Svarstiderna kan kortas vid mikrobiologisk diagnostik av sepsis. Bättre öppettider på laboratorier och aktiv rådgivning ger
snabbare terapi
Sammanfattning
Early and adequate antimicrobial therapy is lifesaving in patients with bloodstream infections (BSI). Continuous incubation and
24h availability of microbial pathogen identification in clinical microbiology laboratories shortens the time to report. To describe the
current status in Swedish clinical microbiology laboratories, a web-based survey was performed. The survey showed major
differences in availability both regarding laboratory opening hours and ability to incubate blood culture bottles outside working hours.
It also showed differences in what was conveyed verbally to the clinician and in time to report of the bacterial species. Based on this
survey, we debate how Swedish healthcare can improve the care of patients with BSI by offering a more rapid diagnostic process.
This could be achieved through longer opening hours of the laboratory, better transport systems and blood culture cabinets
positioned closer to the patient.