Principles of diagnostic stewardship: a practical guide from the Society for Healthcare Epidemiology of America Diagnostic Stewardship Task Force

V Fabre, A Davis, DJ Diekema, B Granwehr… - Infection Control & …, 2023 - cambridge.org
We provide an overview of diagnostic stewardship with key concepts that include the
diagnostic pathway and the multiple points where interventions can be implemented …

Diagnosis, management, and outcomes of pediatric tracheostomy‐associated infections: A scoping review

JM Morrison, A Hassan, L Kysh, RA Dudas… - Pediatric …, 2022 - Wiley Online Library
Background Children with tracheostomy are frequently admitted to the hospital for
tracheostomy‐associated respiratory infections (TRAINs). However, there remains a paucity …

The foundation for the microbiology laboratory's essential role in diagnostic stewardship: an ASM Laboratory Practices Subcommittee report

RE Dumm, EM Marlowe, L Patterson… - Journal of clinical …, 2024 - journals.asm.org
Diagnostic stewardship (DxS) has gained traction in recent years as a cross-disciplinary
method to improve the quality of patient care while appropriately managing resources within …

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the bright STAR …

CZ Woods-Hill, EA Colantuoni, DW Koontz… - JAMA …, 2022 - jamanetwork.com
Importance Blood culture overuse in the pediatric intensive care unit (PICU) can lead to
unnecessary antibiotic use and contribute to antibiotic resistance. Optimizing blood culture …

Improving antimicrobial use through better diagnosis: the relationship between diagnostic stewardship and antimicrobial stewardship

TSN Ku, M Al Mohajer, JA Newton… - Infection Control & …, 2023 - cambridge.org
Antimicrobial stewardship programs (ASPs) exist to optimize antibiotic use, reduce selection
for antimicrobial-resistant microorganisms, and improve patient outcomes. Rapid and …

Association of endotracheal aspirate culture variability and antibiotic use in mechanically ventilated pediatric patients

A Prinzi, SK Parker, C Thurm, M Birkholz… - JAMA network …, 2021 - jamanetwork.com
Importance Endotracheal aspirate cultures are commonly collected from patients with
mechanical ventilation to evaluate for ventilator-associated pneumonia or tracheitis …

Impact of organism reporting from endotracheal aspirate cultures on antimicrobial prescribing practices in mechanically ventilated pediatric patients

AM Prinzi, RL Wattier, DJ Curtis, SI Ziniel… - Journal of clinical …, 2022 - Am Soc Microbiol
Endotracheal aspirate cultures (EACs) help diagnose lower respiratory tract infections in
mechanically ventilated patients but are limited by contamination with normal microbiota and …

Healthcare providers consistently overestimate the diagnostic probability of ventilator-associated pneumonia

NS Soper, OR Albin - Infection Control & Hospital Epidemiology, 2023 - cambridge.org
Objective: To assess the accuracy of provider estimates of ventilator-associated pneumonia
(VAP) diagnostic probability in various clinical scenarios. Design: We conducted a clinical …

Low diagnostic utility of frequent serial tracheal aspirate cultures in the PICU

E Feldman, SS Shah, D Ahn - Pediatric Critical Care Medicine, 2023 - journals.lww.com
OBJECTIVES: To determine the diagnostic outcomes of serial tracheal aspirate cultures
(TACs) in the PICU. DESIGN: A retrospective chart review of TAC utilization was performed …

A novel comprehensive algorithm for evaluation of PICU patients with new fever or instability

AC Sick-Samuels, LD Booth, AM Milstone… - Pediatric Critical Care …, 2023 - journals.lww.com
OBJECTIVES: There is variation in microbiology testing among PICU patients with fever
offering opportunities to reduce avoidable testing and treatment. Our objective is to describe …