Impact of Changes in Clinical Microbiology Laboratory Location and Ownership on the Practice of Infectious Diseases
| Autor: | Michael Pentella, Richard T. Ellison, Philip M. Polgreen, Melvin P. Weinstein, Susan E. Beekmann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Adult medicine.medical_specialty Epidemiology 030106 microbiology Economic shortage Communicable Diseases Microbiology 03 medical and health sciences 0302 clinical medicine Emerging infections Medicine Infection control Humans Child Infection Control business.industry Ownership 030224 pathology Clinical microbiology Infectious disease (medical specialty) Family medicine North America Core laboratory business Laboratories |
| Zdroj: | J Clin Microbiol |
| Popis: | The number of onsite clinical microbiology laboratories in hospitals is decreasing, likely related to the business model for laboratory consolidation and labor shortages, and this impacts a variety of clinical practices, including that of banking isolates for clinical or epidemiologic purposes. To determine the impact of these trends, infectious disease (ID) physicians were surveyed regarding their perceptions of offsite services. Clinical microbiology practices for retention of clinical isolates for future use were also determined. Surveys were sent to members of the Infectious Diseases Society of America’s (IDSA) Emerging Infections Network (EIN). The EIN is a sentinel network of ID physicians who care for adult and/or pediatric patients in North America and who are members of IDSA. The response rate was 763 (45%) of 1,680 potential respondents. Five hundred forty (81%) respondents reported interacting with the clinical microbiology laboratory. Eighty-six percent of respondents thought an onsite laboratory very important for timely diagnostic reporting and ongoing communication with the clinical microbiologist. Thirty-five percent practiced in institutions where the core microbiology laboratory has been moved offsite, and an additional 7% (n = 38) reported that movement of core laboratory functions offsite was being considered. The respondents reported that only 24% of laboratories banked all isolates, with the majority saving isolates for less than 30 days. Based on these results, the trend toward centralized core laboratories negatively impacts the practice of ID physicians, potentially delays effective implementation of prompt and targeted care for patients with serious infections, and similarly adversely impacts infection control epidemiologic investigations. |
| Databáze: | OpenAIRE |
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