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• W2806913979 abstract "Clinical Insights: Staphylococcus aureus Antibiotic Resistance Role of rapid diagnostics in selecting optimal therapy for Staphylococcus aureus infectionsRichard A Proctor & Drew SmithRichard A ProctorRichard A Proctor is Professor Emeritus in the Departments of Medicine and Medical Microbiology, University of Wisconsin Medical School in Madison (USA), retired from Merck (PA, USA) as the Global Director for Infectious Diseases for Antibiotics and Antifungals, and continues an active consulting career for industry/universities/research funding agencies; collaborating with multiple university professors and companies doing research on staphylococcal infections, new antimicrobials and rapid diagnostics; giving lectures on infectious diseases; and reviewing manuscripts for journals. Most recently, he has been involved in the assessment of staphylococcal vaccine immunology and rapid diagnostics for Staphylococcus aureus infections. His work includes studies of receptors that regulate macrophage activation during endotoxemia, small-colony variants in staphylococcal infections, bacterial energetics, the protective immune response to S. aureus infections, antimicrobial resistance and bloodstream infections caused by small-colony variants of coagulase-negative staphylococci following pacemaker placements.Search for more papers by this author & Drew SmithDrew Smith was a founding scientist at NeXagen (later NeXstar) in CO, USA, where he published the first demonstration of therapeutic efficacy in an animal model of disease by an aptamer drug candidate. He joined MicroPhage (CO, USA) in 2006 as Director of R&D, where his team developed a bacteriophage-based test for S. aureus bloodstream infections, which was recognized by R&D Magazine as one of the top 100 inventions of 2010. As Chief Science Officer and interim CEO, he was responsible for US FDA clearance of MicroPhage’s (CO, USA) KeyPath™ MRSA/MSSA blood culture test. He left MicroPhage in 2012 and is now consulting for biotechnology and in vitro diagnostics start-ups.Search for more papers by this authorPublished Online:9 Jul 2014https://doi.org/10.2217/ebo.13.688AboutSectionsView ArticleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit View chapterAbstract: Summary Staphylococcus aureus infections continue to be a major cause of morbidity and mortality both within and outside of hospitals [1,2]. Many studies have shown that patient outcomes are improved when the best antibiotic therapy can be selected using evidence-based diagnostic tools. This is especially true in critically ill patients where delaying optimal therapy is associated with a dramatic increase in mortality when the best therapy is delayed by just a few hours [3,4]. Of course, optimal therapy means that an antibiotic is chosen that has activity against the infecting organism. For decades, this choice was based primarily on microbial identification, but with the rise of widespread resistance, identification is no longer sufficient to make an informed choice of antimicrobial therapies – susceptibility testing is also required. References1 Gould IM , Reilly J , Bunyan D , Walker A . Costs of healthcare-associated methicillin-resistant Staphylococcus aureus and its control . Clin. Microbiol. Infect. 16 (12) , 1721 – 1728 (2010) . Crossref, Medline, CAS, Google Scholar2 David MZ , Daum RS . Community-associated methicillin-resistant Staphylococcus aureus: Epidemiology and clinical consequences of an emerging epidemic . Clin. Microbiol. Rev. 23 (3) , 616 – 687 (2010) . Crossref, Medline, CAS, Google Scholar3 Barie PS , Hydo LJ , Shou J , Larone DH , Eachempati SR . 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