| Literature DB >> 35168711 |
Anna C Sick-Samuels1, Charlotte Woods-Hill2.
Abstract
In the pediatric intensive care unit (PICU), clinicians encounter complex decision making, balancing the need to treat infections promptly against the potential harms of antibiotics. Diagnostic stewardship is an approach to optimize microbiology diagnostic test practices to reduce unnecessary antibiotic treatment. We review the evidence for diagnostic stewardship of blood, endotracheal, and urine cultures in the PICU. Clinicians should consider 3 questions applying diagnostic stewardship: (1) Does the patient have signs or symptoms of an infectious process? (2) What is the optimal diagnostic test available to evaluate for this infection? (3) How should the diagnostic specimen be collected to optimize results?Entities:
Keywords: Diagnostic stewardship; Pediatric intensive care; Sepsis; Urinary tract infection; Ventilator-associated infection
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Year: 2022 PMID： 35168711 PMCID： PMC8865365 DOI： 10.1016/j.idc.2021.11.003
Source DB: PubMed Journal: Infect Dis Clin North Am ISSN： 0891-5520 Impact factor: 5.982