Time for Precision: A World Without Susceptibility Breakpoints.

Abstract:

:Interpretive criteria for in vitro susceptibility testing criteria, "susceptibility breakpoints," underpin the evaluation and selection of antimicrobial regimens. However, despite their strengths, susceptibility breakpoints are a relatively blunt instrument employed to address an extremely complex question-what is the likelihood of treatment success for individual patients? With regard to evaluating patients on a case-by-case basis, breakpoints merely allow us to account for pathogen susceptibility. This approach precludes consideration of drug exposures achieved in patients, thus overlooking half of the equation for predicting treatment success. Herein, we propose the framework for considering both pathogen- and patient-specific information to provide clinicians a means of evaluating antimicrobial regimens for individual patients through tools automating pharmacokinetic-pharmacodynamic target attainment analyses. Implementing these tools along with their acceptance by professional organizations will allow for a shift in the paradigm for how antimicrobials are selected and dosed-toward patient-centered care through precision medicine.

journal_name

Open Forum Infect Dis

authors

Bader JC,Lakota EA,Andes DR,Rubino CM,Ambrose PG,Bhavnani SM

doi

10.1093/ofid/ofy282

subject

Has Abstract

pub_date

2018-10-31 00:00:00

pages

ofy282

issue

12

issn

2328-8957

pii

ofy282

journal_volume

5

pub_type

杂志文章
  • Autoantibodies to Granulocyte-Macrophage Colony-Stimulating Factor Associated With Severe and Unusual Manifestations of Cryptococcus gattii Infections.

    abstract::Cryptococcus gattii infections, especially including those with severe clinical manifestations, may be related to underlying host immunologic factors. We present 2 cases with autoantibodies to granulocyte-macrophage colony-stimulating factor (GM-CSF), a key cytokine in macrophage function. Immunologic evaluation for a...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofx211

    authors: Crum-Cianflone NF,Lam PV,Ross-Walker S,Rosen LB,Holland SM

    更新日期:2017-10-05 00:00:00

  • Successful Fecal Microbiota Transplantation in a Patient Suffering From Irritable Bowel Syndrome and Recurrent Urinary Tract Infections.

    abstract:Background:Irritable bowel syndrome (IBS) is a chronic and debilitating functional gastrointestinal disorder affecting 9%-23% of the population across the world. The relative efficacy of fecal microbiota transplantation (FMT) on IBS symptoms was demonstrated in a double-blind, randomized study. Methods:We describe the...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz398

    authors: Hocquart M,Pham T,Kuete E,Tomei E,Lagier JC,Raoult D

    更新日期:2019-10-14 00:00:00

  • HIV Testing After a First Positive Rapid Diagnostic Test: A Role for Nucleic Acid Testing?

    abstract::We developed an open-access, Excel-based model simulating currently recommended and alternative algorithms for adult HIV testing as a preliminary investigation of trade-offs between accuracy and costs. Despite higher costs, simpler HIV testing algorithms incorporating point of care nucleic acid testing may improve out...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofy170

    authors: Neilan AM,Cohn JE,Lemaire JF,Sacks E,Alban R,Freedberg KA,Walensky RP,Ciaranello AL

    更新日期:2018-08-29 00:00:00

  • In Utero ART Exposure and Birth and Early Growth Outcomes Among HIV-Exposed Uninfected Infants Attending Immunization Services: Results From National PMTCT Surveillance, South Africa.

    abstract:BACKGROUND:Despite the recognized benefit of antiretroviral therapy (ART) for preventing and treating HIV, some studies have reported adverse birth outcomes with in utero ART exposure. We evaluated the effect of infant in utero HIV and ART exposure on preterm delivery (PTD), low birth weight (LBW), small for gestationa...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofx187

    authors: Ramokolo V,Goga AE,Lombard C,Doherty T,Jackson DJ,Engebretsen IM

    更新日期:2017-08-30 00:00:00

  • Endothelial activation and repair during hantavirus infection: association with disease outcome.

