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Chapter 5.19 : Selecting Antimicrobial Agents for Testing and Reporting
Developing protocols for antimicrobial susceptibility testing and reporting is best made by the clinical laboratory with input from the antimicrobial stewardship program, infectious disease service, infection control, and the pharmacy and therapeutics committee, as available at a given institution. The goals are to provide clinically relevant information that will support cost-effective utilization of antimicrobial agents and to avoid reporting results that may adversely affect patient care. Selective reporting of antimicrobial agents by the laboratory as a strategy to encourage reduced broad-spectrum antimicrobial use is also a key function of antimicrobial stewardship programs. Because of differences in hospital formularies and laboratory functions, it is impossible to make specific recommendations. The suggestions described herein serve only as a guide to the decision-making processes. A list of commonly used antibacterial agents is shown in Appendix 5.19–1 .