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[考虑医院微生物检查的优缺点以及理想的微生物实验室]

[Consider the advantages and disadvantages of microbial examinations in a hospital, and ideal microbial laboratory].

作者信息

Kawakamii Sayoko, Ono Yasuo, Miyazawa Yukihisa

机构信息

Department of Infection Control and Prevention, Teikyo University Hospital, Itabashi-ku, Tokyo 173-8605, Japan.

出版信息

Rinsho Byori. 2011 Oct;59(10):940-3.

Abstract

The main benefit of carrying out microbial examinations in a hospital is that it rapidly yields information on infectious diseases. Microbiology technicians can easily communicate with the physicians and can carry out precise analyses. The disadvantages are the high costs of microbiological examinations, and the need for long training times for microbial laboratory technicians because of the highly technical nature of their duties. In-hospital microbial inspections will lead to: 1)improved rapid diagnostic tests for infectious diseases and evaluation of antibiotic treatment in the early stages of disease; 2) detection of the precise origin of microbes and confirmation of etiological factors; 3) antibiotic susceptibility testing and evaluation of combined effects of antibiotics against multiple drug-resistant bacteria; and 4)genetic analysis and epidemiological statistical analysis for the purpose of infection control in a hospital and surrounding areas.

摘要

在医院开展微生物检查的主要益处在于,它能迅速提供有关传染病的信息。微生物学技术人员能够轻松地与医生沟通,并能进行精确分析。其缺点是微生物检查成本高昂,且由于微生物实验室技术人员职责的高技术性质,他们需要较长的培训时间。医院内的微生物检查将带来:1)改进传染病的快速诊断测试以及在疾病早期对抗生素治疗进行评估;2)检测微生物的确切来源并确认病因;3)抗生素敏感性测试以及评估抗生素对多重耐药菌的联合作用;4)进行基因分析和流行病学统计分析,以实现医院及周边地区的感染控制。

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