title: [Response times can be shortened in microbiological diagnosis of sepsis. Better opening hours in laboratories and active advice enables faster therapy].
abstract: Early and adequate antimicrobial therapy is lifesaving in patients with bloodstream infections (BSI). Continuous incubation and 24h availability of microbial pathogen identification in clinical microbiology laboratories shortens the time to report. To describe the current status in Swedish clinical microbiology laboratories, a web-based survey was performed. The survey showed major differences in availability both regarding laboratory opening hours and ability to incubate blood culture bottles outside working hours. It also showed differences in what was conveyed verbally to the clinician and in time to report of the bacterial species. Based on this survey, we debate how Swedish healthcare can improve the care of patients with BSI by offering a more rapid diagnostic process. This could be achieved through longer opening hours of the laboratory, better transport systems and blood culture cabinets positioned closer to the patient.
authors: Clinical and Experimental Medicine - Clinical Microbiology Linköping, Sweden - Linköping, Sweden.
authors: Anna
authors: A
authors: Åkerlund
authors: Laboratory medicine, Clinical Microbiology - Örebro, Sweden Laboratoriemedicinska Länskliniken, Klinisk mikrobiologi - Örebro, Sweden.
authors: Martin
authors: M
authors: Sundqvist
authors: - Infectious Diseases Linköping, Sweden Clinical and Experimental Medicine, - Infectious Diseases Linköping, Sweden.
authors: Håkan
authors: H
authors: Hanberger
authors: regionläkare, Regionala Strama, Västra Götalandsregionen - Göteborg, Sweden regionläkare, Regionala Strama - Göteborg, Sweden.
authors: Christina
authors: C
authors: Åhrén
authors: - Infectious Diseases Linköping, Sweden - Infectious Diseases Linköping, Sweden.
authors: Lena
authors: L
authors: Serrander
authors: Clinical Microbiology - Karolinska Universitetssjukhuset Solna, Sweden Clinical Microbiology - Karolinska Universitetssjukhuset Solna, Sweden.
authors: Christian G
authors: CG
authors: Giske
mesh_terms: D039602:After-Hours Care; D064790:Clinical Laboratory Services / Q000458:organization & administration / Q000592:standards*; D042241:Early Diagnosis; D006801:Humans; D008826:Microbial Sensitivity Tests / Q000379:methods; D010561:Personnel Staffing and Scheduling; D012017:Referral and Consultation; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D011795:Surveys and Questionnaires; D013689:Telephone; D013997:Time Factors; D057188:Workflow; D000078329:Workforce