A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2013 recommendations by the Infectious Diseases Society of America (IDSA) and the American Society for Microbiology (ASM)(a).

A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2013 recommendations by the Infectious Diseases Society of America (IDSA) and the American Society for Microbiology (ASM)(a).
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DOI:
10.1093/cid/cit278
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发表时间:
2013-08
期刊:
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子:
--
通讯作者:
Pritt BS
Pritt BS
中科院分区:
其他
文献类型:
--
作者:
Baron EJ;Miller JM;Weinstein MP;Richter SS;Gilligan PH;Thomson RB Jr;Bourbeau P;Carroll KC;Kehl SC;Dunne WM;Robinson-Dunn B;Schwartzman JD;Chapin KC;Snyder JW;Forbes BA;Patel R;Rosenblatt JE;Pritt BS

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微生物实验室在传染病诊断中的关键作用要求医生和微生物学家之间建立密切、积极的工作关系,微生物学家为医疗团队提供巨大的价值。本文件由实验室和临床专家共同编写,提供了有关哪些测试有价值和在哪些情况下有价值的信息,以及有关对诊断决策几乎没有价值或没有价值的测试的信息。部分分为解剖系统,包括血流感染和心血管系统感染、中枢神经系统感染、眼部感染、头颈部软组织感染、上呼吸道感染、下呼吸道感染、胃肠道感染、腹腔内感染、骨和关节感染、尿路感染、生殖器感染以及皮肤和软组织感染;或分为病原体组,包括蜱传感染、病毒性共感染和血液及组织寄生虫感染。每一部分都包含介绍性概念、要点摘要和列出可疑代理的详细表格;最可靠的测试命令;示例(和体积)按优先顺序收集;标本运输装置、程序、时间和温度;以及关于测试方法具体问题的详细说明,例如测试可能需要专门实验室或周转时间延长的情况。表格和章节之间存在冗余,因为许多试剂和检测试剂选择重叠。该文件旨在作为一个参考,指导医生选择测试,这将有助于他们诊断感染性疾病的病人。
The critical role of the microbiology laboratory in infectious disease diagnosis calls for a close, positive working relationship between the physician and the microbiologists who provide enormous value to the health care team. This document, developed by both laboratory and clinical experts, provides information on which tests are valuable and in which contexts, and on tests that add little or no value for diagnostic decisions. Sections are divided into anatomic systems, including Bloodstream Infections and Infections of the Cardiovascular System, Central Nervous System Infections, Ocular Infections, Soft Tissue Infections of the Head and Neck, Upper Respiratory Infections, Lower Respiratory Tract infections, Infections of the Gastrointestinal Tract, Intraabdominal Infections, Bone and Joint Infections, Urinary Tract Infections, Genital Infections, and Skin and Soft Tissue Infections; or into etiologic agent groups, including Tickborne Infections, Viral Syndromes, and Blood and Tissue Parasite Infections. Each section contains introductory concepts, a summary of key points, and detailed tables that list suspected agents; the most reliable tests to order; the samples (and volumes) to collect in order of preference; specimen transport devices, procedures, times, and temperatures; and detailed notes on specific issues regarding the test methods, such as when tests are likely to require a specialized laboratory or have prolonged turnaround times. There is redundancy among the tables and sections, as many agents and assay choices overlap. The document is intended to serve as a reference to guide physicians in choosing tests that will aid them to diagnose infectious diseases in their patients.
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