307 - The bacteriological report: a model to answer the clinical question
Autor(s): Minetti F., Bona R., Calcagno G., Bedo M., Accinelli C., Beruto S., Campanella A.M., Pino M., Reberto L., Rezza I.
Issue: RIMeL - IJLaM, Vol. 2, N. 4, 2006 (MAF Servizi srl ed.)
Introduction. The evolution of the medical science, accompanied by new diagnostic, medical and surgical procedures, has allowed a greater number of patients, once destinated to unfavourable prognosis, to recover from very critical situations. On the other hand, clinicians must face nowaday with very complicated issues, mainly from the infectivological point of view.
The evolution of more and more resistant bacteriological strains must be constantly monitorized, not only for the clinical aspects, but also for the economical implications due to the increasing sanitary costs. In view of the fundamental importance of a strict collaboration inside the team of specialists daily involved in this matter, the following tools have been adopted in our hospital: a) the compilation of the Therapeutic Handbook, where the antibiotic section was carefully prepared with the support of experts on infectious diseases; b) the six-monthly report on statistical bacteria isolations and their relevant resistances; c) the microbiological report integrated with the remarks from the Therapeutic Handbook.
Methods. In order to produce an exhaustive microbiological report, the VITEK-2 instrument (Biomerieux, Florence, Italy) used for bacteria identification and antimicrobial susceptibility testing, has been set to transfer on its otput sheets the MIC, the NCCLS recommendations recalled by the Expert system, the applicable remarks for antibiotics recalled from the Hospital Therapeutic Handbook, and the cost of the antibiotic therapy as a function of the daily posology.
Results. Two different kinds of output ...