Journal article
Diagnostic stewardship and the coronavirus disease 2019 (COVID-19) pandemic: Lessons learned for prevention of emerging infectious diseases in acute-care settings
Infection control and hospital epidemiology, Vol.45(3), pp.277-283
03/2024
DOI: 10.1017/ice.2023.195
PMID: 37933951
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has demonstrated the importance of stewardship of viral diagnostic tests to aid infection prevention efforts in healthcare facilities. We highlight diagnostic stewardship lessons learned during the COVID-19 pandemic and discuss how diagnostic stewardship principles can inform management and mitigation of future emerging pathogens in acute-care settings. Diagnostic stewardship during the COVID-19 pandemic evolved as information regarding transmission (eg, routes, timing, and efficiency of transmission) became available. Diagnostic testing approaches varied depending on the availability of tests and when supplies and resources became available. Diagnostic stewardship lessons learned from the COVID-19 pandemic include the importance of prioritizing robust infection prevention mitigation controls above universal admission testing and considering preprocedure testing, contact tracing, and surveillance in the healthcare facility in certain scenarios. In the future, optimal diagnostic stewardship approaches should be tailored to specific pathogen virulence, transmissibility, and transmission routes, as well as disease severity, availability of effective treatments and vaccines, and timing of infectiousness relative to symptoms. This document is part of a series of papers developed by the Society of Healthcare Epidemiology of America on diagnostic stewardship in infection prevention and antibiotic stewardship.1.
Details
- Title: Subtitle
- Diagnostic stewardship and the coronavirus disease 2019 (COVID-19) pandemic: Lessons learned for prevention of emerging infectious diseases in acute-care settings
- Creators
- Lauren Epstein - Atlanta VA Health Care SystemDaniel J Diekema - University of IowaDaniel J Morgan - University of Maryland, BaltimoreMohamad G Fakih - Wayne State UniversityFrancesca Lee - The University of Texas Southwestern Medical CenterLindsey Gottlieb - Emory UniversityElizabeth Leung - St. Michael's HospitalChristina Yen - The University of Texas Southwestern Medical CenterKaede V Sullivan - Temple University Health SystemMary K Hayden - Rush University
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.45(3), pp.277-283
- DOI
- 10.1017/ice.2023.195
- PMID
- 37933951
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Language
- English
- Electronic publication date
- 11/07/2023
- Date published
- 03/2024
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984507155502771
Metrics
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