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Published on: July 9, 2012
Antimicrobial susceptibility testing of bacteria that cause gastroenteritis
Romney M Humphries1, Audrey N Schuetz2
1Pathology & Laboratory Medicine, University of California Los Angeles, 10833 Le Conte Avenue, Brentwood Annex, Los Angeles, CA 90095, USA.
Abstract:
Gastroenteritis due to enteric pathogens is generally a self-limiting disease for which antimicrobial treatment is not required. However, treatment should be considered for cases of severe or prolonged diarrhea, extraintestinal isolation of bacteria, or diarrhea in immunocompromised hosts, the elderly, and infants. Various resistance trends and current issues concerning antimicrobial susceptibility testing of enteric pathogens are reviewed in this article, including Campylobacter, Salmonella, Shigella, Vibrio, Aeromonas, Plesiomonas, and Clostridium difficile. Updated interpretive criteria from breakpoint-setting organizations are reviewed, along with explanations for recent changes in antimicrobial breakpoints.
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