Resistance testing in general practice--is it valid?
Bjerrum, L.; Grinsted, P.; Petersen, P.H.; Søgaard, P.
Ugeskrift for Laeger 162(35): 4660-4662
2000
ISSN/ISBN: 0041-5782 PMID: 10986893 Document Number: 515149
Resistance of uropathogenic bacteria to antibiotics is an increasing problem in primary health care. The aim of this study was to evaluate antibacterial susceptibility testing of uropathogenic when performed in general practice. Urine specimens with a known quantity of typically uropathogenic bacteria were sent to 25 general practices. The predictive values of testing a bacterial strain as susceptible ranged from 0.89 (nitrofurantoin) to 1.00 (sulphamethizole), and the predictive value of testing a bacterial strain as resistant ranged from 0.55 (trimethoprim) to 0.90 (nitrofurantoin). If susceptibility testing is to be widely implemented in general practice it would be necessary to improve the validity.