An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID).
Considering the threat of antimicrobial resistance and the difficulties it entails in treating infections, it is necessary to cross borders and approach infection management in an integrated, multidisciplinary manner. We propose the antimicrobial, infection prevention and diagnostic stewardship model comprising three intertwined programs: antimicrobial, infection prevention and diagnostic stewardship, involving all stakeholders. The focus is a so-called 'theragnostics' approach. This leads to a personalized infection management plan, improving patient care and minimizing resistance development. Furthermore, it is important that healthcare regions nationally and internationally work together, ensuring that the patient (and microorganism) transfers will not cause problems in a neighboring institution. This antimicrobial, infection prevention and diagnostic stewardship model can serve as a blue print to implement innovative, integrative infection management.
Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Jan-Willem H
JW
Dik
Clinical Virology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Randy
R
Poelman
Infection Prevention Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Alexander W
AW
Friedrich
Department of Clinical Pharmacy, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Prashant Nannan
PN
Panday
Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Jerome R
JR
Lo-Ten-Foe
Department of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Sander
S
van Assen
Department of Psychology Health & Technology, Faculty Behavioral, Management & Social Sciences, University of Twente, Enschede, The Netherlands.
Julia E W C
JE
van Gemert-Pijnen
Clinical Virology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Hubert G M
HG
Niesters
Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.|Certe Laboratory for Infectious Diseases, Groningen, The Netherlands.
Ron
R
Hendrix
Clinical Bacteriology Unit, Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Bhanu
B
Sinha
D000890:Anti-Infective Agents / Q000627:therapeutic use*; D003141:Communicable Diseases / Q000175:diagnosis* / Q000188:drug therapy* / Q000635:transmission; D003955:Diagnostic Tests, Routine / Q000379:methods*; D004352:Drug Resistance, Microbial; D004363:Drug Utilization / Q000592:standards*; D006801:Humans; D017053:Infection Control / Q000379:methods*
D000890:Anti-Infective Agents
antimicrobial resistance; antimicrobial stewardship; diagnostic stewardship; infection management; infection prevention stewardship; personalized treatment; point-of-impact testing