Background and Rationale for Revised Clinical and Laboratory Standards Institute Interpretive Criteria (Breakpoints) for Enterobacteriaceae and Pseudomonas aeruginosa: I. Cephalosporins and Aztreonam
被引:115
作者:
Dudley, Michael N.
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Rempex Pharmaceut, San Diego, CA 92121 USARempex Pharmaceut, San Diego, CA 92121 USA
Dudley, Michael N.
[1
]
Ambrose, Paul G.
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Inst Clin Pharmacodynam Inc, Latham, NY USARempex Pharmaceut, San Diego, CA 92121 USA
Ambrose, Paul G.
[2
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Bhavnani, Sujata M.
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Inst Clin Pharmacodynam Inc, Latham, NY USARempex Pharmaceut, San Diego, CA 92121 USA
Bhavnani, Sujata M.
[2
]
Craig, William A.
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机构:
Univ Wisconsin, Sch Med, Dept Med, Madison, WI 53706 USARempex Pharmaceut, San Diego, CA 92121 USA
Craig, William A.
[3
]
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Ferraro, Mary Jane
[4
,5
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Jones, Ronald N.
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JMI Labs, N Liberty, IA USARempex Pharmaceut, San Diego, CA 92121 USA
Jones, Ronald N.
[6
]
机构:
[1] Rempex Pharmaceut, San Diego, CA 92121 USA
[2] Inst Clin Pharmacodynam Inc, Latham, NY USA
[3] Univ Wisconsin, Sch Med, Dept Med, Madison, WI 53706 USA
Widespread resistance in Enterobacteriaceae and Pseudomonas aeruginosa to cephalosporin and monobactam antibiotics due to extended-spectrum beta-lactamases (ESBLs) has resulted in the need for reassessment of the interpretative criteria (breakpoints) established for these agents more than 2 decades ago. Following extensive evaluation, the Clinical and Laboratory Standards Institute recently adopted and published new breakpoints for these agents for use in clinical laboratories and provided updated recommendations for use of the ESBL screening test. This paper summarizes the background and supportive rationale for new interpretative criteria for cephalosporins and aztreonam for testing Enterobacteriaceae.