TY - JOUR
T1 - A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases
T2 - 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology
AU - Miller, J. Michael
AU - Binnicker, Matthew J.
AU - Campbell, Sheldon
AU - Carroll, Karen C.
AU - Chapin, Kimberle C.
AU - Gilligan, Peter H.
AU - Gonzalez, Mark D.
AU - Jerris, Robert C.
AU - Kehl, Sue C.
AU - Patel, Robin
AU - Pritt, Bobbi S.
AU - Richter, Sandra S.
AU - Robinson-Dunn, Barbara
AU - Schwartzman, Joseph D.
AU - Snyder, James W.
AU - Telford, Sam
AU - Theel, Elitza S.
AU - Thomson, Richard B.
AU - Weinstein, Melvin P.
AU - Yao, Joseph D.
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2018/8/31
Y1 - 2018/8/31
N2 - The critical nature of the microbiology laboratory in infectious disease diagnosis calls for a close, positive working relationship between the physician/advanced practice provider and the microbiologists who provide enormous value to the healthcare team. This document, developed by experts in laboratory and adult and pediatric clinical medicine, provides information on which tests are valuable and in which contexts, and on tests that add little or no value for diagnostic decisions. This document presents a system-based approach rather than specimen-based approach, and includes bloodstream and cardiovascular system infections, central nervous system infections, ocular infections, soft tissue infections of the head and neck, upper and lower respiratory infections, infections of the gastrointestinal tract, intra-abdominal infections, bone and joint infections, urinary tract infections, genital infections, and other skin and soft tissue infections; or into etiologic agent groups, including arthropod-borne infections, viral syndromes, and blood and tissue parasite infections. Each section contains introductory concepts, a summary of key points, and detailed tables that list suspected agents; the most reliable tests to order; the samples (and volumes) to collect in order of preference; specimen transport devices, procedures, times, and temperatures; and detailed notes on specific issues regarding the test methods, such as when tests are likely to require a specialized laboratory or have prolonged turnaround times. In addition, the pediatric needs of specimen management are also emphasized. There is intentional redundancy among the tables and sections, as many agents and assay choices overlap. The document is intended to serve as a guidance for physicians in choosing tests that will aid them to quickly and accurately diagnose infectious diseases in their patients.
AB - The critical nature of the microbiology laboratory in infectious disease diagnosis calls for a close, positive working relationship between the physician/advanced practice provider and the microbiologists who provide enormous value to the healthcare team. This document, developed by experts in laboratory and adult and pediatric clinical medicine, provides information on which tests are valuable and in which contexts, and on tests that add little or no value for diagnostic decisions. This document presents a system-based approach rather than specimen-based approach, and includes bloodstream and cardiovascular system infections, central nervous system infections, ocular infections, soft tissue infections of the head and neck, upper and lower respiratory infections, infections of the gastrointestinal tract, intra-abdominal infections, bone and joint infections, urinary tract infections, genital infections, and other skin and soft tissue infections; or into etiologic agent groups, including arthropod-borne infections, viral syndromes, and blood and tissue parasite infections. Each section contains introductory concepts, a summary of key points, and detailed tables that list suspected agents; the most reliable tests to order; the samples (and volumes) to collect in order of preference; specimen transport devices, procedures, times, and temperatures; and detailed notes on specific issues regarding the test methods, such as when tests are likely to require a specialized laboratory or have prolonged turnaround times. In addition, the pediatric needs of specimen management are also emphasized. There is intentional redundancy among the tables and sections, as many agents and assay choices overlap. The document is intended to serve as a guidance for physicians in choosing tests that will aid them to quickly and accurately diagnose infectious diseases in their patients.
KW - clinical correlation
KW - clinical relevance
KW - microbiology specimens.
KW - specimen collection
KW - specimen management
UR - http://www.scopus.com/inward/record.url?scp=85053726304&partnerID=8YFLogxK
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U2 - 10.1093/cid/ciy381
DO - 10.1093/cid/ciy381
M3 - Article
C2 - 29955859
AN - SCOPUS:85053726304
SN - 1058-4838
VL - 67
SP - e1-e94
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
IS - 6
ER -