一种综合管理模式：抗菌、感染预防与诊断（AID）
An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID).
作者信息
Dik Jan-Willem H, Poelman Randy, Friedrich Alexander W, Panday Prashant Nannan, Lo-Ten-Foe Jerome R, van Assen Sander, van Gemert-Pijnen Julia E W C, Niesters Hubert G M, Hendrix Ron, Sinha Bhanu
机构信息
Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Clinical Virology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
出版信息
Future Microbiol. 2016;11(1):93-102. doi: 10.2217/fmb.15.99. Epub 2015 Sep 1.
Considering the threat of antimicrobial resistance and the difficulties it entails in treating infections, it is necessary to cross borders and approach infection management in an integrated, multidisciplinary manner. We propose the antimicrobial, infection prevention and diagnostic stewardship model comprising three intertwined programs: antimicrobial, infection prevention and diagnostic stewardship, involving all stakeholders. The focus is a so-called 'theragnostics' approach. This leads to a personalized infection management plan, improving patient care and minimizing resistance development. Furthermore, it is important that healthcare regions nationally and internationally work together, ensuring that the patient (and microorganism) transfers will not cause problems in a neighboring institution. This antimicrobial, infection prevention and diagnostic stewardship model can serve as a blue print to implement innovative, integrative infection management.
考虑到抗菌药物耐药性的威胁及其在治疗感染方面带来的困难，有必要跨越国界，以综合、多学科的方式进行感染管理。我们提出了抗菌、感染预防和诊断管理模型，该模型由三个相互交织的项目组成：抗菌、感染预防和诊断管理，涉及所有利益相关者。重点是一种所谓的“治疗诊断学”方法。这将产生个性化的感染管理计划，改善患者护理并最大限度地减少耐药性的产生。此外，国内和国际的医疗保健区域共同合作非常重要，以确保患者（和微生物）的转移不会在邻近机构引发问题。这种抗菌、感染预防和诊断管理模型可作为实施创新、综合感染管理的蓝图。
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