Department of Pharmacy, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Department of Medicine, University of Utah, 30 North 1900 East, Salt Lake City, UT 84132, USA.
Med Clin North Am. 2018 Sep;102(5):899-911. doi: 10.1016/j.mcna.2018.05.004. Epub 2018 Jul 14.
Rapid diagnostic testing has improved clinical care of patients with infectious syndromes when combined with antimicrobial stewardship. The authors review the current data on antimicrobial stewardship and rapid diagnostic testing in bloodstream, respiratory tract, and gastrointestinal tract infections. Evidence for the potential benefit of rapid tests in bloodstream infections seems strong, respiratory tract infections mixed, and gastrointestinal tract infections still evolving. The authors also review future directions in rapid diagnostic testing and suggest areas of focus for antimicrobial stewardship efforts.
快速诊断检测与抗菌药物管理相结合,改善了感染综合征患者的临床护理。作者综述了目前关于血流感染、呼吸道感染和胃肠道感染中抗菌药物管理和快速诊断检测的相关数据。快速检测在血流感染方面的潜在获益似乎较强,而在呼吸道感染方面则好坏参半,在胃肠道感染方面仍在不断发展。作者还综述了快速诊断检测的未来方向,并提出了抗菌药物管理工作的重点关注领域。