Diagnostic Capacity for Fungal Infections in Tertiary Hospitals in Nigeria and Ghana - An Onsite Baseline Audit of 9 Sites.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1607731

Damilola Akinlawon, Iriagbonse Osaigbovo, Mohammed Yahaya, Olufunmilola Makanjuola, Ubong A Udoh, Philip Nwajiobi-Princewill, Ifeyinwa Nwafia, Jonah Peter, Isabella Asamoah, Folake Peters, Obiora Okafor, Tochi Okwor, Akin Osibogun, Folashade Ogunsola, Alexander Jordan, Tom Chiller, Rita Oladele

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引用次数: 0

Abstract

Objectives: To assess diagnostic mycology capacity and available fungal diagnostic services of microbiology laboratories in eight tertiary hospitals in Nigeria and one in Ghana.

Methods: On-site audits were performed in the microbiology laboratories of nine tertiary hospitals using a structured observation checklist.

Results: A total of nine tertiary hospitals' laboratories in Nigeria and Ghana were assessed between June 2022 and December 2023. The majority of audited laboratories lacked basic infrastructure and materials needed for fungal diagnostic testing, with less than half of the labs having a dedicated mycology bench, space or room, 3/9 (33.3%), appropriate bench workflow 1/9 (11.1%), functional biosafety cabinet type two 2/9 (22.2%), dedicated incubators 3/9 (33.3%), standard operating procedures 1/9 (11.1%), mycology atlases 2/9 (22.2%). Trained laboratory personnel for mycology were also lacking with only one of the laboratories 1/9 (11.1%) observed to have a designated trained personnel for the mycology bench.

Conclusion: The audit revealed deficits in basic infrastructure, material resources, dedicated human resources, and laboratory capacity to detect serious fungal infections.

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尼日利亚和加纳三级医院真菌感染的诊断能力——对9个站点的现场基线审计。

目的：评估尼日利亚8所三级医院和加纳1所三级医院微生物实验室的真菌学诊断能力和现有真菌诊断服务。方法：采用结构化观察表对9所三级医院微生物实验室进行现场审核。结果：在2022年6月至2023年12月期间，对尼日利亚和加纳的9家三级医院实验室进行了评估。大多数被审计的实验室缺乏真菌诊断检测所需的基础设施和材料，不到一半的实验室拥有专用的真菌学工作台、空间或房间，占3/9(33.3%)，合适的工作台工作流程占1/9(11.1%)，功能性生物安全柜2型占2/9(22.2%)，专用培养箱占3/9(33.3%)，标准操作程序占1/9(11.1%)，真菌学图集占2/9（22.2%）。训练有素的真菌学实验室人员也缺乏，只有1/9的实验室（11.1%）有指定的训练有素的真菌学工作台人员。结论：审计发现在检测严重真菌感染的基础设施、物质资源、专门的人力资源和实验室能力方面存在不足。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.