Optimizing rapid diagnostics and diagnostic stewardship in Gram-negative bacteremia

Pharmacotherapy. 2021 Aug;41(8):676-685. doi: 10.1002/phar.2606. Epub 2021 Jun 29.

Abstract

Antimicrobial resistance remains a high global concern, as it is associated with prolonged hospitalizations, increased morbidity and mortality, and escalating healthcare-related costs. Rapid diagnostic technology (RDT) has become the cornerstone in achieving prompt blood culture results providing a quicker initiation of optimal therapy, decreased mortality, and decreased spread of resistance. To maximize the benefits of RDTs, antimicrobial stewardship programs must implement a diagnostic stewardship (DS) subgroup to optimize communication, education, and interpretation of RDT results within the healthcare system. The DS subgroup is necessary to evaluate the technologies available, better integrate the selected technologies into the healthcare system, and develop innovative and appropriate use to improve patient outcomes.

Keywords: antimicrobial stewardship; bacteremia; bacterial proteins; multiplex polymerase chain reaction; rapid diagnostic technology.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antimicrobial Stewardship
  • Bacteremia* / diagnosis
  • Bacteremia* / drug therapy
  • Humans

Substances

  • Anti-Bacterial Agents