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快速治疗优化技术。诊断管理。

Rapid techniques for therapeutic optimization. Diagnostic stewardship.

机构信息

Emilia Cercenado, Servicio de Microbiología y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Dr Esquerdo 46; 28007 Madrid, Spain.

出版信息

Rev Esp Quimioter. 2022 Oct;35 Suppl 3(Suppl 3):80-83. doi: 10.37201/req/s03.17.2022. Epub 2022 Oct 24.

DOI:10.37201/req/s03.17.2022
PMID:36285864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9717463/
Abstract

Rapid microbiologic methods provide clinicians with information regarding the causative organisms of infections and their resistance to antimicrobials to optimize patient outcomes and antimicrobial use. Diagnostic stewardship requires that appropriate tests are requested and information is translated into appropriate management. The implementation of rapid techniques also provides collaborative opportunities between antimicrobial stewardship and diagnostic stewardship programs contributing to limiting the spread of antimicrobial resistance, and decreasing mortality, hospital length of stay, and healthcare costs.

摘要

快速微生物学方法为临床医生提供有关感染病原体及其对抗微生物药物的耐药性的信息,以优化患者的治疗效果和抗菌药物的使用。诊断管理需要请求适当的检测,并将信息转化为适当的管理。快速技术的实施还为抗菌药物管理和诊断管理计划之间提供了协作机会,有助于限制抗菌药物耐药性的传播,降低死亡率、住院时间和医疗保健成本。

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本文引用的文献

1
Effect of Gram Stain-Guided Initial Antibiotic Therapy on Clinical Response in Patients With Ventilator-Associated Pneumonia: The GRACE-VAP Randomized Clinical Trial.革兰氏染色指导的初始抗生素治疗对呼吸机相关性肺炎患者临床反应的影响:GRACE-VAP 随机临床试验。
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The Evolving Role of the Clinical Microbiology Laboratory in Identifying Resistance in Gram-Negative Bacteria: An Update.临床微生物学实验室在鉴定革兰氏阴性菌耐药性方面的作用不断演变:更新。
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J Antimicrob Chemother. 2020 Nov 1;75(11):3230-3238. doi: 10.1093/jac/dkaa333.
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Fundamentals and implementation of Microbiological Diagnostic Stewardship Programs.微生物诊断管理计划的基础与实施。
Enferm Infecc Microbiol Clin (Engl Ed). 2021 May;39(5):248-251. doi: 10.1016/j.eimc.2020.02.019. Epub 2020 Mar 29.
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Laboratory Diagnosis of Human Brucellosis.人布鲁氏菌病的实验室诊断。
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Advances in Rapid Molecular Blood Culture Diagnostics: Healthcare Impact, Laboratory Implications, and Multiplex Technologies.快速分子血液培养诊断技术的进展:对医疗保健的影响、实验室意义及多重技术
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A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology.临床微生物实验室诊断感染性疾病的应用指南:美国传染病学会和美国微生物学会 2018 年更新版。
Clin Infect Dis. 2018 Aug 31;67(6):e1-e94. doi: 10.1093/cid/ciy381.
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Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship.快速分子传染病诊断的实施:诊断与抗菌药物管理的作用
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9
Cost Analysis of Implementing Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry Plus Real-Time Antimicrobial Stewardship Intervention for Bloodstream Infections.实施基质辅助激光解吸电离飞行时间质谱联用实时抗菌药物管理干预措施治疗血流感染的成本分析
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10
The Effect of Molecular Rapid Diagnostic Testing on Clinical Outcomes in Bloodstream Infections: A Systematic Review and Meta-analysis.分子快速诊断检测对血流感染临床结局的影响:系统评价和荟萃分析。
Clin Infect Dis. 2017 Jan 1;64(1):15-23. doi: 10.1093/cid/ciw649. Epub 2016 Sep 26.