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[设计临床微生物学实验室]

[Designing a clinical microbiology laboratory].

作者信息

Alados Juan Carlos, Alcaraz María Jesús, Aller Ana Isabel, Miranda Consuelo, Pérez José Luis, Romero Patricia A

机构信息

Servicio de Microbiología, Hospital del SAS de Jerez, Jerez de la Frontera, Cádiz, España.

出版信息

Enferm Infecc Microbiol Clin. 2010 Aug-Sep;28(7):453-60. doi: 10.1016/j.eimc.2009.04.016. Epub 2009 Sep 9.

Abstract

The microbiology laboratory should be a safe, efficient, and comfortable place for those working there, and a pleasant place for visitors. According to the ISO 15189 standard, it should be spacious enough for the workload to be carried out without jeopardizing quality or the safety of the persons present, whether workers or visitors, and provide optimal comfort to all occupants. In addition, the setup should respect the privacy of patients, and provide controlled access to the different laboratory areas and a safe place for storing clinical samples, manuals, and reagents. In the design of the facilities, the needs of specialists, technicians, and other personnel must converge, without forgetting patients, their relatives, and other visitors. The clinical microbiology laboratory has certain characteristics that make it different from other diagnostic laboratories. Its main activity involves isolation, propagation, and handling of pathogenic microorganisms that pose a risk to the laboratory personnel. To minimize this risk, the laboratory must meet a certain level of biosafety. Moreover, correct interpretation of microbiological cultures depends on the capacity of the laboratory to avoid or minimize the presence of contaminants; hence, proper handling of samples and cultures (aseptic conditions, biosafety cabinet) is mandatory. A number of documents and regulations, from very general to highly specific (biosafety), affect the design of the microbiology laboratory. The aim of this report is to establish the minimum requirements and recommendations for designing clinical microbiology laboratories, based on a review of current regulations. It is contemplated as an aid to microbiology specialists who are designing or planning to reform their laboratories.

摘要

微生物学实验室对于在那里工作的人员来说应该是一个安全、高效且舒适的地方,对于访客而言也是一个宜人的场所。根据ISO 15189标准,它应有足够的空间来开展工作负荷,而不会危及在场人员(无论是工作人员还是访客)的质量或安全,并为所有居住者提供最佳的舒适度。此外,布局应尊重患者的隐私,并对不同的实验室区域提供可控的访问权限,以及为存储临床样本、手册和试剂提供一个安全的地方。在设施设计中,专家、技术人员和其他人员的需求必须相互协调,同时也不能忘记患者、他们的亲属和其他访客。临床微生物学实验室具有某些使其有别于其他诊断实验室的特征。其主要活动涉及对实验室人员构成风险的致病微生物的分离、繁殖和处理。为了将这种风险降至最低,实验室必须达到一定的生物安全水平。此外,微生物培养物的正确解读取决于实验室避免或尽量减少污染物存在的能力;因此,对样本和培养物进行正确处理(无菌条件、生物安全柜)是必不可少的。许多文件和法规,从非常通用的到高度具体的(生物安全),都会影响微生物学实验室的设计。本报告的目的是在回顾现行法规的基础上,确立临床微生物学实验室设计的最低要求和建议。它被视为对正在设计或计划改造其实验室的微生物学专家的一种帮助。

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