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Episode 18: Diagnostic Stewardship Podcast Episode · PASCV: Gone Viral · February 2 · 39m

Mo' tests, mo' problems? 🧪 Not if you have a plan!

In Episode 18 of PASCV: Gone Viral we’re talking #DiagnosticStewardship with Dr. Francesca Lee & Dr. David Gaston.

✅ Value-based testing
✅ Patient-centered performance
✅ Provider relationships
🎙️ podcasts.apple.com/us/podcast/e...

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It’s not too late to register! Join the Sepsis Alliance Symposium: Diagnostics and Diagnostic Stewardship, March 11–12. RN CE & CME credits available. Register today: https://sepsisalliance.info/DX
#Sepsis #SepsisLearning #Diagnostics #DiagnosticStewardship

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The utility of combined syphilis PCR and serology during an outbreak in Western Australia: A multicentre retrospective diagnostic evaluation Syphilis has re-emerged as a global public health concern. Although serology is well established, the role of PCR remains unclear. We evaluated the di…

📣 Foley et al assess #syphilis PCR & serology in >8K Australian patients

#Serology: still essential for first infections & reinfections

#PCR: limited add'l benefit in first infections; w/ serology can improve detection of reinfections

#IDSky #clinmicro #diagnosticstewardship

ow.ly/hh0M50Y5j50

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👀 Have you checked out the latest episode?

Metagenomics doesn’t replace cultures, PCR, or serology. Its value is knowing when to use it—on the right patient, with the right sample, at the right time.

🎙️ Let’s Talk Micro
👉 directory.libsyn.com/episode/inde...

#DiagnosticStewardship #Metagenomics

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Happy to share our new study in BMJ Paediatrics Open: Multiplex PCR RVPs helped cut antibiotic use in key paediatric groups in our LMIC setting. Small test, big impact. #PedsID #AMR
#DiagnosticStewardship #IDsky
#BMJOpen

bmjpaedsopen.bmj.com/content/bmjp...

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🔬For #WAAW2025 Day 2, we’re shining the spotlight onto #microbiology & diagnostic stewardship.

At REVERSE, we're developing tools & strategies to optimise diagnostic practices.

🔗 Explore how REVERSE is advancing diagnostic stewardship: www.reverseproject.eu/wp2

#DiagnosticStewardship #AMR #ABS

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Thanks Jess! I have no idea what I am doing on here... even less so than Twitter. I'd love to follow more #IDSky so please follow/reach out if you are interested in #pedsID #diagnosticstewardship #enterovirus #EVD68 #EVA71 #acuteflaccidmyelitis #encephalitis #meningitis #pandemicpreparedness

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#TheScienceImReading This CDC Prevention Epicenters study analyzes blood culture contamination reporting practices among 52 US hospitals/labs. Bottom line: Large heterogeneity in reporting practices and definitions. Great opportunity for #DiagnosticStewardship buff.ly/a7XmNph

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This up-to-date review published in @asm.org #CMR explores innovative techniques for rapidly identifying bloodstream infections. Great opportunities for micro labs to enhance #DiagnosticStewardship efforts. buff.ly/ha1QJe5

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Graphic from V I P T C. Text reads Virginia Infection Prevention Training Center. V C U. Upcoming webinar: Diagnostic Stewardship. Featuring Doctor Dan Morgan, Director for the Center for Innovation in Diagnosis at the University of Maryland School of Medicine. May seventh, 2025. Noon to one P M eastern.

Graphic from V I P T C. Text reads Virginia Infection Prevention Training Center. V C U. Upcoming webinar: Diagnostic Stewardship. Featuring Doctor Dan Morgan, Director for the Center for Innovation in Diagnosis at the University of Maryland School of Medicine. May seventh, 2025. Noon to one P M eastern.

Join us on Wednesday for our Diagnostic Stewardship Webinar!

The Virginia Infection Prevention Training Center is featuring Dr. Daniel J. Morgan for a FREE webinar on Diagnostic Stewardship.

🗓 May 7 | 🕒 12:00 - 1:00 PM
🔗 Register here: bit.ly/4jsfucM

Presented by #VIPTC
#DiagnosticStewardship

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Graphic from V I P T C. Text reads Virginia Infection Prevention Training Center. V C U. Upcoming webinar: Diagnostic Stewardship. Featuring Doctor Dan Morgan, Director for the Center for Innovation in Diagnosis at the University of Maryland School of Medicine. May seventh, 2025. Noon to one P M eastern.

