Leveraging diagnostic stewardship within antimicrobial stewardship programmes

KC Claeys, MD Johnson - Drugs in Context, 2023‏ - pmc.ncbi.nlm.nih.gov
Novel diagnostic stewardship in infectious disease consists of interventions that modify
ordering, processing, and reporting of diagnostic tests to provide the right test for the right …

Clinical decision support systems and their role in antibiotic stewardship: a systematic review

B Rittmann, MP Stevens - Current infectious disease reports, 2019‏ - Springer
Abstract Purpose of Review The purpose of this article is to perform a systematic review over
the past 5 years on the role and effectiveness of clinical decision support systems (CDSSs) …

Assessment of the appropriateness of antimicrobial use in US hospitals

SS Magill, E O'Leary, SM Ray, MA Kainer… - JAMA network …, 2021‏ - jamanetwork.com
Importance Hospital antimicrobial consumption data are widely available; however, large-
scale assessments of the quality of antimicrobial use in US hospitals are limited. Objective …

Optimal urine culture diagnostic stewardship practice—results from an expert modified-Delphi procedure

KC Claeys, BW Trautner, S Leekha… - Clinical Infectious …, 2022‏ - academic.oup.com
Background Urine cultures are nonspecific and often lead to misdiagnosis of urinary tract
infection and unnecessary antibiotics. Diagnostic stewardship is a set of procedures that …

Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics

HK Singh, KC Claeys, SD Advani, YJ Ballam… - Infection Control & …, 2024‏ - cambridge.org
Diagnostic stewardship seeks to improve ordering, collection, performance, and reporting of
tests. Test results play an important role in reportable HAIs. The inclusion of HAIs in public …

Applying diagnostic stewardship to proactively optimize the management of urinary tract infections

F Morado, DW Wong - Antibiotics, 2022‏ - mdpi.com
A urinary tract infection is amongst the most common bacterial infections in the community
and hospital setting and accounts for an estimated 1.6 to 2.14 billion in national healthcare …

Performance of urinalysis parameters in predicting urinary tract infection: does one size fit all?

SD Advani, R North, NA Turner… - Clinical Infectious …, 2024‏ - academic.oup.com
In a multihospital cohort study of 3392 patients, positive urinalysis parameters had poor
positive predictive value for diagnosing urinary tract infection (UTI). Combined urinalysis …

Behavioral strategies in diagnostic stewardship

SD Advani, K Claeys - Infectious Disease Clinics, 2023‏ - id.theclinics.com
Diagnostic stewardship refers to the practice of optimizing the selection, utilization, and
interpretation of diagnostic tests to improve patient outcomes and reduce unnecessary …

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

TSN Ku, M Al Mohajer, JA Newton… - Infection Control & …, 2023‏ - cambridge.org
Antimicrobial stewardship programs (ASPs) exist to optimize antibiotic use, reduce selection
for antimicrobial-resistant microorganisms, and improve patient outcomes. Rapid and …

Using clinical decision support to improve urine culture diagnostic stewardship, antimicrobial stewardship, and financial cost: a multicenter experience

KJ Watson, B Trautner, H Russo, K Phe… - Infection Control & …, 2020‏ - cambridge.org
Objective: Despite evidence to the contrary, many practitioners continue to inappropriately
screen for and treat bacteria in the urine of clinically asymptomatic patients. The purpose of …