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항균제 감수성 판정기준에 대한 국제 지침들의 개정 내용 소개open accessIntroduction to the Revised International Guidelines on Breakpoints for Antimicrobial Susceptibility Testing

Other Titles
Introduction to the Revised International Guidelines on Breakpoints for Antimicrobial Susceptibility Testing
Authors
정재우
Issue Date
Sep-2023
Publisher
대한임상미생물학회
Keywords
Guidelines; Antimicrobial susceptibility testing; Clinical and Laboratory Standards Institute; the European Committee on Antimicrobial Susceptibility Testing
Citation
Annals of Clinical Microbiology, v.26, no.3, pp 51 - 57
Pages
7
Indexed
KCI
Journal Title
Annals of Clinical Microbiology
Volume
26
Number
3
Start Page
51
End Page
57
URI
https://scholarworks.dongguk.edu/handle/sw.dongguk/20382
DOI
10.5145/ACM.2023.26.3.2
ISSN
2288-0585
2288-6850
Abstract
항균제 감수성 시험(antimicrobial susceptibility testing, AST)의 시행과 판독에 대한 지침인 Clinical and Laboratory Standards Institute (CLSI) M100, Performance Standards for AST와 the European Committee on AST (EUCAST) Breakpoint tables for interpretation of minimum inhibitory concentrations and zone diameters은 매년 개정이 이루어진다. 2023년도 CLSI 지침은 antibiotic stewardship 강화의 일환으로 항균제의 선택적 보고와 단계적 보고방법이 도입되었고, Enterobacterales의 aminoglycoside (AG), Pseudomonas aeruginosa의 AG와 piperacillin 계열의 판정기준에 변화가 있었다. EUCAST의 주된 변경 사항은 Enterobacterales에서 aminopenicillin의 판정기준의 변화로, 임상상황 및 항균제 투여방법을 반영한 세분화된 판정기준이 제시되었다.
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