ABSTRACT. The determination of antimicrobial minimum inhibitory concentration (MIC) in Erysipelothrix rhusiopathiae by using the agar dilution method has not been covered by the Clinical and Laboratory Institute (CLSI). Only the broth microdilution method has been outlined. This report describes a modification of the agar dilution procedure for E. rhusiopathiae using Trypto-soy agar supplemented with 0.1% Tween 80 and incubation in ambient air at 37C for 24 hr. The MICs of the assay were in agreement with those of the broth microdilution method recommended by the CLSI. Antimicrobial susceptibility test was performed using this method for 149 E. Erysipelothrix rhusiopathiae is a Gram-positive bacillus and causative agent of swine erysipelas (SE). It causes great economic loss and continues to be a major problem in pig production [10]. The main clinical signs are septicemia and urticarial skin lesions in acute SE, milder signs are present in subacute SE and arthritis and endocarditis is occasionally present in chronic SE [5,10]. The bacteria can be isolated from mammals, fowl, fish, shellfish and even insects in most parts of world [4,10]. Human infection is usually related to occupational exposure of individuals, such as veterinarians, laboratory workers, and people handling meat, poultry and fish. There are three major categories of human disease: (i) the localized cutaneous form, erysipeloid; (ii) generalized cutaneous form; and (iii) septicemia, which is often associated with endocarditis [6,10]. Antibiotics, especially penicillins, have been used worldwide to treat SE and erysipelas in humans [4,10]. In Japan, about 2000 cases of swine erysipelas have been reported annually in recent years according to the National Institute of Animal Health, Japan. A live vaccine has been used for prevention and ampicillin and benzylpenicillin are generally used for treatment of SE [11]. The emergence of strains resistant to erythromycin and oxytetracycline was first described by Takahashi et al. [7]. However, there is a lack of reports of concerning antimicrobial susceptibility testing in the southern area of Japan where pigs are commonly raised.Currently, E. rhusiopathiae is referred to as fastidious bacterium by the Clinical and Laboratory Standards Institute [2]. Guidelines for the antimicrobial susceptibility test using broth dilution have been provided [2], however, guidelines for the agar dilution method were not covered.The aim of this study was to develop a modified agar dilution procedure specific for E. rhusiopathiae strains and to investigate the antimicrobial susceptibility of these strains towards commonly used classes of antimicrobials.One hundred and forty-nine E. rhusiopathiae strains were collected from internal iliac lymph nodes, arthritic fluid, urticaria, kidneys, spleens and knots of endocarditis of pigs at 2 meat processing plants located in Kagoshima Prefecture during the period of April 2004 to March 2005. The bacteria were isolated using Trypto-Soy agar (TS agar, Eiken Chemical Co., Ltd., Tokyo, Ja...