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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
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[Vol.29 No.2 contents] Japanese / English |
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| ArticleTitle | The current situation of laboratory management of blood stream infections in Japan |
| Language | J |
| AuthorList | Yoshiki Kusama1,12), Kazuhisa Inuzuka2,12), Keiji Funahashi3,12), Masami Okudaira4,12), Yumi Matsushima5,12), Yuki Muramatsu6,12), Masashi Kasai7,12), Yuichi Muraki8,12), Norio Ohmagari9,12), Tetsuya Yagi10,12), Hiroshige Mikamo11,12) |
| Affiliation |
1) AMR Clinical Reference Center, Disease Control and Prevention Center, National Center for Global Health and Medicine Hospital 2) Medical Operation Division, Aichi Prefectural Welfare Federation of Agricultural Cooperatives 3) Department of Clinical Laboratory, Konan Kosei Hospital 4) Department of Pharmacy, Anjo Kosei Hospital 5) Department of Nursery, Okanami General Hospital 6) Department of Infection Control and Prevention, Aichi Medical University Hospital 7) Department of Infectious Diseases, Kobe Children's Hospital 8) Department of Clinical Pharmacoepidemiology, Kyoto Pharmaceutical University 9) Department of Infectious Diseases, Disease Control and Prevention Center, and AMR Clinical Reference, National Center for Global Health and Medicine Hospital 10) Department of Infectious Diseases, Nagoya University Hospital 11) Department of Clinical Infectious Diseases, Aichi Medical University 12) Working Group for Management Bundle for Prevention of Blood Stream Infection: 2018 Tokai Blood Stream Infection Network |
| Publication | J.J.C.M.: 29 (2), 88-91, 2019 |
| Received | August 29, 2018 |
| Accepted | November 5, 2018 |
| Abstract | To assess the current laboratory management of blood stream infections (BSI), we conducted a questionnaire-based study, using checklists from the "Management bundle of BSI in Japan 2018". Three university hospitals, six large community hospitals (400 or more beds), and six moderate or small community hospitals (less than 400 beds) were included. In these categories, positivity of entire blood culture samples was 11.9%, 24.7%, 23.9%, respectively. The positivity in university hospitals was significantly lower than in the other two categories. In the process category, the proportion of performing Gram stain within one hour after obtaining positive blood culture results was significant lower in big community hospitals than in the other two categories (p<0.001). In the structure category, sub-culture for positive blood samples during the night or holiday shift by a non-microbiologist and Gram staining for positive blood samples during the night or holiday shift by a non-microbiologist were performed only for 30.8% and 15.4% of the total participants, respectively. These proportions were especially low in community hospitals, at 20.0% and 0%, respectively. Approaches to improve these situations in each hospital are needed in the future. |
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