Publication: Rapid diagnostic testing for antimicrobial stewardship: Utility in Asia Pacific
Issued Date
2021-07-01
Resource Type
ISSN
15596834
0899823X
0899823X
Other identifier(s)
2-s2.0-85108105565
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Mahidol University
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SCOPUS
Bibliographic Citation
Infection Control and Hospital Epidemiology. Vol.42, No.7 (2021), 864-868
Suggested Citation
Anucha Apisarnthanarak, Hong Bin Kim, Luke Moore, Yonghong Xiao, Sanjeev Singh, Yohei Doi, Andrea Lay Hoon Kwa, Sasheela Sri La Sri Ponnampalavanar, Qing Cao, Shin Woo Kim, Hyukmin Lee, Pitak Santanirand Rapid diagnostic testing for antimicrobial stewardship: Utility in Asia Pacific. Infection Control and Hospital Epidemiology. Vol.42, No.7 (2021), 864-868. doi:10.1017/ice.2021.149 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78084
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Title
Rapid diagnostic testing for antimicrobial stewardship: Utility in Asia Pacific
Other Contributor(s)
Ramathibodi Hospital
The State Key Laboratory for Diagnosis and Treatment of Infectious Diseases
Imperial College Healthcare NHS Trust
Seoul National University Bundang Hospital
Duke-NUS Medical School
Shanghai Children's Medical Center
Chelsea and Westminster Hospital NHS Foundation Trust
Fujita Health University School of Medicine
Thammasat University Hospital
Universiti Malaya
Kyungpook National University Hospital
Singapore General Hospital
Yonsei University College of Medicine
Imperial College London
Amrita Institute of Medical Sciences India
University of Pittsburgh School of Medicine
The Korean Society for Preventive Medicine
The State Key Laboratory for Diagnosis and Treatment of Infectious Diseases
Imperial College Healthcare NHS Trust
Seoul National University Bundang Hospital
Duke-NUS Medical School
Shanghai Children's Medical Center
Chelsea and Westminster Hospital NHS Foundation Trust
Fujita Health University School of Medicine
Thammasat University Hospital
Universiti Malaya
Kyungpook National University Hospital
Singapore General Hospital
Yonsei University College of Medicine
Imperial College London
Amrita Institute of Medical Sciences India
University of Pittsburgh School of Medicine
The Korean Society for Preventive Medicine
Abstract
Rapid diagnostic testing (RDT) can provide prompt, accurate identification of infectious organisms and be a key component of antimicrobial stewardship (AMS) programs. However, their use is less widespread in Asia Pacific than western countries. Cost can be prohibitive, particularly in less resource-replete settings. A selective approach is required, possibly focusing on the initiation of antimicrobials, for differentiating bacterial versus viral infections and identifying locally relevant tropical diseases. Across Asia Pacific, more data are needed on RDT use within AMS, focusing on the impact on antimicrobial usage, patient morbidity and mortality, and cost effectiveness. Moreover, in the absence of formal guidelines, regional consensus statements to guide clinical practice are warranted. These will provide a regionally relevant definition for RDT; greater consensus on its role in managing infections; advice on implementation and overcoming barriers; and guidance on optimizing human resource capacity. By addressing these issues, the outcomes of AMS programs should improve.