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兽医诊所中与细菌培养相关的实验室及生物安全操作评估。

Assessment of laboratory and biosafety practices associated with bacterial culture in veterinary clinics.

作者信息

Weese J Scott, Prescott John F

机构信息

Department of Pathobiology and Centre for Public Health and Zoonoses, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.

出版信息

J Am Vet Med Assoc. 2009 Feb 1;234(3):352-8. doi: 10.2460/javma.234.3.352.

Abstract

OBJECTIVE

To investigate bacterial culture practices in veterinary clinics, with an emphasis on laboratory biosafety and on quality of laboratory practices.

DESIGN

Survey-based prospective study.

SAMPLE POPULATION

166 veterinarians.

PROCEDURES

Veterinarians were recruited through the Veterinary Information Network (an Internet-based network restricted to veterinary personnel). All Network-registered veterinarians were eligible to participate. A standardized questionnaire regarding bacterial culture practices in veterinary clinics was completed electronically by study participants.

RESULTS

720 veterinarians completed the survey; 166 (23%) indicated that bacterial culture was performed in his or her clinic. Clinic practices ranged from preliminary aerobic bacterial culture only with submission of isolates to a diagnostic laboratory for further testing (93/160 [58%]) to bacterial culture, identification, and antimicrobial susceptibility testing (19/160 [12%]). Most commonly, urine samples were cultured (151/162 [93%] clinics). Several problematic practices were identified regarding quality and quality control, including inadequate facilities, equipment, supervision, interpretation of data, and culture methods. Biosafety infractions were also common, including inadequate laboratory location, lack of biosafety protocols, and dangerous disposal practices. Ninety-four percent of respondents stated that continuing education regarding culture practices and laboratory safety would be useful.

CONCLUSIONS AND CLINICAL RELEVANCE

Data confirmed that bacterial culture was commonly performed in clinics, but that major deficiencies in laboratory methods were widespread. These could result in negative effects on testing quality and increased risk of laboratory-acquired infections among clinic personnel. Veterinary practices in which bacterial cultures are performed must ensure that adequate equipment, facilities, personnel, and training are provided to enable accurate and safe sample testing.

摘要

目的

调查兽医诊所的细菌培养操作,重点关注实验室生物安全和实验室操作质量。

设计

基于调查的前瞻性研究。

样本群体

166名兽医。

程序

通过兽医信息网络(一个仅限兽医人员使用的基于互联网的网络)招募兽医。所有在该网络注册的兽医均有资格参与。研究参与者通过电子方式完成一份关于兽医诊所细菌培养操作的标准化问卷。

结果

720名兽医完成了调查;166名(23%)表示其所在诊所进行细菌培养。诊所的操作范围从仅进行初步需氧细菌培养并将分离株送交诊断实验室进行进一步检测(93/160 [58%])到细菌培养、鉴定和抗菌药敏试验(19/160 [12%])。最常进行培养的是尿液样本(151/162 [93%]诊所)。在质量和质量控制方面发现了一些问题操作,包括设施、设备、监督、数据解读和培养方法不足。生物安全违规情况也很常见,包括实验室位置不当、缺乏生物安全规程和危险的处置操作。94%的受访者表示关于培养操作和实验室安全的继续教育会有帮助。

结论及临床意义

数据证实诊所中细菌培养操作普遍,但实验室方法存在广泛的重大缺陷。这些可能对检测质量产生负面影响,并增加诊所人员实验室获得性感染的风险。进行细菌培养的兽医实践必须确保提供足够的设备、设施、人员和培训,以实现准确和安全的样本检测。

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