Pharmaceutical Microbiology

Evaluation Methods for Bacteriostatic and Bactericidal Actions

Bacteriostatic and Bactericidal Actions refer to how antimicrobials work: bacteriostatic inhibits bacterial growth, while bactericidal kills bacteria directly.

Bacteriostatic vs. Bactericidal Actions

  • Bacteriostatic Action:

    • Inhibits the growth and reproduction of bacteria without killing them.
    • If the bacteriostatic agent is removed, bacteria can resume growth.
  • Bactericidal Action:

    • Kills bacteria directly, reducing the bacterial count.

Evaluation Methods for Bacteriostatic and Bactericidal Actions

1. Tube Dilution Method

  • Purpose:

    • To determine the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) of an antimicrobial agent.
  • Procedure:

    • Preparation of Dilutions: Prepare serial dilutions of the antimicrobial agent in a liquid growth medium.
    • Inoculation: Inoculate each tube with a standardized number of the test organism.
    • Incubation: Incubate the tubes under suitable conditions for the organism.
  • MIC Determination:

    • After incubation, observe the tubes for visible growth.
    • The MIC is the lowest concentration of the antimicrobial agent that inhibits visible growth.
  • MBC Determination:

    • From the tubes showing no visible growth, subculture aliquots onto fresh agar plates without the antimicrobial agent.
    • Incubate the plates.
    • The MBC is the lowest concentration that shows no growth on the agar plates.
  • Interpretation:

    • MIC indicates bacteriostatic activity (inhibition of growth).
    • MBC indicates bactericidal activity (killing of bacteria).

2. Agar Plate Method (Disk-Diffusion and E-test)

  • Disk-Diffusion Method:

    • Inoculation: Spread a standardized inoculum of the test organism on the surface of an agar plate.
    • Application of Disks: Place paper disks impregnated with the antimicrobial agent on the agar surface.
    • Incubation: Incubate the plate under suitable conditions.
    • Observation: Measure the diameter of the zone of inhibition around each disk.
  • E-test:

    • Inoculation: Spread a standardized inoculum of the test organism on the surface of an agar plate.
    • Application of Strips: Place an E-test strip with a gradient of the antimicrobial agent on the agar surface.
    • Incubation: Incubate the plate under suitable conditions.
  • Observation:

    • Read the MIC value at the point where the zone of inhibition intersects the strip.
  • Interpretation:

    • The size of the inhibition zone (disk-diffusion) or the MIC value (E-test) indicates the antimicrobial activity.

3. Cup-Plate Method

  • Purpose:

    • To evaluate the antimicrobial activity by measuring the inhibition zone.
  • Procedure:

    • Preparation: Pour a layer of agar medium into a Petri dish and allow it to solidify. Punch wells (cups) into the agar.
    • Inoculation: Add a standardized inoculum of the test organism to the agar surface.
    • Addition of Antimicrobial Agent: Fill the wells with the antimicrobial agent.
    • Incubation: Incubate the plate under suitable conditions.
  • Observation:

    • Measure the diameter of the zone of inhibition around each well.
  • Interpretation:

    • The size of the inhibition zone correlates with the antimicrobial activity.

4. Phenol Coefficient Method

  • Purpose:

    • To compare the efficacy of a test disinfectant with that of phenol.
  • Procedure:

    • Preparation: Prepare serial dilutions of the test disinfectant and phenol.
    • Inoculation: Inoculate each dilution with a standardized number of the test organism.
    • Contact Time: Allow a fixed contact time (e.g., 5 and 10 minutes).
    • Neutralization and Subculture: Neutralize the disinfectant action by subculturing aliquots into a fresh growth medium.
  • Observation:

    • Observe and record the highest dilution that kills the organism in 10 minutes but not in 5 minutes.
  • Calculation:

    • Calculate the phenol coefficient as the ratio of the highest effective dilution of the test disinfectant to that of phenol.
  • Interpretation:

    • A phenol coefficient greater than 1 indicates that the test disinfectant is more effective than phenol.

5. Kelsey-Sykes Test

  • Purpose:

    • To evaluate the efficacy of disinfectants under simulated practical conditions.
  • Procedure:

    • Preparation: Mix the test disinfectant with a suspension of the test organism.
    • Contact Time: Allow the mixture to stand for a specific contact time (e.g., 8 minutes).
    • Neutralization: At intervals, withdraw samples and add to a neutralizing medium.
    • Subculture: Subculture the neutralized samples into a fresh growth medium.
    • Incubation: Incubate the cultures.
  • Observation:

    • Observe for growth to determine the bactericidal action.
  • Interpretation:

    • The absence of growth indicates bactericidal activity, while the presence of growth indicates bacteriostatic activity or resistance.

Factors Affecting Evaluation

  • Inoculum Size: Larger bacterial populations may require higher antimicrobial concentrations.
  • pH and Temperature: Can influence antimicrobial efficacy.
  • Presence of Biofilms: Bacteria in biofilms are more resistant, affecting test outcomes.
  • Medium Composition: Nutrient availability and ions can impact bacterial susceptibility

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