Hindawi BioMed Research International Volume 2017, Article ID 4174168, 7 pages https://doi.org/10.1155/2017/4174168 Research Article Identification of Streptococcus pneumoniae: Development of a Standardized Protocol for Optochin Susceptibility Testing Using Total Lab Automation Irene Burckhardt,1 Jessica Panitz,1 Florian Burckhardt,2 and Stefan Zimmermann1 1 Department for Infectious Diseases, Microbiology and Hygiene, University Hospital of Heidelberg, Heidelberg, Germany 2EPIET Alumni Network (EAN), Heidelberg, Germany Correspondence should be addressed to Irene Burckhardt;
[email protected] Received 5 January 2017; Accepted 22 February 2017; Published 19 March 2017 Academic Editor: Gyorgy¨ Schneider Copyright © 2017 Irene Burckhardt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. Optochin susceptibility is one parameter used in the laboratory to identify Streptococcus pneumoniae.However,asingle standardized procedure does not exist. Optochin is included neither in the current EUCAST breakpoint tables nor in the CLSI performance standards for antimicrobial susceptibility testing. We wanted to establish an evidence-based protocol for optochin testing for our Total Lab Automation. Methods. We tested seven different agars and four different reading time points (7 h, 12h, 18 h, and 24 h). To accommodate for serotype diversity, all tests were done with 99 different strains covering 34 different serotypes of S. pneumoniae. We calculated a multivariable linear regression using data from 5544 inhibition zones. Results. Reading was possible for all strains at 12 h. Agar type and manufacturer influenced the size of the inhibition zones by up to 2 mm and they varied considerably depending on serotype (up to 3 mm for serotype 3).