Improving antimicrobial use through better diagnosis: The relationship between diagnostic stewardship and antimicrobial stewardship

Tsun Sheng N Ku; Mayar Al Mohajer; James A Newton; Marie H Wilson; Elizabeth Monsees; Mary K Hayden; Kevin Messacar; Jamie J Kisgen; Daniel J Diekema; Daniel J Morgan; Costi D Sifri; Valerie M Vaughn

doi:10.1017/ice.2023.156

Back

Improving antimicrobial use through better diagnosis: The relationship between diagnostic stewardship and antimicrobial stewardship

Journal article

Open access

Peer reviewed

Improving antimicrobial use through better diagnosis: The relationship between diagnostic stewardship and antimicrobial stewardship

Tsun Sheng N Ku, Mayar Al Mohajer, James A Newton, Marie H Wilson, Elizabeth Monsees, Mary K Hayden, Kevin Messacar, Jamie J Kisgen, Daniel J Diekema, Daniel J Morgan, …

Infection control and hospital epidemiology, Vol.44(12), pp.1901-1908

12/2023

DOI: 10.1017/ice.2023.156

PMID: 37665212

Files and links (1)

url

https://doi.org/10.1017/ice.2023.156View

Published (Version of record) Open Access

Abstract

Executive summary Antimicrobial stewardship programs (ASPs) exist to optimize antibiotic use, reduce selection for antimicrobial-resistant microorganisms, and improve patient outcomes. Rapid and accurate diagnosis is essential to optimal antibiotic use. Because diagnostic testing plays a significant role in diagnosing patients, it has one of the strongest influences on clinician antibiotic prescribing behaviors. Diagnostic stewardship, consequently, has emerged to improve clinician diagnostic testing and test result interpretation. Antimicrobial stewardship and diagnostic stewardship share common goals and are synergistic when used together. Although ASP requires a relationship with clinicians and focuses on person-to-person communication, diagnostic stewardship centers on a relationship with the laboratory and hardwiring testing changes into laboratory processes and the electronic health record. Here, we discuss how diagnostic stewardship can optimize the “Four Moments of Antibiotic Decision Making” created by the Agency for Healthcare Research and Quality and work synergistically with ASPs.

Details

Title: Subtitle: Improving antimicrobial use through better diagnosis: The relationship between diagnostic stewardship and antimicrobial stewardship
Creators: Tsun Sheng N Ku - Rocky Vista University
Mayar Al Mohajer - St. Luke's Hospital
James A Newton
Marie H Wilson - Fred Hutch Cancer Center
Elizabeth Monsees - University of Missouri–Kansas City
Mary K Hayden - Rush University Medical Center
Kevin Messacar - Children's Hospital Colorado
Jamie J Kisgen - Sarasota Memorial Health Care System
Daniel J Diekema - University of Iowa
Daniel J Morgan - University of Maryland, Baltimore
Costi D Sifri - University of Virginia
Valerie M Vaughn - University of Utah
Resource Type: Journal article
Publication Details: Infection control and hospital epidemiology, Vol.44(12), pp.1901-1908
DOI: 10.1017/ice.2023.156
PMID: 37665212
NLM abbreviation: Infect Control Hosp Epidemiol
eISSN: 1559-6834
Language: English
Electronic publication date: 09/04/2023
Date published: 12/2023
Academic Unit: Infectious Diseases; Internal Medicine
Record Identifier: 9984461804502771

Metrics

8 Record Views

11 Times Cited - Web of Science