{"id":19897,"date":"2025-06-13T11:03:50","date_gmt":"2025-06-13T11:03:50","guid":{"rendered":"https:\/\/www.pidsphil.org\/home\/?page_id=19897"},"modified":"2025-11-20T00:06:07","modified_gmt":"2025-11-20T00:06:07","slug":"journal-2025-vol-26-no-1-review-article-1","status":"publish","type":"page","link":"https:\/\/www.pidsphil.org\/home\/journal-2025-vol-26-no-1-review-article-1\/","title":{"rendered":"Journal 2025 Vol.26 No.1 Review Article 1"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1206.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p><b>Diagnostic Stewardship in Antimicrobial Stewardships<\/b><br \/>\n<em>Crisel Margaret B. Machuca, M.D.<\/em><\/p>\n<p><b>Introduction<\/b><\/p>\n<p>On a global scale,infections are a leadingcontributor to morbidity and mortality.Use of diagnostictests for patients with suspected infections are known toimprove patient care. Hence,there has been anincreasing use of acute phase reactants (APRs)to guide treatment of infections since the presence of these markers signify injury and inflammation.&#8217;<\/p>\n<p>According to Zakhour et al there has been anoveruse of diagnostic tests,particularly in patients whoare critically ill or immunocompromised.\u00b2 The overuse oftests applies even to mild infections where unnecessarytesting lead to an appropriate treatment for colonizersdentified through culture.Diagnostic stewardship plays akey role to help physicians request the right tests for theright patient at the right time.This involves providingcoordinated guidance and interventions to ensure thattests especially cultures,are used appropriately andpromptly to produce clinically relevant results. This guides medical decisions, while also conserving healthcare resources.Diagnostic stewardship thereforeserves as a complement to Antimicrobial Stewardship(AMS).\u00b3<\/p>\n<p>The objective of this review is to look intoDiagnostic Stewardship as a component of AntimicrobialStewardship.The discussion will focus on the use ofinflammatory markers including erythrocytesedimentation rate(ESR),C-Reactive Protein (CRP),andprocalcitonin. The role of blood culture and a PCR based pneumonia panel in will also be examined.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.56964\/pidspj20252601008\"><strong>https:\/\/doi.org\/10.56964\/pidspj20252601008<\/strong><\/a><br \/>\n<strong><a href=\"https:\/\/www.pidsphil.org\/home\/wp-content\/uploads\/2025\/11\/9-Diagnostic-Stewardship-2.pdf\" target=\"_\" rel=\"noopener\">View Full Article in PDF format<\/a><\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-19897","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Journal 2025 Vol.26 No.1 Review Article 1 - Pediatric Infectious Disease Society of the Philippines<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pidsphil.org\/home\/journal-2025-vol-26-no-1-review-article-1\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Journal 2025 Vol.26 No.1 Review Article 1 - 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