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Rapid diagnostic testing for antimicrobial stewardship: Utility in Asia Pacific

Authors :
Apisarnthanarak, Anucha
Kim, Hong Bin
Moore, Luke
Xiao, Yonghong
Singh, Sanjeev
Doi, Yohei
Kwa, Andrea Lay-Hoon
Sri La Sri Ponnampalavanar, Sasheela
Cao, Qing
Kim, Shin-Woo
Lee, Hyukmin
Santanirand, Pitak
Source :
Infection Control & Hospital Epidemiology; July 2021, Vol. 42 Issue: 7 p864-868, 5p
Publication Year :
2021

Abstract

AbstractRapid diagnostic testing (RDT) can provide prompt, accurate identification of infectious organisms and be a key component of antimicrobial stewardship (AMS) programs. However, their use is less widespread in Asia Pacific than western countries. Cost can be prohibitive, particularly in less resource-replete settings. A selective approach is required, possibly focusing on the initiation of antimicrobials, for differentiating bacterial versus viral infections and identifying locally relevant tropical diseases. Across Asia Pacific, more data are needed on RDT use within AMS, focusing on the impact on antimicrobial usage, patient morbidity and mortality, and cost effectiveness. Moreover, in the absence of formal guidelines, regional consensus statements to guide clinical practice are warranted. These will provide a regionally relevant definition for RDT; greater consensus on its role in managing infections; advice on implementation and overcoming barriers; and guidance on optimizing human resource capacity. By addressing these issues, the outcomes of AMS programs should improve.

Details

Language :
English
ISSN :
0899823X and 15596834
Volume :
42
Issue :
7
Database :
Supplemental Index
Journal :
Infection Control & Hospital Epidemiology
Publication Type :
Periodical
Accession number :
ejs57092654
Full Text :
https://doi.org/10.1017/ice.2021.149