Frank van Leth

Associate Professor Health Sciences

Rapid assessment of antimicrobial resistance prevalence using a Lot Quality Assurance sampling approach.


Journal article


F. van Leth, Casper den Heijer, M. Beerepoot, E. Stobberingh, S. Geerlings, C. Schultsz
Future Microbiology, 2017

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APA   Click to copy
van Leth, F., den Heijer, C., Beerepoot, M., Stobberingh, E., Geerlings, S., & Schultsz, C. (2017). Rapid assessment of antimicrobial resistance prevalence using a Lot Quality Assurance sampling approach. Future Microbiology.


Chicago/Turabian   Click to copy
Leth, F. van, Casper den Heijer, M. Beerepoot, E. Stobberingh, S. Geerlings, and C. Schultsz. “Rapid Assessment of Antimicrobial Resistance Prevalence Using a Lot Quality Assurance Sampling Approach.” Future Microbiology (2017).


MLA   Click to copy
van Leth, F., et al. “Rapid Assessment of Antimicrobial Resistance Prevalence Using a Lot Quality Assurance Sampling Approach.” Future Microbiology, 2017.


BibTeX   Click to copy

@article{f2017a,
  title = {Rapid assessment of antimicrobial resistance prevalence using a Lot Quality Assurance sampling approach.},
  year = {2017},
  journal = {Future Microbiology},
  author = {van Leth, F. and den Heijer, Casper and Beerepoot, M. and Stobberingh, E. and Geerlings, S. and Schultsz, C.}
}

Abstract

AIM Increasing antimicrobial resistance (AMR) requires rapid surveillance tools, such as Lot Quality Assurance Sampling (LQAS).

MATERIALS & METHODS LQAS classifies AMR as high or low based on set parameters. We compared classifications with the underlying true AMR prevalence using data on 1335 Escherichia coli isolates from surveys of community-acquired urinary tract infection in women, by assessing operating curves, sensitivity and specificity.

RESULTS Sensitivity and specificity of any set of LQAS parameters was above 99% and between 79 and 90%, respectively. Operating curves showed high concordance of the LQAS classification with true AMR prevalence estimates.

CONCLUSION LQAS-based AMR surveillance is a feasible approach that provides timely and locally relevant estimates, and the necessary information to formulate and evaluate guidelines for empirical treatment.


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