Usp 81
Usp 81
Table 1
                                                                                              L
          Amphotericin B                                                                Cylinder-plate
                                                                             IA
          Bacitracin                                                                    Cylinder-plate
Bleomycin Cylinder-plate
          Capreomycin                                                                   Turbidimetric
                                                             IC
          ▲                                                                             ▲
           ▲ (USP 1-Dec-2019)                                                            ▲ (USP 1-Dec-2019)
          Chloramphenicol                                                               Turbidimetric
                                           FF
Chlortetracycline Turbidimetric
Cloxacillin Cylinder-plate
          Colistemethate                                                                Cylinder-plate
                                O
Colistin Cylinder-plate
Cylinder-plate
Dihydrostreptomycin Turbidimetric
Erythromycin Cylinder-plate
Gentamicin Cylinder-plate
Gramicidin Turbidimetric
Nafcillin Cylinder-plate
          ▲                                                                             ▲
           ▲ (USP 1-Dec-2019)                                                            ▲ (USP 1-Dec-2019)
Cylinder-plate
Neomycin Turbidimetric
Novobiocin Cylinder-plate
Nystatin Cylinder-plate
Oxytetracycline Turbidimetric
Paromomycin Cylinder-plate
Penicillin G Cylinder-plate
Polymyxin B Cylinder-plate
        ▲                                                                       ▲
         ▲ (USP 1-Dec-2019)                                                      ▲ (USP 1-Dec-2019)
Tetracycline Turbidimetric
Thiostrepton Turbidimetric
        ▲                                                                       ▲
         ▲ (USP 1-Dec-2019)                                                      ▲ (USP 1-Dec-2019)
Tylosin
                                                                                    L
                                                                                Turbidimetric
                                                                      IA
        Vancomycin                                                              Cylinder-plate
     [NOTE—Perform all procedures under conditions designed to avoid extrinsic microbial contamination. Take adequate safety precautions
     while performing these assays because of possible allergies to drugs and because live cultures of organisms are used in the
     procedures.]
                                                          IC
                                                                 Cylinder-Plate Assay
            The cylinder-plate assay depends on diffusion of the antibiotic from a vertical cylinder through a solidi ed agar layer in a Petri dish
       or plate. The growth of the speci c microorganisms inoculated into the agar is prevented in a circular area or “zone” around the
                                        FF
                                                                 Turbidimetric Assay
            The turbidimetric assay depends on the inhibition of growth of a microorganism in a uniform solution of the antibiotic in a uid
       medium that is favorable to the growth of the microorganism in the absence of the antibiotic .
            ▲For substances like the antibiotics quanti   ed using the method in this chapter which are not easily characterized by chemical or
       physical means, it is still necessary to express quantities of biological activity in units of biological potency, each de ned by an
       authoritative reference standard. The potency of antibiotics is designated in either units (U) or µg of activity. In each case, the unit or
       µg of antibiotic activity was originally established against a US Federal Master Standard for that antibiotic . This practice started
       because originally the antibiotic selected as a reference standard was thought to consist entirely of a single chemical entity and was
       therefore assigned a potency of 1000 µg/mg. In several such instances, as the manufacturing and puri cation methods for particular
       antibiotics became more advanced, antibiotics containing more than 1000 µg of activity/mg became possible. Since relative potency
       was used to assign this value and not the mass of the antibiotics themselves, such antibiotics had an “activity” equivalent to a given
       number of µg of the original reference standard (rather than a µg of mass as would be expected). Over time, less complex antibiotics
       or those with a single primary active substance were demonstrated to have µg of activity equivalent numerically to the µg (weight) of
       the pure substance. In these cases, the antibiotics have moved away from the microbial assay methods and are assigned by a mass
       balance approach; until that exercise is completed for a given antibiotic , manufacturers cannot assume that the µg of activity
       corresponds to the µg (weight) of the antibiotic substance. Since the US Federal Master antibiotic standards are no longer available,
       USP Reference Standards for antibiotics that are assigned relative potency by the methods in this chapter are calibrated either
       against the World Health Organization (WHO) International Standard for Antibiotics (ISA), if it exists, or the previous USP lot when a
       WHO ISA or another authoritative reference standard calibrated against an ISA does not exist. Once assigned, the International Units
       (IUs), when used, are converted to USP units by the previously agreed upon bridging value between the two when the respective
       Reference Standards were originally assigned. Over time, it may be possible to convert the assay methods of more antibiotics from
       the microbial bioassay to a physicochemical method much like that suggested in Validation of Alternative Methods to Antibiotic
       Microbial Assays 〈1223.1〉 or other suitable strategies that include validated methods with associated bridging data.▲ (USP 1-Dec-2019)
                                                                       Apparatus
            Labware used for the storage and transfer of test dilutions and microorganisms must be sterile and free of interfering residues (see
       Cleaning Glass Apparatus 〈1051〉). Use a validated sterilization method, such as dry heat, steam, or radiation; or use sterile, disposable
       labware.
                                                                 Temperature Control
            Thermostatic control is required in several stages of a microbial assay: when culturing a microorganism and preparing its inoculum,
       and during incubation in plate and tube assays. Refer to speci c temperature requirements below for each type of assay.
                                                                    Test Organisms
            The test organism for each antibiotic is listed in Table 3 for the cylinder-plate assay and Table 8 for the turbidimetric assay. The
       test organisms are speci ed by the American Type Culture Collection (ATCC) number.
            In order to ensure acceptable performance of test organisms, store and maintain them properly. Establish the speci c storage
       conditions during method validation or veri cation. Discard cultures if a change in the organism’s characteristics is observed.
                                                                  Prolonged Storage
            For prolonged storage, maintain test organisms in a suitable storage solution such as 50% fetal calf serum in broth, 10%–15%
       glycerol in tryptic soy broth, de brinated sheep blood, or skim milk. Prolonged-storage cultures are best stored in the freeze-dried
                                                                                    L
       state; temperatures of −60° or below are preferred; temperatures below −20° are acceptable.
                                                                   Primary Cultures
                                                                      IA
            Prepare primary cultures by transferring test organisms from prolonged-storage vials onto appropriate media, and incubate under
       appropriate growth conditions. Store primary cultures at the appropriate temperature, usually 2°–8°, and discard after 3 weeks. A
       single primary culture can be used to prepare working cultures only for as many as 7 days.
