Understanding and Addressing CLSI Breakpoint Revisions: a Primer for Clinical Laboratories.

Abstract:

:The Clinical and Laboratory Standards Institute (CLSI) has revised several breakpoints since 2010 for bacteria that grow aerobically. In 2019, these revisions include changes to the ciprofloxacin and levofloxacin breakpoints for the Enterobacteriaceae and Pseudomonas aeruginosa, daptomycin breakpoints for Enterococcus spp., and ceftaroline breakpoints for Staphylococcus aureus Implementation of the revisions is a challenge for all laboratories, as not all systems have FDA clearance for the revised (current) breakpoints, compounded by the need for laboratories to perform validation studies and to make updates to laboratory information system/electronic medical record builds in the setting of limited information technology infrastructure. This minireview describes the breakpoint revisions in the M100 supplement since 2010 and strategies for the laboratory on how to best adopt these in clinical testing.

journal_name

J Clin Microbiol

authors

Humphries RM,Abbott AN,Hindler JA

doi

10.1128/JCM.00203-19

subject

Has Abstract

pub_date

2019-05-24 00:00:00

issue

6

eissn

0095-1137

issn

1098-660X

pii

JCM.00203-19

journal_volume

57

pub_type

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