| Literature DB >> 27582516 |
Sarah M Bartsch1, Susan S Huang2, Kim F Wong3, Rachel B Slayton4, James A McKinnell5,6, Daniel F Sahm7, Krystyna Kazmierczak7, Leslie E Mueller1, John A Jernigan4, Bruce Y Lee8.
Abstract
Delays often occur between CLSI and FDA revisions of antimicrobial interpretive criteria. Using our Regional Healthcare Ecosystem Analyst (RHEA) simulation model, we found that the 32-month delay in changing carbapenem-resistant Enterobacteriaceae (CRE) breakpoints might have resulted in 1,821 additional carriers in Orange County, CA, an outcome that could have been avoided by identifying CRE and initiating contact precautions. Policy makers should aim to minimize the delay in the adoption of new breakpoints for antimicrobials against emerging pathogens when containment of spread is paramount; delays of <1.5 years are ideal.Entities:
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Year: 2016 PMID: 27582516 PMCID: PMC5078554 DOI: 10.1128/JCM.00635-16
Source DB: PubMed Journal: J Clin Microbiol ISSN: 0095-1137 Impact factor: 5.948