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. 2020 Dec 31;71(4):300–311. doi: 10.2478/aiht-2020-71-3396

Table 1.

Overview of commonly used in vitro antimicrobial susceptibility testing methods

Method Advantages Disadvantages Reference
Agar disk diffusion simplicity of performance, low cost, flexibility, no special equipment required, suitable for lead identification qualitative assay, poor level of reproducibility, diffusion of antimicrobial substances may be affected, applicable only to fast-growing bacteria (17, 42, 43, 46, 47)
Agar well diffusion simplicity of performance, low cost, more sensitive and more convenient than the disc variant for testing of cationic compounds qualitative assay, poor level of reproducibility (17, 43, 46,47)
Bioautography simplicity of performance, little amount of sample required, rapid and inexpensive evaluation, suitable for screening of antimicrobials in mixtures qualitative assay, difficult to standardise, not suitable for synergy studies, alteration of compounds during the fractional phase (49, 50, 51, 52, 53, 54)
Agar dilution quantitative results, a number of bacterial species may be applied to a single dish laborious and time consuming method, the large amount of reagents and space required (47, 59, 66, 67, 68)
Broth microdilution quantitative results, convenience and time/cost effectiveness, capacity to test opaque materials, possible automation, the most consistent results, the killing effect can be assessed the possibility of errors in solution preparation, relatively high amount of space and reagents required (17, 47, 60, 61, 62, 63, 64, 69, 70, 71)
Microfluidic methods smaller volumes, short run time, higher sensitivity, potential for high throughput specialised equipment needed, high-cost (80, 81, 82, 83)