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

Int J Tuberc Lung Dis. 2008 Sep;12(9):1015-20.

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.

MeSH terms

  • Guidelines as Topic
  • Humans
  • Laboratories / organization & administration*
  • Laboratories / standards
  • Mycobacterium tuberculosis / isolation & purification*
  • Population Surveillance
  • Quality Control
  • Specimen Handling
  • Sputum / microbiology*
  • Thailand
  • Tuberculosis / diagnosis*
  • Tuberculosis / microbiology