ORDER FORM
Antimicrobial Susceptibility Testing Discs
/Domestic Equipments / Identification Strips
Effective by: 01.01.2020
Date of update:
No ASD Name SYMBOL mcg
Quantity
(Miktar)
1 Amikacin AK-10 10
2 Amikacin AK-30 30
3 Aminosidin AN-60 60
4 Amoxicillin AX-2 2
5 Amoxicillin AX-10 10
6 Amoxicillin AX-20 20
7 Amoxicillin AX-25 25
8 Amoxicillin AX-30 30
9 Amoxicillin/clavulanic acid AMC-3 2/1
10 Amoxicillin/clavulanic acid AMC-30 20/10
11 Ampicillin AM-2 2
12 Ampicillin AM-10 10
13 Ampicillin AM-20 20
14 Ampicillin AM-25 25
15 Ampicillin AM-30 30
16 Ampicillin/cloxacillin APX-30 25/5
17 Ampicillin/dicloxacillin AMD-11 10/1
18 Ampicillin/sulbactam SAM-20 10/10
19 Ampicillin/sulbactam SAM-30 20/10
20 Apramycin APR-15 15
21 Apramycin APR-30 30
22 Azithromycin AZM-15 15
23 Azithromycin AZM-30 30
24 Azlocillin AZL-30 30
25 Azlocillin AZL-75 75
26 Aztreonam ATM-10 10
27 Aztreonam ATM-30 30
28 Bacitracin B-10 10 U
29 Boronic acid (*) APB-250 250
30 Boronic acid (*) APB-300 300
31 Boronic acid (*) APB-400 400
32 Carbenicillin PY-10 10
33 Carbenicillin PY-25 25
34 Carbenicillin PY-100 100
35 Cefaclor CEC-10 10
36 Cefaclor CEC-30 30
37 Cefadroxil CFR-30 30
38 Cefamandole MA-30 30
39 Cefazolin CZ-30 30
40 Cefdinir CD-5 5
41 Cefdinir (*) CD-30 3042 Cefdinir (*) CD-50 50
43 Cefditoren CDN-5 5
44 Cefepime FEP-5 5
45 Cefepime FEP-10 10
46 Cefepime FEP-30 30
47 Cefepime/clavulanic acid FEC-15 5/10
48 Cefepime/clavulanic acid FEC-40 30/10
49 Cefixime CFM-5 5
50 Cefixime CFM-10 10
51 Cefixime CFM-30 30
52 Cefixime/clavulanic acid CXC-15 5/10
53 Cefixime/clavulanic acid CXC-40 30/10
54 Cefmetazole CMZ-30 30
55 Cefodizime CDZ-30 30
56 Cefonicid CID-30 30
57 Cefoperazone CEP-30 30
58 Cefoperazone CEP-75 75
59 Cefoperazone/sulbactam CES-105 75/30
60 Cefotaxime CTX-5 5
61 Cefotaxime CTX-10 10
62 Cefotaxime CTX-30 30
63 Cefotaxime/boronic acid (*) CTX/BA 30/400
64 Cefotaxime/ clavulanic acid CTC-15 5/10
65 Cefotaxime /clavulanic acid CTC-40 30/10
66 Cefotaxime/cloxacillin (*) CEX-780 30/750
67 Cefotaxime/sulbactam CTS-40 30/10
68 Cefotaxime /tazobactam TCX-40 30/10
69 Cefotetan ( *) CTT-30 30
70 Cefoxitin FOX-30 30
71 Cefoxitin/cloxacillin( *) CFX-30 30/200
72 Cefoxitin Boronic acid/ (*) FOX/BA 30/400
73 Cefpirome CPO-30 30
74 Cefpodoxime CPD-10 10
75 Cefpodoxime (*) CPD-30 30
76 Cefpodoxime/clavulanic acid CPC-11 10/1
77 Cefpodoxime/clavulanic acid (*) CPC-40 30/10
78 Cefprozil CPR-30 30
79 Cefsulodin (*) CFS-30 30
80 Ceftaroline (*) CPT-5 5
81 Ceftazidime CAZ-10 10
82 Ceftazidime CAZ-30 30
83 Ceftazidime/Avibactam CZA-14 10/4
84 Ceftazidime/Boronic acid (*) CAZ/BA 30/400
85 Ceftazidime/clavulanic acid CZC-20 10/10
86 Ceftazidime/clavulanic acid CZC-40 30/10
87 Ceftazidime/cloxacillin (*) CZX-780 30/75088 Ceftazidime/ tazobactam TCA-40 30/10
89 Ceftibuten (*) CBT-30 30
90 Ceftiofur FUR-30 30
91 Ceftizoxime ZOX-30 30
92 Ceftriaxone CRO-5 5
93 Ceftriaxone CRO-10 10
94 Ceftriaxone CRO-30 30
95 Ceftriaxone/clavulanic acid CFC-40 30/10
96 Ceftriaxone/Tazobactam CTO-40 30/10
