 |
We have worked out with our Infectious Diseases physicians that we will perform susceptibility testing for GBS from sterile sources on a routine basis. Such sources include blood cutlures, tissue, body cavity fluids, etc., but it does not include urines. As there is no known resistance to the beta-lactam antibiotics or vancomycin with GBS, our testing includes only clindamycin and erythromycin and D-test. One could argue that a fluorquinolone, such as levofloxacin or moxifloxacin, might also be tested routinely.
As clindamycin and erythromycin are not recommended for treatment of urinary tract infections, this would leave only a fluoroquinolone to be tested from the urinary tract. I would suggest speaking to your ID service to see if a routine recommendation could be made and supported for this type of testing. But, in general, routine testing of GBS from urinary tract is not usually clinically necessary.
We hope that we were able to answer your question.
Please visit us again at the American Society for Microbiology.
DISCLAIMER
Askit is for general information purposes only and may not be relied upon by users for decisions or action in specific circumstances. Neither ASM nor the expert assures the accuracy or completeness of information provided. Questions are answered based on current information, which may change over time. Please note the date that a question was answered. If an answer is more than one year old, you may want to resubmit the question for an updated answer.
The advice and comments do not necessarily reflect the views of ASM. ASM and INDIVIDUAL experts expressly disclaim any and all liability for any direct, indirect, or special damages or loss of any nature incurred as a consequence of use of this site or any advice or comment by any expert. By using Askit, the user accepts the waiver of claims and all terms of use of ASM’s site, including the disclaimers set forth in the “Legal Rights” link on ASM’s home page.
|
