Controversies in Hospital Infection Prevention : How strong is our first line of detection ?
http://haicontroversies.blogspot.ca/2013/03/how-strong-is-our-first-line-of.html
The sad fact is that this level of clinical microbiology laboratory support is far from the norm. The trend over the past two decades has been toward consolidation and outsourcing of laboratory services (...)
while outsourcing microbiology to a regional lab may make short-term financial and technical sense for some hospitals, it also removes lab support further from the front line of patient care and infection prevention, prolongs turnaround times, and comes with a host of pre- and post-analytic problems.
If current fiscal and political trends continue, with additional cuts to public health infrastructure and CDC’s budget, it is difficult to imagine that we can do much in the short term to shore up our surveillance capabilities to respond to the CRE threat.
sur les bactéries #résistantes, une critique de la recherche d’économies dans les #hôpitaux qui les pousse à se débarrasser de la compétence de labo