TY - JOUR T1 - Utility of an infectious and tropical disease histopathology diagnostic review service JF - Journal of Clinical Pathology JO - J Clin Pathol DO - 10.1136/jclinpath-2020-206546 SP - jclinpath-2020-206546 AU - Sum Yu Pansy Yue AU - Sebastian B Lucas AU - Michael Brown AU - Peter L Chiodini AU - Stephen L Walker AU - Ula Mahadeva Y1 - 2020/06/23 UR - http://jcp.bmj.com/content/early/2020/06/23/jclinpath-2020-206546.abstract N2 - Aim To assess the utility of a London-based infectious and tropical disease histopathology diagnostic review service.Methods The original and specialist review histopathology reports of 457 samples from over 3 years of referrals were compared retrospectively.Results Overall 329 (72.0%) showed no significant difference; 34 (7.4%) showed a non-clinically significant difference; and 94 (20.6%) showed a clinically significant difference. Of the 94 clinically significant discrepancies, 46 (48.9%) were incorrectly suspected infections; 19 (20.2%) were missed infections; 8 (8.5%) were different infections; and in 20 (21.3%), the specialist review yielded more specific identification of an organism or a more correct assessment of its viability.Conclusions A review of histopathology cases by an infectious disease (ID) histopathology referral centre has yielded a 20.6% clinically significant error rate. Measures to improve training in ID histopathology in the UK are discussed. ER -