Utility and applicability of rapid diagnostic testing in antimicrobial stewardship in the Asia-Pacific region: a delphi consensus
Author(s)
Type
Journal Article
Abstract
Rapid diagnostic tests (RDTs) facilitate fast and accurate identification of infectious disease microorganisms and are a valuable component of multimodal antimicrobial stewardship (AMS) programs but are currently underutilized in the Asia-Pacific region. An experienced group of infectious diseases clinicians, clinical microbiologists, and a clinical pharmacist used a modified Delphi consensus approach to construct 10 statements, aiming to optimize the utility and applicability of infection-related RDTs for AMS in the Asia-Pacific region. They provide guidance on definition, types, optimal deployment, measuring effectiveness, and overcoming key challenges. The Grading of Recommendations Assessment, Development, and Evaluation system was applied to indicate the strength of the recommendation and the quality of the underlying evidence. Given the diversity of the Asia-Pacific region, the trajectory of RDT development will vary widely; the collection of local data should be prioritized to allow realization and optimization of the full benefits of RDTs in AMS.
Date Issued
2022-02-10
Date Acceptance
2021-10-08
Citation
Clinical Infectious Diseases, 2022, 74 (11), pp.2067-2076
ISSN
1058-4838
Publisher
Oxford University Press
Start Page
2067
End Page
2076
Journal / Book Title
Clinical Infectious Diseases
Volume
74
Issue
11
Copyright Statement
© The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases
Society of America. This is an Open Access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/
by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any way, and that the work is
properly cited. For commercial re-use, please contact journals.permissions@oup.com
https://doi.org/10.1093/cid/ciab910
Society of America. This is an Open Access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/
by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any way, and that the work is
properly cited. For commercial re-use, please contact journals.permissions@oup.com
https://doi.org/10.1093/cid/ciab910
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000796830400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
Infectious Diseases
Microbiology
Asia-Pacific region
antimicrobial stewardship
point-of-care testing
rapid diagnostic testing
ANTIBIOTIC STEWARDSHIP
BLOOD-STREAM
PROGRAM
IMPACT
IMPLEMENTATION
PROCALCITONIN
Publication Status
Published