                                                                   Working Cultures
                                                        IC
            Prepare working cultures by transferring the primary culture onto appropriate solid media to obtain isolated colonies. Incubate
       working cultures under appropriate conditions to obtain satisfactory growth for preparation of test inocula. Prepare fresh working
       cultures for each test day.
Use new stock cultures, primary cultures, or working cultures when a test organism shows uncharacteristic growth or performance.
                                                                    Assay Designs
            Suitable experimental designs are key to increasing precision and minimizing bias. Control of the incubation parameters,
       temperature distribution and time, is critical for minimizing bias; it can be accomplished by staging the plates and racks as described
                              O
                                                                CYLINDER-PLATE ASSAY
             The comparisons are restricted to relationships between zone diameter measurements within plates, excluding the variation
        between plates. Individual plate responses are normalized on the basis of the relative zone size of the standard compared to the
        mean zone size of the standard across all plates.
                                                                 TURBIDIMETRIC ASSAY
             To avoid systematic bias, place replicate tubes randomly in separate racks so that each rack contains one complete set of
        treatments. The purpose of this con guration is to minimize the in uence of temperature distribution on the replicate samples. The
        turbidimetric assay, because of the con guration of the samples in test tube racks, is sensitive to slight variations in temperature.
        The in uence of temperature variation can also be decreased by ensuring proper air ow or heat convection during incubation. At
        least 3 tubes for each sample and Standard concentration (one complete set of samples) should be placed in a single rack. The
        comparisons are restricted to relationships between the observed turbidities within racks.
Potency Considerations
            Within the restrictions listed above, the recommended assay design employs a ve-concentration standard curve and a single
       concentration of each sample preparation.
            For the cylinder-plate assay, each plate includes only 2 treatments, the reference treatment (median level standard, i.e., S3) and one
       of the other 4 concentrations of the standard (S1, S2, S4, and S5) or the sample (U3). The concentration of the sample is an estimate
       based on the target concentration. The sample should be diluted to give a nominal concentration that is estimated to be equivalent to
       the median reference concentration (S3) of the standard. The purpose of diluting to the median reference concentration is to ensure
       that the sample result will fall within the linear portion of the standard curve. The test determines the relative potency of U3 against
       the standard curve. The sample (U3) should have a relative potency of about 100%. The nal potency of the sample is obtained by
       multiplying the U3 result by the dilution factor.
            An assay should be considered preliminary if the computed potency value of the sample is less than 80% or more than 125%. In this
       case, the results suggest that the sample concentration assumed during preparation of the sample stock solution was not correct. In
       such a case, one can adjust the assumed potency of the sample on the basis of the preliminary potency value and repeat the assay.
       Otherwise, the potency will be derived from a portion of the curve where the Standard and sample responses will likely not be parallel.
            Microbial determinations of potency are subject to inter-assay as well as intra-assay variables; therefore ▲three▲ (USP 1-Dec-2019) or
       more independent assays are required for a reliable estimate of the potency of a given sample. Starting with separately prepared
       stock solutions and test dilutions of both the Standard and the sample, perform additional assays of a given sample ▲▲ (USP 1-Dec-
                                                                                                      ▲
       2019). The mean potency should include the results from all the valid independent assays.       ▲ (USP 1-Dec-2019) The latter is assessed
       by the width of the con dence interval (refer to Con dence Limits and Combination of Assays Calculations). The combined result of a
       series of smaller, independent assays ▲▲ (USP 1-Dec-2019) is a more reliable estimate of potency than one from a single large assay
       with the same total number of plates or tubes. Note that additional assays or lower variability allows the product to meet tighter
       speci cation ranges. Reducing assay variability achieves the required con dence limit with fewer assays.
                                                                                     L
     Change to read:
                                                            CYLINDER-PLATE METHOD
                                                                      IA
                                                                Temperature Control
            Use appropriately quali ed and calibrated equipment to obtain the temperature ranges speci ed in Table 3.
                                                                       Apparatus
                                                        IC
                                                                        PLATES
             Use glass or disposable plastic Petri dishes (approximately 20 mm × 100 mm or other appropriate dimensions) with lids.
                                                                      CYLINDERS
                                        FF
             Use stainless steel or porcelain cylinders; 8 ± 0.1-mm o.d.; 6 ± 0.1-mm i.d.; 10 ± 0.1-mm high. [NOTE—Carefully clean cylinders to
        remove all residues; occasional cleaning in an acid bath, e.g., with about 2 N nitric acid or with chromic acid (see 〈1051〉) is
        required.]
                                                                  Standard Solutions
                              O
            To prepare a stock solution, dissolve a suitable quantity of the USP Reference Standard of a given antibiotic , or the entire contents
       of a vial of USP Reference Standard, where appropriate, in the solvent speci ed in Table 2; and dilute to the speci ed concentration.
       Store at 2°–8°, and use within the period indicated. On the day of the assay, prepare from the stock solution ve or more test dilutions,
       in which the successive solutions increase stepwise in concentration, usually in the ratio of 1:1.25. Use the nal diluent speci ed such
       that the median has the concentration suggested in Table 2.
                                                                  Sample Solutions
            Assign an assumed potency per unit weight or volume to the sample. On the day of the assay, prepare a stock solution in the same
       manner speci ed for the USP Reference Standard (see Table 2). Dilute the sample stock solution in the speci ed nal diluent to obtain
       a nominal concentration equal to the median concentration of the standard (S3).
