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Shionogi has collaborated with institutions to develop a panel of clinical isolates for laboratories to perform verification of unmodified
FDA-cleared tests according to the specifications set forth by the manufacturer, and well as validation that a laboratory-developed or modified FDA-cleared test method or instrument system delivers reliable results. The CLSI M52 document provides recommendations for verifying that such tests meet regulatory and quality assurance standards. Additional expert guidance on verification is provided in a toolkit developed by the Association of Public Health Laboratories

Verification/Validation Isolates

Isolates Included in Available Cefiderocol Verification Panels 

LSI verification isolates for cefiderocol CDC antimicrobial resistance isolate bank
Escherichia coli
Enterobacter cloacae
Klebsiella pneumoniae
Proteus mirabilis
Serratia marcescens
Pseudomonas aeruginosa
Acinetobacter baumannii
Stenotrophomonas maltophilia

CDC=US Centers for Disease Control and Prevention; LSI=Laboratory Specialists, Inc.

LSI Verification Isolates for Cefiderocol

This cefiderocol panel is available at no cost to the laboratory

CDC Antimicrobial Resistance Isolate Bank

This cefiderocol panel is available for only the cost of shipping 

Reading Methods and Zone of Inhibition/MIC Results

How to Interpret Results for the LSI Cefiderocol Verification Panel

Cefiderocol MIC and zone results for both susceptible and nonsusceptible
Gram-negative isolates

Zone of Inhibition Results for LSI Cefiderocol Verification Isolates

Summary of disk diffusion results for Gram-negative isolates in the LSI verification isolate set 

MIC Results for LSI Cefiderocol Verification Isolates

Summary of broth microdilution results for Gram-negative isolates in the LSI verification isolate set 

General Antimicrobial Susceptibility Testing Guidance

Association of Public Health Laboratories Verification and Validation Toolkit

Expert guidance to help laboratories distinguish between validation and verification, determine when and how to perform each, and ensure new or modified test methods meet CLIA and other regulatory requirements

Abbreviations: CDC=US Centers for Disease Control and Prevention; CLIA=Clinical Laboratory Improvement Amendments; CLSI=Clinical and Laboratory Standards Institute; FDA=US Food and Drug Administration; LSI=Laboratory Specialists, Inc.