9 (I)

β-lactamase production

No

No

No

No

Yes

Yes

Yes

No

Expected result

No

No

No

No

Yes

Yes

Yes

No

Ciprofloxacin

Mean annular radius (range)

15 (14–17)

7.7 (7–9)

00

00

3.2 (02–4)

00

13.5 (12–15)

14.2 (13–16)

Expected result

≥11 (S)

6–10 (I)

<6 (R)

<6 (R)

<6 (R)

<6 (R)

≥11 (S)

≥11 (S)

Spectinomycin

Mean annular radius (range)

11 (10–11)

10.2 (9–11)

16 (15–18)

9.5 (8–11)

11 (9–13)

13.5 (10–17)

00

13 (11–15)

Expected result

≥6 (S)

≥6 (S)

≥6 (S)

≥6 (S)

≥6 (S)

≥6 (S)

<6 (R)

≥6 (S)

Azithromycin

Mean annular radius (range)

12.5 (10–15)

14 (12–16)

13.5 (12–15)

11 (9–13)

12 (9–15)

11.5 (10–13)

13 (12–15)

1.5 (0–4)

Expected result

≥8 (S)

≥8 (S)

≥8 (S)

≥8 (S)

≥8 (S)

≥8 (S)

≥8 (S)

<8 (R)

Ceftriaxone

Mean annular radius (range)

14.2 (12–16)

14.7 (14–16)

6.7 (6–8)

5.5 (5–7)

13 (12–15)

13.2 (12–15)

13.2 (13–15)

13.7 (13–15)

Expected result

≥10 (S)

≥10 (S)

5–9 (DS)

5–9 (DS)

≥10 (S)

≥10 (S)

≥10 (S)

≥10 (S)

MIC by Etest

Ceftriaxonea

Etest MIC ranges

<0.002

0.004–0.008

0.064–0.125

0.125–0.25

0.008–0.016

0.002–0.004

0.016–0.032

0.004–0.008

Expected result

<0.002 (S)

0.004–0.016 (S)

0.032–0.125 (DS)

0.064–0.25 (DS)

0.008–0.032 (S)

0.002–0.008 (S)

0.016–0.064 (S)

0.002–0.008 (S)

  1. aMICs for control strains was performed only for ceftriaxone. DS Decreased susceptibility, S Sensitive, I intermediate, R resistant