An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID)
Jan-Willem H Dik1, Randy Poelman2, Alexander W Friedrich3
1Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, 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.
Insights
Antimicrobial resistance requires integrated infection management. A new model combines antimicrobial, infection prevention, and diagnostic stewardship for personalized patient care and reduced resistance.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Antimicrobial resistance (AMR) poses a significant global health threat, complicating infection treatment.
- Current infection management strategies often lack integration and a multidisciplinary approach.
- The need for collaborative, cross-border efforts in combating infectious diseases is paramount.
Purpose of the Study:
- To propose an integrated, multidisciplinary model for infection management.
- To introduce the antimicrobial, infection prevention, and diagnostic stewardship model.
- To promote a 'theragnostics' approach for personalized infection care.
Main Methods:
- Development of a comprehensive stewardship model encompassing three intertwined programs.
- Involvement of all relevant stakeholders in the implementation process.
- Focus on a 'theragnostics' approach for tailored patient management.
Main Results:
- The proposed model facilitates personalized infection management plans.
- Implementation of the model aims to improve patient outcomes.
- The model is designed to minimize the development and spread of antimicrobial resistance.
Conclusions:
- The antimicrobial, infection prevention, and diagnostic stewardship model offers a blueprint for innovative infection management.
- Inter-institutional and international collaboration is crucial for seamless patient and microorganism transfer.
- This integrated approach is essential for effectively addressing the challenges of antimicrobial resistance.
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