Point-of-care testing (POCT) is defined as analytic testing performed outside the central laboratory using a device or devices that can be easily transported to the vicinity of the patient. This article discusses rules and regulations concerning POCT, especially those covering provider-performed microscopy (PPM). Types of PPM are also covered, including the fern test, tests for the presence on fecal leukocytes and pinworms, and examinations of urine sediment and seminal fluid. The coordination of PPM within a hospital is also covered.
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http://dx.doi.org/10.1016/j.cll.2009.07.002 | DOI Listing |
JAAPA
August 2024
Mariafrancesca Zampogna Wilson practices in the Student Health Services clinic at Florida Gulf Coast University in Fort Myers, Fla. The author has disclosed no potential conflicts of interest, financial or otherwise.
Vaginal discharge is a common presenting complaint in ambulatory care medicine, emergency medicine, primary care, and gynecology, accounting for nearly 10 million office visits annually in the United States. This article discusses management of abnormal vaginal discharge among women of childbearing age and the clinical significance of inhouse diagnostic tools. Provider-performed microscopy is an invaluable clinical skill that allows for immediate diagnosis, treatment, and management of infections and coinfections and should be strongly considered when evaluating a patient.
View Article and Find Full Text PDFLab Med
July 2023
Laboratory Services, Gouverneur DTC, Gotham Health New York City Health and Hospitals Corporation, New York, NY, USA.
Objective: Our New York City Municipal Public Health System-based multisite ambulatory and school-based Gotham Health clinics offer waived point-of-care tests and provider-performed microscopy to the local communities. Our Gotham Health laboratory service conducts system-wide centralized implementation, monitoring, and oversight of the POCT operations. Laboratory staffing has always been an issue for us as there is a decades-long shortage of laboratory staff, primarily licensed medical technologists and technicians, in New York, like many other states.
View Article and Find Full Text PDFPract Lab Med
March 2022
Beth Israel Deaconess Medical Center, Harvard Medical School, United States.
Evaluation of patients with acute kidney injury requires comprehensive assessment that includes a urinalysis, which features both semi-quantitative assessment with a urine dipstick and urine microscopy. This process is labor intensive for clinical laboratories, and availability of excellent automated instruments for urinalysis has prompted utilization and acceptance of this strategy by both by laboratories and clinicians. Recently, however, interest in provider performed microscopy has enjoyed a renaissance thanks to both improved microscopy techniques and the endorsement from social media in nephrology.
View Article and Find Full Text PDFAm J Kidney Dis
February 2019
Section of Nephrology, Yale University School of Medicine, New Haven, CT; Veterans Affairs Medical Center, West Haven, CT. Electronic address:
Automated urine technology and centralized laboratory testing are becoming the standard for providing urinalysis data to clinicians, including nephrologists. This trend has had the unintended consequence of making examination of urine sediment by nephrologists a relatively rare event. In addition, the nephrology community appears to have lost interest in and forgotten the utility of provider-performed urine microscopy.
View Article and Find Full Text PDFJAAPA
March 2018
Gina R. Brown is an associate professor at Wichita (Kans.) State University and practices at Associates of Family Medicine in Wichita. Joshua B. Wigdahl practices at Tanglewood Family Medical Center in Derby, Kans. Tiana M. Stebens practices at Kearney County Hospital in Lakin, Kans. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Provider-performed microscopy (PPM) is a diagnostic tool recommended when patients present with several types of gynecologic infections or fungal infections of skin or nails. PPM allows for immediate and accurate treatment, and can strengthen the relationship between clinician and patient. This article reviews two microscopy techniques, the saline wet mount and the potassium hydroxide (KOH) preparation, and discusses their indications for use.
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