97 Cefuroxime CXM-5 5
98 Cefuroxime CXM-30 30
99 Cefquinome CEQ-10 10
100 Cefquinome CEQ-30 30
101 Cephalexin CL-30 30
102 Cephalonium (*) CNM-30 30
103 Cephaloridine CPH-30 30
104 Cephalotin KF-5 5
105 Cephalotin KF-30 30
106 Cephradine CE-30 30
107 Chloramphenicol C-5 5
108 Chloramphenicol C-10 10
109 Chloramphenicol C-30 30
110 Chloramphenicol C-50 50
111 Chlortetracycline CHT-30 30
112 Ciprofloxacin CIP-1 1
113 Ciprofloxacin CIP-5 5
114 Ciprofloxacin CIP-10 10
115 Ciprofloxacin CIP-30 30
116 Ciprofloxacin CIP-50 50
117 Clarithromycin CLR-2 2
118 Clarithromycin CLR-5 5
119 Clarithromycin CLR-15 15
120 Clindamycin DA-2 2
121 Clindamycin DA-10 10
122 Clindamycin DA-15 15
123 Cloxacillin CX-1 1
124 Cloxacillin CX-5 5
125 Cloxacillin CX-10 10
126 Cloxacillin CX-25 25
127 Cloxacillin CX-30 30
128 Cloxacillin (*) CX-500 500
129 Colistin CT-10 10
130 Colistin CT-25 25
131 Colistin CT-40 40
132 Colistin CT-50 50
133 Colistin CT-100 100134 Danofloxacin (*) DAN-5 5
135 Daptomycin (*) DAP-30 30
136 Dicloxacillin DCX-1 1
137 Doripenem (*) DOR-10 10
138 Doxycycline DO-10 10
139 Doxycycline DO-30 30
140 EDTA (*) EDL-750 750
141 EDTA (*) EDH-930 930
142 EDTA/SMA (*) MBL-750 750/10
143 Enoxacin EN-10 10
144 Enrofloxacin ENR-5 5
145 Enrofloxacin ENR-10 10
146 Ertapenem (*) ETP-10 10
147 Ertapenem/boraic acid (*) ETP/BA2 10/300
148 Ertapenem/cloxacillin (*) ETX-760 10/750
149 Ertapenem EDTA/ (*) EEL-292 10/292
150 Ertapenem EDTA/ (*) EEH-750 10/750
151 Erythromycin E-5 5
152 Erythromycin E-15 15
153 Erythromycin E-10 10
154 Erythromycin E-30 30
155 Erythromycin E-60 60
156 Fleroxacin FLE-5 5
157 Florfenicol FFC-30 30
158 Flucloxacillin FL-5 5
159 Flumequine (*) FLM-30 30
160 Fosfomycin FF-30 30
161 Fosfomycin FF-50 50
162 Fosfomycin FF-200 200
163 Framycetin (*) FM-100 100
164 Furazolidone FX-15 15
165 Furazolidone FX-50 50
166 Furazolidone FX-100 100
167 Fusidic acid FA-5 5
168 Fusidic acid FA-10 10
169 Fusidic acid FA-30 30
170 Fusidic acid FA-50 50
171 Garenoxacin (*) GRN-5 5
172 Gatifloxacin GAT-5 5
173 Gatifloxacin GAT-10 10
174 Gatifloxacin GAT-30 30
175 Gemifloxacin GEM-5 5
176 Gentamicin CN-10 10
177 Gentamicin CN-15 15
178 Gentamicin CN-30 30
179 Gentamicin CN-50 50180 Gentamicin CN-120 120
181 Gentamicin CN-200 200
182 Gentamicin (*) CN-250 250
183 Gentamicin (*) CN-500 500
184 Imipenem IPM-10 10
185 Imipenem/cilastatin (*) IMC-20 10/10
186 Imipenem/EDTA (*) IEL-292 10/292
187 Imipenem/EDTA (*) IEH-750 10/750
188 Imipenem/EDTA (*) IPE-10 10/930
189 Isepamicin ISP-30 30
190 Isoniazid INH-1 1
191 Isoniazid INH-5 5
192 Kanamycin K-2 2
193 Kanamycin K-5 5
194 Kanamycin K-30 30
195 Kanamycin K-50 50
196 Kanamycin/cephalexin KCL-45 30/15
197 Levofloxacin LEV-1 1
198 Levofloxacin LEV-5 5
199 Levofloxacin LEV-15 15
200 Lincomycin L-2 2
201 Lincomycin L-10 10
202 Lincomycin L-15 15
203 Lincomycin (*) L-30 30
204 Lincomycin/ neomycin LCN-75 15/60
205 Lincomycin/ spectinomycin(*) LCS-109 9/100
206 Linezolid LNZ-5 5
207 Linezolid LNZ-10 10
208 Linezolid LNZ-30 30
