FEATURE ARTICLES

Bacteriology is one of the original pathology disciplines yet one of the last to embrace automation. However, a new methodology from Dutch company Kiestra is making a significant impact in Salisbury, as Stuart Matthews and Maggie Skyrme explain.

Later in June, The Royal Microscopical Society’s biennial MICROSCIENCE meeting will return to ExCeL in London’s Docklands. Three days of the very best that microscopy, imaging and analysis has to offer is on the programme.

Preventing the misidentification of patients receiving blood transfusions has been targeted as an important factor in reducing adverse events. But ensuring that this happens need not cost the earth, as Barry Hill discovered when he examined one company’s low-cost solution to the problem.

New approaches to instrumentation and automation are helping to ensure high-quality service delivery in pathology. However, the implementation stage that follows delivery is critical in bringing the solution to life. Here, Carla Deakin takes a closer look at factors that are central to a successful implementation.

Investigations into recent outbreaks of Clostridium difficile infection have raised concerns in NHS trusts already facing many other pressures. Julie Elston discusses the importance and impact of C. difficile infection and the tests that are available to hospital laboratories for the rapid detection and monitoring of this potentially life-threatening hospital-acquired infection.

The embedded perception of histopathology processing as an overnight service is now under threat from a new breed of rapid sample processor, as exemplified by the latest Tissue-Tek Xpress system. Laboratory staff in Sheffield are now reaping the benefit of this advanced technology.

Laboratory staff need to be aware of the differences between individual thyroid function assays and the impact these can have on the monitoring of treatment for thyroid cancer and the detection of recurrent disease. Mark Stearman provides an overview of the current situation.

On the east coast of England, staff at James Paget Hospital are reaping the benefit of order-communications and automated systems that will ensure an efficient and smooth-running pathology service, now and into the future.

Emerging antimicrobial resistance and the battle against nosocomial infections continue to claim media headlines. However, Dade Behring, a Siemens company, has come to the aid of laboratory medicine by simplifying microorganism identification and sensitivity testing.

Important logistical and legislative issues are posed by lone working in pathology laboratories. Here, Barry Hill examines the issues and looks at one technology companyÆs innovative solution to the problem.

Once again, LondonÆs Docklands will play host this year to The Royal Microscopical SocietyÆs biennial microscopy and imaging event, where visitors will be able to see and test the very latest developments in microscopy and image analysis equipment.

From converted school, through a room above a butcherÆs shop, to the former Bootle General Hospital, the premises occupied by Mast have been an eclectic mix of real estate. Likewise, this successful company has developed a diverse range of products over the past 50 years, as chairman John Oliver explains.

Restructuring and relocation of services are common threads in the tapestry that depicts 21st-century laboratory medicine. A recent exercise in the north-west of England demonstrates how these two great imposters can be achieved with the minimum of disruption to pathology services.

Monitoring of anticoagulant effect is an important facet of warfarin treatment. Now, patients who undergo regular international normalised ratio testing can reap the benefit of microcentrifugation, as Afruj Ali Ruf and his colleagues in West Yorkshire explain.

Work in The Netherlands and at hospitals in the UK demonstrates that screening is a very effective element of MRSA infection control and prevention. In the laboratory, however, Oxoid chromogenic media play a vital role, as James Beaves explains.

The symptoms of norovirus-associated gastroenteritis are relatively mild compared to other gastric infections. However, a norovirus outbreak on a hospital ward, or on a cruise liner, can have serious consequences for patients, travellers and healthcare staff alike, and rapid diagnosis of outbreak cases permits early implementation of control measures and helps to contain the outbreak, as Barbara Fallowfield from Oxoid explains.

The biochemistry department at KentÆs Medway Maritime Hospital is reaping the rewards of a managed service contract with Siemens Medical Solutions Diagnostics. Here, staff talk about their experiences of a very successful implementation.

The advent of capillary electrophoresis in the routine pathology laboratory brings with it the benefits of quantitative, fully automated analysis of proteins for the diagnosis and monitoring of disease, as Beth Storey explains.

When installing new instrumentation, Manchester Royal InfirmaryÆs virology department took radical steps to adopt a completely new way of working. Here, Louise Hall explains the impact this has had on the service.

Nosocomial infection and antibiotic resistance are of considerable concern to healthcare authorities around the world. This was reflected by the 1st World Forum on Healthcare-Associated Infections, held earlier in the year in France, which was sponsored by bioMΘrieux.