PubMed · 10286918
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R D Blackwell, J F Chapman. 1988. Inventory control: a microcomputer solution to an old problem.. https://pubmed.ncbi.nlm.nih.gov/10286918/
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OBJECTIVE: To study the relationship between the prevalence of multi-resistant bacteria (MRB) and nosocomial MRB infections. METHOD: This work presents the results of a follow up of hospital-acquired infections due to multidrug-resistant bacteria (MRB), based on microbiology detection with the Bacterio software and clinical confirmation. RESULTS: Clinical responses reached 93%. During the year 2000, the incidence of hospital-acquired MRB infections was 1.23 for 1000 hospitalization days and 1.00 for 100 admissions. Ticarcilline-resistant P. aeruginosa were responsible for 32% of hospital-acquired MRB infections. The incidence curve of MRB colonization was parallel with that of hospital-acquired infections. Hence, the incidence of MRB colonization is a rapid and good means of assessing the best probabilistic antibiotherapy especially in intensive care units. COMMENTS: Examination of medical records is however necessary to obtain complementary clinical information on: risk factors, use of medical devices, medical or chirurgical antecedents and prior antibiotherapy. The easiness of detection and management of hospital-acquired infections allowed us to extend its use in 2001 to the follow-up of all hospital-acquired infections, with or without MRB. Bacterio is also able to detect the hospital-acquired infections that, according to the recent decree (No. 2001-671, july 30th, 2001), must be declared to the sanitary authorities. Such suspicions should then be validated by the clinicians and the practising hygienist.
Point-of-care testing (POCT) is becoming a major force in the future evolution of healthcare. It has the potential to expand further by increasing the accessibility, speed and accuracy of results. New developments in POCT technology will predictably occur in four areas: scope, connectivity, non-invasiveness and miniaturization. POCT test menus will continue to grow, wireless connectivity with automatic data capture will become the norm and non-invasive POCT will evolve into a wide range of sizes, shapes and functionalities.
Laboratories provide information beyond test results, including information related to patient preparation, specimen collection and handling, test methodology, test availability, and interpretation of results. Most laboratories publish reference manuals to distribute this information to clients, while relying on the laboratory information system to provide this information to laboratory staff. Maintaining duplicate sources of information is expensive and error-prone, and printed materials become rapidly outdated. We developed a process to automate the production of a web-based reference manual directly from the laboratory information system, using a combination of MUMPS programs and HTML templates. We now focus our resources to assure that the laboratory information system database is accurate and complete, and then with minimal additional effort or expense produce an up-to-date on-line reference manual. We are therefore able to provide better sources of information in a sustainable manner.