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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
ArticleTitle |
A computer assisted on-line system interfaced with a microbiology instrument Rapid Lumi® 'Eiken' for real-time reporting of the results of antimicrobial susceptibility test |
Language |
J |
AuthorList |
Naoki Sugimoto, Mika Endo |
Affiliation |
Department of Clinical Laboratory, Shizuoka City Hospital |
Publication |
J.J.C.M.: 13 (2), 107-116, 2003 |
Received |
September 17, 2002 |
Accepted |
July 2, 2003 |
Abstract |
In April 2001 we began using the Rapid Lumi® (Eiken Chemical) system, which provides antimicrobial susceptibility test results within 4 hours, and started real-time transmission of the Rapid Lumi results to the hospital's medical care information system under the BACTSYSTEM® transmission control procedures (accuracy control, check for drug-resistance strains of bacteria). In order to rationally implement antimicrobial susceptibility testing for common clinical isolates, it was deemed necessary to consider the Dry Plate® (Eiken Chemical) method of dilution antimicrobial susceptibility testing and the KB Disk® (Eiken Chemical) antimicrobial disk susceptibility test in addition to the quick-result Rapid Lumi system. This allowed us to build an antimicrobial susceptibility testing system that consolidates 3 testing methods, with transmission controlled by BACTSYSTEM together with the Rapid Lumi system.
To evaluate the system's transmission of the Rapid Lumi results, our hospital examined the transmitted results over a period of 1 month (Aug 28 to Sep 27, 2001) for 288 strains of clinical isolates. Results: Gram-negative rods, excluding Pseudomonas aeruginosa, 70.5%; P. aeruginosa, 75.5%; Stapylococcus aureus, 73.7%; methicillin-resistant Staphylococcus aureus (MRSA), 95.9%; coagulase-negative Staphylococcus (CNS), 69.4%; Genus Enterococcus, 70.6%; total, 76.0% (219/288 strains). These results indicate that the real-time transmission system utilizing Rapid Lumi is useful in meeting the need to quickly obtain clinical test results. |
Keywords |
BACTSYSTEM |
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