加强临床微生物室的管理

Strengthen management of clinical microbiology labs

我国微生物实验室不能适应感染类型及细菌耐药性重大变化所面临的工作任务。我们根据当前临床工作需要，提出医院微生物室的主要任务；快速分离鉴定、分级报告、与临床对话、实验室与临床相互渗透、对抗生素实验技术改革和耐药性监测，有效指导合理用药等。对微生物实验室内质控分为３个阶段，强调前后两个阶段渗入临床，使检验结果更为准确可靠。实践证明。

The microbiology labs in our country have not adapted to the change of tasks resulting from the change of infection type and antibiotic resistance. Based on the clinical needs, the authors propose that the main tasks of microbiology labs be quick isolation and identification, graded reporting, clinical dialogue and interaction, reform of antibiotics testing techniques and resistance monitoring, and effective guidance to reasonable use of antibiotics. For threephased quality control process within microbiology labs, integration of the first and last phases into clinical process should be emphasized to make test results more accurate and reliable. Proved by practice, emphasis on tasks and management of microbiology labs is an effective strategy to provide better services for both clinical units and patients.