Should repeat testing include any specific antimicrobial agents that might not be included in the routine panel?
Yes. The following additional antimicrobial agents should be tested against VISA and VRSA isolates: Clindamycin, daptomycin, linezolid, quinupristin/dalfopristin, rifampin, and trimethoprim-sulfamethoxazole. The laboratories of the Division of Healthcare Quality Promotion of the Centers for Disease Control and Prevention (CDC) will perform tests for these additional antimicrobial agents. It is essential to send probable isolates of VISA and VRSA to CDC as quickly as possible, even if the laboratory has the capability to test additional agents in-house; to facilitate organism confirmation and enhance infection control efforts. Isolates should be sent to CDC via your local or state health department. CDC may be notified of presumptive VISA/VRSA by sending an email to SEARCH@cdc.gov. Go to: S.E.A.R.C.H.
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