    abstract:BACKGROUND:Endothelial activation and dysfunction play a central role in the pathogenesis of sepsis and viral hemorrhagic fevers. Hantaviral disease is a viral hemorrhagic fever and is characterized by capillary dysfunction, although the underlying mechanisms for hantaviral disease are not fully elucidated. METHODS:Th...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofu027

    authors: Connolly-Andersen AM,Thunberg T,Ahlm C

    更新日期:2014-05-29 00:00:00

  • Appropriateness of gram-negative agent use at a tertiary care hospital in the setting of significant antimicrobial resistance.

    abstract::Background.  Practicing antimicrobial stewardship in the setting of widespread antimicrobial resistance among gram-negative bacilli, particularly in urban areas, is challenging. Methods.  We conducted a retrospective cross-sectional study at a tertiary care hospital with an established antimicrobial stewardship progra...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofv009

    authors: Vora NM,Kubin CJ,Furuya EY

    更新日期:2015-02-19 00:00:00

  • Comparative Outcomes of Adults Hospitalized With Seasonal Influenza A or B Virus Infection: Application of the 7-Category Ordinal Scale.

    abstract:Background:The objective of this study was to investigate the difference in disease severity between influenza A and B among hospitalized adults using a novel ordinal scale and existing clinical outcome end points. Methods:A prospective, observational study was conducted over the 2016-2018 influenza seasons in a centr...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz053

    authors: Wang Y,Fan G,Horby P,Hayden F,Li Q,Wu Q,Zou X,Li H,Zhan Q,Wang C,Cao B,CAP-China Network.

    更新日期:2019-02-15 00:00:00

  • Reactive School Closure During Increased Influenza-Like Illness (ILI) Activity in Western Kentucky, 2013: A Field Evaluation of Effect on ILI Incidence and Economic and Social Consequences for Families.

    abstract:: Background.  School closures are an important mitigation strategy during influenza pandemic: if implemented early in a local outbreak, they can slow the disease spread in the surrounding community. During seasonal influenza epidemics, school closures may occur reactively, ...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofw113

    authors: Russell ES,Zheteyeva Y,Gao H,Shi J,Rainey JJ,Thoroughman D,Uzicanin A

    更新日期:2016-05-25 00:00:00

  • Canada-Wide Epidemic of emm74 Group A Streptococcus Invasive Disease.

    abstract:Background:The number of invasive group A Streptococcus (iGAS) infections due to hitherto extremely rare type emm74 strains has increased in several Canadian provinces since late 2015. We hypothesized that the cases recorded in the different provinces are linked and caused by strains of an emm74 clone that recently eme...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofy085

    authors: Teatero S,McGeer A,Tyrrell GJ,Hoang L,Smadi H,Domingo MC,Levett PN,Finkelstein M,Dewar K,Plevneshi A,Athey TBT,Gubbay JB,Mulvey MR,Martin I,Demczuk W,Fittipaldi N

    更新日期:2018-04-20 00:00:00

  • Can Hepatitis C Virus Antigen Testing Replace Ribonucleic Acid Polymearse Chain Reaction Analysis for Detecting Hepatitis C Virus? A Systematic Review.

    abstract::The complexity and cost of current diagnostics for hepatitis C virus (HCV) may act as a prevention to the scale-up of treatment in the developing world. Currently, ribonucleic acid (RNA)-polymerase chain reaction tests are the gold standard. However, there is potential for the use of simpler and cheaper antigen tests ...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章,评审

    doi:10.1093/ofid/ofw252

    authors: Khan H,Hill A,Main J,Brown A,Cooke G

    更新日期:2017-05-26 00:00:00

  • Variability of Antibiotic Prescribing in a Large Healthcare Network Despite Adjusting for Patient-Mix: Reconsidering Targets for Improved Prescribing.

    abstract:Background:In the outpatient setting, the majority of antibiotic prescriptions are for acute respiratory infections (ARIs), but most of these infections are viral and antibiotics are unnecessary. We analyzed provider-specific antibiotic prescribing in a group of outpatient clinics affiliated with an academic medical ce...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz018

    authors: Jung S,Sexton ME,Owens S,Spell N,Fridkin S

    更新日期:2019-01-18 00:00:00

  • A Distinct Phylogenetic Cluster of Indian Severe Acute Respiratory Syndrome Coronavirus 2 Isolates.

