Antimicrobial Susceptibility Testing of Bacteria That Cause Gastroenteritis.

Clinics in laboratory medicine

PubMedID: 26004645

Humphries RM, Schuetz AN. Antimicrobial Susceptibility Testing of Bacteria That Cause Gastroenteritis. Clin Lab Med. 2015;35(2):313-331.
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.