ArticleOpen forum infectious diseases2026
Slow Thinking for Fast Results: Reclaiming Analytical Reasoning in Antimicrobial Susceptibility Test Interpretation.
Article in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Antimicrobial susceptibility testing (AST) is the basis of directed antimicrobial therapy and stewardship. However, its interpretation frequently relies on rapid and intuitive judgment, rather than on deliberate analytical reasoning. Using Kahneman's dual-process theory of cognition, we argue that AST interpretation is particularly vulnerable to system 1 heuristic bias, especially in real clinical environments. Using illustrative examples from contemporary resistance scenarios, such as extended-spectrum β-lactamase-producing Enterobacterales and multidrug-resistant
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