[Which antibiotics should we report in an antibiogram, and how?].
The information provided in the individual susceptibility reports (antibiograms) is clinically and epidemiologically relevant, and is an important tool for antibiotic stewardship. The selection of the most appropriate antimicrobial agents to be included in the reports should be decided by each Clinical Microbiology laboratory after consulting with the departments most involved in the clinical management of infectious diseases. The clinical interest of the drugs should be the most important variable to consider; thus, reported antibiotics should have demonstrated clinical efficacy. Other variables to consider are local prevalence (in the hospital, areas of the hospital), the cost, the approved indications, and the most recent clinical guidelines regarding the drugs of choice and alternative agents. Certain antibiotics may only be reported in specific circumstances (selective reporting), which should be decided by each laboratory according to their local circumstances. It may be necessary to adapt the information provided according to the microorganism and suspected location of the infection. In some cases, it is convenient to include additional written comments or observations with the aim of helping clinicians to choose. In this review we include a proposal for our country that should be adapted to local situations.
Alós
Juan-Ignacio
JI
Servicio de Microbiología, Hospital Universitario de Getafe, Getafe, Madrid, España. nachoalos@telefonica.net
Rodríguez-Baño
Jesús
J
D000900:Anti-Bacterial Agents / Q000145:classification / Q000494:pharmacology* / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy; D003428:Cross Infection / Q000188:drug therapy; D005568:Forms and Records Control; D006748:Hospital Departments; D006801:Humans; D007755:Laboratories, Hospital / Q000458:organization & administration; D008499:Medical Records; D008826:Microbial Sensitivity Tests / Q000379:methods / Q000592:standards*; D017410:Practice Guidelines as Topic; D011320:Primary Health Care
D000900:Anti-Bacterial Agents