The newly developed Rapid Lumi Eiken/IS60 (RL/IS60) system automatically determines MICs by detecting chemiluminescence produced in the reaction of a chemiluminescent probe and oxygen metabolites from living microorganisms. The present study evaluated this system for accuracy in antimicrobial susceptibility testing. Chemiluminescence intensities after 4 h of cultivation of clinically important strains were plotted against various concentrations of antimicrobial agents, which resulted in curves reflecting the levels of susceptibility. Sixty-percent inhibitory concentrations based on the susceptibility curves agreed with MICs determined by the reference microdilution method. When the MICs of antimicrobial agents for four quality control (QC) strains (Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, and Pseudomonas aeruginosa) were determined by the RL/IS60 system, most (91.1%) of them were within the QC limits proposed by the National Committee for Clinical Laboratory Standards. The system was further assessed for a total of 162 clinical isolates, including E. coli, Citrobacter freundii, Enterobacter cloacae, Klebsiella pneumoniae, Serratia marcescens, Proteus mirabilis, Morganella morganii, P. aeruginosa, Haemophilus influenzae, S. aureus, coagulase-negative staphylococci, Enterococcus faecalis, Enterococcus faecium, and Streptococcus pneumoniae. Overall, there was 90.6% agreement between the RL/IS60 system and the reference microdilution method. Our results suggest that the RL/IS60 system provides rapid and reliable MICs of a variety of antimicrobial agents for clinical isolates as well as QC strains.The significant increase in the number of drug-resistant microorganisms emphasizes the great need for rapid and accurate methods for determining resistance to antimicrobial agents. Current standard methods, the broth microdilution (12) and disk diffusion tests (13), approved by the National Committee for Clinical Laboratory Standards (NCCLS), require more than 18 h before the final results are known. New methods are desired that could detect the biological activity in a short incubation time and provide MICs equivalent to those determined by the standard tests.The chemiluminescence assay, which detects photon emissions released from living organisms, is a sensitive method for monitoring viability. Chemiluminescence is produced in the reaction of oxygen metabolites generated during glycolysis with chemiluminescent probes such as luminol and lucigenin (2, 16). We previously showed the application of a luminol-mediated chemiluminescent assay to antimicrobial susceptibility testing for Escherichia coli (17). Chemiluminescence intensity increased during the exponential phase of growth. The reaction was enhanced by a catalyst, menadione. Antimicrobial agents (erythromycin, tetracycline, and oxytetracycline) inhibited chemiluminescence release from E. coli. The effect of antimicrobial agents was detectable within 1.5 h. The results suggested the usefulness of this assay for rapid susceptibility testing.Recen...