Analysis of the costs for the laboratory of flow cytometry screening of urine samples before culture
| Autor: | Hannu Sarkkinen, Marjukka Mäkelä, Eeva-Liisa Paattiniemi, Pauliina Kärpänoja, Jaana Isojärvi, Santra Karumaa, Anna-Mari Viita |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Adult Male Microbiological Techniques medicine.medical_specialty Adolescent 030106 microbiology Sample (statistics) Urine 03 medical and health sciences Young Adult 0302 clinical medicine medicine Screening method Analytical strategy Humans Mass Screening 030212 general & internal medicine Child health care economics and organizations Aged Aged 80 and over General Immunology and Microbiology business.industry Treatment process Infant Newborn Economic feasibility Infant Workload General Medicine Middle Aged Flow Cytometry Surgery Clinical microbiology Infectious Diseases Child Preschool Emergency medicine Urinary Tract Infections Costs and Cost Analysis Female business |
| Zdroj: | Infectious diseases (London, England). 49(3) |
| ISSN: | 2374-4243 |
| Popis: | Urine culture samples comprise a large proportion of the workload in clinical microbiology laboratories, and most of the urine samples show no growth or insignificant growth. A flow cytometry-based analyzer (Sysmex Corporation, Japan) has been used to screen out negative urine samples prior to culture in the Paijat-Hame district. We applied decision analytic modelling to analyze, from a laboratory perspective, the economic feasibility of the screening method as compared to culture only (conventional method) for diagnosis of urinary tract infection. Our model suggests that the least costly analytical strategy is the conventional method. The incremental cost of screening is €0.29/sample. Although laboratory costs are higher, considerable savings on workload can be achieved. Furthermore, screening has numerous benefits on the treatment process of a patient that well warrant the use of the screening method. We conclude that the incremental cost of screening the samples is worth the expense. |
| Databáze: | OpenAIRE |
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