Accuracy and appropriateness of antimicrobial susceptibility test reporting for bacteria isolated from blood cultures

Daniel J Diekema; Kathleen Lee; Patti Raney; Loreen A Herwaldt; Gary V Doern; Fred C Tenover

doi:10.1128/JCM.42.5.2258-2260.2004

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Accuracy and appropriateness of antimicrobial susceptibility test reporting for bacteria isolated from blood cultures

Journal article

Open access

Peer reviewed

Accuracy and appropriateness of antimicrobial susceptibility test reporting for bacteria isolated from blood cultures

Daniel J Diekema, Kathleen Lee, Patti Raney, Loreen A Herwaldt, Gary V Doern and Fred C Tenover

Journal of clinical microbiology, Vol.42(5), pp.2258-2260

05/2004

DOI: 10.1128/JCM.42.5.2258-2260.2004

PMCID: PMC404617

PMID: 15131206

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Abstract

Accurate antimicrobial susceptibility testing (AST) and appropriate reporting of AST results for pathogens isolated from blood cultures are critical functions of the microbiology laboratory. We studied AST performance and reporting from positive blood cultures at hospital microbiology laboratories in Iowa. One hundred sixteen episodes of bacteremia from 14 participating hospitals were examined. We detected AST or identification errors for 18 episodes (16%) and judged reporting of AST results to be inappropriate for 38 episodes (33%). Further study is necessary to determine the impact of testing errors and suboptimal reporting of results on the management of bloodstream infection.

Laboratories

Humans

Bacteremia - drug therapy

Bacteria - drug effects

Microbial Sensitivity Tests - statistics & numerical data

Bacteremia - diagnosis

Blood - microbiology

Bacteremia - microbiology

Bacteriological Techniques - statistics & numerical data

Bacteria - isolation & purification

Iowa

Microbial Sensitivity Tests - standards

Diagnostic Errors

Details

Title: Subtitle: Accuracy and appropriateness of antimicrobial susceptibility test reporting for bacteria isolated from blood cultures
Creators: Daniel J Diekema - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 52246, USA. daniel-diekema@uiowa.edu
Kathleen Lee
Patti Raney
Loreen A Herwaldt
Gary V Doern
Fred C Tenover
Resource Type: Journal article
Publication Details: Journal of clinical microbiology, Vol.42(5), pp.2258-2260
DOI: 10.1128/JCM.42.5.2258-2260.2004
PMID: 15131206
PMCID: PMC404617
NLM abbreviation: J Clin Microbiol
ISSN: 0095-1137
eISSN: 1098-660X
Publisher: United States
Grant note: UR8/CCU715091-03-3 / ODCDC CDC HHS
Language: English
Date published: 05/2004
Academic Unit: Infectious Diseases; Epidemiology; Pathology; Internal Medicine
Record Identifier: 9983986265902771

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