[Establishment of a microbiology laboratory open 365 days a year and its impact].
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.
Komori
Toshiaki
T
Department of Clinical Laboratory, Kyoto Prefectural University of Medicine, Kyoto, Japan. tkomori@koto.kpu-m.ac.jp
Fujita
Naohisa
N
Hirose
Yuri
Y
Kimura
Takeshi
T
Kyotani
Noriko
N
Kurahashi
Satoko
S
Yamada
Yukiji
Y
Ushiyama
Masaji
M
Yasumoto
Towa
T
Yuasa
Soh-Ichi
S
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