Free Content Monitoring the performance of mycobacteriology laboratories: a proposal for standardized indicators

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Abstract:

SETTING: Thailand Tuberculosis (TB) Active Surveillance Network: Bangkok, Chiang Rai, Phuket, Tak and Ubon-Ratchathani, Thailand.

BACKGROUND: Mycobacteriology laboratories in resource-limited, high TB burden settings are expanding to perform conventional solid media culture and broth-based mycobacteriology culture. Indicators that measure how well a laboratory performs sputum microscopy have been developed and broadly implemented. Routine monitoring of sputum culture performance, however, is not as common.

DESIGN: We implemented indicators for monitoring the quality of laboratory services in five province-level mycobacteriology culture facilities in Thailand. These indicators were derived from literature review, consultation with subject matter experts and our program experience.

CONCLUSIONS: We believe that an international consensus document providing monitoring guidelines for mycobacteriology laboratories is urgently needed.

Keywords: Thailand; culture; diagnosis; drug susceptibility testing; laboratories; mycobacteria; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Division of Tuberculosis Elimination, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA 2: Thailand Ministry of Public Health, US CDC Collaboration, Nonthaburi, Thailand 3: Thailand Ministry of Public Health Supranational TB Reference Laboratory, Bangkok, Thailand 4: Bangkok Metropolitan Administration, Bangkok, Thailand 5: Division of Tuberculosis Elimination, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA; and Thailand Ministry of Public Health, US CDC Collaboration, Nonthaburi, Thailand

Publication date: September 1, 2008

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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