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Cepheid
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3 dicembre 2024
POLITICA PER IL CORRETTO IMPIEGO DEGLI ANTIBIOTICI
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Point-of-care PCR Testing in the Emergency Department Allows for Faster Decision Making in Halle (Saale), Germany
I risultati della PCR on-demand hanno un impatto positivo sul triage dei pazienti
Il pronto soccorso dell’ospedale Martha-Maria Halle-Dölau doveva spesso attendere 8 ore (o fino a 24 ore nei fine settimana) per i risultati della PCR per le infezioni da virus respiratori e da Staphylococcus aureus resistente alla meticillina (MRSA). The long wait times directly impacted patient and resource management, leading to unnecessary patient isolation or increased efforts in operating room management. Con l’implementazione del sistema GeneXpert®, il team di pronto soccorso è ora in grado di ottenere risultati in pochi minuti anziché in ore per diagnosticare, isolare e trattare i pazienti presenti nel dipartimento di emergenza in base ai risultati della PCR on-demand.
Martha-Maria Halle-Dölau Hospital emergency department often had to wait 8 hours or up to 24 hours on weekends for PCR results because of working with an external microbiology lab for respiratory and MRSA testing. Until the results became available, patients were considered positive, and pre-emptive safety measures such as patient isolation were required. In the case of emergency surgery, additional surgical theatre equipment and cleanings were required which consequently blocked the theatre longer and impacted the entire operating room management.
The emergency department of the Martha-Maria Halle-Dölau Hospital needed to have the results of urgent respiratory and MRSA samples more quickly to allow for fast decision-making on patient isolation measures of admitted patients with respiratory symptoms and informed operation planning of emergency surgery patients.
By implementing fast respiratory and MRSA PCR testing using the GeneXpert® system directly in the emergency department, the ED team of the Martha-Maria Halle-Dölau Hospital now has access to on-demand, lab-quality PCR results 24/7.
Following the hospital protocol, emergency patients who are presenting respiratory symptoms, and emergency surgery patients, are tested by trained users at the point of care. This positively impacts the time needed for diagnosis and patient triage and ultimately the resource utilization in the ED and on the wards.
Emergency patients requiring surgery are now tested directly in the ED for MRSA and COVID-19. Having patient PCR results available before entering the surgical theater allows for safe operational management and effective resource utilization by avoiding additional protection gear or theatre cleanings for negative tested patients.
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Dichiarazione di non responsabilità:
Le proiezioni e i risultati sono specifici della struttura sanitaria in cui sono stati ottenuti e possono non riflettere i risultati ottenibili presso altre strutture sanitarie.
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