An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID)

被引：63

作者：

Dik, Jan-Willem H. ^{[1
]}

Poelman, Randy ^{[2
]}

Friedrich, Alexander W. ^{[3
]}

Panday, Prashant Nannan ^{[4
]}

Lo-Ten-Foe, Jerome R. ^{[1
]}

van Assen, Sander ^{[5
]}

van Gemert-Pijnen, Julia E. W. C. ^{[6
]}

Niesters, Hubert G. M. ^{[2
]}

Hendrix, Ron ^{[1
,7
]}

Sinha, Bhanu ^{[1
]}

机构：

[1] Univ Groningen, Univ Med Ctr Groningen, Dept Med Microbiol, Clin Bacteriol Unit, Groningen, Netherlands

[2] Univ Groningen, Univ Med Ctr Groningen, Dept Med Microbiol, Clin Virol Unit, Groningen, Netherlands

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Med Microbiol, Infect Prevent Unit, Groningen, Netherlands

[4] Univ Groningen, Univ Med Ctr Groningen, Dept Clin Pharm, Groningen, Netherlands

[5] Univ Groningen, Univ Med Ctr Groningen, Dept Internal Med, Groningen, Netherlands

[6] Univ Twente, Fac Behav Management & Social Sci, Dept Psychol Hlth & Technol, Enschede, Netherlands

[7] Certe Lab Infect Dis, Groningen, Netherlands

来源：

FUTURE MICROBIOLOGY | 2016年 / 11卷 / 01期

关键词：

antimicrobial resistance; antimicrobial stewardship; diagnostic stewardship; infection management; infection prevention stewardship; personalized treatment; point-of-impact testing; ENTEROVIRUS D68; GUIDELINES; IMPROVE; DUTCH; OUTBREAK; DISEASES; PROGRAM; SUPPORT; BUNDLE; NURSES;

D O I：

10.2217/fmb.15.99

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

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.

引用

页码：93 / 102

页数：10

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