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Future Microbiol. 2016;11(1):93-102. doi: 10.2217/fmb.15.99. Epub 2015 Sep 1.

An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID).

Author information

1
Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
2
Clinical Virology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
3
Infection Prevention Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
4
Department of Clinical Pharmacy, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
5
Department of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
6
Department of Psychology Health & Technology, Faculty Behavioral, Management & Social Sciences, University of Twente, Enschede, The Netherlands.
7
Certe Laboratory for Infectious Diseases, Groningen, The Netherlands.

Abstract

Considering the threat of antimicrobial resistance and the difficulties it entails in treating infections, it is necessary to cross borders and approach infection management in an integrated, multidisciplinary manner. We propose the antimicrobial, infection prevention and diagnostic stewardship model comprising three intertwined programs: antimicrobial, infection prevention and diagnostic stewardship, involving all stakeholders. The focus is a so-called 'theragnostics' approach. This leads to a personalized infection management plan, improving patient care and minimizing resistance development. Furthermore, it is important that healthcare regions nationally and internationally work together, ensuring that the patient (and microorganism) transfers will not cause problems in a neighboring institution. This antimicrobial, infection prevention and diagnostic stewardship model can serve as a blue print to implement innovative, integrative infection management.

KEYWORDS:

antimicrobial resistance; antimicrobial stewardship; diagnostic stewardship; infection management; infection prevention stewardship; personalized treatment; point-of-impact testing

PMID:
26323589
DOI:
10.2217/fmb.15.99
[Indexed for MEDLINE]
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