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Clinical microbiology is a bridge between the foundation and the clinical discipline, the importance of clinical microbes: microbes are ever-present, everywhere (hospitals), microbes are the direct cause of many diseases, microbes are the development and outcome of most diseases Of the reference, Clinical Microbiology and even become the main cause of death, the more critically ill patients it is more active participation.
The tasks of clinical microbiology tests include:
1 to study the pathogen characteristics of infectious diseases
2 to provide rapid and accurate pathogen diagnosis
3 to guide the rational use of antibiotics
4 to monitor hospital infection.
Clinical microbiology is a more cutting-edge discipline that covers clinical medicine, basic medicine, and preventive medicine, while clinical microbiology also examines a professional development of medicine. Clinical microbiology requires microbiology physicians to work with experimental technicians, and clinical microbiology staff not only to complete the work in the laboratory, Clinical Microbiology but also to complete a series of clinically relevant work.
The role of clinical microbiology in etiological diagnosis
Effective specimen collection is the most important part of the diagnosis of infectious diseases, which requires accurate collection of clinicians can reflect the site of infection clinical specimens, the use of containers, Clinical Microbiology protective swabs and media to prevent specimens due to environmental factors and death.
To master the normal bacteria in the body is a prerequisite for bacterial testing, to master the basic shape of the normal flora, species and distribution, while understanding the basic knowledge of pathogens and flora, do not separate the bacteria as a specimen Pathogens, Clinical Microbiology but also can not ignore the normal parasitic bacteria caused by endogenous infection.
Although the separation and identification of microbes is still a rigid indicator of pathogen detection, but this "live bacteria growth" as a fundamental routine bacteriological identification means slow pace, but also can not adapt to the actual needs of the clinical, Clinical Microbiology we are now missing Direct examination of specimens, such as staining, morphology, antigen detection, PCR and 16 SrRNA analysis, Clinical Microbiology should focus on rapid diagnosis.
As far as possible the effective conversion of laboratory parameters into useful clinical information, pathogenic microbial diagnostic parameters to implement the hierarchical reporting mechanism, that is, in the smear and culture positive results obtained the first time to report.
Clinical microbiology laboratory must deepen the quality control, to ensure that the quality of different specimens of the test, given the effective basis for clinical, Clinical Microbiology but also to meet the clinical needs of the test items. At present, the clinical microbiology room should be provided with the test results according to the actual situation, including: bacterial screening of respiratory specimens and semi-quantitative culture measures; respiratory atypical pathogen detection; Clinical Microbiology non-tuberculosis mycobacterial culture and drug sensitivity test; Rapid detection and drug sensitivity test; immunosuppressive and organ transplant patients with special pathogen test.
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