• Dtsch. Med. Wochenschr. · Mar 2024

    [Diagnostic stewardship in outpatient and hospital medicine with focus on microbiological urinary and bloodstream diagnostics].

    • Reinhard Bornemann, Johannes Hartmann, Olaf Kaup, Michael Probst-Kepper, and Christiane Scherer.
    • Innere Klinik, Universitätsklinikum OWL, Campus Klinikum Bielefeld und AG 2, Fakultät für Gesundheitswissenschaften, Universität Bielefeld.
    • Dtsch. Med. Wochenschr. 2024 Mar 1; 149 (5): 231239231-239.

    AbstractTargeted infection diagnosis supports decision-making in the rational use of antibiotics usually encompassed as Antibiotic Stewardship (ABS). Similar to ABS, the term "Diagnostic Stewardship" (DGS) is suggested, whereas DGS includes, beneath general, predominantly microbiological infection diagnostics - with specific pathogen detection, conventional via culture or immunology, increasingly also using molecular biological methods. Especially in microbiology, pre-analytics, analytics and post-analytics play an essential role. Pathogen characterization is accompanied by an antimicrobial susceptibility test (with S-I-R classification), which deserves special attention, especially in the context of ABS. All of these aspects are dealt with in this work and represented using two practical examples of urinary and bloodstream diagnostics that are relevant for outpatients and inpatients.Thieme. All rights reserved.

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