Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics
Advancement of antimicrobial stewardship (AS) programs requires partnership with clinicians, quality assurance teams, and laboratorians. Inevitably, AS programs also practice diagnostic stewardship (DS), as stewards are aptly placed to connect key stakeholders and help steer processes toward higher...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X24004649/type/journal_article |
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| author | Brandy M. Hoyt Kevin Messacar Anna C. Sick-Samuels Preeti Jaggi Stacey L. Hamilton Sarah Janelle Sarah K. Parker |
| author_facet | Brandy M. Hoyt Kevin Messacar Anna C. Sick-Samuels Preeti Jaggi Stacey L. Hamilton Sarah Janelle Sarah K. Parker |
| author_sort | Brandy M. Hoyt |
| collection | DOAJ |
| description | Advancement of antimicrobial stewardship (AS) programs requires partnership with clinicians, quality assurance teams, and laboratorians. Inevitably, AS programs also practice diagnostic stewardship (DS), as stewards are aptly placed to connect key stakeholders and help steer processes toward higher value care for pediatric patients. In this review, we illustrate five moments of collaboration between stakeholders in the interplay between AS and DS in pediatrics. These moments include (1) Observation, (2) Reflection, (3) Exploration, (4) Enactment and (5) Evaluation. We offer a targeted narrative of examples in current literature using common relatable scenarios (ie, endotracheal aspirates, blood cultures, gastrointestinal samples, and urine testing) including impact on financial and environmental waste. |
| format | Article |
| id | doaj-art-46ed67b30cf941dd88a2d084c3e5707a |
| institution | Kabale University |
| issn | 2732-494X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj-art-46ed67b30cf941dd88a2d084c3e5707a2025-02-07T09:18:08ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2025-01-01510.1017/ash.2024.464Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatricsBrandy M. Hoyt0https://orcid.org/0009-0009-4058-5836Kevin Messacar1Anna C. Sick-Samuels2https://orcid.org/0000-0002-9247-9340Preeti Jaggi3Stacey L. Hamilton4Sarah Janelle5Sarah K. Parker6https://orcid.org/0000-0001-9543-0158Department of Pediatrics, Section of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USADepartment of Pediatrics, Section of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA Section of Infectious Diseases, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USADepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore MD, USADepartment of Pediatrics, Division of Pediatric Infectious Disease, Children’s Healthcare of Atlanta, Atlanta, GA, USA Department of Pediatrics, Division of Pediatric Infectious Disease, Emory University School of Medicine, Atlanta, GA, USADepartment of Pathology and Laboratory Medicine, Children’s Hospital Colorado, Aurora, CO, USADepartment of Epidemiology, Children’s Hospital Colorado, Aurora, CO, USASection of Infectious Diseases, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USAAdvancement of antimicrobial stewardship (AS) programs requires partnership with clinicians, quality assurance teams, and laboratorians. Inevitably, AS programs also practice diagnostic stewardship (DS), as stewards are aptly placed to connect key stakeholders and help steer processes toward higher value care for pediatric patients. In this review, we illustrate five moments of collaboration between stakeholders in the interplay between AS and DS in pediatrics. These moments include (1) Observation, (2) Reflection, (3) Exploration, (4) Enactment and (5) Evaluation. We offer a targeted narrative of examples in current literature using common relatable scenarios (ie, endotracheal aspirates, blood cultures, gastrointestinal samples, and urine testing) including impact on financial and environmental waste.https://www.cambridge.org/core/product/identifier/S2732494X24004649/type/journal_article |
| spellingShingle | Brandy M. Hoyt Kevin Messacar Anna C. Sick-Samuels Preeti Jaggi Stacey L. Hamilton Sarah Janelle Sarah K. Parker Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics Antimicrobial Stewardship & Healthcare Epidemiology |
| title | Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics |
| title_full | Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics |
| title_fullStr | Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics |
| title_full_unstemmed | Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics |
| title_short | Opportunities for collaboration: the synergy between antimicrobial and diagnostic stewardship in pediatrics |
| title_sort | opportunities for collaboration the synergy between antimicrobial and diagnostic stewardship in pediatrics |
| url | https://www.cambridge.org/core/product/identifier/S2732494X24004649/type/journal_article |
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