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The virtual CF clinic: Implications for sputum microbiology.

John E Moore1, B Cherie Millar1, John McCaughan2

  • 1Northern Ireland Public Health Laboratory, Nightingale (Belfast City) Hospital, Lisburn Road, Belfast, Northern Ireland, BT9 7AD, UK; Northern Ireland Adult Cystic Fibrosis Centre, Level 8, Belfast City Hospital, Lisburn Road, Belfast, Northern Ireland, BT9 7AB, UK; Wellcome-Wolfson Institute for Experimental Medicine, Queen's University, 97 Lisburn Road, Belfast, Northern Ireland, BT9 7BL, UK.

Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society
|November 10, 2020
PubMed
Summary

Maintaining optimal sputum microbiology is crucial for cystic fibrosis (CF) care. Postal submission of sputum specimens offers an efficient, regulated method to ensure continued microbiological vigilance and patient safety in virtual clinics.

Keywords:
COVID19Cystic fibrosisMailPostSputum microbiologyTransportationVirtual clinic

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Pulmonology

Background:

  • The COVID-19 pandemic significantly altered outpatient care delivery in cystic fibrosis (CF) centers, reducing in-person patient visits.
  • This reduction led to a decrease in routine sputum/cough swab submissions for microbiological analysis.

Purpose of the Study:

  • To emphasize the importance of maintaining optimal sputum microbiology in CF care.
  • To evaluate the microbiological efficiency of postal specimen submission from the community.
  • To identify regulatory conditions for postal submission of respiratory specimens.

Main Methods:

  • Literature review and analysis of existing protocols for sputum collection and transportation.
  • Exploration of virtual clinic models and their impact on diagnostic procedures.
  • Assessment of regulatory frameworks applicable to postal specimen transport.

Main Results:

  • Postal submission of sputum specimens is a viable method for maintaining microbiological analysis.
  • Established regulatory conditions facilitate the safe and effective postal submission of respiratory samples.
  • Innovative approaches to sputum collection and postal transport support microbiological vigilance.

Conclusions:

  • Virtual clinics necessitate adaptive strategies for essential diagnostic services like sputum microbiology.
  • Postal submission of sputum specimens is an effective solution to ensure continued patient safety and microbiological monitoring in CF care.
  • Adoption of innovative community-based collection and postal transportation methods is vital for CF microbiology services.