BSAC Standardized Disc Susceptibility Testing Method - User BSAC标准盘药敏试验方法-用户.pptVIP

BSAC Standardized Disc Susceptibility Testing Method - User Group Meeting.Cardiff, 13 May 2010 Vitek 2 – A User Experience. Nathan Reading Senior Biomedical Scientist Sandwell and West Birmingham Hospitals NHS Trust Our Department Covers 3 Hospital Sites Totalling 1000 beds Serves approx 0.6 million people Specialist Supra-Regional Eye Hospital Birmingham Treatment Centre Microbiology department is home of BSAC Standardized Method Development Centre Our Department Long term user/initial developer of BSAC Standard Method Research interests in mechanisms of antimicrobial resistance and sensitivity testing Approx 6 WTE’s Implemented automated system – Vitek 2 XL June 2009 1 Year B.V. (before Vitek....) Previously.... Disc susceptibilities for 90% isolates Urines Blood Cultures (Direct and Repeats) Respiratory Ocular General – swabs etc Agar Dilution MIC’s All Pseudomonads Resistant gram negatives Ad-hoc organism/difficult infections Gradient Tests Difficult organisms Adhoc testing/confirmations 1 Year B.V. (before Vitek....) Staffing required.. 1 Senior BMS W.T.E. 2x BMS W.T.E. 0.5 MLA W.T.E. Daily/Weekly Tasks Reading Plates/Setting Up Disc Susceptibility Plates and pouring Agar Dilution Plates/Preparing Antibiotic Stocks and Dilutions/Setting up MIC plates/Reading MIC Plates. Working Day 8am-5pm Weekday 8am-12pm Saturdays (All sensitivities bar MIC’s read, all sensitivities put up bar urinary isolates) 8am-1pm Sundays (Only Blood Culture and MRSA sensitivities setup/read) Sensitivity testing 1 Year AV (after Vitek...) 1 x Senior BMS WTE 1x BMS WTE 0.6 xMLA WTE Reduced staff overhead Senior BMS freed to look after our organism collection All sensitivity testing complete 90% time by 4pm Sensitivity testing ready for release to clinician by 10-11am We do not release same day sensitivity testing.... Do not wish to retract incorrect reports Our working days structure currently means that cards not going onto Vitek until mid morning earliest Sensiti