Rapid antimicrobial resistance detection methods for bloodstream infection in solid organ transplantation: Proposed clinical guidance, unmet needs, and future directions

Sarah E. Turbett, David B. Banach, Jennifer Dien Bard, Ronak G. Gandhi, Alyssa R. Letourneau, Marwan M. Azar

Research output: Contribution to journalReview articlepeer-review

Abstract

Recent advances in antimicrobial resistance detection have spurred the development of multiple assays that can accurately detect the presence of bacterial resistance from positive blood cultures, resulting in faster institution of effective antimicrobial therapy. Despite these advances, there are limited data regarding the use of these assays in solid organ transplant (SOT) recipients and there is little guidance on how to select, implement, and interpret them in clinical practice. We describe a practical approach to the implementation and interpretation of these assays in SOT recipients using the best available data and expert opinion. These findings were part of a consensus conference sponsored by the American Society of Transplantation held on December 7, 2021 and represent the collaboration between experts in transplant infectious diseases, pharmacy, antimicrobial and diagnostic stewardship, and clinical microbiology. Areas of unmet need and recommendations for future investigation are also presented.

Original languageEnglish
Article numbere14113
JournalTransplant Infectious Disease
Volume25
Issue number6
DOIs
StatePublished - Dec 2023
Externally publishedYes

Keywords

  • antimicrobial resistance
  • immunosuppressed
  • solid organ transplant

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