Author/Editor		Golle, Andrej; Lorenčič Robnik, Slavica; Kotnik-Kevorkijan, Božena; Novak, Dušan
Title		Odvzem kužnin pri bolniku z vročino
Translated title		Collection of clinical specimens from patient with fever
Type		članek
Source		74527489
Publication year		2013
Volume		str. 197-216
Language		slv
Abstract		Etiološka diagnostika okužb pri bolniku z vročino je pogojena s pravilnim odvzemom, shranjevanjem in transportom kužnin. V prispevku obravnavamo ustrezne načine odvzema najpogostejših kužnin pri bolniku z vročino, to so kri za hemokulture, urin za kvantitativno urinokulturo in kužnine iz spodnjih delov dihal. Opravili smo tudi kratek pregled omenjenih kužnin, ki so jih v letu 2012 odvzeli na Oddelku za nalezljive bolezni in vročinska stanja UKC Maribor. Ugotavljamo, da je za odvzem hemokultur zelo pomembna količina odvzete krvi in priprava mesta odvzema. Pri odvzetih izmečkih ugotavljamo, da je velik delež le-teh odvzet neustrezno. Za pravilen odvzem, transport in hranjenje kužnin je bistveno sodelovanje med kliniki in sodelavci v laboratoriju. Priporočljivo je, da laboratorij za svoje klinične sodelavce pripravi smernice, ki opredeljujejo odvzem, shranjevanje in transport kužnin.Identification of aetiological agents in febrile patients depends on proper sample handling which encompasses sample collection, storage and transport. The correct techniques for sample collection of three most important groups of clinical samples from febrile patients are discussed in this article. Those are blood for blood culture, urine for quantitative urinocultures and lower respiratory tract samples. We have prepared an overview of above mentioned samples collected in Department of Infectious Diseases and Febrile Illnesses of UCC Maribor in the year 2012. In the case of blood cultures we have noticed two important factors: quantity of the blood sampled and preparation of the site of venipuncture. It was also noticed that gross proportion of sputa was not collected properly. Constant communication between clinician and microbiologist is crucial for correct handling of the clinical specimen. In addition it is advised that microbiological laboratory prepares a guidelines for correct handling of clinical specimens.
Keywords		okužba hemokultura urin izmeček laboratorij