A Narrative Review of Pharmacy-Led Antimicrobial Stewardship Integrated with Radiology and Lab Diagnostics for Epidemiological Tracking of Hospital-Acquired Infections under Health Administration Oversight

Hamad Salim Hamad Almarshood (1) , Mohammed Ali Alharbi (2) , Yahya Saeed Ali Al Qahtani (3) , Ayed Mohammed Sror Alhisham (3) , Sharifah Gamea Almutairy (4) , Hameed Ahmd Al Kharmani (5) , Saud Abdullah Al-Mousa (6) , Mosalam Saed Alattaf (7)
(1) Forensic Medical Services Center in Al-Jouf, Ministry of Health, Saudi Arabia,
(2) Al-Qassim Health Cluster, Al-Asyah, General Hospital,Ministry of Health, Saudi Arabia,
(3) Sarat Abida General Hospital,Ministry of Health, Saudi Arabia,
(4) Public Health, Ministry of Health, Saudi Arabia,
(5) King Abdullah Medical, Ministry of Health, Saudi Arabia,
(6) Prince Abdulmohsen Hospital,Ministry of Health, Saudi Arabia,
(7) Aseer Poison Centre,Ministry of Health, Saudi Arabia

Abstract

Background: Hospital-acquired infections (HAIs) and antimicrobial resistance (AMR) represent critical threats to global health security, straining healthcare systems and worsening patient outcomes. Traditional antimicrobial stewardship (AMS) programs, while essential, often operate in clinical silos, lacking integration with key diagnostic and epidemiological data streams. This fragmentation impedes timely, targeted interventions and holistic infection control. Aim: This narrative review aims to synthesize current evidence on the impact, implementation strategies, and outcomes of integrating pharmacy-led AMS with radiology and laboratory diagnostic data under coordinated health administration oversight, specifically for the epidemiological tracking and management of HAIs. Methods: A comprehensive literature search was conducted across PubMed, Scopus, and Web of Science for studies published between 2010 and 2024, focusing on interdisciplinary AMS models, diagnostic stewardship, and HAI surveillance. Results: The synthesized evidence demonstrates that integrated models significantly enhance early HAI detection, optimize antimicrobial use, and improve patient outcomes by leveraging real-time data analytics and interdisciplinary collaboration. Conclusion: A synergistic, administratively supported model that unites pharmacy expertise, advanced diagnostics, and epidemiological tracking is paramount for a proactive, data-driven defense against HAIs and AMR. 

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Authors

Hamad Salim Hamad Almarshood
B7bk9091@gmail.com (Primary Contact)
Mohammed Ali Alharbi
Yahya Saeed Ali Al Qahtani
Ayed Mohammed Sror Alhisham
Sharifah Gamea Almutairy
Hameed Ahmd Al Kharmani
Saud Abdullah Al-Mousa
Mosalam Saed Alattaf
Almarshood, H. S. H., Mohammed Ali Alharbi, Yahya Saeed Ali Al Qahtani, Ayed Mohammed Sror Alhisham, Sharifah Gamea Almutairy, Hameed Ahmd Al Kharmani, … Mosalam Saed Alattaf. (2024). A Narrative Review of Pharmacy-Led Antimicrobial Stewardship Integrated with Radiology and Lab Diagnostics for Epidemiological Tracking of Hospital-Acquired Infections under Health Administration Oversight. Saudi Journal of Medicine and Public Health, 1(2), 1100–1106. https://doi.org/10.64483/202412299

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