Diagnostic Stewardship in Pediatrics- Novel strategies to optimize infectious disease testing in pediatric care

Sunday, April 30, 2023

11:00 AM – 12:30 PM ET

Location: Convention Center: 202 B

CE: Live CME: 1.50

Selected By: PIDS Independent

Chair(s)

Anna Sick-Samuels, MD, MPH (she/her/hers)

Assistant Professor
Johns Hopkins Children's Center
baltimore, Maryland, United States
Rana Hamdy, MD, MPH, MSCE (she/her/hers)

Director, Antimicrobial Stewardship Program
Infectous Diseases
Children's National Health System
Washington, District of Columbia, United States

Disclosure(s):

Anna Sick-Samuels, MD, MPH: No financial relationships to disclose

Rana F. Hamdy, MD, MPH, MSCE: No financial relationships to disclose

Session

Description: Diagnostic Stewardship, the judicious use of microbiology diagnostic testing, is a rapidly growing field related to antibiotic stewardship as an international and national strategy to combat antimicrobial overuse. Diagnostic stewardship aims to leverage clinical and microbiology attention to optimize management of infectious diseases with ultimate goal of providing high-value care. This session will synthesize data of diagnostic stewardship targets across the pediatric care continuum from ambulatory urgent care to critical care. In this session, experts will discuss research findings to support clinicians’ clinical testing practices around urine, blood, endotracheal and molecular testing.

Dr. Anna Sick-Samuels from Johns Hopkins will provide an overview of diagnostic stewardship principles and current strategies to consider. Dr. Charlotte Woods-Hill from CHOP will discuss the limitations of blood cultures and how strategies to safely reduce testing overuse have successfully reduced testing and treatment across a national PICU collaborative. Dr. Zachary Willis from UNC Children’s will describe the advantages and pitfalls of molecular testing options for infectious diseases. Dr. Dipanwita Saha from PM Pediatrics will demonstrate how follow-up and interpretation of urine culture results greatly reduced avoidable antibiotic treatment in ambulatory children.

Learning Objectives:

Define diagnostic stewardship and strategies used to optimize culturing practices in pediatric care
Differentiate molecular testing options for common infectious processes and understand limitations and benefits of these testing modalities
Apply strategy of targeted results follow-up and interpretation to improve treatment for urinary tract infections

Presentations:

11:00 AM – 11:15 AM ET

Principles of Diagnostic Stewardship
Speaker: Anna Sick-Samuels, MD, MPH (she/her/hers) – Johns Hopkins Children's Center
11:15 AM – 11:30 AM ET

Sepsis evaluation and blood culture stewardship
Speaker: Charlotte Woods-Hill, MD MSHP – Perelman School of Medicine at the University of Pennsylvania
11:30 AM – 11:45 AM ET

The role of test result follow-up in urgent care settings
Speaker: Dipanwita Saha, MD (she/her/hers) – PM Pediatrics
11:45 AM – 12:00 PM ET

Molecular diagnostic methods- the future is resulting fast
Speaker: Zachary I. Willis, MD, MPH (he/him/his) – University of North Carolina at Chapel Hill School of Medicine