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This is called a D-zone test, or D test. If a 'D' shape is formed around the clindamycin disk (distinguished from a circular zone of inhibition) then the isolate is reported as resistant to clindamycin. [5] This occurs due to erythromycin inducing the bacteria's erm gene, and thus making it resistant to clindamycin (MLS-B phenotype). [6] [7]
The disk diffusion test (also known as the agar diffusion test, Kirby–Bauer test, disc-diffusion antibiotic susceptibility test, disc-diffusion antibiotic sensitivity test and KB test) is a culture-based microbiology assay used in diagnostic and drug discovery laboratories. In diagnostic labs, the assay is used to determine the susceptibility ...
The erythromycin breath test (ERMBT) is a method used to measure metabolism (oxidation and elimination from the system) by a part of the cytochrome P450 system. [1] Erythromycin produces 14 CO 2, and this 14 CO 2 can be measured to study drugs that interact with the cytochrome P450 system.
To perform a D-test, an agar plate is inoculated with the bacteria in question and two drug-impregnated disks (one with erythromycin, one with clindamycin) are placed 15–20 mm apart on the plate. If the area of inhibition around the clindamycin disk is D-shaped, the test result is positive.
This type of test is considered a diffusion test. [18] In agar and broth dilution methods, bacteria are placed in multiple small tubes with different concentrations of antibiotics. [14] Whether a bacterium is sensitive or not is determined by visual inspection or automatic optical methods, after a period of incubation. [5]
Erythromycin is an antibiotic used for the treatment of a number of bacterial infections. [1] This includes respiratory tract infections, skin infections, chlamydia infections, pelvic inflammatory disease, and syphilis. [1]
Serine β-lactamases are grouped by sequence similarity into types A, C, and D. The other type of beta-lactamase is of the metallo type ("type B"). Metallo-beta-lactamases (MBLs) need metal ion(s) (1 or 2 Zn 2+ ions [2]) on their active site for their catalytic activities. [3] The structure of the New Delhi metallo-beta-lactamase 1 is given by ...
Ribosome splitting and recycling: for example, drug-mediated stalling of the ribosome by lincomycin and erythromycin unstalled by a heat shock protein found in Listeria monocytogenes, which is a homologue of HflX from other bacteria. Liberation of the ribosome from the drug allows further translation and consequent resistance to the drug.