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The clinical microbiology laboratory is often a sentinel for the
detection of drug resistant strains of microorganisms. Standardized
protocols require continual scrutiny to detect emerging phenotypic
resistance patterns. The timely notification of clinicians with
susceptibility results can initiate the alteration of antimicrobial
chemotherapy and improve patient care. It is vital that
microbiology laboratories stay current with standard and emerging
methods and have a solid understanding of their function in the war
on infectious diseases. Antimicrobial Susceptibility Testing
Protocols clearly defines the role of the clinical microbiology
laboratory in integrated patient care and provides a comprehensive,
up-to-date procedural manual that can be used by a wide variety of
laboratorians. The authors provide a comprehensive, up-to-date
procedural manual including protocols for bioassay methods and
molecular methods for bacterial strain typing. Divided into three
sections, the text begins by introducing basic susceptibility
disciplines including disk diffusion, macro and microbroth
dilution, agar dilution, and the gradient method. It covers
step-by-step protocols with an emphasis on optimizing the detection
of resistant microorganisms. The second section describes
specialized susceptibility protocols such as surveillance
procedures for detection of antibiotic-resistant bacteria, serum
bactericidal assays, time-kill curves, population analysis, and
synergy testing. The final section is designed to be used as a
reference resource. Chapters cover antibiotic development; design
and use of an antibiogram; and the interactions of the clinical
microbiology laboratory with the hospital pharmacy, and infectious
disease and control. Unique in its scope, Antimicrobial
Susceptibility Testing Protocols gives laboratory personnel an
integrated resource for updated lab-based techniques and charts
within the contextual role of clinical microbiology in modern
medicine.
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