Bovey S H, Clancy M C, Colonna P J
University of California Medical Center, Los Angeles 90024.
Clin Lab Sci. 1990 Sep-Oct;3(5):320-3.
The role of microbiologic services in transplantation is described. Transplantations have become widely accepted therapeutic practices in which the microbiology laboratory actively participates. Except for problems related to function and rejection of the transplanted organ, infections are the most important concern of the clinician. The infections can be caused by bacteria, fungi, protozoa, and viruses and may occur very early after surgery or as long as six months posttransplant. Specimens (sputum, throat, blood, stool, perirectal, and urine) are routinely sent to the microbiology laboratory before and after transplantation to aid in the diagnosis of potential infections. Rapid diagnostic tests are imperative, and results must be communicated to clinicians expeditiously; this information may be critical in guiding therapy of these infections. The microbiology laboratory plays an essential role in identifying etiologic agents of infections and in determining appropriate therapy.
本文描述了微生物学服务在移植中的作用。移植已成为广泛接受的治疗手段，微生物学实验室积极参与其中。除了与移植器官功能和排斥相关的问题外，感染是临床医生最关注的问题。感染可由细菌、真菌、原生动物和病毒引起，可能在术后很早出现，也可能在移植后长达六个月时发生。在移植前后，常规将标本（痰液、咽喉、血液、粪便、直肠周围和尿液）送至微生物学实验室，以协助诊断潜在感染。快速诊断测试至关重要，结果必须迅速传达给临床医生；这些信息对于指导这些感染的治疗可能至关重要。微生物学实验室在识别感染的病原体和确定适当治疗方面发挥着重要作用。
