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Rapid diagnostic test value and implementation in antimicrobial stewardship across low-to-middle and high-income countries: a mixed-methods review

Title: Rapid diagnostic test value and implementation in antimicrobial stewardship across low-to-middle and high-income countries: a mixed-methods review
Authors: Moore, L; Villegas, MV; Wenzler, E; Rawson, T; Oladele, R; Doi, Y; Apisarnthanarak, A
Source: 1463 ; 1445
Publisher Information: Adis, Springer Healthcare
Publication Year: 2023
Collection: Imperial College London: Spiral
Description: Despite technological advancements in infectious disease rapid diagnostic tests (RDTs) and use to direct therapy at the per-patient level, RDT utilisation in antimicrobial stewardship programmes (ASPs) is variable across low-to-middle income and high-income countries. Key insights from a panel of seven infectious disease experts from Colombia, Japan, Nigeria, Thailand, the UK, and the USA, combined with evidence from a literature review, were used to assess the value of RDTs in ASPs. From this, a value framework is proposed which aims to define the benefits of RDT use in ASPs, separate from per-patient benefits. Expert insights highlight that, to realise the value of RDTs within ASPs, effective implementation is key; actionable advice for choosing an RDT is proposed. Experts advocate the inclusion of RDTs in the World Health Organization Model List of essential in vitro diagnostics and in iterative development of national action plans.
Document Type: article in journal/newspaper
Language: unknown
Relation: Infectious Diseases and Therapy; http://hdl.handle.net/10044/1/104630
DOI: 10.1007/s40121-023-00815-z
Availability: http://hdl.handle.net/10044/1/104630; https://doi.org/10.1007/s40121-023-00815-z
Rights: © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. ; http://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.263AF0ED
Database: BASE