    abstract:Background:From an isolated epidemic, coronavirus disease 2019 has now emerged as a global pandemic. The availability of genomes in the public domain after the epidemic provides a unique opportunity to understand the evolution and spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus across the g...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofaa434

    authors: Banu S,Jolly B,Mukherjee P,Singh P,Khan S,Zaveri L,Shambhavi S,Gaur N,Reddy S,Kaveri K,Srinivasan S,Gopal DR,Siva AB,Thangaraj K,Tallapaka KB,Mishra RK,Scaria V,Sowpati DT

    更新日期:2020-09-18 00:00:00

  • Human Immunodeficiency Virus-1 Sequence Changes and Drug Resistance Mutation Among Virologic Failures of Lopinavir/Ritonavir Monotherapy: AIDS Clinical Trials Group Protocol A5230.

    abstract:: Background.  The mechanism of virologic failure (VF) of lopinavir/ritonavir (LPV/r) monotherapy is not well understood. We assessed sequence changes in human immunodeficiency virus-1 reverse-transcriptase (RT) and protease (PR) regions. Methods. ...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofw154

    authors: Vardhanabhuti S,Katzenstein D,Bartlett J,Kumarasamy N,Wallis CL

    更新日期:2016-08-24 00:00:00

  • What's Hot in Clinical Infectious Diseases? 2019 IDWeek Summary.

    abstract::The year 2019 brought about a multitude of innovations in clinical infectious diseases. With the continued rise of antimicrobial resistance (AMR), advances in diagnostics and newly available antibiotics offer additional strategies for combating this threat, but the broken antibiotic market serves as an impediment to f...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章,评审

    doi:10.1093/ofid/ofaa104

    authors: Moss S,Boucher HW

    更新日期:2020-03-23 00:00:00

  • Antibiotic Treatment Versus No Treatment for Asymptomatic Bacteriuria in Kidney Transplant Recipients: A Multicenter Randomized Trial.

    abstract:Background:Whether antibiotic treatment of asymptomatic bacteriuria (AB) can prevent acute graft pyelonephritis (AGP) in kidney transplant (KT) recipients has not been elucidated. Methods:In this multicenter, open-label, nonblinded, prospective, noninferiority, randomized controlled trial, we compared antibiotic treat...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz243

    authors: Sabé N,Oriol I,Melilli E,Manonelles A,Bestard O,Polo C,Los Arcos I,Perelló M,Garcia D,Riera L,Tebé C,Len Ò,Moreso F,Cruzado JM,Carratalà J

    更新日期:2019-05-21 00:00:00

  • Rapid Emergence of a New Clone Impacts the Population at Risk and Increases the Incidence of Type emm89 Group A Streptococcus Invasive Disease.

    abstract:BACKGROUND:Invasive group A Streptococcus (iGAS) disease caused by type emm89 strains has been increasing worldwide, driven by the emergence of an epidemic clonal variant (clade 3 emm89). The clinical characteristics of patients with emm89 iGAS disease, and in particular with clade 3 emm89 iGAS disease, are poorly desc...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofx042

    authors: Teatero S,Coleman BL,Beres SB,Olsen RJ,Kandel C,Reynolds O,Athey TBT,Musser JM,McGeer A,Fittipaldi N

    更新日期:2017-03-04 00:00:00

  • A Longitudinal Study of S. aureus Infection in a National Cohort of Surgical Patients.

    abstract:BACKGROUND:Postoperative infections are a common and often preventable complication of surgery. S. aureus is a prevalent organism cultured in these infections and is associated with morbidity, mortality, and increased healthcare utilization. However, the long-term burden of S. aureus infection in surgical patients is n...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz350

    authors: O'Brien WJ,Gupta K,Itani KMF

    更新日期:2019-08-13 00:00:00

  • Considerations for the Selection and Use of Disinfectants Against SARS-CoV-2 in a Health Care Setting.

