title: [How should microbial testing be performed on holidays and during the night-shift?].
abstract: On the last medical treatment fee revision, Gram staining became "testing that should be always carried out in hospitals", and microbial testing on holidays and during the night-shift are discussed. First, it would be desirable for medical technologists of a microbial laboratory should work on holidays during the daytime as part of their duties. In hospitals treating many patients with community-acquired infectious diseases in which Gram staining plays an important role in the choice of antimicrobial agents (pneumonia, pyelonephritis, meningitis, for example), Gram staining during the night-shift is expected to be performed by the technologist on duty, if possible. If testing by technologists on duty is difficult, it would be preferable to use our on call system for microbiological technologists or to have doctors perform Gram staining. An on-call system may be used in hospitals with a limited need for Gram staining during the night.
authors.affiliation: Department of Central Clinical Laboratory, Toranomon Hospital, Tokyo, Japan. yoneyama@toranomon.gr.jp
authors.forename: Akiko
authors.initials: A
authors.lastname: Yoneyama
mesh_terms: D039602:After-Hours Care; D019411:Clinical Laboratory Techniques; D017714:Community-Acquired Infections / Q000382:microbiology / Q000517:prevention & control; D006301:Health Services Needs and Demand; D006801:Humans; D007755:Laboratories, Hospital; D017056:Medical Laboratory Personnel; D008828:Microbiological Techniques; D010561:Personnel Staffing and Scheduling; D011795:Surveys and Questionnaires