AUTOMATION IN CLINICAL MICROBIOLOGY – NEW CHALLENGES ? - CAN IT REPLACE HUMANS?
Dr.T.V.Rao MD The world in every sphere is going to automation, and soon many of us must be well versed with the principles and practice, of automation. Unfortunately we are much lacking in matters to take to forward however the world of progress has a different perception as In the twenty-first century, as we are aware the clinical microbiology laboratory plays a central part in optimizing the management of infectious diseases and surveying local and global epidemiology extended automation and new technologies, including mass spectrometry for colony identification. If not automated much of the teaching hospitals and critical care centers will be obsolete in dealing the matters with critical care patients. This pivotal role is made possible by the adoption of rational sampling, point-of-care tests. Driven by a variety of factors, we believe that the level and degree of automation in clinical microbiology laboratories are poised for a dramatic change.
CAN WE AUTOMATE EVERYTHING I doubt it truly happens in the future to come? as Microbiology is too complex to automate? In comparison to Life chemistry and hematology specimens of laboratories, microbiology specimens are much more complex. Microbiology specimen types include blood, sterile body fluids, tissues, urine, semen catheter tips, other prosthetic devices, and lower respiratory tract specimens, among others. I ALWAYS IMPRESS ON MY STUDENTS IF YOU TRULY OBSERVE THE SAMPLES MANY SPECIMENS HAVE A IMMUNOLOGICAL SIGNATURE WITH INFECTION, With a little experience the true human interaction is highly essential, we certainly need real time clinical Microbiologists to interact with clinicians to make the results fruitful to the needs of the patients.
NATURE AND COLLECTION OF SAMPLES ARE DIFFICULT TO AUTOMATE - Moreover, microbiology specimens are collected and transported by utilizing a wide variety of devices, including urine transport tubes, varieties of swab collection devices, sterile containers for tissues, stool specimens, aspirates, and prosthetic material, lower respiratory tract collection devices, and more, an additional aspect of microbiology complexity is the variation in the manners in which specimens are processed. Specimens can be concentrated, macerated, digested, decontaminated, sonicated prior to being plated, or plated directly, and plating can be quantitative, semi quantitative, or nonquantitative. A last aspect of the complexity of microbiology specimen processing is related to media. In addition to tubes for media being of various sizes, the lids of plates that some manufacturers utilize to facilitate plate stacking vary in height and geometry. However, if we consider the depths of how we process above samples have miserably failed in our system of working we have few who are dedicated to work and most of the traditional methods, we are not using to its optimal methods, Today the great problem lies with many new generation of Microbiologists leave the matters to the least qualified, personals and many seniors have killed the work culture, AND JUNIOR TOO FOLLOW THE SUIT, most of the specimens are viewed superficially and discarded, Whatever happening, is kill the future of diagnostic Microbiology, and the results generated will be least useful to the clinicians,
No machine can replace a human in the microbiology laboratory. A long-standing mantra is that humans are generally considered capable of performing tasks faster than machines and that machines cannot think. The perception that machines cannot exercise the critical decision-making skills required to process microbiology specimens has persisted. Specifically, human observation of organism growth on agar plates is still considered essential by many. While machines are programmable, humans are more flexible, assess the matters in real-time correction in delivering the results
HUMANS ARE IMPORTANT TO SUPPORT AUTOMATION IN DECISION MAKING - Embracing the human element focuses microbiology technologists on the performance of the most complex tasks, such as selecting colonies for further workup while removing these personnel from tasks, such as plating, that can be performed by an instrument, operated by a less trained individual. It is important to appreciate that automation does not remove decision making for the microbiology technologist; rather, if facilitates decision making and eliminates wasteful activities. If you are using Bactec and Vitec a constant control is a great priority
However, if we truly believe that we are entering an age of monumental change for clinical microbiology laboratories. While a precise assessment of the full impact of these changes is in its infancy, there is no doubt in our minds that the benefits of automation on laboratory efficiency and indirectly on clinical care will be profound, today to controls our own professionals is much difficult than to control the machines many losing the sight to evaluate the specimen with existing facilities in our laboratory
YET NO SUBSTITUTE FOR DEDICATED MICROBIOLOGISTS
Adopted from
CAN IT REPLACE HUMANS? NO
Ref Automation in Clinical Microbiology Paul P. Bourbeaua and Nathan A. Ledeboerb Journal of Clinical Microbiology J. Clin. Microbiol. June 2013 vol. 51 no. 6 1658-1665
Dr.T.V.Rao MD Freelance clinical Microbiologist
Dr.T.V.Rao MD The world in every sphere is going to automation, and soon many of us must be well versed with the principles and practice, of automation. Unfortunately we are much lacking in matters to take to forward however the world of progress has a different perception as In the twenty-first century, as we are aware the clinical microbiology laboratory plays a central part in optimizing the management of infectious diseases and surveying local and global epidemiology extended automation and new technologies, including mass spectrometry for colony identification. If not automated much of the teaching hospitals and critical care centers will be obsolete in dealing the matters with critical care patients. This pivotal role is made possible by the adoption of rational sampling, point-of-care tests. Driven by a variety of factors, we believe that the level and degree of automation in clinical microbiology laboratories are poised for a dramatic change.
