Susceptibility Report Form

Indicate the results to the physician regarding the antimicrobic susceptibility for each pathogen tested:

Pathogen Tested  
MLT Performing Test:

Nitrofurantoin Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Gentamicin Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Ciprofloxin  Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Cephalothin  Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Ceftiaxone   Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Ampicillin   Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Amoxicillin & Clavulanic Acid Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Ofloxacin Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Norfloxacin Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Tetracycline Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Sulfamethoxazole & Trimethoprim Resistant 
Intermediate 
Mod. Susceptible 
Susceptible
Nalidixic Acid Resistant 
Intermediate 
Mod. Susceptible 
Susceptible

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Week 5 Laboratory Activities

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This web was last updated:Wednesday, March 06, 2002