CHANGING ROLE OF MEDICAL MICROBIOLOGISTS TO INFECTION CARE SPECIALIST?
Many of our Medical Microbiology laboratories remai...
current approaches in antibiograms preparation. There was also a short discussion regarding the
extent to which the curren...
Upcoming SlideShare
Loading in …5
×

CHANGING ROLE OF MEDICAL MICROBIOLOGISTS TO INFECTION CARE SPECIALIST?

390 views
257 views

Published on

CHANGING ROLE OF MEDICAL MICROBIOLOGISTS TO INFECTION CARE SPECIALIST?

Published in: Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
390
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

CHANGING ROLE OF MEDICAL MICROBIOLOGISTS TO INFECTION CARE SPECIALIST?

  1. 1. CHANGING ROLE OF MEDICAL MICROBIOLOGISTS TO INFECTION CARE SPECIALIST? Many of our Medical Microbiology laboratories remained static with few and no facilities available in the public and private systems, and many avoided this speciality as dry and fetched less money, and we should be grateful to AIDS pandemic and awakening everyone as microbes can became the menace if you do not identify, and identify them and they tell us if you do not take us seriously, we take care of the humans seriously. Thousands of topics are investigated and presented on many emerging infections in many National and International events. Many invested in for diagnosis of many opportunistic infections, last few decades has seen majority of thesis are generated around opportunistic pathogens and drug resistance. No clinician or surgeons wish to handle the patient without ruling out HIV, HBV and HCV infections, unfortunately even in many emergencies, Since 1980 we realised as many think microbes which are least cared and neglected became a threat to life. The matters are taken rapid strides with importance of Bacteriology and Antibiotic prescriptions without rationalism, with rapid progress of Drug resistance in many Gram negative bacteria, many though Cephalosporin’s are super bullets to overcome the Common bugs, and common bugs became a super bugs and I am certain it is not easy to deal with infection in the present contest, as easier said than conquered. Major health agencies in world talk about drug resistance than organs transplantations and know well that Medicine cannot progress without caring the Superbugs which are free to ride in every hospital. Today it is a great challenge to deal with infection, we Microbiologists should be proactive to be champion on issues related to infection in the environment we work, the place to work as faculty in Teaching institutes is shrinking as many managements wish to fill the chairs in Medical colleges, rather than really listen to any sensible ideas. However we all have to create importance of self and helping system where we work, Health care-associated infections (HAIs) represent one of the most common complications of patient care, affecting 5 to 10% of patients admitted to acute-care hospitals worldwide. These HAIs are associated with enormous morbidity and mortality, resulting in more than 90,000 deaths each year in the United States and we in India and many developing countries lack any real statistics to impress any one in our system, . Every health care facility must therefore have a program charged with monitoring and preventing infections in the health care environment. I am happy today we have many committed infection caring and preventing Medical microbiologists and make to follow their path for progress of our speciality. Preventing infections requires the ability to detect them early when they occur, which is why the clinical microbiology laboratory plays a key role in HAI prevention. We should work 5 pronged action* (i) surveillance, (ii) outbreak detection and management, (iii) antimicrobial stewardship, (iv) deliberations of the infection control committee, and (v) education. In each of these areas, the CML faces new challenges as it seeks to contribute fully to the urgent task of preventing HAIs. However they remain the matters need the support of many stake holders in the system and think we can stabilize our reporting with the generation of antibiograms with sense of responsibility when work with WHONET 5.6 which is integrated with CLSI guidelines a little patience working with system makes us better and younger generation of Microbiologist should have self-audit of the system they are working, there cannot be more simpler than just have good ideas on what are common bacteria growing in the laboratory, proportion of resistance strains emerging the system in speciality and super speciality wards. If we look every month at the progress and proliferation of MRSA, and multi resistance in Cephalosporin’s, and resistance to Carbapenams, it is simple makes to realise and is an eye opener that there few options to treat seriously ill patients and administrators soon realise all is not well in the ICU and MICU units. Never forget Diagnostic Microbiology is fraught with many controversies in Limitations of the
  2. 2. current approaches in antibiograms preparation. There was also a short discussion regarding the extent to which the current CLSI guideline for antibiogram preparation (2) may underestimate the problem of emerging resistance by including only the first isolate of a single species from an individual patient. Given that antimicrobial resistance often emerges during hospitalization, later isolates (second, third, or tenth!) may provide a very different susceptibility profile. Just observe if we are getting specimens from same patient repeatedly we are in for surprises with changing character of the isolate and antibiotic susceptibility pattern indicating more we push with new generation of antibiotics and we are for surprises and makes the patients venerable threat of gross misuse of Antibiotics. Again, a multilaboratory collaborative study to produce antibiograms using alternative approaches may help determine whether this problem is clinically important. Making us to realise everything we cannot do alone to be authoritative and always try to integrate a check your observation with friendly laboratories and have exchange programmes to learn from other too. To survive as Clinical Microbiologists we will be playing critical roles in surveillance, outbreak detection and management, antimicrobial stewardship, risk assessment and planning (through participation on the infection control committee), and education. Close collaboration between CML and Clinical personnel is required to ensure optimal HAI prevention, which saves money and lives. If I am not mistaken we Microbiologists have a great responsibility within the department and with many others in the Profession above all the managements with finances for academic support. Dr.T.V.Rao MD Professor of Microbiology and Freelance writer

×