UNE EN ISO 16256:2021
Clinical laboratory testing and in vitro diagnostic test systems - Broth micro-dilution reference method for testing the in vitro activity of antimicrobial agents against yeast fungi involved in infectious diseases (ISO 16256:2021) (Endorsed by Asociación Española de Normalización in December of 2021.)
Ensayos de laboratorio clínico y sistemas de ensayo de diagnóstico in vitro. Método de referencia de microdilución en medio líquido para ensayos in vitro de la actividad de agentes antimicrobianos contra hongos levaduriformes que causan enfermedades infecciosas. (ISO 16256:2021). (Ratificada por la Asociación Española de Normalización en diciembre de 2021.)
| Standard number: | UNE EN ISO 16256:2021 |
| Pages: | 27 |
| Released: | 2021-12-01 |
| Status: | Standard |
UNE EN ISO 16256:2021
This document describes a method for testing the susceptibility to antifungal agents of yeasts, including Candida spp. and Cryptococcus neoformans, that cause infections. The reference method described here has not been used in studies of the yeast forms of dimorphic fungi, such as Blastomyces dermatitidis and/or Histoplasma capsulatum variety capsulatum. Moreover, testing filamentous fungi (moulds) introduces several additional problems in standardization not addressed by the current procedure. Those methods are beyond the scope of this document. This document describes the broth micro-dilution reference method which can be implemented by either of two pathways. One pathway involves visual determination of MICs (CLSI method)[1,5]; the second pathway involves spectrophotometric determination of MICs (EUCAST method)[2,10]. The MIC reflects the activity of the drug under the described test conditions and can be interpreted for clinical management purposes by taking into account other factors, such as drug pharmacology or antifungal resistance mechanisms. In addition, MIC distributions can be used to define wild type or non-wild type fungal populations. Clinical interpretation of the MIC value is beyond the scope of this document; interpretive category breakpoints specific to the CLSI- and EUCAST-derived methods can be found by consulting the latest interpretive tables provided by the organizations[5,15]. It is advisable to compare routine susceptibility testing methods or diagnostic test devices with this reference method in order to ensure comparable and reliable results for validation or registration purposes.
