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Clinical Pharmacology

For testing Haemophilus influenzae:a

MIC (μ g/mL) Interpretation
≤ 2 Susceptible (S)
a This interpretive standard is applicable only to broth microdilution susceptibility tests with Haemophilus influenzae using Haemophilus Test Medium1

The current absence of data on resistant strains precludes defining any results other than “Susceptible”. Strains yielding MIC results suggestive of a “nonsusceptible” category should be submitted to a reference laboratory for further testing.

For testing Neisseria gonorrhoeae:b

MIC (μ g/mL) Interpretation
≤ 0.25 Susceptible (S)
0.5-1 Intermediate (I)
≥ 2 Resistant (R)
b These interpretive standards are applicable only to agar dilution tests using GC agar base and 1% defined growth supplement incubated in 5% CO2.

For testing Streptococcus pneumoniae and Streptococcus pyogenes:c

MIC (μ g/mL) Interpretation
≤ 2 Susceptible (S)
4 Intermediate (I)
&ge8 Resistant (R)
c These interpretive standards are applicable only to broth microdilution susceptibility tests using cation-adjusted Mueller-Hinton broth with 2-5% lysed horse blood.

A report of “Susceptible” indicates that the pathogen is likely to be inhibited if the antimicrobial compound in the blood reaches the concentration usually achievable. A report of "Intermediate" indicates that the result should be considered equivocal, and, if the microorganism is not fully susceptible to alternative, clinically feasible drugs, the test should be repeated. This category implies possible clinical applicability in body sites where the drug is physiologically concentrated or in situations where a high dosage of drug can be used. This category also provides a buffer zone which prevents small uncontrolled technical factors from causing major discrepancies in interpretation. A report of "Resistant" indicates that the pathogen is not likely to be inhibited if the antimicrobial compound in the blood reaches the concentration usually achievable; other therapy should be selected.

Standardized susceptibility test procedures require the use of laboratory control microorganisms to control the technical aspects of the laboratory procedures. Standard ofloxacin powder should provide the following MIC values:

Microorganism   MIC Range (μ g/mL)
Escherichia coli ATCC 25922 0.015-0.12
Haemophilus influenzae ATCC 49247d 0.016-0.06
Neisseria gonorrhoeae ATCC 49226e 0.004-0.016
Pseudomonas aeruginosa ATCC 27853 1-8
Staphylococcus aureus ATCC 29213 0.12-1
Streptococcus pneumoniae ATCC 49619f 1-4
d This quality control range is applicable to only H. influenzae ATCC 49247 tested by a microdilution procedure using Haemophilus Test Medium (HTM)1.
e This quality control range is applicable only to N. gonorrhoeae ATCC 49226 tested by an agar dilution procedure using GC agar base with 1% defined growth supplement incubated in 5% CO2.
f This quality control range is applicable to only S. pneumoniae ATCC 49619 tested by a microdilution procedure using cation-adjusted Mueller-Hinton broth with 2-5% lysed horse blood.
Diffusion Techniques:
Brand Name: Floxin
Generic Name: Ofloxacin
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