Wish to be a clinical microbiologist
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WISH TO BE A CLINICAL MICROBIOLOGIST

WISH TO BE A CLINICAL MICROBIOLOGIST

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Wish to be a clinical microbiologist Document Transcript

  • 1. WISH TO BE A CLINICAL MICROBIOLOGIST? Dr.T.V.Rao MD We all become microbiologists by our qualification, in many Medical colleges, there are many staff members qualified, few are really up to the art of teaching and taking care of postgraduate students and technicians to elevate the calibre of diagnostic skills, My little experience proves, Many of the so called senior teachers act as examiners and survive by the power of guide ship and examiner ships however I own many things to my some dedicated teachers who are precise in teaching to the newer postgraduates to make the fundamentals easier, as beginner in laboratory everyone should know Diagnostic microbiology is a specialty in the sciences which focuses on applying microbiology to medical diagnosis, suggesting optimal Antibiotic therapy. Like any other microbiologists, diagnostic microbiologists tend to work in a lab environment which allows them access to a variety of equipment, media and biochemical reagents which they can use to identify and study the organisms they encounter. In the routine laboratory work we handle bacteriology and serology, a little of Mycology many times parasitology goes on into clinical pathology. However we should be able to work in cooperation with pathologists to help and to help in on many clinical and diagnostic puzzles, however many senior professors live in quarantine and in ignorant isolation, As it is Our responsibility in this field we can work in laboratories which handle diagnostic testing for hospitals and clinics, and we can also work in research and development, helping to develop new diagnostic techniques and treatments for microbial infections.We are all aware Microbes such as bacteria, protozoans, and fungi play a role in many disease processes. When a patient presents with a condition which is caused by an infection, the Physician usually wants to determine which organism is responsible so that the best treatment can be selected. A diagnostic microbiologist shouldable to organise to help to collect a sample from the patients for cultures, to see what grows, whether it is really a pathogen with clinical information written by the clinicians , however it is very poor many medical establishments returning results to the doctor. I find we face any challenges, in getting a sputum samples or even a sample of urine, and the junior staff never bother to write any clinical history which really hamper the progress of diagnostic abilities to report the reports with precision. Take the data of laboratory more than 50% specimens are less than ideal to process, as you are aware we cannot live all time with conflicts Here we need greater skills in reporting, my limited experience proves, many younger microbiologists rash to give some conclusion without proper basic identification of commensals , saprophytes, and contamination, many private laboratories manned without properly qualified and oriented technicians any growth is significant, and start reporting Antibiograms, this aspect of diagnostic reporting is greater concern to everyone and physicians really bother just they want documented evidence some microbes, on many occasions E.coli isolated from some Vaginal swabs are treated with new generation of Antibiotics, just think how counterproductive to use cephalosporin’s on Normal flora as clinicians may accept it as pathogen, as I said the treating doctors think finding a bacteria or fungus is the beginning of their role and end of the role of diagnostic microbiologists, I wish to emphasize the simple diagnostic methods are more difficult to perform and report as we work with all limitation, many times sheep blood is not available, and human blood is only alternative option, which many antibodies not allowing the real pathogens to grow in culture plats, I think how many biochemical tests we are doing, I wish we should not express and adamant about species identification, believe your honesty to identify the species, this is where many highly qualified persons are quarrelling on petty matters, With little wisdom the Diagnostic microbiology cannot develop with many of our qualifications and seniority but with simple, and humble commitment. In addition to being we are involved in the identification of a disease-causing organism, diagnostic microbiology can also be a part of developing a treatment
  • 2. plan. Many microbes have developed resistance to medications, for example, so a microbiologist might be asked to test various medications with the cultured organism to find the most effective treatment. Plan for good soft aware for the Bacteriology analysis our experience proves the WHONET proves to one best in the world. Many says we all should become clinical microbiologists if we wish to really become a clinical microbiologist learn the talents and clinical knowledge to communicate and educate the treating physicians As clinical microbiologist we can also be asked to look for signs of multiple infectious organisms, or to provide insight into the pathology of the infection. In addition to being involved in the identification of a disease-causing organism, diagnostic microbiology can also be a part of developing a treatment plan. Many microbes have developed resistance to medications, for example, so a microbiologist might be asked to test various medications with the cultured organism to find the most effective treatment. A clinical microbiologist can also be asked to look for signs of multiple infectious organisms, or to provide insight into the pathology of the infection. People who work in the field of diagnostic microbiology usually have extensive training. The nature of the training can vary, from institute to institute and from guide to guideand also depends on where the Microbiologist works. Lab technicians who culture and identify routine specimens, for example, tend to have less training that people who are working as epidemiologists who handle new and unknown organisms while confronting a public health threat. People interested in careers in diagnostic microbiology should be familiar with simple and basic things, never forget the simple Gram stain can give paths to our learning, and exposing our ignorance if you just put few minutes time to do and read a gramstain, as the world of bacteriology is deceived by many well learned people, when we think of many uncommon bacteria just do a simple gram stain it may be contaminant like Diptheroids or a Micrococci or a candida. I wish to state that I survived with simple and basic methods never forget microbes have better intelligence to misguide both eminent or a just qualified postgraduate microbiologist and well learned physicians in treatments and Laboratory Diagnosis. I end with little of quote, who wins the war on infection, microbe, a patient a physician or a microbiologist, as I have no answer in the circumstances I worked, however if Microbiologists wish to survive never forget the fundamentals, better to spend a little TIME in the diagnostic microbiology laboratories, or else the little microbes fool us? I wish to thank my great mentor Late Dr (Professor) CSV Subramanyam Former Head of Laboratory services at Apollo Hospitals Chennai in 1993 who advise me to be a bench worker, you are remembered for long, or else you are suitable as a Museum piece. Dr.T.V.Rao MD Professor of Microbiology Freelance writer