CAN WE AUTOMATE EVERYTHING I doubt it truly happens in the future to come? as Microbiology is too complex to automate? In comparison to Life chemistry and hematology specimens of laboratories, microbiology specimens are much more complex. Microbiology specimen types include blood, sterile body fluids, tissues, urine, semen catheter tips, other prosthetic devices, and lower respiratory tract specimens, among others. I ALWAYS IMPRESS ON MY STUDENTS IF YOU TRULY OBSERVE THE SAMPLES MANY SPECIMENS HAVE A IMMUNOLOGICAL SIGNATURE WITH INFECTION, With a little experience the true human interaction is highly essential, we certainly need real time clinical Microbiologists to interact with clinicians to make the results fruitful to the needs of the patients.
NATURE AND COLLECTION OF SAMPLES ARE DIFFICULT TO AUTOMATE - Moreover, microbiology specimens are collected and transported by utilizing a wide variety of devices, including urine transport tubes, varieties of swab collection devices, sterile containers for tissues, stool specimens, aspirates, and prosthetic material, lower respiratory tract collection devices, and more, an additional aspect of microbiology complexity is the variation in the manners in which specimens are processed. Specimens can be concentrated, macerated, digested, decontaminated, sonicated prior to being plated, or plated directly, and plating can be quantitative, semi quantitative, or nonquantitative. A last aspect of the complexity of microbiology specimen processing is related to media. In addition to tubes for media being of various sizes, the lids of plates that some manufacturers utilize to facilitate plate stacking vary in height and geometry. However, if we consider the depths of how we process above samples have miserably failed in our system of working we have few who are dedicated to work and most of the traditional methods, we are not using to its optimal methods, Today the great problem lies with many new generation of Microbiologists leave the matters to the least qualified, personals and many seniors have killed the work culture, AND JUNIOR TOO FOLLOW THE SUIT, most of the specimens are viewed superficially and discarded, Whatever happening, is kill the future of diagnostic Microbiology, and the results generated will be least useful to the clinicians,
No machine can replace a human in the microbiology laboratory. A long-standing mantra is that humans are generally considered capable of performing tasks faster than machines and that machines cannot think. The perception that machines cannot exercise the critical decision-making skills required to process microbiology specimens has persisted. Specifically, human observation of organism growth on agar plates is still considered essential by many. While machines are programmable, humans are more flexible, assess the matters in real-time correction in delivering the results
HUMANS ARE IMPORTANT TO SUPPORT AUTOMATION IN DECISION MAKING - Embracing the human element focuses microbiology technologists on the performance of the most complex tasks, such as selecting colonies for further workup while removing these personnel from tasks, such as plating, that can be performed by an instrument, operated by a less trained individual. It is important to appreciate that automation does not remove decision making for the microbiology technologist; rather, if facilitates decision making and eliminates wasteful activities. If you are using Bactec and Vitec a constant control is a great priority
However, if we truly believe that we are entering an age of monumental change for clinical microbiology laboratories. While a precise assessment of the full impact of these changes is in its infancy, there is no doubt in our minds that the benefits of automation on laboratory efficiency and indirectly on clinical care will be profound, today to controls our own professionals is much difficult than to control the machines many losing the sight to evaluate the specimen with existing facilities in our laboratory
YET NO SUBSTITUTE FOR DEDICATED MICROBIOLOGISTS
Adopted from
CAN IT REPLACE HUMANS? NO
Ref Automation in Clinical Microbiology Paul P. Bourbeaua and Nathan A. Ledeboerb Journal of Clinical Microbiology J. Clin. Microbiol. June 2013 vol. 51 no. 6 1658-1665
Dr.T.V.Rao MD Freelance clinical Microbiologist
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