Detection of antimicrobial resistance by small rural hospital microbiology laboratories: comparison of survey responses with current NCCLS laboratory standards
| Autor: | Kurt B. Stevenson, Elizabeth Hannah, Julie L. Gerberding, Peter M. Houck, James Barbera, Matthew H. Samore, James W. Moore, Fred C. Tenover |
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| Rok vydání: | 2003 |
| Předmět: |
Microbiology (medical)
Quality Control Susceptibility testing Hospitals Rural Antimicrobial susceptibility Microbial Sensitivity Tests Gram-Positive Bacteria Sensitivity and Specificity Microbiology Antibiotic resistance Professional Competence Antibiogram Drug Resistance Bacterial Gram-Negative Bacteria medicine Humans Vancomycin resistance medicine.diagnostic_test business.industry General Medicine Reference Standards Antimicrobial Laboratories Hospital United States Rural hospital Anti-Bacterial Agents Infectious Diseases Penicillin resistance Health Care Surveys business |
| Zdroj: | Diagnostic microbiology and infectious disease. 47(1) |
| ISSN: | 0732-8893 |
| Popis: | Microbiology laboratory personnel from 77 rural hospitals in Idaho, Nevada, Utah, and eastern Washington were surveyed in July 2000 regarding their routine practices for detecting antimicrobial resistance. Their self-reported responses were compared to recommended laboratory practices. Most hospitals reported performing onsite bacterial identification and susceptibility testing. Many reported detecting targeted antimicrobial resistant organisms. While only 5/61 hospitals (8%) described using screening tests capable of detecting all 8 targeted types of resistance, most (57/61, 93%) were capable of accurately screening for at least 6 types. Conversely, most hospitals (58/61, 95%) reported confirmatory testing capable of identifying only 3 or fewer resistance types with high-level penicillin resistance among pneumococci, methicillin and vancomycin resistance among staphylococci and enterococci, and extended spectrum beta-lactamase production by Gram-negative bacilli presenting the greatest difficulties. Furthermore, only 50% of hospitals compiled annual antibiogram reports to help physicians choose initial therapy for suspected infectious illnesses. This survey suggests that the antimicrobial susceptibility testing in many rural hospitals may be unreliable. |
| Databáze: | OpenAIRE |
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