Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics.

Brandy M Hoyt, Kevin Messacar, Anna C Sick-Samuels, Preeti Jaggi, Stacey L Hamilton, Sarah Janelle, Sarah K Parker
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引用次数: 0

Abstract

Advancement of antimicrobial stewardship (AS) programs requires partnership with clinicians, quality assurance teams, and laboratorians. Inevitably, AS programs also practice diagnostic stewardship (DS), as stewards are aptly placed to connect key stakeholders and help steer processes toward higher value care for pediatric patients. In this review, we illustrate five moments of collaboration between stakeholders in the interplay between AS and DS in pediatrics. These moments include (1) Observation, (2) Reflection, (3) Exploration, (4) Enactment and (5) Evaluation. We offer a targeted narrative of examples in current literature using common relatable scenarios (ie, endotracheal aspirates, blood cultures, gastrointestinal samples, and urine testing) including impact on financial and environmental waste.

合作机会:儿科抗菌剂和诊断管理之间的协同作用。
推进抗菌药物管理(AS)计划需要与临床医生、质量保证团队和实验室合作。不可避免地,AS项目也实行诊断管理(DS),因为管理人员被适当地安置在联系关键利益相关者和帮助引导过程向儿科患者提供更高价值的护理。在这篇综述中,我们阐述了在儿科AS和DS之间相互作用的利益相关者之间的五个合作时刻。这些时刻包括(1)观察,(2)反思,(3)探索,(4)制定和(5)评估。我们提供了当前文献中使用常见相关场景(即气管内抽吸、血液培养、胃肠道样本和尿液测试)的例子的有针对性的叙述,包括对经济和环境浪费的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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