Detecting Reporting Resistance in Fastidious Bacteria - SWACM

Detecting Reporting Resistance in Fastidious Bacteria - SWACM Detecting Reporting Resistance in Fastidious Bacteria - SWACM

02.12.2014 Views

Minimum Laboratory Requirements for Testing Infrequently Isolated or Fastidious Bacteria Performs disk diffusion AST at least once/week if testing Aeromonas spp., Plesiomonas, spp. Vibrio spp., M. catarrhalis, Pasteurella spp., or Campylobacter by disk diffusion Performs broth microdilution MICs (visually read) at least once/week Possesses current CLSI M02, M07, and M100 Laboratory coordinated by director-level clinical microbiologist, ID MD or pathologist with expertise in antimicrobial susceptibility testing CLSI M45-A2 Section 9.1

Summary M45-A2 describes reference methods for testing several types of infrequently isolated or fastidious bacteria M45-A2 organisms generally do not require AST because…. – They may not be causing an infection – Infections caused by them are often treated empirically AST of M45-A2 organisms should only be performed – Following consultation with an Infectious Disease MD – In a laboratory that meets the qualifications suggested in M45-A Currently, there are no FDA cleared systems for testing most of the organisms listed in M45-A2

Summary<br />

M45-A2 describes reference methods for test<strong>in</strong>g<br />

several types of <strong>in</strong>frequently isolated or fastidious<br />

bacteria<br />

M45-A2 organisms generally do not require AST<br />

because….<br />

– They may not be caus<strong>in</strong>g an <strong>in</strong>fection<br />

– Infections caused by them are often treated empirically<br />

AST of M45-A2 organisms should only be performed<br />

– Follow<strong>in</strong>g consultation with an Infectious Disease MD<br />

– In a laboratory that meets the qualifications suggested <strong>in</strong> M45-A<br />

Currently, there are no FDA cleared systems for<br />

test<strong>in</strong>g most of the organisms listed <strong>in</strong> M45-A2

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