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Since establishing an antimicrobial management team (AMT) in 2003, we have been promoting both appropriate diagnosis and treatment and improving the prognosis of hospitalized patients with infections. AMT is composed of 4 doctors, 2 nurses, 2 pharmacists and one medical technologist. AMT members meet twice a week and discuss patients with positive blood cultures, with prescribed anti-MRSA drugs and suspected infections. Antimicrobial prescription and clinical laboratory data are obtained from the database of electric medical records and microbiological data from the laboratory database system. The initial step in infection control and antimicrobial stewardship is an accurate diagnosis of infection. Clinical microbiology laboratories play a critical role in infection control and antimicrobial stewardship by reporting accurate and timely results of both bacterial identification and antimicrobial susceptibility tests. Medical technologists are required to develop better competency and proficiency about clinical microbiology in both infection control and antimicrobial stewardship.


Toshiaki Komori, Yukiji Yamada, Takeshi Kimura, Tadashi Kosaka, Masaki Nakanishi, Yumiko Fujitomo, Naohisa Fujita. Practical approach to infection control and antimicrobial stewardship by medical technologists]. Rinsho byori. The Japanese journal of clinical pathology. 2013 Apr;61(4):346-52

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PMID: 23855192

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