Graphic from V I P T C. Text reads Virginia Infection Prevention Training Center. V C U. Upcoming webinar: Diagnostic Stewardship. Featuring Doctor Dan Morgan, Director for the Center for Innovation in Diagnosis at the University of Maryland School of Medicine. May seventh, 2025. Noon to one P M eastern.

Free webinar! Learn how diagnostic decisions impact stewardship and safety. Join VIPTC & Dr. Dan Morgan to explore strategies to reduce overuse and improve outcomes.

🗓 May 7, 2025 🕒 12:00 - 1:00 PM
🔗 bit.ly/4jsfucM

#DiagnosticStewardship #VIPTC

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Episode 56: Initial Specimen Diversion Devices (ISDDs) for Preventing Blood Culture Contamination Podcast Episode · The ICHE Podcast · 03/07/2025 · 38m

Dr. Mark Rupp is featured on the latest episode of the @ichejournal.bsky.social podcast:

"Initial Specimen Diversion Devices for Preventing Blood Culture Contamination"

#IDSky #DiagnosticStewardship

podcasts.apple.com/us/podcast/e...

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Optimizing use of the (1-3)-β-D-Glucan Assay for the Diagnosis of Pneumocystis jirovecii Pneumonia Pneumocystis jirovecii pneumonia (PCP) can be challenging to diagnose because the tests used are imperfect and/or invasive. The Fungitell serum (1-3)-β-D-glucan (BDG) assay is one non-invasive test; h...

📣 Used indiscriminately, the BDG assay for P. jirovecii pneumonia #PCP is only moderately sensitive & specific.
@drtoddlee.bsky.social et al. apply it to the 'right' patients & greatly improve predictive value.

www.cmi-comms.com/article/S295...

#diagnosticstewardship #IDSky #clinmicro #MedSky

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👇 Scripts/talking points for UTI #diagnosticstewardship #IDSky #MedSky #antimicrobialstewardship #healthcareepidemiology

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I’ve noticed a slight increase in orders for #HSV PCR, Blood. Clinicians report using it to screen asymptomatic patients. In terms of #DiagnosticStewardship, what role does viremia testing have in outpatients? Should its use be limited to hospitalized patients? #ClinMicro #IDsky

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Excerpt from the article by Baghdadi & Morgan entitled "Diagnostic tests should be assessed for clinical impact." 

Broadly, diagnostic stewardship seeks to match the right test to the
right patient at the right time for the right action, which requires a comprehensive understanding of how a test functions in real-world patient care [2]. In infectious diseases, the implicit focus is on how tests can be implemented to improve antibiotic use. Evidence is needed to inform (1) which test to use, (2) which patients will benefit from testing, (3) when testing should be performed, (4) what action testing will lead to, and above all else, (5) how testing will impact the patient’s clinical outcome. Studies intended to evaluate test accuracy or performance should be designed to address these questions.

Excerpt from the article by Baghdadi & Morgan entitled "Diagnostic tests should be assessed for clinical impact." Broadly, diagnostic stewardship seeks to match the right test to the right patient at the right time for the right action, which requires a comprehensive understanding of how a test functions in real-world patient care [2]. In infectious diseases, the implicit focus is on how tests can be implemented to improve antibiotic use. Evidence is needed to inform (1) which test to use, (2) which patients will benefit from testing, (3) when testing should be performed, (4) what action testing will lead to, and above all else, (5) how testing will impact the patient’s clinical outcome. Studies intended to evaluate test accuracy or performance should be designed to address these questions.


Viewpoint on how #diagnosticstewardship can & should go much further by Jon Baghdadi & Dan Morgan. "Diagnostic tests should be assessed for clinical impact" too (not just diagnostic performance/accuracy).
#IDSky #AMSSky

www.cmi-comms.com/article/S295...

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https://www.clinicalmicrobiologyandinfection.com/action/showPdf?pii=S1198-743X%2824%2900448-8

https://www.clinicalmicrobiologyandinfection.com/action/showPdf?pii=S1198-743X%2824%2900448-8


We didn't agree that #CRP is a zombie test or that it's missing a vowel. Just hoping for nuance--both in #diagnosticstewardship & in the way we read & convey trial results. (& Emily is a great editor @cmicomms.bsky.social)

IDSky MedSky @escmid.bsky.social

authors.elsevier.com/a/1j%7ELp,RG...

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Have been meaning to post here some articles we've published recently (pre-Bluesky account). This one by J Baghdadi & D Morgan on #diagnosticstewardship is downloaded a lot.
www.cmi-comms.com/article/S295...
#IDSky #MedSky #MicroSky #stewardship @cmicomms.bsky.social @escmid.bsky.social

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