Table 2
— — 0.1 µg/mL▲
                                                                                                                      (USP 1-Dec-
        ▲Amoxicillinc       Water                                       100 µg/mL          7             B.3d            2019)
        Amphotericin      Dimethyl           —               —
        Bc,e              sulfoxide                                      1 mg/mL       Same day          B.10d         1 µg/mL
                           0.01 N            —               —
                         hydrochloric
        Bacitracinf         acid                                         100 U/mL      Same day          B.1d           1 U/mL
        ▲                 ▲              ▲               ▲               ▲             ▲              ▲              ▲
         ▲ (USP 1-         ▲ (USP 1-      ▲ (USP 1-       ▲ (USP 1-       ▲ (USP 1-     ▲ (USP 1-      ▲ (USP 1-      ▲ (USP 1-Dec-
                                                                           L
        Cloxacillin         B.1d             —               —           1 mg/mL           7             B.1d          5 µg/mL
        Colistimethat                    10 mg/mL
                                                              IA
        ec                  Water                           B.6d         1 mg/mL       Same day          B.6d          1 µg/mL
        Dihydrostrept                        —               —
                                                     IC
        ▲                 ▲              ▲               ▲               ▲             ▲              ▲              ▲
         ▲ (USP 1-         ▲ (USP 1-      ▲ (USP 1-       ▲ (USP 1-       ▲ (USP 1-     ▲ (USP 1-      ▲ (USP 1-      ▲ (USP 1-Dec-
                          O
                         Dimethylfor         —               —
        Nystatinc,h        mamide                                       1000 U/mL      Same day          B.6d          20 U/mL
        Paromomyci                           —               —
        n                   B.3d                                         1 mg/mL           21            B.3d          1 µg/mL
        ▲                         ▲                 ▲                ▲                  ▲                ▲             ▲               ▲
         ▲ (USP 1-                 ▲ (USP 1-         ▲ (USP 1-        ▲ (USP 1-          ▲ (USP 1-        ▲ (USP 1-     ▲ (USP 1-       ▲ (USP 1-Dec-
            a
                  It is acceptable to adjust the median concentration to optimize zone sizes if the data remain in the linear range.
            b
                  µg in this column refers to µg of activity.
            c
                  Prepare the USP Reference Standard and sample test dilutions simultaneously.
            d    The letter B refers to buffer. See Buffers for a description of each buffer listed in this table.
            e    Further dilute the stock solution with dimethyl sulfoxide to give concentrations of 12.8, 16, 20, 25, and 31.2 µg/mL before making
       the test dilutions. The test dilution of the sample should contain the same amount of dimethyl sulfoxide as the test dilutions of the
       USP Reference Standard.
            f
              Each of the standard test dilutions should contain the same amount of hydrochloric acid as the test dilution of the sample.
            g
                  The turbidimetric assay can be used as an alternative procedure.
            h
                  Further dilute the stock solution with dimethylformamide to give concentrations of 256, 320, 400, 500, and 624 U/mL before
       making the test dilutions. Prepare the standard test dilutions simultaneously with test dilutions of the sample to be tested. The test
                                                                                            L
       dilution of the sample should contain the same amount of dimethylformamide as the test dilutions of the standard. Use low-actinic
       glassware.
            i    Prepare the stock solution by adding 2 mL of water for each 5 mg of the USP Reference Standard.
                                                                           IA
                                                                              Inocula
            Suspend the test organism from a freshly grown slant or culture in 3 mL of sterile saline TS. Glass beads can be used to facilitate
       the suspension. Spread the saline suspension onto the surface of two or more agar plates (covering the entire surface) or onto the
                                                                IC
       surface of a Roux bottle containing 250 mL of the speci ed medium (see Table 3).
            Incubate for the speci ed time and at the temperature as speci ed in Table 3, or until growth is apparent.
            After incubation, harvest the organism from the plates or Roux bottle with approximately 50 mL of sterile saline TS (except use
       Medium 34 for bleomycin; see Media and Solutions), using a sterile bent glass rod or sterile glass beads. Pipet the suspension into a
       sterile glass container. This is the harvest suspension.
                                              FF
Table 3
                                                                                                             Suggested Inoculum
                                                                      Incubation Conditions                     Composition
                                                                                                                         0.5▲ (USP 1-
                              Kocuria
        ▲Amoxicillin         rhizophila       9341           1               32–35              24 h          11          Dec-2019)
        Amphotericin       Saccharomyc
                 B         es cerevisiae      9763          19               29–31              48 h          19             1.0
             Bacitracin    Micrococcus
                              luteus         10240           1               32–35              24 h           1             0.3
             Bleomycin     Mycobacteriu
                           m smegmatis         607          36              36–37.5             48 h          35             1.0
             ▲             ▲                ▲            ▲                 ▲                  ▲            ▲            ▲
              ▲ (USP 1-     ▲ (USP 1-Dec-    ▲ (USP 1-    ▲ (USP 1-         ▲ (USP 1-          ▲ (USP 1-    ▲ (USP 1-    ▲ (USP 1-Dec-
             Cloxacillin   Staphylococc
                             us aureus       29737           1               32–35              24 h           1             0.1
                                                                             L
        Colistimethat       Bordetella
                 e         bronchiseptic
                                 a            4617           1               32–35              24 h          10             0.1
                                                              IA
              Colistin      Bordetella
                           bronchiseptic
                                 a            4617           1               32–35              24 h          10             0.1
                                                     IC
        Dihydrostrept        Bacillus
              omycin          subtilis        6633          32               32–35             5 days          5         As required
            Erythromycin     ▲Kocuria
                                          FF
rhizophila▲
(USP 1-Dec-
            Gentamicin     Staphylococc
                             O
                                us
                           epidermidis       12228           1               32–35              24 h          11            0.03
              Nafcillin    Staphylococc
                             us aureus       29737           1               32–35              24 h           1             0.3
             Neomycin      Staphylococc
                                us
                           epidermidis       12228           1               32–35              24 h          11             0.4
            Novobiocin     Staphylococc
                                us
                           epidermidis       12228           1               32–35              24 h           1             4.0
                                                                                                                     Suggested Inoculum
                                                                            Incubation Conditions                          Composition
                Nystatin       Saccharomyc
                                        es
                               ▲Kudriavzevii
▲ (USP 1-Dec-
            Paromomyci         Staphylococc
                    n                   us
                                epidermidis      12228              1               32–35             24 h            11                 2.0
            Penicillin G       Staphylococc
                                 us aureus       29737              1               32–35             24 h             1                 1.0
            Polymyxin B          Bordetella
                               bronchiseptic
                                        a         4617              1               32–35             24 h            10                 0.1
                ▲              ▲                ▲              ▲                   ▲                ▲              ▲              ▲
                 ▲ (USP 1-      ▲ (USP 1-Dec-    ▲ (USP 1-      ▲ (USP 1-           ▲ (USP 1-        ▲ (USP 1-      ▲ (USP 1-      ▲ (USP 1-Dec-
                                                                                     L
                Dec-2019)              2019)    Dec-2019)       Dec-2019)          Dec-2019)        Dec-2019)      Dec-2019)             2019)
                                                                     IA
            Vancomycin            Bacillus
                                  subtilis        6633             32               32–35            5 days            8           As required
            ▲ 
                  ▲ (USP 1-Dec-2019)
            a    American Type Culture Collection, 10801 University Boulevard, Manassas, VA 20110-2209 (http://www.atcc.org).
