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Fundamentals and implementation of Microbiological Diagnostic Stewardship Programs.

Authors
  • Bou, Germán1
  • Cantón, Rafael2
  • Martínez-Martínez, Luis3
  • Navarro, David4
  • Vila, Jordi5
  • 1 Servicio de Microbiología-Instituto de Investigación Biomédica, Complejo Hospitalario Universitario A Coruña, A Coruña, España.
  • 2 Servicio de Microbiología, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España.
  • 3 Unidad de Gestión Clínica de Microbiología, Hospital Universitario Reina Sofía, Departamento de Microbiología, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España.
  • 4 Servicio de Microbiología, Hospital Clínico Universitario, Valencia, España Departamento de Microbiología, Facultad de Medicina, Universitat de València, Valencia, España. Electronic address: [email protected]
  • 5 Servicio de Microbiología, Hospital Clinic, Facultad de Medicina, Universidad de Barcelona, Instituto de Salud Global de Barcelona, Barcelona, España.
Type
Published Article
Journal
Enfermedades infecciosas y microbiologia clinica (English ed.)
Publication Date
May 01, 2021
Volume
39
Issue
5
Pages
248–251
Identifiers
DOI: 10.1016/j.eimc.2020.02.019
PMID: 32234252
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

Microbiological diagnostic stewardship programs promote coordinated measures aimed at optimizing the use of diagnostic techniques, thus favouring the adoption of adequate and cost-effective therapeutic, clinical and preventive decisions. The implementation of microbiological diagnostic stewardship relies upon the creation of multidisciplinary committees led by clinical microbiologists for the design of diagnostic algorithms, the adequacy of the laboratory computer system to monitor the relevance of the requested diagnostic tests, the implementation of a quality control system, the design and performance of studies of cost-effectiveness, the training of the petitioner and the technical and nursing staff and the continuous evaluation of the program. The incorporation of microbiological diagnostic stewardship in routine care reports tangible benefits for the patient while strengthening the pivotal role of the clinical microbiologist in the management of infectious diseases. Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

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