Antimicrobial stewardship is a bundle of integrated interventions employed to optimize the use of antimicrobials in health care settings. While infectious-disease-trained physicians, with clinical pharmacists, are considered the main leaders of antimicrobial stewardship programs, clinical microbiologists can play a key role in these programs. This review is intended to provide a comprehensive discussion of the different components of antimicrobial stewardship in which microbiology laboratories and clinical microbiologists can make significant contributions, including cumulative antimicrobial susceptibility reports, enhanced culture and susceptibility reports, guidance in the preanalytic phase, rapid diagnostic test availability, provider education, and alert and surveillance systems. In reviewing this material, we emphasize how the rapid, and especially the recent, evolution of clinical microbiology has reinforced the importance of clinical microbiologists' collaboration with antimicrobial stewardship programs.

中文翻译：

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抗菌素管理：微生物学实验室如何正确处理。

抗菌素管理是一揽子综合干预措施，用于优化医疗机构中抗菌剂的使用。尽管受过传染病培训的医生以及临床药剂师被认为是抗菌药物管理计划的主要负责人，但临床微生物学家可以在这些计划中发挥关键作用。这篇综述旨在全面讨论抗菌管理的不同组成部分，微生物实验室和临床微生物学家可以在其中做出重大贡献，包括累积的抗菌药敏感性报告，增强的培养物和药敏性报告，分析前阶段的指导，快速的诊断测试可用性，提供者教育以及警报和监视系统。在审查这些材料时，我们强调了如何快速，