209 Lomefloxacin LOM-10 10
210 Lomefloxacin LOM-30 30
211 Marbofloxacin MAR-5 5
212 Mecillinam (*) MEC-10 10
213 Mecillinam (*) MEC-25 25
214 Meropenem MEM-10 10
215 Meropenem/boronic acid (*) MEM/BA2 10/300
216 Meropenem/boronic acid (*) MEM/BA 10/600
217 Meropenem/phenlyboronic acid (*) MPB-400 10/400
218 Meropenem/cloxacillin (*) MEX-760 10/750
219 Meropenem/dipicilonic acid (*) MDP-101 10/1000
220 Meropenem/EDTA (*) MEL-292 10/292
221 Meropenem/EDTA (*) MEH-750 10/750
222 Meropenem/EDTA (*) MEH-930 10/930
223 Methicillin (*) ME-5 5
224 Methicillin (*) ME-10 10
225 Methicillin (*) ME-30 30226 Metronidazole MET-2.5 2.5
227 Metronidazole MET-4 4
228 Metronidazole MET-5 5
229 Metronidazole MET-10 10
230 Metronidazole MET-30 30
231 Metronidazole MET-80 80
232 Mezlocillin MEZ-30 30
233 Mezlocillin MEZ-75 75
234 Minocycline(*) MI-25 25
235 Minocycline(*) MI-30 30
236 Moxalactam MOX-30 30
237 Moxifloxacin MXF-1 1
238 Moxifloxacin MXF-5 5
239 Mupirocin MUP-5 5
240 Mupirocin MUP-20 20
241 Mupirocin (*) MUP-200 200
242 Nalidixic acid NA-30 30
243 Neomycin N-5 5
244 Neomycin N-10 10
245 Neomycin N-30 30
246 Netilmicin NET-5 5
247 Netilmicin NET-10 10
248 Netilmicin NET-30 30
249 Nitrocefin(*) NIT —
250 Nitrofurantoin F-50 50
251 Nitrofurantoin F-100 100
252 Nitrofurantoin F-200 200
253 Nitrofurantoin F-300 300
254 Nitrofurazone NR-100 100
255 Nitroxoline NTX-20 20
256 Nitroxoline NTX-30 30
257 Norfloxacin NOR-2 2
258 Norfloxacin NOR-5 5
259 Norfloxacin8 NOR-10 10
260 Norfloxacin NOR-30 30
261 Novobiocin NV-5 5
262 Novobiocin NV-10 10
263 Novobiocin NV-30 30
264 O129 (*) O1/129 10
265 O129 (*) O2/129 150
266 Ofloxacin OFX-2 2
267 Ofloxacin OFX-5 5
268 Ofloxacin OFX-10 10
269 Oleandomycin OL-15 15
270 ONPG (*) O/NPG —
271 Oxolinic acid OA-2 2272 Oxolinic acid OA-10 10
273 Oxacillin OX-1 1
274 Oxacillin OX-5 5
275 Oxacillin OX-10 10
276 Oxidase (*) OXI —
277 Oxytetracycline T-30 30
278 Pefloxacin PEF-5 5
279 Penicillin G P-1 1U
280 Penicillin G P-1.5 1.5U
281 Penicillin G P-2 2U
282 Penicillin G P-5 5U
283 Penicillin G P-10 10U
284 Penicillin/novobiocin PNV-40 10/30
285 Pipemidic acid PI-2 2
286 Pipemidic acid PI-20 20
287 Pipemidic acid PI-30 30
288 Piperacillin PRL-30 30
289 Piperacillin PRL-75 75
290 Piperacillin PRL-100 100
291 Piperacillin/tazobactam TPZ-36 30/6
292 Piperacillin/tazobactam TPZ-40 30/10
293 Piperacillin/tazobactam TPZ-85 75/10
294 Piperacillin/tazobactam TPZ-110 100/10
295 Polymyxin B PB-50 50 U
296 Polymyxin B PB-100 100 U
297 Polymyxin B PB-300 300 U
298 Pristinamycin PT-15 15
299 Pruliftloxacin (*) ULI-5 5
300 PYR (*) PYR —
301 Rifampin RA-1 1
302 Rifampin RA-2 2
303 Rifampin RA-5 5
304 Rifampin RA-15 15
305 Rifampin RA-30 30
306 Roxithromycin ROX-15 15
307 Roxithromycin ROX-30 30
308 Sodium polyanethole sulfonate (*) SPS —-
309 Sparfloxacin SPX-5 5
310 Sparfloxacin SPX-10 10
311 Spectinomycin SPT-10 10
312 Spectinomycin SPT-25 25
313 Spiramycin SP-10 10
314 Spiramycin SP-30 30
315 Spiramycin SP-100 100
316 Streptomycin S-10 10
