Audit of the laboratory diagnosis of Clostridium difficile infection in the UK

被引:5
作者
Cooke, R. P. D. [1 ]
Collins, J. [2 ]
Galloway, A. [2 ]
Holland, D. [3 ]
Trigg, G. [3 ]
机构
[1] Aintree Univ Hosp NHS Fdn Trust, Dept Med Microbiol, Liverpool L9 7AL, Merseyside, England
[2] Freeman Rd Hosp, Dept Med Microbiol, Newcastle Upon Tyne, Tyne & Wear, England
[3] Keele Univ, Natl Pathol Benchmkt Serv, Keele, Staffs, England
关键词
Audit; Clostridium difficile; Diagnosis; TOXIN; LACTOFERRIN; ALGORITHM; CULTURE;
D O I
10.1016/j.jhin.2010.02.029
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A UK-wide audit of the laboratory diagnosis of Clostridium difficile infection (CDI) was undertaken by the Association of Clinical Pathologists and the Royal College of Pathologists, in conjunction with Keele University. A postal questionnaire was sent out to all Consultant Microbiologists, with eighty responses available for analysis. There was considerable variation in laboratory practices. In particular, only 56% of laboratories gave guidance on follow-up testing of toxin-negative samples, 68% provided a 7 day per week diagnostic service and 66% would routinely communicate positive inpatient toxin results to ward nursing or just medical staff. To ensure a consistent approach to the diagnosis of CDI, laboratories require more detailed and prescriptive guidance than is currently available. (C) 2010 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:282 / 286
页数:5
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