Mizrachi H H, Valenstein P N
Department of Pathology, State University of New York, Stony Brook 11794-8691.
J Clin Microbiol. 1987 Dec;25(12):2327-9. doi: 10.1128/jcm.25.12.2327-2329.1987.
The role for laboratory interpretation of microbiologic results remains controversial, and many laboratories leave the interpretation of culture results entirely to physicians. We examined the effects of furnishing a laboratory interpretation of sputum quality on physician decision making. Quality of sputum was determined on Gram-stained smears by using a modification of the criteria of Bartlett (R. C. Bartlett, Medical Microbiology: Quality, Cost, and Clinical Relevance, p. 24-31, 1974). A total of 301 poor-quality specimens were randomized either to receive written interpretation of Gram stain results or to a control group for which Gram stain results were reported without interpretation. Physicians were more likely to follow up a poor-quality specimen with a second specimen if they had been furnished an interpretation of the results from the original Gram stain (22 versus 12%; P = 0.025). We conclude that laboratory-based interpretation of microbiologic results can improve physician decision making.
实验室对微生物学检测结果的解读作用仍存在争议，许多实验室将培养结果的解读完全交给医生。我们研究了提供痰液质量的实验室解读对医生决策的影响。通过对Bartlett标准（R.C.Bartlett，《医学微生物学：质量、成本和临床相关性》，第24 - 31页，1974年）进行修改，在革兰氏染色涂片上确定痰液质量。总共301份质量不佳的标本被随机分为两组，一组接受革兰氏染色结果的书面解读，另一组为对照组，报告革兰氏染色结果但无解读。如果医生得到了原始革兰氏染色结果的解读，他们更有可能对质量不佳的标本进行第二次采样（22%对12%；P = 0.025）。我们得出结论，基于实验室的微生物学检测结果解读可以改善医生的决策。
