{"id":23094,"date":"2021-01-14T16:55:13","date_gmt":"2021-01-14T15:55:13","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=23094"},"modified":"2021-01-14T17:00:01","modified_gmt":"2021-01-14T16:00:01","slug":"une-nouvelle-plateforme-pour-des-analyses-microbiologiques-de-qualite","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/une-nouvelle-plateforme-pour-des-analyses-microbiologiques-de-qualite\/","title":{"rendered":"Une nouvelle plateforme pour des analyses microbiologiques de qualit\u00e9"},"content":{"rendered":"\n

La solution WASPLab, distribu\u00e9e en France par la soci\u00e9t\u00e9 bioM\u00e9rieux, est compos\u00e9e de deux parties enti\u00e8rement automatis\u00e9es\u00a0: un ensemenceur et deux incubateurs. L\u2019ensemenceur assure le d\u00e9p\u00f4t des \u00e9chantillons, en moyenne 300 par jour, sur les boites de P\u00e9tri en imitant tous les gestes techniques faits manuellement jusqu\u2019alors. Une fois ensemenc\u00e9es, les g\u00e9loses traversent la cloison via un tapis roulant pour \u00eatre incub\u00e9es dans l\u2019une des deux \u00e9tuves (800 emplacements d\u2019un c\u00f4t\u00e9 et 1 600 de l\u2019autre dans une atmosph\u00e8re enrichie CO2<\/sub>). Chaque boite est photographi\u00e9e par un imageur \u00e0 intervalles r\u00e9guliers sans jamais sortir de l\u2019incubateur. L\u2019\u00e9quipe d\u2019une vingtaine de techniciens sp\u00e9cialis\u00e9s a du s\u2019approprier cette nouvelle technologie n\u2019ayant plus de boite dans la main mais une image en tr\u00e8s haute r\u00e9solution \u00e0 l\u2019\u00e9cran. Les colonies rep\u00e9r\u00e9es \u00e0 l\u2019\u00e9cran entrainent la sortie des g\u00e9loses vers le technicien pour une identification du germe ou un antibiogramme, alors que les cultures rest\u00e9es st\u00e9riles en fin d\u2019incubation sont automatiquement jet\u00e9es. Chaque poste de travail est compos\u00e9 de deux \u00e9crans, l\u2019un qui permet la visualisation des images des cultures et l\u2019autre sur lequel se trouve le logiciel de r\u00e9sultats communiquant avec le prescripteur. \u00ab\u00a0Notre laboratoire est tr\u00e8s informatis\u00e9 ce qui est un peu exceptionnel en microbiologie. Nous avions d\u00e9j\u00e0 commenc\u00e9 cette transformation il y a cinq ans \u00e0 peu pr\u00e8s. Cela nous a beaucoup aid\u00e9 pour ce projet et nous a permis d\u2019int\u00e9grer facilement et rapidement tous les nouveaux \u00e9l\u00e9ments\u00a0\u00bb pr\u00e9cise Anthony Michaud, praticien hospitalier, porteur du projet.<\/p>\n

L\u2019int\u00e9r\u00eat de tels \u00e9quipements r\u00e9side en premier lieu dans la qualit\u00e9 optimale des r\u00e9sultats. Une fois les pr\u00e9l\u00e8vements d\u00e9pos\u00e9s sur l\u2019ensemenceur, les cultures restent dans une enceinte filtr\u00e9e sans \u00eatre manipul\u00e9es et encourent donc moins de risque de contamination. Les \u00e9chantillons y sont maintenus \u00e0 une temp\u00e9rature constante favorisant la croissance des germes et ainsi la rapidit\u00e9 dans le diagnostic des infections. L\u2019automatisation offre un gain en termes de tra\u00e7abilit\u00e9 et en diminue le risque d\u2019erreurs. Mais une telle installation est un r\u00e9el chamboulement dans l\u2019organisation du laboratoire. Certes, la machine dispense des t\u00e2ches les plus r\u00e9barbatives, mais il faut s\u2019adapter \u00e0 la rigueur li\u00e9e \u00e0 l\u2019informatisation dans une discipline o\u00f9 chaque cas est particulier. Toute l\u2019\u00e9quipe a d\u2019ailleurs b\u00e9n\u00e9fici\u00e9 d\u2019une formation propos\u00e9e par la soci\u00e9t\u00e9 bioM\u00e9rieux pour l\u2019accompagner dans ce changement.<\/p>\n

L\u2019activit\u00e9 du laboratoire a \u00e9t\u00e9 maintenue pendant l\u2019installation des \u00e9quipements dans le m\u00eame espace. \u00ab\u00a0Il ne s’agit pas d’un appareil que l\u2019on pose et que l’on utilise tout de suite. Il vient se calquer sur l’activit\u00e9 du laboratoire d\u00e9j\u00e0 existante. Il est param\u00e9tr\u00e9 \u00e0 la carte permettant ainsi de garder la m\u00eame qualit\u00e9 de rendu de r\u00e9sultats qu\u2019auparavant. Nous sommes donc tr\u00e8s exigeants\u00a0\u00bb explique le Dr Michaud. Cette op\u00e9ration, qui repr\u00e9sente un investissement de l\u2019ordre 1\u00a0300\u00a0000 euros, est en phase de mont\u00e9e en puissance pour un fonctionnement 24h\/24 et une prise en charge de 100% des pr\u00e9l\u00e8vements pr\u00e9vus au printemps prochain.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"

Retard\u00e9e par la crise sanitaire, la plateforme de bact\u00e9riologie a enfin pu entrer en service d\u00e9but novembre.<\/p>\n","protected":false},"author":12,"featured_media":23095,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-23094","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nUne nouvelle plateforme pour des analyses microbiologiques de qualit\u00e9 - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/en\/une-nouvelle-plateforme-pour-des-analyses-microbiologiques-de-qualite\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Une nouvelle plateforme pour des analyses microbiologiques de qualit\u00e9 - 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