Kanno H
Department of Laboratory Medicine, Chiba University Hospital.
Rinsho Byori. 1990 May;38(5):485-8.
In the report of microbiological examination, clinicians are required to differentiate infectious diseases from other diseases, to determine the causative organism, and to select suitable antimicrobial agents for chemotherapy. To obtain accurate results, good material must be collected and suitable methods applied. In the microbiological field, rapid diagnosis is very important. New immunological and genetical new methods are being used, to obtain earlier laboratory results and these methods will be commonly used in the not-too-distant future. On the other hand, recently opportunistic infections have increased in hospital. The causative organism and the clinical role of such isolates are very difficult to determine. Such information as the underlying disease, number of leucocytes, and premedication, of the patients must be studied carefully. In future, the laboratory should play the role of the information center for infectious diseases and chemotherapy, but there are very few medical specialists in this field in Japan, which makes it very hard to establish these systems in many hospitals.
在微生物学检查报告中，临床医生需要将传染病与其他疾病区分开来，确定病原体，并选择合适的抗菌药物进行化疗。为了获得准确的结果，必须采集良好的样本并采用合适的方法。在微生物学领域，快速诊断非常重要。新的免疫学和遗传学方法正在被使用，以获得更早的实验室结果，并且这些方法在不久的将来将被普遍使用。另一方面，最近医院内机会性感染有所增加。此类分离株的病原体和临床作用很难确定。必须仔细研究患者的基础疾病、白细胞数量和用药前情况等信息。未来，实验室应发挥传染病和化疗信息中心的作用，但日本该领域的医学专家很少，这使得许多医院很难建立这些系统。
