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. 2003 Oct;47(10):3138–3144. doi: 10.1128/AAC.47.10.3138-3144.2003

TABLE 1.

Comparison of all agar dilution and E test results for clarithromycin and metronidazole by site and method

Drug, methodb Avg % agreement by site ± SDc
% Agreement by method
1 2 3 4 5 6 7 8
CLA, AD 94 ± 0.9 69 ± 2.8 76 ± 1.3 100 ± 1.3 80 ± 2.5 100 ± 0.6 100 ± 0.9 100 ± 0.8 90 ± 1.4
CLA, ETd 100 ± 1.6 67 ± 2.5 65 ± 1.6 100 ± 1.0 72 ± 2.9 93 ± 1.2 85 ± 1.0 94 ± 1.7 85 ± 1.7
MET, AD 88 ± 1.5 50 ± 3.7 94 ± 1.6 88 ± 2.2 80 ± 2.4 73 ± 2.1 100 ± 0.7 94 ± 1.5 83 ± 2.0
MET, ETd 72 ± 1.8 50 ± 3.2 94 ± 2.0 53 ± 3.3 87 ± 2.1 93 ± 1.8 92 ± 2.0 56 ± 2.4 75 ± 2.1
% Agreement by sitea 89 ± 1.6 59 ± 3.0 82 ± 1.7 85 ± 1.7 80 ± 2.4 90 ± 1.5 94 ± 1.0 86 ± 1.6 83 ± 1.8
a

Sites frequently underestimated MICs by E test relative to the MICs obtained by agar dilution. Site 2 had 10 errors and failed to complete 14 of 17 E tests with clarithromycin and 11 of 17 E tests with metronidazole. When the results from site 2 were excluded from the analysis, all agreements by method increased by 3 to 5% and the overall agreement by site and method increased to 87%.

b

CLA, claritnromycin; AD, agar diluation method; MET, metronidazole; ET, E test.

c

Percentage of results equal to or less than the accepted 2 log2 dilutions different from the reference average agar dilution MIC for each H. pylori strain. SD, SDs from the MIC.

d

E test results compared with reference MICs.