|
|
Background: The Provincial Health Directorate of Istanbul province (Turkey) established a consolidated laboratory network consisting of four regional central laboratories to reduce general laboratory costs and increase laboratory efficiency and quality in all affiliated hospitals. As part of the consolidation project, the Total Laboratory Automation (TLA) system was installed in the microbiology department of the ISLAB-2 central laboratory. In this study, the turnaround time (TAT) of urine samples of a satellite laboratory where the system was not installed and the ISLAB-2 central laboratory were compared to evaluate the effect of consolidation and the TLA.
Methods: The TAT values of all urine samples processed between March 2021, when the TLA was installed, and October 2021, were retrospectively examined in the laboratory information system. While the TLA was used for the processing and evaluation of samples in the ISLAB-2 central laboratory, manual methods were employed in the satellite laboratory. Both laboratories used MALDI-TOF MS (bioMérieux, France) for bacterial identification and VITEK 2 Compact (bioMérieux, France) for antibiotic sensitivity testing. Kruskal-Wallis test was used to compare TAT between the two laboratories. p < 0.05 was taken as the level of statistical significance.
Results: A total of 78,592 urine cultures (71,906 in the central laboratory and 6,686 in the satellite laboratory) were included in the study. Negative samples were reported in 23.5 hours in the central laboratory and 37.1 hours in the satellite laboratory and positive samples in 55 hours and 61.7 hours in the same laboratories, respectively. The mean TAT of both positive and negative urine cultures were found statistically significantly lower in the central laboratory than in the satellite laboratory (p < 0.0001).
While 82% of negative urine cultures were completed within the first 24 hours in the central laboratory, only 17% were processed in the satellite laboratory. While 61% of positive samples were processed within the first 48 hours in the central laboratory, 38% were completed in the satellite laboratory.
Conclusions: We assume that TLA has a positive effect on the diagnosis and treatment of patients, thanks to its contribution to standardization, efficiency, increased quality, and earlier reporting.
DOI: 10.7754/Clin.Lab.2022.220736
|
