An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID). (January 2016)

• Record Type: Journal Article
• Authors: Dik, Jan-Willem H; Poelman, Randy; Friedrich, Alexander W; Panday, Prashant Nannan; Lo-Ten-Foe, Jerome R; Assen, Sander van; van Gemert-Pijnen, Julia EWC; Niesters, Hubert GM; Hendrix, Ron; Sinha, Bhanu
• Is Part Of: Future microbiology. Volume 11:Number 1(2016:Jan.)
• Page Start: 93
• Page End: 102
• Publication Date: 2016-01
• Subjects: antimicrobial resistance -- antimicrobial stewardship -- diagnostic stewardship -- infection management -- infection prevention stewardship -- personalized treatment -- point-of-impact testing; Microbiology -- Research -- Periodicals; 616.9041
• DOI: 10.2217/fmb.15.99
• Languages: English
• ISSNs: 1746-0913

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.