                                                         IC
            b
              See Media.
                                                                        Analysis
            Prepare the base layer for the required number of assay Petri plates, using the medium and volume shown in Table 4. Allow it to
                                               FF
       harden into a smooth base layer of uniform depth. Prepare the appropriate amount of seed layer inoculum (see Table 5) as directed
       for the given antibiotic (see Table 3) with any adjustments made based on the preparatory trial analysis. Tilt the plate back and forth
       to spread the inoculum evenly over the base layer surface, and allow it to harden.
Amphotericin Bb — —
Bleomycin 35 10
        ▲                                                          ▲                                             ▲
         ▲ (USP 1-Dec-2019)                                         ▲ (USP 1-Dec-2019)                            ▲ (USP 1-Dec-2019)
Colistimethate 9 21
Colistin 9 21
Dihydrostreptomycin 5 21
Erythromycin 11 21
Gentamicin 11 21
Neomycin 11 21
Nystatinb — —
Paromomycin 11 21
Polymyxin B 9 21
        ▲                                                             ▲                                         ▲
         ▲ (USP 1-Dec-2019)                                            ▲ (USP 1-Dec-2019)                        ▲ (USP 1-Dec-2019)
Vancomycin 8 10
All others 2 21
            a
              See Media.
            b    No base layer is used. [NOTE—The       base layer may be warmed to facilitate a uniform seed layer.]
                                                                                      L
                                                                      Table 5. Seed Layer
        Bleomycin                                                                                                         6
                                                            IC
Nystatin 8
            a    See Media.
                                            FF
            Drop 6 assay cylinders on the inoculated surface from a height of 12 mm, using a mechanical guide or other device to ensure even
       spacing on a radius of 2.8 cm, and cover the plates to avoid contamination. Fill the 6 cylinders on each plate with ▲the same volume
       of▲ (USP 1-Dec-2019) dilutions of antibiotic containing the test levels (S1–S5 and U3) speci ed in the following paragraph. Incubate the
       plates as speci ed in Table 6 for 16–18 h, and remove the cylinders. Measure and record the diameter of each zone of growth
                                 O
Table 6
Amphotericin B 29–31
        ▲                                                                                           ▲
         ▲ (USP 1-Dec-2019)                                                                          ▲ (USP 1-Dec-2019)
Colistimethate 36–37.5
Colistin 36–37.5
Dihydrostreptomycin 36–37.5
Gentamicin 36–37.5
Neomycin 36–37.5
Novobiocin 34–36
Nystatin 29–31
Paromomycin 36–37.5
Polymyxin B 36–37.5
        ▲                                                                                               ▲
         ▲ (USP 1-Dec-2019)                                                                              ▲ (USP 1-Dec-2019)
Vancomycin 36–37.5
            The Standards (S1–S5) and a single test level of the sample (U3) corresponding to S3 of the standard curve, as de ned in Standard
       Solutions and Sample Solutions will be used in the assay. For deriving the standard curve, ll alternate cylinders on each of 3 plates
       with the median test dilution (S3) of the Standard and each of the remaining 9 cylinders with one of the other four test dilutions of the
       standard. Repeat the process for the three test dilutions of the Standard. For the sample, ll alternate cylinders on each of 3 plates
       with the median test dilution of the Standard (S3), and ll the remaining 9 cylinders with the corresponding test dilution (U3) of the
       sample.
     Change to read:
                                                                                   L
                                                                     IA
                                                             TURBIDIMETRIC METHOD
                                                                Temperature Control
                                                        IC
            Use appropriately quali ed and calibrated equipment to obtain the temperature ranges speci ed in Table 8. [NOTE—Temperature
       control can be achieved using either circulating air or water. The greater heat capacity of water lends it some advantage over
       circulating air.]
                                                                 Spectrophotometer
                                        FF
            Measuring absorbance or transmittance within a fairly narrow frequency band requires a suitable spectrophotometer in which the
       wavelength can be varied or restricted by the use of 580- or 530-nm lters. Alternatively, a variable-wavelength spectrophotometer
       can be used and set to a wavelength of 580 or 530 nm.
            The instrument may be modi ed as follows:
              1. To accept the tube in which incubation takes place (see Apparatus below)
                              O
              2. To accept a modi ed cell tted with a drain that facilitates rapid change of contents
              3. To contain a ow cell for a continuous owthrough analysis
            Autozero the instrument with clear, uninoculated broth prepared as speci ed for the particular antibiotic , including the same
       amount of test dilution (including formaldehyde if speci ed) as found in each sample.
            Either absorbance or transmittance can be measured while preparing inocula.
                                                                      Apparatus
            Use glass or plastic test tubes, e.g., 16 mm × 125 mm or 18 mm × 150 mm. [NOTE—Use tubes that are relatively uniform in length,
       diameter, and thickness and substantially free from surface blemishes and scratches. In the spectrophotometer, use matched tubes
       that are free from scratches or blemishes. Clean tubes thoroughly to remove all antibiotic residues and traces of cleaning solution.
       Sterilize tubes before use.]
                                                                 Standard Solutions
            To prepare a stock solution, dissolve a quantity of the USP Reference Standard of a given antibiotic or the entire contents of a vial
       of USP Reference Standard, where appropriate, in the solvent speci ed in Table 7, and dilute to the required concentration. Store at
       2°–8°, and use within the period indicated. On the day of the assay, prepare from the stock solution ve or more test dilutions, the
       successive solutions increasing stepwise in concentration, usually in the ratio of 1:1.25. [NOTE—It may be necessary to use smaller
       ratios for the successive dilutions from the stock solution for the turbidimetric assay.] Use the nal diluent speci ed such that the
       median level of the Standard (S3) has the concentration suggested in Table 7.
