Role of clinical microbiology laboratories in the management and control of infectious diseases and the delivery of health care
Role of clinical microbiology laboratories in the management and control of infectious diseases and the delivery of health care
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DOI：
10.1086/318725
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发表时间：
2001-02-15
影响因子：
11.8
通讯作者：
Thomson, RB
中科院分区：
文献类型：
--
作者：
Peterson, LR;Hamilton, JD;Thomson, RB
现代医学导致了传染病实践的巨大变化。疫苗接种和抗生素治疗使数百万人受益。然而，有限的资源现在威胁到我们充分管理传染病威胁的能力，因为临床微生物学服务和专业知识远离患者及其传染病医生。继续往这个方向发展会威胁到实验室结果的质量、诊断的及时性、治疗的适当性、有效的沟通、减少卫生保健相关感染、传染病实践的进步以及对未来从业人员的培训。微生物实验室是检测新的抗生素耐药性、食源性感染暴发和可能发生的生物恐怖主义事件的第一道防线。在它们所服务的机构所在地维持高质量的临床微生物学实验室，是目前管理当今新发传染病和抗菌剂耐药性问题的最佳方法，因为它提供了良好的患者护理结果，实际上节省了资金。
Modern medicine has led to dramatic changes in infectious diseases practice. Vaccination and antibiotic therapy have benefited millions of persons. However, constrained resources now threaten our ability to adequately manage threats of infectious diseases by placing clinical microbiology services and expertise distant from the patient and their infectious diseases physician. Continuing in such a direction threatens quality of laboratory results, timeliness of diagnosis, appropriateness of treatment, effective communication, reduction of health care-associated infections, advances in infectious diseases practice, and training of future practitioners. Microbiology laboratories are the first lines of defense for detection of new antibiotic resistance, outbreaks of foodborne infection, and a possible bioterrorism event. Maintaining high-quality clinical microbiology laboratories on the site of the institution that they serve is the current best approach for managing today's problems of emerging infectious diseases and antimicrobial agent resistance by providing good patient care outcomes that actually save money.