Release Date: Sep 2017
CC: PC, MK, PBL, ICS
Michael J. Caplan, MD
Chief Medical Examiner, Suffolk County Office of the Medical Examiner, Hauppauge, NY; Visiting Associate Professor in Pathology, State University of New York at Stony Brook, Stony Brook School of Medicine, Stony Brook, NY
This course is designed to provide a pragmatic approach to postmortem microbiology for the practicing university or community hospital autopsy pathologist, forensic pathologist, or pathology resident in training. Despite the significant advances that have been made in techniques, methodologies, and instrumentation in clinical microbiology, the subspecialty of postmortem microbiology continues to lag behind in the strength of the evidence that has been acquired. Probably the strongest indicator of this dilemma is the periodic appearance of review articles on postmortem microbiology that essentially restate what is already known or theorized regarding the efficacy of postmortem microbiology in documenting the presence of infection at autopsy and in evaluating the potential contribution of an infectious disease in a death. The most important goal for this educational activity is to educate not only pathologists performing autopsies but also the clinical microbiologists working up the cultures as to what postmortem microbiology can offer as adjunct information in an autopsy and also its limitations. Ultimately, if the pathologist can explain what he or she is expecting from the Microbiology Lab, and if the laboratory microbiologist understands the rationale for submitting the culture, this will allow the best opportunity for the appropriate microbiologic workup of the sample and the interpretation of the results.
After attending this session, participants will be able to:
· Articulate the most common indications for postmortem microbiology studies arising from a hospital or forensic autopsy.
· Construct a logical and systematic scheme for the selection of body fluids and tissues to obtain at the autopsy for postmortem microbiology.
· Describe the basic methods and techniques involved in submitting a postmortem body fluid or tissue sample to the Microbiology Laboratory.
· Integrate the cumulative database of gross autopsy findings, histopathologic (microscopic) findings, microbial stains, immunostains, molecular studies, and postmortem microbiology results in a particular autopsy study that will allow a valid interpretation of the microbiology results within the context of the case and an assessment of the role that an infectious disease played in an individual's death.
Who should attend? Practicing Pathologists, Residents, Pathologists' Assistants, Laboratory Managers, Bench Supervisors, Bench Technologists & Technicians, Students