                                                                    Sample Solutions
            Assign an assumed potency per unit weight or volume to the unknown, and on the day of the assay prepare a stock solution in the
       same manner speci ed for the USP Reference Standard (see Table 7). Dilute the sample stock solution in the speci ed nal diluent at
       a nominal concentration equal to the median concentration of the Standard (S3) as speci ed in Table 7.
Table 7
        Chloramphen
        icol                      Alcohol         10 mg/mL          Water           1 mg/mL           30             Water          2.5 µg/mL
                                   0.1 N               —              —
        Chlortetracyc           hydrochloric
                                                                                         L
        line                        acid                                            1 mg/mL            4             Water         0.06 µg/mL
        Dihydrostrept                                  —              —
                                                                       IA
        omycinb                    Water                                            1 mg/mL           30             Water          30 µg/mL
                                   0.1 N               —              —
        Oxytetracycli           hydrochloric
        ne                          acid                                            1 mg/mL            4             Water         0.24 µg/mL
                                              FF
                                   0.1 N               —              —
                                hydrochloric
        Tetracycline                acid                                            1 mg/mL            1             Water         0.24 µg/mL
                                                       —              —            ▲100 U/mL
                                                                                            ▲
                                 O
        ▲                        ▲                 ▲              ▲                 ▲              ▲               ▲              ▲
         ▲ (USP 1-                ▲ (USP 1-         ▲ (USP 1-      ▲ (USP 1-         ▲ (USP 1-      ▲ (USP 1-       ▲ (USP 1-      ▲ (USP 1-Dec-
                                                                                                                    Methanol
                                                                                                                    and B.3d
                                                                           d
        Tylosin                  Methanol         10 mg/mL          B.16            1 mg/mL           30              (1:1)          4 µg/mL
       hydrochloric acid to each ask, dilute with Buffer B.3 to volume, and mix to obtain solutions having concentrations of 0.69, 0.83, 1.0,
       1.2, and 1.44 µg/mL of neomycin. Use these solutions to prepare the standard response line.
            d    The letter B refers to buffer. See Buffers for a description of each buffer listed in this table.
                                                                              Inocula
            Suspend the test organism from a freshly grown slant or culture in 3 mL of sterile saline TS. Glass beads can be used to facilitate
       the suspension. Enterococcus hirae (ATCC 10541) ▲(when used for the gramicidin assay),▲ (USP 1-Dec-2019) and Staphylococcus
       aureus (ATCC 9144) are grown in a liquid medium, not on agar. Spread the saline suspension onto the surface of two or more agar
       plates (covering the entire surface) or onto the surface of a Roux bottle containing 250 mL of the speci ed medium (see Table 8).
       Incubate at the time and temperature speci ed in Table 8, or until growth is apparent.
            After incubation, harvest the organism from the plates or Roux bottle with approximately 50 mL of sterile saline TS, using a sterile
       bent glass rod or sterile glass beads. Pipet the suspension into a sterile glass bottle. This is the harvest suspension.
            Determine during method veri cation the quantity of harvest suspension that will be used as the inoculum, starting with the volume
       suggested in Table 8. Prepare also an extra Standard (S3) as a test of growth. Incubate the trial tests for the times indicated in Table
       11. Adjust the quantity of inoculum daily, if necessary, to obtain the optimum concentration–response relationship from the amount
       of growth of the test organism in the assay tubes. At the completion of the speci ed incubation periods, tubes containing the median
       concentration of the Standard should have absorbance values as speci ed in Table 9. Determine the exact duration of incubation by
       observing the growth in the reference concentration (median concentration) of the standard (S3).
Table 8
                                                                                                                         Suggested Inoculum
                                                                                  Incubation Conditions                        Composition
             Antibiotic
                                    Test
                                 Organism
                                                     ATCCa
                                                    Number           Mediumb
                                                                                            L
                                                                                      Temperature
                                                                                             (°)          Time (h)     Mediumb
                                                                                                                                        Amount
                                                                                                                                     (mL/100 mL)
                                                                           IA
                                 Klebsiella
        Capreomycin             pneumoniae           10031                1             36–37.5            16–24           3             0.05
        Chloramphen             Escherichia
                                                             IC
        Chlortetracyc          Staphylococc
        line                     us aureus           29737                1                 32–35            24            3                 0.1
                                              FF
        Dihydrostrept            Klebsiella
        omycin                  pneumoniae           10031                1             36–37.5            16–24           3                 0.1
                               Enterococcus
        Gramicidin                  hirae            10541                3             36–37.5            16–18           3                 1.0
                                 O
                                 Klebsiella
        Neomycin                pneumoniae           10031                1             36–37.5            16–24          39                 2
        Oxytetracycli          Staphylococc
        ne                       us aureus           29737                1                 32–35            24            3                 0.1
                               Staphylococc
        Tetracycline             us aureus           29737                1                 32–35            24            3                 0.1
                               Enterococcus
        Thiostrepton                hirae            10541               40             36–37.5            18–24          41                 0.2
        ▲                        ▲                 ▲                 ▲                  ▲                 ▲            ▲             ▲
         ▲ (USP 1-                ▲ (USP 1-         ▲ (USP 1-         ▲ (USP 1-          ▲ (USP 1-         ▲ (USP 1-    ▲ (USP 1-     ▲ (USP 1-Dec-
                                                                                                                       Suggested Inoculum
                                                                            Incubation Conditions                            Composition
                               Staphylococc
        Tylosin                 us aureus                9144         3               35–39         16–18               39               2–3
            a    American Type Culture Collection, 10801 University Boulevard, Manassas, VA 20110-2209 (http://www.atcc.org).
            b    See Media.
Table 9
Capreomycin 0.4
Chlortetracycline 0.35
Gramicidin 0.35
Tetracycline 0.35
                                                                                      L
                                                                          Analysis
            On the day of the assay, prepare the necessary concentration of antibiotic by dilution of stock solutions of the Standard and of
                                                                       IA
       each sample as speci ed under Standard Solutions and Sample Solutions. Prepare 5 test levels, each in triplicate, of the Standard (S1–
       S5) and a single test level (U3), also in triplicate, of up to 20 samples corresponding to S3 (median concentration) of the Standard.
