Minimal inhibitory concentration and disk diffusion susceptibility studies were carried out with oxolinic acid to determine a recommended disk content for disk susceptibility testing. Regression curve analyses were performed with disks containing 1, 2, and 5 ug of oxolinic acid. Data suggest that the 5-,ug disk more satisfactorily fulfills requirements for susceptibility testing than the 1-or 2-,g disks evaluated. Ultraviolet spectral analysis studies for absorption maxima and extinction coefficients were done to verify the authenticity and concentration of oxolinic acid in the aqueous solutions studied.Previous studies (1,3,8,12,13; R. Shapera and J. M. Matsen, Am. J. Dis. Child., in press) of the in vitro activity of the newly available antimicrobial drug, oxolinic acid, have shown wide variations in the reported values for minimal inhibitory concentrations and disk diffusion inhibitory zone sites. In some cases the standard methods were not followed, but analysis of these studies would indicate that discrepancies in the concentration of antimicrobial agents may have played a role, since oxolinic acid is indeed difficult to uniformly bring into solution. With the aid of ultraviolet spectral analysis studies for absorption maxima and extinction coefficients, in addition to standardized susceptibility test methods, the study reported here attempts to establish the true activity of oxolinic acid and to ascertain the disk content most suitable for use in disk diffusion susceptibility tests. Currently, the 2-,ug disk is used for susceptibility testing.MATERIALS AND METHODS Organisms. One hundred and ninety-nine (199) bacterial strains representing 16 genera were tested for susceptibility of oxolinic acid. These organisms were identified by standard procedures (4, 9) in the Diagnostic Microbiology Laboratory of the University of Minnesota Hospitals and were maintained as stock cultures in the dark on sealed Trypticase soy agar deeps at ambient room temperatures.Antimicrobial susceptibility testing. Inoculum from an overnight culture of each strain was incubated for 4 h at 35 C in tryptose phosphate broth. Cultures were then standardized against a 0.5 MacFarland BaSO, standard, which has an opacity I Present address: Duke University Medical Center, Durham, N.C. 27710. equivalent to between 5.0 x 107 and 4.0 x 108 organisms (11)/ml. Disk diffusion tests were run in duplicate using the standard Food and Drug Administration single high concentration disk method (2, 6, 7). Three strengths of commercially prepared paper disks impregnated with 1.0, 2.0, and 5.0 j,g of oxolinic acid were used. The duplicate diffusion zone values for each disk strength were read by two observers, and the four values obtained were averaged to arrive at the accepted disk zone size. Agar dilution studies were performed with Mueller-Hinton agar media according to the International Collaborative Study Method (5) using the replicating device of Steers et al. (13). Swarming strains of Proteus were contained in clear plastic Raschig rings. Minima...