Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship

被引：220

作者：

Messacar, Kevin ^{[1
,2
]}

Parker, Sarah K. ^{[2
]}

Todd, James K. ^{[2
]}

Dominguez, Samuel R. ^{[2
]}

机构：

[1] Univ Colorado Sch Med, Childrens Hosp Colorado, Dept Pediat, Sect Hosp Med, Aurora, CO USA

[2] Univ Colorado Sch Med, Childrens Hosp Colorado, Dept Pediat, Infect Dis Sect, Aurora, CO USA

来源：

JOURNAL OF CLINICAL MICROBIOLOGY | 2017年 / 55卷 / 03期

关键词：

rapid diagnostics; diagnostic stewardship; antimicrobial stewardship; implementation; utilization; appropriate use criteria; MULTICENTER EVALUATION; RANDOMIZED-TRIAL; IDENTIFICATION; PANEL; BLOOD; BACTERIA; CRITERIA; AMERICA; SOCIETY; IMPACT;

D O I：

10.1128/JCM.02264-16

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

New rapid molecular diagnostic technologies for infectious diseases enable expedited accurate microbiological diagnoses. However, diagnostic stewardship and antimicrobial stewardship are necessary to ensure that these technologies conserve, rather than consume, additional health care resources and optimally affect patient care. Diagnostic stewardship is needed to implement appropriate tests for the clinical setting and to direct testing toward appropriate patients. Antimicrobial stewardship is needed to ensure prompt appropriate clinical action to translate faster diagnostic test results in the laboratory into improved outcomes at the bedside. This minireview outlines the roles of diagnostic stewardship and antimicrobial stewardship in the implementation of rapid molecular infectious disease diagnostics.

引用

页码：715 / 723

页数：9

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