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    Valeria Agudelo Corrales
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    3 views26 pages

    Braunstein 1986

    Uploaded by

    Valeria Agudelo Corrales

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    of 26
    Clinical and Economic Practice of Quality Control 0272-2718/86 $0.00-+.20 Quality Control in Microbiology: A Review and Bibliography Herbert Braunstein, M.D.* At one time, quality control in. Microbiology/t in the hands of the laboratorian. Standard referen sively the details of instrument maintenance, media check, reagent testing, and biologic product evaluation that were required to ensure that method ology was performed as it was supposed to.! When conventional media ‘were employed, in-house checks sufficed to ensure that accurate results were obtained. Tabulations by NCDC and other large centers could be used to evaluate the significance of the results attained and identify organ- In recent years, the fick! has undergone revolutionary changes with the development of commercial identification systems," only some of the most important of which can be discussed in this article. While making identification of organisms and other testing far more simple than they ‘were previously, especially for the small laboratory, they have complicated considerably the process of quality control. Indeed, use of these systems invariably is associated with use of more limited controls than those em- ployed in conventional testing. The methods and their details are, to a con- siderable extent, trade secrets. Because the methodology is usually differ- ent from the conventional, the data base used in identification resides with the manufacturer and has not been published in reference journals. Com- plicating this is the fact that the old-line companies previously serving as the source of supplies (BBL, Difeo, Wellcome, and so on) have now been supplanted by individual small companies or absorbed as divisions of eom- mercial conglomerates, often less interested in the retention of the business of thei traditional customers than in ineresing profs or competing with cach other. Although manufacturers pretest all kits and instruments, the use of such systems obviously does not negate the need for the usual quality con~ trol procedures for equipment. In addition to the controls supplied by the manufacturers, many laboratories will also desire to test at fixed intervals *Chairman, Department of Laboratories, San Bernardino County Medel Genter, San Ber- rardino, California (Clinics in Laboratory Medicine—Vol. 6, No. 4, December 1986

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