REVISED MAY 1999 Antibiotic Susceptibility Testing: Genital Tract Isolates
The Ontario Association of Medical Laboratories’ (OAML) Guidelines on Antibiotic Susceptibility Testing have been developed to provide ordering physicians with a clear and concise reference respecting the testing and reporting of microbiological susceptibilities for patients in the community. It should be recognized that resistance patterns will change and that the guidelines will be subject to periodic revision. The guidelines represent the consensus thinking of a panel of experts in the field of microbiology and, while they are generally applicable, they are no substitute for sound clinical judgement. Microbiological susceptibility testing is performed with reference to National Committee for Clinical Laboratory Standards (NCCLS) standards* and in keeping with the recommendations of the Laboratory Proficiency Testing Program.
Recommendations: Syndrome Appropriate Major Pathogens Susceptibility Test Test and Report Specimen Required Vulvovaginitis N. gonorrhoeae:?-lactamase test
?Neisseria gonorrhoeae (only in pre- Urethritis/ N. gonorrhoeae:?-lactamase test
Cervicitis Endometritis N. gonorrhoeae:?-lactamase test
Bartholinitis N. gonorrhoeae:?-lactamase test
Genital Ulcers
for testing of H. ducreyi. Refer to
* Performance Standards for Antimicrobial Susceptibility Testing, NCCLS Document M100-S9, Performance Standards for Antimicrobial Disk Susceptibility Tests, NCCLS Document M2-A6 and Methods for Dilution Antimicrobial Susceptibility for Bacteria that Grow Aerobically, NCCLS Document M7-A4.
The Ontario Association of Medical Laboratories
The Ontario Association of Medical Laboratories (OAML) represents the community-based laboratory sector in Ontario. Its mission is to promote excellence in the provision of laboratory services and, as an essential component of the health care system, to contribute to shaping the future of health care in Ontario. The OAML encourages the highest level of professional and ethical integrity and technical excellence among laboratory owners, operators and staff in the provision of laboratory services for the benefit of the people of Ontario. Guidelines for Clinical Laboratory Practice
The OAML, through its Quality Assurance and
physicians. There may be additional educational
Clinical Laboratory Practice Committee, co-ordinates
materials produced, if it is thought that they might be
the development and dissemination, implementation
useful, and these are distributed with the guideline.
and evaluation of Guidelines for Clinical Laboratory
The comments of end users are essential to the
development of guidelines which will encourage
A proposed Guideline is developed by a working
adherence. You are strongly encouraged to submit
group of the Committee with the participation of
your comments on this or on any other OAML
outside experts. The proposed guideline is then
submitted to the Committee as a whole and to a
Professional Advisory Group who provide an overall
review of the document. The comments of the
Quality Assurance and Clinical Laboratory Practice
Committee and the Professional Advisory Group are
incorporated into a revision of the guideline and this
Ontario Association of Medical Laboratories
draft is submitted to laboratory Medical Directors,
professional associations and other representatives of
end users for additional comment. The document is
revised in light of these comments and submitted to
the OAML Board of Directors for approval.
Approved guidelines are distributed to Community-
based Laboratories and by them to their client
Members of the Expert Panel
Mount Sinai Hospital and The Toronto Medical
Head, Division of Microbiology and Immunology
Sunnybrook and Women’s College Health Sciences Centre,
The OAML gratefully acknowledges the contributions of the members of the Expert Panel and others who have contributed
their expertise, advice and technical support to the development and review of this guideline. This guideline has been
reviewed by and comments have been received from representatives of the Laboratory Medicine, Geriatrics and General and
Family Practice Sections of the Ontario Medical Association and of the Laboratory Proficiency Testing Program of the
Clinical Audit The Dove Clinic for Integrated Medicine September 2006 – December 2007 We see many different diseases and disorders in our clinic. They are mostly chronic conditions for which conventional medicine is either unable to help, or the conventional treatments are unacceptable due to side effects, or conventional medicine has only helped to some extent. We audit all our c
Infertility Benefits at a Glance This document is a general overview of covered benefits for infertility services under BlueCare and Century Preferred Health Plans as described in Public Act 05-196. For purposes of this overview, infertility means the condition of a presumably healthy individual who is unable to conceive or produce conception or sustain a successful pregnancy during a
REVISED MAY 1999