Clinical microbiology: Should microbiology be a clinical or a laboratory speciality?

• Main Author: Bhattacharya Sanjay
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2010-04-01
• Series: Indian Journal of Pathology and Microbiology
• Subjects: Clinical microbiology; infection control; intensive care unit
• Online Access: http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=2;spage=217;epage=221;aulast=Bhattacharya

Clinical microbiology is a specific combination of knowledge, attitude and practice aimed at direct clinical involvement in infectious disease management using the core principles of medical microbiology and clinical medicine. In this article certain areas in microbiology, where a more proactive approach could make a significant difference in clinical outcome has been delineated. The article reiterates the role of a medical microbiologist in a hospital setting. The practices described are the norm in well-organized hospitals. These areas include management of positive blood cultures, management of patients in intensive care units (ICUs), hospital infection control and public health microbiology, development of hospital and community anti-infective policy, organization of clinical-microbiological meetings and provision of emergency out-of-hours service. The implementation of this clinical approach and increased engagement with direct patient care would require changes in existing training structure and working patterns of medical and technical staffs in microbiology.