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Chapter 5.19 : Selecting Antimicrobial Agents for Testing and Reporting

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Selecting Antimicrobial Agents for Testing and Reporting, Page 1 of 2

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Abstract:

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 .

Citation: Leber A. 2016. Selecting Antimicrobial Agents for Testing and Reporting, p 5.19.1-5.19.9. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch5.19
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References

/content/book/10.1128/9781555818814.chap5.19
1. CLSI. 2015. Performance Standards for Antimicrobial Susceptibility Testing. 25th Informational Supplement. M100-S25. CLSI, Wayne, PA.
2. CLSI. 2015. Performance Standards for Antimicrobial Disk Susceptibility Tests, 12th ed. Approved standard M02-A12. CLSI, Wayne, PA.
3. CLSI. 2015. Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically, 10th ed. Approved standard M07-A10. CLSI, Wayne, PA.
4. CLSI. 2015. Methods for Antimicrobial Dilution and Disk Susceptibility Testing of Infrequently Isolated or Fastidious Bacteria, 3rd ed. Approved standard M45-A3. CLSI, Wayne, PA.
5. CLSI. 2012. Methods for Antimicrobial Susceptibility Testing of Anaerobic, 8th ed. Approved standard M11-A8. ACLSI, Wayne, PA.
6. The Medical Letter. 2013. Treatment guidelines from the medical letter. Drugs for bacterial infections. Med. Lett. 8:4352.
7. Gilbert DN, Chambers HF, Eliopoulos GM, Saag MS. 2015. The Sanford Guide to Antimicrobial Chemotherapy, 45th ed. Antimicrobial Therapy, Inc., Hyde Park, VT.
8. Hindler JF, Barriere S. 2010. Selecting antimicrobial agents for testing and reporting. In Garcia LS (ed), Clinical Microbiology Procedures Handbook, 3rd ed. ASM Press, Washington, DC.

Tables

Generic image for table
Reference chart for commonly used antimicrobial agentsa

Reference chart for commonly used antimicrobial agents

Citation: Leber A. 2016. Selecting Antimicrobial Agents for Testing and Reporting, p 5.19.1-5.19.9. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch5.19

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