Changes in CLSI Breakpoint Assignments

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The page below is a sample from the LabCE course Medical Microbiology Taxonomy and Nomenclature. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Medical Microbiology Taxonomy and Nomenclature (online CE course)
Changes in CLSI Breakpoint Assignments

To be compliant:
  • Updated (current) antimicrobial susceptibility breakpoints must be in use.
  • Alternatively, the laboratory may choose not to report an out-of-date (considered erroneous) result.18
Clinical and Laboratory Standards Institute (CLSI) documents are generally accepted and widely used among medical laboratories for the standardization of test methods and reporting of results.
Changes in antimicrobial susceptibility testing methods and reporting due to CLSI breakpoint reassignments may be verified or validated by the laboratory using the Breakpoint Implementation Toolkit (BIT).19,20 (More on this tool later in the course.)
In addition, CLSI "MICRO FREE" is a website with links to free, up-to-date versions of microbiology references M100, M23, M23S3.21
18. Newitt, V. N. (2023, October). Soon to be required: current susceptibility testing breakpoints. CAP TODAY. https://www.captodayonline.com/soon-to-be-required-current-susceptibility-testing-breakpoints/
19. Maintaining current breakpoints for antimicrobial susceptibility testing. (2024). College of American Pathologists. https://info.cap.org/antimicrobial-susceptibility-testing/
20. 2023 Breakpoints in Use Toolkit. (n.d.). Clinical & Laboratory Standards Institute. https://clsi.org/meetings/ast/breakpoints-in-use-toolkit/
21. CLSI MICRO FREE. (n.d.). Clinical & Laboratory Standards Institute. https://em100.edaptivedocs.net/Login.aspx?_ga=2.233738518.963041766.1718217017-1434269982.1661534510&inIframe=yes&fromz=yes