Department of Pathology, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Department of Pharmacy, Wake Forest Baptist Health, Winston-Salem, NC, USA; Department of Internal Medicine, Section on Infectious Diseases, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Infect Dis Clin North Am. 2020 Mar;34(1):51-65. doi: 10.1016/j.idc.2019.10.006. Epub 2019 Dec 10.
There have been tremendous advances in methodologies available for detection and identification of organisms causing infections. Providers can now obtain identification results and antimicrobial susceptibility results in a shorter period of time. However, declining health care resources highlight the importance of selecting the right test at the right time to maximize diagnostic benefits. Therefore, the role of the antimicrobial stewardship team in the clinical microbiology laboratory has expanded to include diagnostic stewardship and provision of guidance on test selection for diagnosis and management of infection. This review focuses on the experience of our group in collaborative stewardship, emphasizing successes and challenges.
在检测和识别引起感染的生物体的方法方面已经取得了巨大的进展。现在,医疗服务提供者可以在更短的时间内获得鉴定结果和抗菌药物敏感性结果。然而,不断减少的医疗保健资源突出了在正确的时间选择正确的测试以最大程度地提高诊断效果的重要性。因此,抗菌药物管理团队在临床微生物学实验室中的作用已经扩大,包括诊断管理和为诊断和感染管理选择测试提供指导。本综述重点介绍了我们小组在协作管理方面的经验,强调了成功和挑战。