317 Streptomycin S-25 25318 Streptomycin (*) S-300 300
319 Streptomycin (*) S-500 500
320 Sulfadiazine SD-100 100
321 Sulfadiazine SD-300 300
322 Sulfathiazole STZ-300 300
323 Sulfisoxazole ST-30 30
324 Sulfisoxazole ST-250 250
325 Sulfisoxazole ST-300 300
326 Sulphamethoxazole SMZ-25 25
327 Sulphamethoxazole SMZ-50 50
328 Sulphamethoxazole SMZ-100 100
329 Sulphamethoxazole SMZ-200 200
330 Sulphamethoxazole SMZ-300 300
331 Ticarcillin/clavulanic acid TIM-85 75/10
332 Tigecycline (*) TGC-15 15
333 Teicoplanin TEC-30 30
334 Teicoplanin/norfloxacin TCN-40 30/10
335 Telithromycin (*) TEL-15 15
336 Temocillin (*) TEM-30 30
337 Tetracycline TE-5 5
338 Tetracycline TE-10 10
339 Tetracycline TE-25 25
340 Tetracycline TE-30 30
341 Thiamphenicol TP-30 30
342 Tiamulin (*) TIA-30 30
343 Tiamulin (*) TIA-50 50
344 Ticarcillin TIC-75 75
345 Tilmicosin TIL-15 15
346 Tobramycin TOB-10 10
347 Tobramycin TOB-30 30
348 Trimethoprim TMP-1.25 1.25
349 Trimethoprim TMP-2.5 2.5
350 Trimethoprim TMP-5 5
351 Trimethoprim TMP-10 10
352 Trimethoprim TMP-25 25
353 Trimethoprim TMP-30 30
354 Trimethoprim /sulfadiazine TS-30 5/25
355 Trimethoprim/sulphamethoxazole SXT-25 1.25/23.75
356 Triple sulphonamides S3-250 250
357 Triple sulphonamides S3-300 300
358 Triple sulphonamides S3-1000 1000
359 Trovafloxacin (*) TRV-10 10
360 Tulathromycin(*) TUL-30 30
361 Tylosin TY-15 15
362 Tylosin TY-30 30
363 Tylosin TY-60 60364 Vancomycin VA-5 5
365 Vancomycin VA-10 10
366 Vancomycin VA-30 30
367 Vancomycin (*) VA-120 120
368 Virginamycin VIR-15 15
369 X factor disc (*) X —-
370 V factor disc (*) V —-
371 X + V factor disc (*) X + V —-
372 Amphotericin B AMB-20 20 U
373 Amphotericin B AMB-100 100 U
374 Caspofungin (*) CAS-5 5
375 Clotrimazole CLT-10 10
376 Clotrimazole CLT-20 20
377 Clotrimazole CLT-50 50
378 Clotrimazole (*) CLT-300 300
379 Econazole ECO-10 10
380 Econazole ECO-50 50
381 Fluconazole FLU-10 10
382 Fluconazole FLU-25 25
383 Fluconazole FLU-50 50
384 Fluconazole (*) FLU-100 100
385 Flucytosine 5FC-1 1
386 Griseofulvin GRS-10 10
387 Itraconazole ITR-10 10
388 Itraconazole ITR-50 50
389 Ketoconazole KTC-10 10
390 Ketoconazole KTC-50 50
391 Miconazole MCZ-10 10
392 Miconazole MCZ-30 30
393 Miconazole MCZ-50 50
394 Nystatine NY-100 100 U
395 Posaconazole POS-5 5
396 Terbinafine (*) TRB-30 30
397 Voriconazole VOR-1 1
398 Bacitracin (*) B-0.04 0.04
399 Cefoxitin (*) FOX-10 10
400 Kanamycin (*) K-1000 1000
401 Metronidazole (*) MET-50 50
402 Optochin (*) OP-5 5
403 Spectinomycin (*) SPT-100 100
404 Oxidase strip (*) OXI/S —
405 PYR strip (*) PYR/S —
406 Blank disk in Cartridge BLK/CR —-
407 Illuminator (Zonmeter) (*) ZON —-
408 Trigger (single dispenser) (*) TRG —-
409 Dispenser (8 magazine) (*) DSP-8 —410 Dispenser (6 magazine) (*) DSP-6 —
ORDER DATE Unit of Order (mark by “X”)
Cartridge
Box *
Order Holder Order Held By (To Be Filled By BIOANALYSE)
Name/Surname : Abdullah DEMİR Person/Position:
Company Name : Labo Center Tıbbi ÜrünlerSignature:
Electronic signature :
Rev No/Tarih:00/… PS-FR-05*
