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Antimicrobial Susceptibility Testing: Breakpoint Setting History and Perspective
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Introduction
The Clinical and Laboratory Standards Institute (CLSI) Veterinary Antimicrobial Susceptibility Testing (VAST) subcommittee has been active since 1993. Before VAST started developing veterinary-specific breakpoints, all susceptibility testing for bacteria isolated from animals used the human standards (M100). Testing standards for bacteria isolated from animals were needed to provide the best guidance for drug selection, interpretation, and monitoring programs. The latest edition of the published standard is the 5th edition (CLSI VET01, 2018). The accompanying document published as a supplement (VET08) has tables with antimicrobial agents recommended for testing, interpretive categories and breakpoints, and quality control (QC) ranges. The most recent version is in its 4th edition (CLSI VET08, 2018). The VAST subcommittee has developed breakpoints for 186 drug-bug combinations. Since 2015, there have been 41 new breakpoints with 34 of these developed by the Generic Drug Working Group (described below). [...]
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