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Journal of Antimicrobial Chemotherapy (2000) 45, 705-708
© 2000 The British Society for Antimicrobial Chemotherapy


Brief reports

Interpretative reporting and selective antimicrobial susceptibility release in non-critical microbiology results

Robert Cunney*, Hiba Abdel Aziz, Darlene Schubert, Eleanor McNamara and Edmond Smyth

Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin 9, Ireland

The action taken in response to 169 positive sputum, urine and wound culture reports was examined. All reports included interpretative comments. Antimicrobial susceptibilities were released in 29 (17%). Therapy was significantly more likely to be started or altered in response to reports where susceptibilities were released (13 of 29, 45%) versus those without susceptibility release (31 of 140, 22%). Susceptibility release did not influence the appropriateness of antibiotic therapy. The clinical microbiology team was contacted for therapeutic advice in response to 32 (19%) reports. Of the remaining 137 reports, therapy was started or altered in response to 30 (22%) reports, but was considered appropriate in only seven (22%) of these.

* Correspondence address. Department of Microbiology and Infectious Diseases, McMaster University Medical Centre, 1200 Main Street West, Hamilton, Ont. L8N 3Z5, Canada. Tel: +1-905-5212100; Fax: +1-905-5215099; E-mail: cunneyr{at}fhs.mcmaster.ca


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