By James A. Poupard, Lori R. Walsh, Bruce Kleger
The papers assembled during this assortment include a majority of the oral displays in addition to numerous poster displays given on the twenty second Annual Symposium prepared via the Bastern Pennsylvania department of the yank Society for MicrobioloS)'. The symposium wouldn't be attainable with no the beneficiant aid of the various sponsors (see sponsor checklist) or with no the concerted attempt of a11 the Committee participants. This Symposium sequence has advanced into an annual Bastern Pennsylvania department ASM occasion that pulls members from a large geographie sector. it may be famous that one of many hallmarks of those symposia includes interplay among the presenters and people in attendance. numerous authors have altered their via the individuals. for that reason, the manuscript that manuscripts in line with reviews fo11ows can be seen as a gaggle attempt of either the individuals and presenters. J ames Poupard Lori Walsh Bruee Kleger ix CONTENTS 1 advent 1: present tools The Evolution of Antimicrobial Susceptibility checking out equipment . . . . . . . . . . . . . . . three James A. Poupard, Stephen F. Rittenhouse, and Lori R. Walsh Antimicrobial Susceptibility assessments: trying out tools and Interpretive difficulties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Patrick R. Murray Clinician usage of speedy Antibiotic Susceptibility information: A potential learn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Franklin P. Koontz consultation 2: modern matters IN SUSCEPTIBILITY trying out after we can be trying out, How frequently and What to file . . . . . . . . . . . . . . . 35 Raymond C. Bartlett components of contemporary Emphasis of the nationwide Committee for scientific Laboratory criteria Subcommittee on Antimicrobial Susceptibility trying out . . . . . . . . . . . . . . . . . . . . . . . sixty one James H. Jorgensen Non-Traditional techniques for quality controls of Antimicrobial Susceptibility exams . . . . . . . . . . . . . . . . . . . . . . . . .
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Additional info for Antimicrobial Susceptibility Testing: Critical Issues for the 90s
This problem has intensified in recent years with the increasing association with infection of organisms such as Corynebacterium and coagulase negative staphylococci. Maximum effort should be made to handle such specimens under laminar flow hoods using careful technique to minimize contamination. This is especially important in laboratories in institutions where there are many immunocompromised patients or patients who have been fitted with prosthetie and intravascular deviees. Frequently, the isolation of one colony of an organism from only one of several plates will suggest laboratory contamination.
Ceftazidime for a S. " It is relatively simple to ascertain that the cost of health care is markedly influenced by this indiscriminate usage pattern far certain antibiotics, but there is also a greater problem here. During the time of the study and subsequent to it, we have verified an unbelievable increase in resistance to the antibiotics most commonly left in the therapy regimen but not justified or judgmentally a bad decision. The following table shows what has happened to ceftazidime over the past four to five years in this hospital relative to ceftazidime usage and abusage.
J Clin Microbiol 24:764-769 (1986). E. Low, AE. Simor, Evaluation of a Commercial Microtiter System (MicroScan) Using both Frozen and Freeze-Dried Panels for Detection ofHigh Level Aminoglycoside Resistance in Enterococcus spp. J Clin Microbiol 28:1051-1053 (1990). RN. Jones, Antimicrobial Susceptibility Testing (AST): A Review Qf Changing Trends, Quality Control Guidelines, Test Accuracy, and Recommendation for the Testing ofBeta-Lactam Drugs Diagn Microbiol Infect Dis 1:1-24 (1983). RN. C. Edson, and the CAP Microbiology Resource Committee, Intedaboratory Performance of Disk Agar Diffusion and Dilution Antimicrobial Susceptibility Tests, 1979-1981.
Antimicrobial Susceptibility Testing: Critical Issues for the 90s by James A. Poupard, Lori R. Walsh, Bruce Kleger