    abstract::Proper disinfection using adequate disinfecting agents will be necessary for infection control strategies against coronavirus disease 2019 (COVID-19). However, limited guidance exists on effective surface disinfectants or best practices for their use against severe acute respiratory coronavirus 2. We outlined a proces...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofaa396

    authors: Tyan K,Levin A,Avalos-Pacheco A,Plana D,Rand EA,Yang H,Maliszewski LE,Chylek LA,Atta L,Tye MA,Carmack MM,Oglesby NS,Burgin S,Yu SH,LeBoeuf NR,Kemp JM

    更新日期:2020-08-31 00:00:00

  • A Recent Human Immunodeficiency Virus Outbreak Among People Who Inject Drugs in Munich, Germany, Is Associated With Consumption of Synthetic Cathinones.

    abstract:Background:Needle and syringe sharing among people who inject drugs (PWID) can result in a rapid regional spread of a human immunodeficiency virus (HIV) variant. Such outbreaks have been identified recently in several countries and have raised public health attention because of an association with new psychoactive subs...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofaa192

    authors: Hanke K,Fiedler S,Grumann C,Ratmann O,Hauser A,Klink P,Meixenberger K,Altmann B,Zimmermann R,Marcus U,Bremer V,Auwärter V,Bannert N

    更新日期:2020-05-27 00:00:00

  • HIV Care for Patients With Complex Needs: A Controlled Evaluation of a Walk-In, Incentivized Care Model.

    abstract:Background:New approaches are needed to provide care to persons with HIV who do not engage in conventionally organized HIV clinics. The Max Clinic in Seattle, Washington, is a walk-in, incentivized HIV care model located in a public health STD clinic that provides care in collaboration with a comprehensive HIV primary ...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz294

    authors: Dombrowski JC,Galagan SR,Ramchandani M,Dhanireddy S,Harrington RD,Moore A,Hara K,Eastment M,Golden MR

    更新日期:2019-06-26 00:00:00

  • A Qualitative Study of the Real-world Experiences of Infectious Diseases Fellows Regarding Antibiotic Stewardship.

    abstract:Background:Antibiotic-resistant bacterial infections are a major threat to public health, yet improper use of antibiotics remains high. Infectious Diseases (ID) fellows play a major role in antibiotic stewardship efforts, but there is little research on how they view stewardship activities. We performed a qualitative s...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofy102

    authors: Morgan JR,Barlam TF,Drainoni ML

    更新日期:2018-05-03 00:00:00

  • Internal Medicine Residents' Knowledge and Practice of Pulmonary Tuberculosis Diagnosis.

    abstract:Background:Internal medicine physicians are often the first providers to encounter patients with a new diagnosis of tuberculosis. Given the public health risks of missed tuberculosis cases, assessing internal medicine residents' ability to diagnose tuberculosis is important. Methods:Internal medicine resident knowledg...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofy152

    authors: Chida N,Brown C,Mathad J,Carpenter K,Nelson G,Schechter MC,Giles N,Rebolledo PA,Ray S,Fabre V,Cantillo DS,Longworth S,Amorosa V,Petrauskis C,Boulanger C,Cain N,Gupta A,McKenzie-White J,Bollinger R,Melia MT

    更新日期:2018-06-27 00:00:00

  • Antimicrobial Management of Respiratory Infections in Severe Acute Respiratory Syndrome Coronavirus 2 Patients: Clinical and Antimicrobial Stewardship Programs Conundrums.

    abstract::The role of empirical and even directed antimicrobial management of patients hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is problematic; antibiotics are used frequently among these patients to treat confirmed or suspected coinfection or just the symptoms. In the rapidly cha...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofaa517

    authors: Goldstein EJC,Tillotson G,Redell M

    更新日期:2020-10-26 00:00:00

  • Hourly Effect of Pretreatment With IV Antibiotics on Blood Culture Positivity Rate in Emergency Department Patients.

