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Agar Disk Diffusion Method – Principle, Limitiations, and Applications

February 2, 2025
written by Sidra Batool

What Is the Disk Diffusion Method?

The disk diffusion method, also known as the Kirby-Bauer test, is a technique used to check how sensitive bacteria are to antibiotics. It involves placing antibiotic-soaked disks on a bacteria-covered agar plate. After incubation, the bacteria grow everywhere except around the disks if the antibiotic works. The clear area around the disk is called the zone of inhibition.

The disc diffusion method for antimicrobial activity helps determine bacterial resistance. The Kirby-Bauer disc diffusion method procedure is widely used due to its reliability. The disc diffusion method principle is based on the diffusion of antibiotics through agar to inhibit bacterial growth.

This method is widely used in diagnostic labs to help doctors choose the right antibiotic for infections. It’s also used in research labs to test new antibacterial compounds.

How Does the Disk Diffusion Method Work?

The principle behind the disk diffusion method is simple. Antibiotics diffuse from the disk into the agar, creating a concentration gradient. The bacteria grow until they reach a point where the antibiotic concentration is too high. This point is called the critical concentration.

The size of the zone of inhibition depends on several factors:

  • The antibiotic’s ability to diffuse through the agar.
  • The bacteria’s sensitivity to the antibiotic.
  • The depth and pH of the agar.

Larger zones mean the bacteria are more sensitive to the antibiotic. Smaller zones suggest resistance.

Step-by-Step Procedure of the Disk Diffusion Method

Here’s how the Kirby-Bauer test is performed:

image showing Step-by-Step Procedure of the Disk Diffusion Method

  1. Prepare the Agar Plate: Use Mueller-Hinton agar, which is ideal for this test. The agar should be 4 mm deep and have a pH between 7.2 and 7.4.
  2. Prepare the Bacterial Inoculum: Suspend bacteria in saline and adjust the turbidity to match a 0.5 McFarland standard. This ensures the right concentration of bacteria.
  3. Inoculate the Plate: Use a sterile swab to spread the bacteria evenly across the agar surface. Rotate the plate 60 degrees after each streak for even coverage.
  4. Place Antibiotic Disks: Use forceps or a disk dispenser to place antibiotic disks on the agar. Press gently to ensure contact with the surface.
  5. Incubate the Plate: Incubate at 35°C for 16-18 hours (24 hours for certain antibiotics like vancomycin).
  6. Measure the Zones: After incubation, measure the zones of inhibition in millimeters. Compare the sizes to standardized tables to determine if the bacteria are susceptible (S)intermediate (I), or resistant (R).

Applications of the Disk Diffusion Method

The disk diffusion method has two main applications:

  1. Diagnostic Labs: It helps doctors choose the best antibiotic for treating bacterial infections. For example, if a patient has a urinary tract infection, this test can identify which antibiotic will work best.
  2. Research Labs: Scientists use it to screen plant extracts, microbial broths, or new drug candidates for antibacterial activity. It’s also used to study resistance mechanisms in bacteria.

Advantages and Limitations of the Disk Diffusion Method

Disk Diffusion Method offers both distinct advantages and certain limitations in its application and accuracy.

Advantages

Here are a few advantages that Disc Diffusion Methods offers:

  • It’s simple, cost-effective, and doesn’t require expensive equipment.
  • It provides quick results, usually within 24 hours.
  • It’s flexible—you can test multiple antibiotics on a single plate.

Limitations

There are some limitations as well:

  • It doesn’t provide Minimum Inhibitory Concentration (MIC) values, which are important for treating severe infections.
  • It’s less standardized for fastidious or slow-growing bacteria.
  • Results can vary slightly depending on the agar depth, pH, and incubation conditions.

Frequently Asked Questions

What Is the Disk Diffusion Method Also Known As?

The disk diffusion method is also called the Kirby-Bauer testagar diffusion test, or KB test.

What Is the Principle of the Disk Diffusion Method?

The principle is based on the diffusion of antibiotics into the agar. Bacteria grow until they reach a concentration of antibiotic that stops their growth, creating a zone of inhibition.

What Is the Difference Between Disk Diffusion and MIC?

The disk diffusion method provides qualitative results (susceptible, intermediate, or resistant). The Minimum Inhibitory Concentration (MIC) test provides quantitative results, showing the exact concentration of antibiotic needed to stop bacterial growth.

Can the Disk Diffusion Method Be Used for All Bacteria?

No, it’s best suited for nonfastidious bacteria that grow well on Mueller-Hinton agar. Fastidious bacteria require special media and conditions.