            Place the tubes in test tube racks or other carriers. Include in each rack 1–2 control tubes containing ▲0.1 mL of the test diluent for
       gramicidin, thiostrepton, and tylosin, or▲ (USP 1-Dec-2019) 1 mL of the test diluent ▲for all others▲ (USP 1-Dec-2019) (see Table 7), but no
                                                                 IC
       antibiotic . Add the volumes of the Standard and sample test dilutions as indicated in Table 10. Randomly distribute one complete
       set, including the controls, in a tube rack. Add the volume of inoculum speci ed in Table 10 to each tube in the rack in turn, and place
       the completed rack immediately in an incubator or a water bath maintained at 36.0°–37.5° for the time speci ed in Table 11.
                                             FF
Table 10
Table 11
Capreomycin 3–4
Chloramphenicol 3–4
Cycloserine 3–4
Dihydrostreptomycin 3–4
        ▲                                                                                            ▲
         ▲ (USP 1-Dec-2019)                                                                           ▲ (USP 1-Dec-2019)
        ▲                                                                                            ▲
         ▲ (USP 1-Dec-2019)                                                                           ▲ (USP 1-Dec-2019)
Tylosin 3–5
            After incubation, immediately inhibit the growth of the organism by adding 0.5 mL of dilute formaldehyde to each tube, except for
       tylosin. For tylosin, heat the rack in a water bath at 80°–90° for 2–6 min or in a steam bath for 5–10 min, and bring to room
       temperature. Read absorbance or transmittance at 530 or 580 nm, analyzing one rack at a time.
                                                                        Media
            Dissolve the ingredients in water to make 1 L, and adjust the solutions with either 1 N sodium hydroxide or 1 N hydrochloric acid as
                                                                                  L
       required, so that after steam sterilization the pH is as speci ed.
                                                                         Medium 1
                                                                     IA
        Peptone                                                                                             6.0 g
Dextrose 1.0 g
Agar 15.0 g
        Water                                                                                             1000 mL
                              O
Medium 2
Peptone 6.0 g
Agar 15.0 g
Water 1000 mL
Medium 3
Peptone 5.0 g
Dextrose 1.0 g
Water 1000 mL
Medium 4
Peptone 6.0 g
Beef extract
                                                                        L                       1.5 g
                                                            IA
        Dextrose                                                                                1.0 g
Agar 15.0 g
        Water                                                                                 1000 mL
                                                IC
                                                                Medium 5
                                  FF
Peptone 6.0 g
Agar 15.0 g
Water 1000 mL
Medium 8
Peptone 6.0 g
Agar 15.0 g
Water 1000 mL
Medium 9
Dextrose 2.5 g
Agar 20.0 g
Water 1000 mL
Medium 10
                                                                           L                   17.0 g
                                                                IA
        Papaic digest of soybean                                                                3.0 g
Dextrose 2.5 g
        Agar                                                                                   12.0 g
                                      FF
Water 1000 mL
Medium 11
Peptone 6.0 g
Dextrose 1.0 g
Agar 15.0 g
Water 1000 mL
Medium 13
Peptone 10.0 g
Dextrose 20.0 g
Water 1000 mL
Medium 19
Peptone 9.4 g
Dextrose 10.0 g
Agar
                                                                        L                      23.5 g
                                                            IA
        Water                                                                                 1000 mL
                                                               Medium 32
                                                IC
Peptone 6.0 g
Dextrose 1.0 g
Agar 15.0 g
Water 1000 mL
Medium 34
Glycerol 10.0 g
Peptone 10.0 g
Water 1000 mL
Medium 35
Glycerol 10.0 g
Peptone 10.0 g
Agar 17.0 g
Water 1000 mL
Medium 36
                                                                        L                      15.0 g
                                                            IA
        Papaic digest of soybean                                                                5.0 g
        Agar                                                                                   15.0 g
                                                IC
Water 1000 mL
Medium 39
Peptone 5.0 g
Dextrose 1.0 g
Water 1000 mL
Medium 40
Polypeptone 5.0 g
Dextrose 10.0 g
Polysorbate 80 0.1 g
Agar 10.0 g
Water 1000 mL
Medium 41
Dextrose 20.0 g
                                                                                  L                          1.0 g
                                                                    IA
        Dibasic potassium phosphate                                                                          1.0 g
Water 1000 mL
Solutions
                                                                      BUFFERS
            Prepare as directed in Table 12, or by other suitable means. The buffers are sterilized after preparation; the pH speci ed in each
                                       FF
Change to read:
                                                                      CALCULATIONS
                                                                        Introduction
            Antibiotic potency is calculated by interpolation from a standard curve using a log-transformed straight-line method with a least-
       squares tting procedure (see below for calculation details). The analyst must consider three essential concepts in interpreting
       antibiotic potency results:
              1. Biological concentration–response relationships generally are not linear. The antibiotic potency method allows tting the data
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                   to a straight line by evaluating a narrow concentration range where the results approach linearity. The assay results can be
                   considered valid only if the computed potency is 80%–125% of that assumed in preparing the sample stock solution. When the
                                                                        IA
                   calculated potency value falls outside 80%–125%, the result for the sample may fall outside the narrow concentration range
                   where linearity has been established. In such a case, adjust the assumed potency of the sample accordingly, and repeat the
                   assay to obtain a valid result.
              2. The most effective means of reducing the variability of the reportable value (the geometric mean potency across runs and
                   replicates) is through independent runs of the assay procedure. The combined result of a series of smaller, independent
                                                            IC
                   assays ▲▲ (USP 1-Dec-2019) is a more reliable estimate of potency than that from a single large assay with the same total
                   number of plates or tubes. Three or more independent assays are required for antibiotic potency determinations.
              3. The number of assays needed in order to obtain a reliable estimate of antibiotic potency depends on the required
                   speci cation range and the assay variability. The con dence limit calculation described below is determined from several
                                           FF
                   estimated log potencies that are approximately equal in precision. If the value calculated for the ▲half-▲ (USP 1-Dec-2019)width
                   of the con dence interval, W, is too wide, no useful decision can be made about whether the potency meets its speci cation.
