浅议临床微生物实验室与临床医生沟通的重要性

Discussion on the Importance of Communication Between Clinical Microbiology Laboratory and Clinician

目的分析加强临床微生物实验室与临床医生沟通对于提升微生物检验质量的作用。方法医院微生物实验室每年开展检测4 000～5 000例次,2017年尝试进行微生物实验室与临床医生沟通强化管理,主要内容包括建立快速协调机制,明确需要特别关注、进行沟通标准,对比微生物实验室检验质量管理指标。结果 2017年微生物实验室开展检验5 876例次,2016年开展检验5 655例次。2017年重复采样检验率为2.86%、假阴性率为0.03%,低于2016年的4.30%、0.64%,2017年真菌、厌氧菌、罕见与少见病原菌检出率为0.61%,高于2016年的0.19%,差异具有统计学意义(P<0.05)。结论加强微生物实验室与临床医生沟通有助于提升微生物检验的质量。

Objective To analyze the role of communication between clinical microbiology laboratory and clinicians in improving the quality of microbiological examination. Methods 4 000～5 000 cases were tested every year in the hospital microbiology laboratory. In 2017, the microbiological laboratory was tried to communicate with clinicians to strengthen the management. The main contents included the establishment of rapid coordination mechanism, specific attention, communication standards, and comparison of the quality management indexes of microbiological laboratory test. Results In 2017, 5 876 cases were tested in the microbial laboratory, and 5 655 cases were tested in 2016. In 2017, the rate of repeated sampling was 2.86%, the false negative rate was 0.03%, lower than that of 4.30% and 0.64% in 2016. In 2017, the detection rate of fungi, anaerobes, rare and rare pathogens was 0.61%, higher than 0.19% in 2016, the difference was statistically significant（P〈 0.05）. Conclusion Strengthening the communication between microbiological laboratories and clinicians is helpful to improve the quality of microbiological examination.