Antimicrobial Susceptibility Testing, Drug Resistance Mechanisms, and Therapy of Infections with Nontuberculous Mycobacteria

Author:

Brown-Elliott Barbara A.1,Nash Kevin A.2,Wallace Richard J.1

Affiliation:

1. Department of Microbiology, The University of Texas Health Science Center at Tyler, Tyler, Texas, USA

2. Department of Pathology and Laboratory Medicine, Saban Research Institute of Children's Hospital Los Angeles, and Department of Pathology, University of Southern California, Los Angeles, California, USA

Abstract

SUMMARYWithin the past 10 years, treatment and diagnostic guidelines for nontuberculous mycobacteria have been recommended by the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA). Moreover, the Clinical and Laboratory Standards Institute (CLSI) has published and recently (in 2011) updated recommendations including suggested antimicrobial and susceptibility breakpoints. The CLSI has also recommended the broth microdilution method as the gold standard for laboratories performing antimicrobial susceptibility testing of nontuberculous mycobacteria. This article reviews the laboratory, diagnostic, and treatment guidelines together with established and probable drug resistance mechanisms of the nontuberculous mycobacteria.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Microbiology (medical),Public Health, Environmental and Occupational Health,General Immunology and Microbiology,Epidemiology

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