TITLE

Decline in Microbial Studies for Patients with Pulmonary Infections

AUTHOR(S)
Bartlett, John G.
PUB. DATE
July 2004
SOURCE
Clinical Infectious Diseases;7/15/2004, Vol. 39 Issue 2, p170
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article presents a commentary note on an article presenting microbial studies of Gram-stained sputum and sputum cultures in patients with "bacteremic pneumococcal pneumonia." The author of this article reports that there is seen a substantial decline in the quality of microbiology done in the context of pulmonary infections during the current era, compared with 3 decades ago. Some of this decline can be ascribed to the Clinical Laboratory Improvement Amendments of 1988, which required that staff have credentials to interpret Gram stains of any specimens, thus essentially eliminating the house staff laboratory. Additional factors in the decline of microbiology were the outsourcing of specimens, which led to delays in processing and poor communication between the microbiologist and the physician. It has also been argued that even detection of Staphylococcus pneumoniae in blood cultures does not exclude the possibility of a copathogen.
ACCESSION #
13726788

 

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