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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
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[Vol.29 No.1 contents] Japanese / English |
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| ArticleTitle | A multicenter survey for microbiological testing in emergency department |
| Language | J |
| AuthorList | Nobuaki Shime1,2), Katsunori Yanagihara1,3), Manabu Watanabe1,4), Masanori Morita1,5), Masakazu Sasaki6), Masaaki Shinagawa7), Yumiko Kimura8), Junichi Sasaki1,9), Hiroyuki Yokota1,10) |
| Affiliation |
1) The Committee for Infection Control for Emergency Department, Japanese Association for Acute Medicine and the Joint Working Group 2) Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University 3) Department of Laboratory Medicine, Nagasaki University & Graduate School of Biomedical Sciences 4) Department of Surgery, Toho University Ohashi Medical Center 5) Department of Critical Care Medical Center, Sakai City Medical Center 6) Department of Clinical Laboratory, Toho University Medical Center Omori Hospital 7) Division of Laboratory Medicine, Sapporo Medical University Hospital 8) Department of Laboratory Medicine, Nagasaki University Hospital 9) Department of Emergency & Critical Care Medicine, Keio University School of Medicine 10) Department of Emergency and Critical Care Medicine, Nippon Medical School |
| Publication | J.J.C.M.: 29 (1), 28-31, 2018 |
| Received | July 12, 2018 |
| Accepted | September 5, 2018 |
| Abstract | Microbiological laboratory has a crucial role leading to prompt and appropriate infection management in the emergency department. To clarify the current status and problems in emergency microbiology testing, we conducted a written survey of 370 facilities registered as certified clinical microiology technicians by the Japanese Society for Clinical Microbiology. Responses from 229 facilities (62%) were obtained; 49% for tertiary, 47% for secondary and 4% for primary emergency institutes. Ten % of institutions had a microbiology department capable of handling 24 hours/365 days, 23% corresponding to 365 days/daytime only, 52% corresponded weekdays/daytime only. Main barriers to respond 24 hours a day/365 days were manpower (82%) and education (88%). The proportion handled 24 hours/365 days are 38% for Gram stain, 49% for acid-fast staining, 85% for accepting blood culture, 14% for reporting positive blood culture, and 60-80% for rapid diagnostic kits. The emergency response situation of microbiological laboratory has a room for improvement. Future directions for the improvement and evaluation of its impact on clinical outcome should worth to be investigated. |
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| Copyright © 2002 The Japanese Society for Clinical Microbiology All rights reserved. |