4.7 Editorial Material

The Poisoned Well: Enhancing the Predictive Value of Antimicrobial Susceptibility Testing in the Era of Multidrug Resistance

Journal

JOURNAL OF CLINICAL MICROBIOLOGY
Volume 55, Issue 8, Pages 2304-2308

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/JCM.00511-17

Keywords

antimicrobial activity; minimal inhibitory concentration; precision; susceptibility testing

Categories

Funding

  1. Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health [T32HD055148]

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Antimicrobial susceptibility testing (AST) is a fundamental mission of the clinical microbiology laboratory. Reference AST methods are based on bacterial growth in antibiotic doubling dilution series, which means that any error in the reference method inherently represents at least a 2-fold difference. We describe the origins of current AST reference methodology, highlight the sources of AST variability, and propose ideas for improving AST predictive power.

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