title: [Establishment of a microbiology laboratory open 365 days a year and its impact].
abstract: The microbiology laboratory of our university hospital aims to provide accurate and rapid microbiological results and useful information for healthcare workers involved in both the treatment of infectious diseases and infection control. For this purpose, we have been running a microbiology laboratory open 365 days a year since 2005. Before starting this laboratory, we formulated both a precise procedural manual and educational program to increase the number of microbiological technologists from 4 to 8 persons and improve their skills. Moreover, we reviewed the reporting system. As a result, we could report positive blood cultures up to 1.4 days earlier than previously possible, and significantly improved the prognosis of MRSA bacteremia patients by the early treatment of anti-MRSA antimicrobials within 48 hours after positive blood culture. In addition, the rate of MRSA/Staphylococcus aureus decreased to 35.8%. It is essential for the treatment of infectious diseases and infection control to accept only appropriate specimens and report the results rapidly and accurately.
authors.affiliation: Department of Clinical Laboratory, Kyoto Prefectural University of Medicine, Kyoto, Japan. tkomori@koto.kpu-m.ac.jp
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Komori
authors.forename: Naohisa
authors.initials: N
authors.lastname: Fujita
authors.forename: Yuri
authors.initials: Y
authors.lastname: Hirose
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kimura
authors.forename: Noriko
authors.initials: N
authors.lastname: Kyotani
authors.forename: Satoko
authors.initials: S
authors.lastname: Kurahashi
authors.forename: Yukiji
authors.initials: Y
authors.lastname: Yamada
authors.forename: Masaji
authors.initials: M
authors.lastname: Ushiyama
authors.forename: Towa
authors.initials: T
authors.lastname: Yasumoto
authors.forename: Soh-Ichi
authors.initials: S
authors.lastname: Yuasa
mesh_terms: D039602:After-Hours Care; D019411:Clinical Laboratory Techniques; D018563:Disease Notification; D006801:Humans; D017053:Infection Control; D007564:Japan; D007755:Laboratories, Hospital / Q000639:trends; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D008828:Microbiological Techniques; D011787:Quality of Health Care / Q000639:trends*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000517:prevention & control