Modern medicine has led to dramatic changes in infectious diseases practice. However, it is still wise to also process specimens to confirm the diagnosis and the specific implicated pathogen, as well determining its antimicrobial susceptibility pattern (antibiogram). Part of Springer Nature. Therapy for bacterial infections is becoming more difficult, with the rapid emergence of clinically relevant drug resistance [7].

Few data are available as to the actual medical impact of the consolidation or restructuring of clinical microbiology laboratories. Successful detection and interpretation of results clearly require adequate staffing with specially trained medical technologists and supervision by laboratory directors who have received training in a clinical and/or medical microbiology program that qualifies them for certification by the American Board of Pathology or the American Board of Medical Microbiology. MIC breakpoint interpretations are not defined for drugs that are applied topically or that are injected into the anterior or posterior segments of the eye, as concentrations achievable through direct administration can be significantly greater than those measured in serum after oral or parenteral administration. Visvesvara G. Pathogenic and opportunistic free-living amebae. Washington, DC: ASM Press; 2015. p. 2461–70. The microbiology laboratory offers a variety of procedures and diagnostic technologies to assist in the diagnosis of ocular infection. Of the 416 laboratories that responded (93%), 369 (89%) actually performed microbiology testing. A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2013 recommendations by the IDSA and the ASM. Their results are fully in keeping with the federal plan for reducing errors associated with health care encounters in the United States [3].

The latter is a particular issue because, as we have already pointed out, such commensals can also cause infections especially HAIs).

The clinicians and medical microbiologists should be aware of any issues of sensitivity and specificity when such tests are ordered. Whenever consolidation of a clinical microbiology laboratory is considered, especially if consolidation involves moving testing to a site distant from the hospital or medical center, several critical issues that subjectively involve the practice of infectious diseases should be considered and openly discussed. Gray LD, Gilligan PH, Fowler WC. Furthermore, the perception of quality influences the behavior and decisions of the attending physician. Therefore, any proposal (other than direct tube transport) that claims that shipping clinical specimens to a distant site adds mere minutes to transportation time, preserves high-quality diagnostic testing, and is easily accomplished is clearly unrealistic.

Baron EJ. Occasionally, another espoused benefit is the provision of facilities with an increased variety of services. During the past 4 decades, there have been important advances in both blood culture methods and culture-based technology, with continuous-monitoring blood culture systems now dominating the market in many developed countries. molecular microbiology techniques). swabs, transport medium, are made readily available.

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