TABLE 1.
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 |
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%.
CLA, claritnromycin; AD, agar diluation method; MET, metronidazole; ET, E test.
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.
E test results compared with reference MICs.