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Eighty-five percent of respondents indicated on the evaluation form that they were confident they could explain how to implement CLSI AST standards, including reporting results for those antimicrobial agents that are appropriate for specific bacteria isolated from specific body sites.
Pre- and post-course practice assessment analysis of the 129 matched sets demonstrated that the percentage of respondents using the most recently published CLSI AST standards improved significantly, from 69% before the course to 93% after the course (p < .0001).
Our study evaluated the effectiveness of an NLTN-sponsored educational activity in promoting use of the most recently published CLSI standards, and attempted to determine whether that learning activity could contribute to changes in laboratory AST practices.
Most important, the number of laboratories that had acquired the most recent CLSI AST standards increased significantly.
Smaller than expected practice differences might have been observed because certain facilities participating in the study were already meeting CLSI AST standards.
ABBREVIATIONS: ABC = active bacterial core; APHL = Association of Public Health Laboratories; AST = antimicrobial susceptibility testing; CDC = Centers for Disease Control and Prevention; CE = continuing education; CLSI = Clinical and Laboratory Standards Institute; CME = continuing medical education; NLTN = National Laboratory Training Network; VISA = vancomycin-intermediate Staphylococcus aureus; VRSA = vancomycin-resistant Staphylococcus aureus.