Rapid diagnostic testing for antimicrobial stewardship: Utility in Asia Pacific

Apisarnthanarak, A. and Kim, H.B. and Moore, L. and Xiao, Y. and Singh, S. and Doi, Y. and Kwa, A.L.-H. and Sri La Sri Ponnampalavanar, Sasheela and Cao, Q. and Kim, S.-W. and Lee, H. and Santanirand, P. (2021) Rapid diagnostic testing for antimicrobial stewardship: Utility in Asia Pacific. Infection Control and Hospital Epidemiology, 42 (7). pp. 864-868. ISSN 0899-823X, DOI https://doi.org/10.1017/ice.2021.149.

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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. © 2021 Cambridge University Press. All rights reserved.

Item Type: Article
Funders: National Institutes of Health, Japan Agency for Medical Research and Development - bioMerieux
Uncontrolled Keywords: antimicrobial
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 20 Dec 2023 07:05
Last Modified: 20 Dec 2023 07:05
URI: http://eprints.um.edu.my/id/eprint/35853

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