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Diagnostic Stewardship in Clinical Microbiology, Essential Partner to Antimicrobial Stewardship.

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BACKGROUND Diagnostic stewardship is an important partner to antimicrobial stewardship. CONTENT Diagnostic stewardship focuses on ensuring correct diagnosis of infectious diseases while antimicrobial stewardship aims to optimize antimicrobial treatment. Both… Click to show full abstract

BACKGROUND Diagnostic stewardship is an important partner to antimicrobial stewardship. CONTENT Diagnostic stewardship focuses on ensuring correct diagnosis of infectious diseases while antimicrobial stewardship aims to optimize antimicrobial treatment. Both aim to improve patient outcomes. Diagnostic stewardship involves interventions that reduce testing in patients with low pretest probability, optimize a test's likelihood ratio, and seek to warn providers when suboptimal test results might have been reported. CONCLUSION Diagnostic stewardship interventions have been described primarily in the areas of urinary tract infection, Clostridioides difficile infection, and bloodstream infection diagnosis. However, emerging areas include pneumonia and wound infections in addition to optimization of multiplexed panel-based testing.

Keywords: partner antimicrobial; stewardship; diagnostic stewardship; microbiology; antimicrobial stewardship

Journal Title: Clinical chemistry
Year Published: 2021

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