Antimicrobial MIC Calculator

Calculate minimum inhibitory concentration (MIC), MBC/MIC ratio, and susceptibility interpretation. Compare MIC to clinical breakpoints for antibiotic susceptibility testing (AST) and resistance determination.

🦠 Microbiology📐 MBC/MIC ratio >= 4 indicates bactericidal🧬 Biology
MIC value (ug/mL)
MBC value (ug/mL)
Clinical breakpoint (S/I/R threshold, ug/mL)
Please enter valid values.

Formula & Reference

VariableSymbolFormulaUnits
Antimicrobial MIC Calculator—MBC/MIC ratio >= 4 indicates bactericidalug/mL

Step-by-Step Examples

Example 1
Penicillin vs Streptococcus

MIC=0.06 ug/mL, MBC=0.12 ug/mL. Clinical breakpoint S<=0.12 ug/mL.

  • MBC/MIC = 0.12/0.06 = 2.0 (<4 = bactericidal)
  • MIC 0.06 <= breakpoint 0.12: SUSCEPTIBLE
  • Penicillin is bactericidal for this strain
✓ SUSCEPTIBLE, bactericidal (MBC/MIC=2)
Example 2
MRSA Screening

Oxacillin MIC=4 ug/mL. S. aureus breakpoint S<=2, R>=4.

  • MIC 4 >= R breakpoint: RESISTANT
  • MIC at or above resistance threshold = MRSA
  • Requires vancomycin or alternative therapy
✓ RESISTANT — MRSA detected
Example 3
Bacteriostatic Antibiotic

Tetracycline MIC=2 ug/mL, MBC=32 ug/mL.

  • MBC/MIC = 32/2 = 16 (>= 4 = bacteriostatic)
  • Bacteriostatic: inhibits growth but does not kill
  • Higher MBC/MIC ratio typical of protein synthesis inhibitors
✓ Bacteriostatic (MBC/MIC=16)

Real-World Applications

Common Mistakes to Avoid

⚠️
Ignoring PK/PD breakpoints

Clinical breakpoints incorporate pharmacokinetics (drug concentrations at site of infection), not just MIC. A low MIC means nothing if drug can't reach the infection.

⚠️
Treating MIC as an exact value

MIC depends on inoculum size, growth conditions, and medium. Twofold serial dilutions mean true MIC is between two dilutions.

⚠️
Confusing MIC with MBC

MIC = minimum concentration that inhibits visible growth. MBC = minimum concentration that kills 99.9% of bacteria. For critical infections (endocarditis), bactericidal drugs (low MBC/MIC) are preferred.

Frequently Asked Questions

What is MIC? ▾
Minimum Inhibitory Concentration: the lowest antibiotic concentration that prevents visible bacterial growth after 18-24 hours of incubation. Measured by broth microdilution.
What is MBC? ▾
Minimum Bactericidal Concentration: lowest concentration that kills 99.9% of bacteria. MBC/MIC ratio < 4 indicates bactericidal activity; >= 4 indicates bacteriostatic.
What are clinical breakpoints? ▾
Concentrations determined by CLSI or EUCAST that define Susceptible (S), Intermediate (I/SDD), and Resistant (R) categories based on achievable drug concentrations at infection site.
What is MRSA? ▾
Methicillin-Resistant S. aureus. Oxacillin/methicillin MIC >= 4 ug/mL. Resistant to all beta-lactam antibiotics. Treated with vancomycin, daptomycin, or linezolid.
What is antibiotic stewardship? ▾
Programs to optimize antibiotic use: choosing correct antibiotic, dose, duration based on MIC and PK/PD principles to maximize efficacy and minimize resistance emergence.

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