            The laboratory should predetermine in its standard operating procedures a maximum acceptable value for the con dence interval
       ▲half-
             ▲ (USP 1-Dec-2019)width. This maximum value should be determined during development and con             rmed during validation or
                                 O
       veri cation. If the calculated con dence interval ▲half-▲ (USP 1-Dec-2019)width exceeds this limit, the analyst must perform additional
       independent potency determinations to meet the limit requirement. Note that the decision to perform additional determinations does
       not depend on the estimated potency but only on the uncertainty in that estimate as determined by the con dence interval ▲half-▲
       (USP 1-Dec-2019)width. Assay variability has a greater impact on the calculated con      dence limit than does the number of independent
       potency determinations. As a result, the analyst should rst consider decreasing variability to the extent possible before conducting
       potency determinations.
            The following sections describe the calculations for determining antibiotic potency as well as for performing the con dence limit
       calculation. Methods for calculating standard error are also shown in order to allow estimates of assay variance. Where logarithms
       are used, any base log is acceptable. Appendix 1: Formulas for Manual Calculations of Regression and Sample Concentration provides
       formulas for hand calculations applicable when the concentrations are equally spaced in the log scale. Alternative statistical methods
       may be used if appropriately validated.
                                                                   Cylinder-Plate Assay
            This section details analysis of the sample data and determination of the potency of an unknown, using the cylinder-plate assay.
SAMPLE DATA
            Table 13 shows the data from one assay that will be used as an example throughout this section. For each of the ▲15▲ (USP 1-Dec-
                                              ▲for                                               ▲
        2019) plates, zones 1, 3, and 5 are       ▲ (USP 1-Dec-2019) the reference concentration, (S3),▲ (USP 1-Dec-2019) and the other three
zones are for one of the other four ▲standard▲ (USP 1-Dec-2019) concentrations, ▲(S1, S2, S4, and S5) or the sample (U3),▲ (USP 1-Dec-
        2019) as shown. Other columns are needed for calculations and are explained below.
        Step 1: Perform initial calculations and variability suitability check.
            For each set of 3 plates, average the 9 reference values and average the 9 Standard values.
       Example: See Table 13.
                For each set of 3 plates, determine the standard deviation of the 9 reference values and the standard deviation of the 9 Standard
            values. For each standard deviation, determine the corresponding relative standard deviation.
       Example: See Table 13.
                                                                                    L
                For a variability suitability criterion, each laboratory should determine a maximum acceptable value for the relative standard
            deviation. If any of the eight relative standard deviations (four for the reference and four for the Standard) exceed this
                                                                       IA
            predetermined maximum, the assay data are not suitable and should be discarded. [NOTE—The suggested limit for relative standard
            deviation is NMT 10%.]
        Step 2: Perform a plate-to-plate variation correction.
            This correction is applied to convert the average zone measurement obtained for each concentration to the value it would be if the
        average reference concentration measurement for that set of 3 replicate plates were the same as the value of the correction point:
                                                         IC
XC = XS − (XR − P)
XR = reference mean
            P      = correction point
                               O
Example: For the rst set of 3 plates in Table 13 (S1), the correction is:
                                                                                                     ▲Standard                               Corr
                                                       Reference (S3)                                         ▲ (USP 1-Dec-2019)
                      Con                                                                                                                    ecte
                      cent                                                                                                                    d
                      ratio    Plat    Zon      Zon     Zon      Mea                         Zone   Zone    Zone       Mea                   Mea
                        n       e       e1      e3       e5       n                           2      4           6      n                     n
            Stan      (U/m     Repl    (mm      (mm     (mm      (mm               %RS       (mm    (mm     (mm        (mm             %RS   (mm
            dard       L)      icate     )        )       )        )      SD        D         )       )          )       )      SD      D     )
                                                                 15.7
                                                          IC
22a
            ▲Sa
                                              Reference (S3)▲ (USP 1-Dec-2019)                       ▲Sample
            mple                                                                                                 ▲ (USP 1-Dec-2019)
                                          FF
                      Unk
                      now                                        15.6     0.17                                         15.4     0.30         15.5
             U3         n       3      15.5     15.8    15.3      78       9        1.1      15.2   15.1    15.1        78       7     2.0   22
a This is the value of the overall reference mean, referred to as the “correction point” below.
Example: Table 14 summarizes the portion of Table 13 needed for this part of the calculation.
Table 14
S1 14.022 3.2
S2 14.989 4.0
S4 16.511 6.25
S5 17.222 7.8125
C = concentration
%R2 = 99.7
                                                                                    L
                                                         SAMPLE POTENCY DETERMINATION
             To estimate the potency of the unknown sample, average the zone measurements of the Standard and the zone measurements of
                                                                     IA
        the sample on the 3 plates used. Correct for plate-to-plate variation using the correction point determined above to obtain a
        corrected average for the unknown, U. [NOTE—An acceptable alternative to using the correction point is to correct using the value on
        the estimated regression line corresponding to the log concentration of S3.] Use the corrected average zone measurement in the
        equation of the standard curve line to determine the log concentration of the sample, LU, by:
                                                        IC
LU = (U − a)/b
             To obtain the potency of the unknown, take the antilog of LU and multiply the result by any applicable dilution factor. This value can
        also be expressed as a percentage of the reference concentration value.
        Example: Corrected sample zone measurement (see Table 13) = 15.522
            Natural log of the sample concentration:
                               O
                                                                      CU = e1.561 = 4.765
            Percentage of reference concentration:
                                                                 Turbidimetric Assay
            This section details analysis of the sample data and determination of the potency of an unknown using the turbidimetric assay. The
       method assumes that the tubes are randomly distributed within the heat block or other temperature control device. If the device has a
       temperature pro le that is not uniform, a randomized blocks design is preferred. In such a design, the rack is divided into areas
       (“blocks”) of relatively uniform temperature and at least one tube of each Standard concentration and of each unknown is placed in
       each area. The data analysis of a randomized block design is different from the following.
                                                                      SAMPLE DATA
            Table 15 shows the data from one assay that will be used for an example throughout this section. Other columns are needed for
        calculations and are explained below.
