Review of Rapid Diagnostic Tests Used by Antimicrobial Stewardship Programs

被引:190
作者
Bauer, Karri A. [1 ]
Perez, Katherine K. [2 ,3 ,4 ]
Forrest, Graeme N. [5 ]
Goff, Debra A. [1 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Dept Pharm, Columbus, OH 43210 USA
[2] Houston Methodist Hosp, Dept Pharm, Houston, TX USA
[3] Houston Methodist Hosp, Dept Pathol & Genom Med, Houston, TX USA
[4] Houston Methodist Res Inst, Ctr Outcomes Res, Houston, TX USA
[5] Portland VA Med Ctr, Div Infect Dis, Portland, OR USA
关键词
antimicrobial stewardship; rapid diagnostic test; outcomes; costs; IN-SITU HYBRIDIZATION; BLOOD-STREAM INFECTIONS; CLOSTRIDIUM-DIFFICILE INFECTION; FLIGHT MASS-SPECTROMETRY; STAPHYLOCOCCUS-AUREUS; IMPACT; THERAPY; IDENTIFICATION; TIME; BACTEREMIA;
D O I
10.1093/cid/ciu547
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Rapid microbiologic tests provide opportunities for antimicrobial stewardship programs to improve antimicrobial use and clinical and economic outcomes. Standard techniques for identification of organisms require at least 48-72 hours for final results, compared with rapid diagnostic tests that provide final organism identification within hours of growth. Importantly, rapid microbiologic tests are considered "game changers" and represent a significant advancement in the management of infectious diseases. This review focuses on currently available rapid diagnostic tests and, importantly, the impact of rapid testing in combination with antimicrobial stewardship on patient outcomes.
引用
收藏
页码:S134 / S145
页数:12
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