    abstract::Although it is intuitive that antibiotics administered before obtaining a blood culture would reduce the likelihood of obtaining a positive culture, it is not clear exactly how rapidly and to what extent blood becomes sterile after administration of intravenous (IV) antibiotics. Using a large data set of patients admi...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz179

    authors: Rand KH,Beal SG,Rivera K,Allen B,Payton T,Lipori GP

    更新日期:2019-05-20 00:00:00

  • Respiratory Syncytial Virus Infection: Its Propensity for Bacterial Coinfection and Related Mortality in Elderly Adults.

    abstract::Respiratory syncytial virus (RSV) is an increasingly recognized cause of acute respiratory infection (ARI) in adults. We compared the crude in-hospital mortality of patients with RSV infection alone with that of patients with RSV-bacterial coinfection. Overall, 12 144 hospitalized patients with ARI were screened for R...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofaa546

    authors: Godefroy R,Giraud-Gatineau A,Jimeno MT,Edouard S,Meddeb L,Zandotti C,Chaudet H,Colson P,Raoult D,Cassir N

    更新日期:2020-11-12 00:00:00

  • Ordering Patterns and Costs of Specialized Laboratory Testing by Hospitalists and House Staff in Hospitalized Patients With HIV at a County Hospital: An Opportunity for Diagnostic Stewardship.

    abstract:Background:Inpatient HIV care often requires specialized laboratory testing with which practitioners may not be familiar. In addition, computerized physician order entry allows for ordering tests without understanding test indications, but it can also provide a venue for education and diagnostic stewardship. Methods:A...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz158

    authors: Bolles K,Woc-Colburn L,Hamill RJ,Hemmige V

    更新日期:2019-03-29 00:00:00

  • Absence of HBV Reactivation in Patients With Resolved HBV Infection Following DAA Therapy for Hepatitis C: A 1-Year Follow-up Study.

    abstract:Background:Patients with chronic hepatitis C virus (HCV) infection and active or previous hepatitis B virus (HBV) are at risk of HBV reactivation (HBV-R) during direct-acting antiviral (DAA) therapy. Recent reports suggest that HBV-R may even occur several months after completion of DAA therapy. The aim of this study w...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofy340

    authors: Mücke MM,Mücke VT,Peiffer KH,Sarrazin C,Zeuzem S,Berger A,Vermehren J

    更新日期:2018-12-15 00:00:00

  • Treatment Options for Carbapenem-Resistant Enterobacteriaceae Infections.

    abstract::This article provides a comprehensive review of currently available treatment options for infections due to carbapenem-resistant Enterobacteriaceae (CRE). Antimicrobial resistance in Gram-negative bacteria is an emerging and serious global public health threat. Carbapenems have been used as the "last-line" treatment f...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章,评审

    doi:10.1093/ofid/ofv050

    authors: Morrill HJ,Pogue JM,Kaye KS,LaPlante KL

    更新日期:2015-05-05 00:00:00

  • Increasing Number and Volume of Cavitary Lesions on Chest Computed Tomography Are Associated With Prolonged Time to Culture Conversion in Pulmonary Tuberculosis.

    abstract:Background:Cavitary lesions (CLs) primarily identified by chest x-ray (CXR) have been associated with worse clinical outcomes among patients with pulmonary tuberculosis (PTB). Chest computed tomography (CT), which has better resolution and increased sensitivity to detect lung abnormalities, has been understudied in PTB...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz232

    authors: Hernandez-Romieu AC,Little BP,Bernheim A,Schechter MC,Ray SM,Bizune D,Kempker R

    更新日期:2019-06-24 00:00:00

  • Antimicrobial Stewardship Review of Automated Candidemia Alerts Using the Epic Stewardship Module Improves Bundle-of-Care Adherence.

    abstract:Background:Antimicrobial stewardship interventions utilizing real-time alerting through the electronic medical record enable timely implementation of the bundle of care (BOC) for patients with severe infections, such as candidemia. Automated alerting for candidemia using the Epic stewardship module has been in place si...

    journal_title:Open forum infectious diseases

    pub_type: 杂志文章

    doi:10.1093/ofid/ofz412

    authors: Pettit NN,Han Z,Nguyen CT,Choksi A,Charnot-Katsikas A,Beavis KG,Tesic V,Pisano J

    更新日期:2019-10-11 00:00:00