                                    Concentration                                                                             Standard
                Standard               (µg/mL)                Replicate           Absorbance (a.u.)   Average (a.u.)          Deviation
1 0.8545
2 0.8422
1 0.8142
2 0.8273
1 0.6284
2 0.6947
                                                                                    L
                    S3                   100                      3                    0.7563            0.6931                0.0640
                                                                  1                    0.6933
                                                                      IA
                                                                  2                    0.6850
1 0.5299
2 0.5779
1 0.7130
2 0.7960
              For each concentration, determine the standard deviation of the three readings and a combined standard deviation for all the
            concentrations.
       Example: See S1 in Table 15.
The combined value is calculated by taking the square root of the average of the ve variances:
                For a variability suitability criterion, each laboratory should determine a maximum acceptable combined standard deviation. If
            the combined standard deviation exceeds this predetermined maximum, the assay data are not suitable and should be discarded.
            [NOTE—The suggested limit for the combined standard deviation is NMT 10% of the average absorbance value across the ve
            concentrations.] If the number of replicates per concentration is at least 5, then a relative standard deviation can be computed for
            each concentration after checking for outliers and compared to a maximum acceptable relative standard deviation. [NOTE—The
            suggested limit for the relative standard deviation is NMT 10%.]
        Step 2: Determine the standard curve line.
            Generate the standard curve line by plotting the average absorbance values versus the log of the standard concentration values.
        Calculate the equation of the standard curve line by performing an unweighted linear regression on these values using appropriate
        software or the manual calculations of Appendix 1: Formulas for Manual Calculations of Regression and Sample Concentration. [NOTE
        —Use either the natural log or the base 10 log to plot the standard curve and determine the regression equation; both provide the
        same nal test result.] Each laboratory should determine a minimum value of the percentage coe cient of determination (%R2) for
        an acceptable regression. The regression is acceptable only if the %R2 value obtained exceeds this predetermined value. [NOTE—The
        suggested limit for the percentage coe cient of determination is NLT 90%.]
       Example: Table 16 summarizes the portion of Table 15 needed for this part of the calculation.
Table 16
S1 0.8487 64
S2 0.8269 80
S3 0.6931
                                                                                           L                             100
                                                                         IA
                                   S4                                             0.6827                                 125
                                   S5                                             0.5465                                 156
                                                            IC
%R2 = 93.0%
        unknown, U. Use this average measurement in the equation of the standard curve line to determine the log concentration of the
        unknown sample, LU, by:
LU = (U − a)/b
            To obtain the potency of the unknown, take the antilog of LU and multiply the result by any applicable dilution factor. This value can
        also be expressed as a percentage of the reference concentration value.
        Example: Average sample absorbance (see Table 15) = 0.7430.
CU = 101.9696 = 93.2
M = average
            t(0.05, N−1)     = the two-sided 5% point of a Student’s t-distribution with N−1 degrees of freedom
                             [NOTE—The t value is available in spreadsheets, statistics texts, and statistics software.]
SD = standard deviation
N = number of assays
                                                                                         L
                                                              W = antilog{[t(0.05, N − 1) × SD/√N]}
                                                                          EXAMPLE
             Suppose the sample is assayed four times, with potency results in the natural log scale of 1.561, 1.444, 1.517, and 1.535. Then:
                                                          IC
N=4
                                                                                 t = 3.182
             The con dence interval in the log scale is
                                                                            e1.514 = 4.546
                                                                1.434   1.594
        with a 95% con dence interval for the potency of e          ,e          = (4.197, 4.924).
             The half-width of the con dence interval to compare to an acceptance value is the ratio 4.924/4.546 = 1.083.
Change to read:
                                                                        APPENDICES
                           Appendix 1: Formulas for Manual Calculations of Regression and Sample Concentration
            If the concentrations are equally spaced in the logarithmic scale, the calculations can be performed using the following formula.
       Let:
            Sk   = mean corrected zone measurement (cylinder-plate assay) or average absorbance value (turbidimetric assay) for standard
                   set k
            Lk      = logarithm of the kth concentration. [NOTE—Use either the natural log or the base 10 log. Slope of the regression line is
                      calculated by:]
Xhigh = L5
Xlow = L1
                                                                                           L
                                                     S = (14.020 + 14.989 + 15.722 + 16.511 + 17.222)/5 = 15.693
       during the measuring or tabulation procedure. The arbitrary rejection or retention of an apparently aberrant measurement can be a
       serious source of bias. In general, the rejection of measurements solely on the basis of their relative magnitudes is a procedure that
       should be used sparingly.
            Each suspected potency measurement, or outlier, may be tested against the following criterion. This criterion is based on the
       variation within a single group of supposedly equivalent measurements from a normal distribution. ▲At a con dence level of 99%, a
                                             FF
       valid observation will be rejected once in 100 trials (when the suspected outlier can occur at only one end) or once in 50 trials (when
       the suspected outlier can occur at either end), provided that relatively few, if any, responses within the group are identical. Arrange the
       responses in order of magnitude from y1 to yN, where N is the number of observations in the group.▲ (USP 1-Dec-2019) Compute the
       relative gap by using Table A2-1, and the formulas below:
                                      O
When N = 3–7:
            If G1, G2, or G3, as appropriate, exceeds the critical value in Table A2-1, for the observed N, there is a statistical basis ▲for identifying
        the discordant measurement as an outlier and considering its removal.▲ (USP 1-Dec-2019)
          In samples from a normal population, gaps equal to or larger than the following values of G1, G2, and G3 occur with a probability P =
                     0.01, when outlier measurements can occur only at one end; or with P = 0.02, when they may occur at either end.
N 3 4 5 6 7
                                        ▲0.988                                          ▲0.780
                                              ▲ (USP 1-                                       ▲ (USP 1-
                    G1                     Dec-2019)                  0.889                Dec-2019)              0.698                   0.637
N 8 9 10 — —
N 11 12 13 — —
                                                                                          L
                                                                              EXAMPLE
             Estimated potencies of sample in log scale = 1.561, 1.444, 1.517, 1.535.
                                                                              IA
             Check the lowest potency for outlier:
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