Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory

BackgroundTotal laboratory automation (TLA) has the potential to reduce specimen processing time, optimize workflow, and decrease turnaround time (TAT). The purpose of this research is to investigate whether the TAT of our laboratory has changed since the adoption of TLA, as well as to optimize labo...

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Autores principales:	Weili Zhang, Siying Wu, Jin Deng, Quanfeng Liao, Ya Liu, Li Xiong, Ling Shu, Yu Yuan, Yuling Xiao, Ying Ma, Mei Kang, Dongdong Li, Yi Xie
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	total laboratory automation turnaround time clinical microbiology Kiestra CSF Microbiology QR1-502
Acceso en línea:	https://doaj.org/article/64274963dafb4be2bd3e010b0fc341ed
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spelling	oai:doaj.org-article:64274963dafb4be2bd3e010b0fc341ed2021-12-02T11:46:35ZTotal Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory2235-298810.3389/fcimb.2021.765504https://doaj.org/article/64274963dafb4be2bd3e010b0fc341ed2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcimb.2021.765504/fullhttps://doaj.org/toc/2235-2988BackgroundTotal laboratory automation (TLA) has the potential to reduce specimen processing time, optimize workflow, and decrease turnaround time (TAT). The purpose of this research is to investigate whether the TAT of our laboratory has changed since the adoption of TLA, as well as to optimize laboratory workflow, improve laboratory testing efficiency, and provide better services of clinical diagnosis and treatment.Materials and MethodsLaboratory data was extracted from our laboratory information system in two 6-month periods: pre-TLA (July to December 2019) and post-TLA (July to December 2020), respectively.ResultsThe median TAT for positive cultures decreased significantly from pre-TLA to post-TLA (65.93 vs 63.53, P<0.001). For different types of cultures, The TAT of CSF changed the most (86.76 vs 64.30, P=0.007), followed by sputum (64.38 vs 61.41, P<0.001), urine (52.10 vs 49,57, P<0.001), blood (68.49 vs 66.60, P<0.001). For Ascites and Pleural fluid, there was no significant difference (P>0.05). Further analysis found that the incidence of broth growth only for pre-TLA was 12.4% (14/133), while for post-TLA, it was 3.4% (4/119). The difference was statistically significant (P=0.01). The common isolates from CSF samples were Cryptococcus neoformans, coagulase-negative Staphylococcus, Acinetobacter baumannii, and Klebsiella pneumonia.ConclusionUsing TLA and setting up three shifts shortened the TAT of our clinical microbiology laboratory, especially for CSF samples.Weili ZhangSiying WuJin DengQuanfeng LiaoYa LiuLi XiongLing ShuYu YuanYuling XiaoYing MaMei KangDongdong LiYi XieFrontiers Media S.A.articletotal laboratory automationturnaround timeclinical microbiologyKiestraCSFMicrobiologyQR1-502ENFrontiers in Cellular and Infection Microbiology, Vol 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	total laboratory automation turnaround time clinical microbiology Kiestra CSF Microbiology QR1-502
spellingShingle	total laboratory automation turnaround time clinical microbiology Kiestra CSF Microbiology QR1-502 Weili Zhang Siying Wu Jin Deng Quanfeng Liao Ya Liu Li Xiong Ling Shu Yu Yuan Yuling Xiao Ying Ma Mei Kang Dongdong Li Yi Xie Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory
description	BackgroundTotal laboratory automation (TLA) has the potential to reduce specimen processing time, optimize workflow, and decrease turnaround time (TAT). The purpose of this research is to investigate whether the TAT of our laboratory has changed since the adoption of TLA, as well as to optimize laboratory workflow, improve laboratory testing efficiency, and provide better services of clinical diagnosis and treatment.Materials and MethodsLaboratory data was extracted from our laboratory information system in two 6-month periods: pre-TLA (July to December 2019) and post-TLA (July to December 2020), respectively.ResultsThe median TAT for positive cultures decreased significantly from pre-TLA to post-TLA (65.93 vs 63.53, P<0.001). For different types of cultures, The TAT of CSF changed the most (86.76 vs 64.30, P=0.007), followed by sputum (64.38 vs 61.41, P<0.001), urine (52.10 vs 49,57, P<0.001), blood (68.49 vs 66.60, P<0.001). For Ascites and Pleural fluid, there was no significant difference (P>0.05). Further analysis found that the incidence of broth growth only for pre-TLA was 12.4% (14/133), while for post-TLA, it was 3.4% (4/119). The difference was statistically significant (P=0.01). The common isolates from CSF samples were Cryptococcus neoformans, coagulase-negative Staphylococcus, Acinetobacter baumannii, and Klebsiella pneumonia.ConclusionUsing TLA and setting up three shifts shortened the TAT of our clinical microbiology laboratory, especially for CSF samples.
format	article
author	Weili Zhang Siying Wu Jin Deng Quanfeng Liao Ya Liu Li Xiong Ling Shu Yu Yuan Yuling Xiao Ying Ma Mei Kang Dongdong Li Yi Xie
author_facet	Weili Zhang Siying Wu Jin Deng Quanfeng Liao Ya Liu Li Xiong Ling Shu Yu Yuan Yuling Xiao Ying Ma Mei Kang Dongdong Li Yi Xie
author_sort	Weili Zhang
title	Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory
title_short	Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory
title_full	Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory
title_fullStr	Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory
title_full_unstemmed	Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory
title_sort	total laboratory automation and three shifts reduce turnaround time of cerebrospinal fluid culture results in the chinese clinical microbiology laboratory
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/64274963dafb4be2bd3e010b0fc341ed
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Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory

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