Antimicrobial Susceptibility - MBC
Ordering Recommendation
Determine the minimum bactericidal concentration (MBC) of requested antimicrobial agent against submitted bacterial isolate.
Methodology
Broth Microdilution
Performed
Sun-Sat
Reported
2-6 days
New York DOH Approval Status
Specimen Required
Actively growing isolate in pure culture.
Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in individually sealed bag.
Room temperature.
Mixed cultures or non-viable organisms.
Isolate identification and specimen source required. Individual antibiotics must be specified.
Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
Reference Interval
Susceptible, intermediate, or resistant.
Interpretive Data
Depends on Specimen/Source/Method
Note
The MBC is defined as the lowest concentration of an antimicrobial agent needed to kill 99.9 percent of the initial organism inoculum. Presently, specific guidelines for interpretation are not available; therefore, a clinician knowledgeable in both bactericidal testing and infectious diseases should be consulted to interpret the results.
The MIC is defined as the lowest concentration of an antibiotic which will inhibit the in vitro growth of an infectious organism. Results are reported in micrograms per mL. The interpretation of in vitro data is based on achievable serum concentrations, which may vary depending on dose, route of administration, degree of protein binding, site of infection, age and weight of the patient, and other factors.
For serious infections with coagulase-negative staphylococci, testing for oxacillin resistance will be performed in order to interpret the results for beta-lactam agents.
This test must be ordered for each antimicrobial agent tested.
The minimum turnaround time is 48 hours for nonfastidious, rapidly growing organisms and greater than or equal to 96 hours for fastidious, slow growing organisms.
An additional processing fee will be billed for all organisms submitted that are not in pure culture as indicated in the specimen requirements.
If species identification is not provided, identification will be performed at ARUP. Additional charges apply.
Hotline History
CPT Codes
87186; 87187
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0060203 | Susceptibility, MIC/MBC | 23658-8 |
Aliases
- Antibiotic MBC
- MBC
- Minimum Bactericidal Concentration
- Minimum Bactericidal Concentration (MBC)