布基纳法索抗菌药耐药性监测网络中的哨点实验室遵守最佳做法的情况。

IF 1 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
African Journal of Laboratory Medicine Pub Date : 2024-01-30 eCollection Date: 2024-01-01 DOI:10.4102/ajlm.v13i1.2259
Dame Yenyetou, Emmanuel Zongo, Emilie Dama, Merci Muhigwa, Issouf Sanou, Charles Sawadogo, Soumaya Ouangraoua, Ibrahim Sangare, Abdoulaye Nikiema, Anicet G Dahourou, Abdoul S Ouedraogo
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引用次数: 0

摘要

背景:程序标准化是协调和加强基于实验室的抗菌药物耐药性监测质量的最佳途径。自 2018 年以来,布基纳法索在其国家抗菌药物耐药性监测网络内的哨点实验室中编制并分发了国家抗生素药敏试验程序手册:我们的研究旨在评估这些哨点实验室对抗生素药敏试验良好操作规范的遵守情况:2022 年 9 月 19 日至 28 日,四个小组对布基纳法索全国的抗菌药物耐药性哨点实验室进行了评估。对 19 个哨点实验室中的 18 个进行了评估。由四人组成的技术委员会设计并验证了由三张 Microsoft Excel 表单组成的评估工具。评估强调了对培养基、抗生素盘的质量控制,以及实验室对抗菌药物敏感性检测程序的遵守情况。Excel 软件用于数据记录、图表设计。免费的 R 软件 4.2.0 版用于描述性统计。总得分低于 80% 的实验室被视为不符合要求:大多数哨点实验室(83.33%)至少开展了一次培养基质量控制活动,66.67%至少开展了一次抗生素盘质量控制活动。超过四分之三(76.47%)的实验室对改良柯比鲍尔抗菌药物敏感性检测方法的符合率超过 80%:评估结果表明,哨点实验室不符合国家程序手册的要求,尤其是在质量控制部分:这项研究提供了哨点实验室遵守国家抗菌药物药敏试验程序手册的基线数据,尤其是在执行质量控制检查或达到培养基和抗生素盘质量指标方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sentinel laboratory compliance with best practices in Burkina Faso's antimicrobial resistance surveillance network.

Background: Standardising procedures is the best way to harmonise and strengthen the quality of laboratory-based antimicrobial resistance surveillance. Since 2018, Burkina Faso has developed and disseminated the national manual of procedures for performing antibiotic susceptibility tests in sentinel laboratories within its national antimicrobial resistance surveillance network.

Objective: Our study aimed to assess these sentinel laboratories' compliance with good practices for antibiotics susceptibility tests.

Methods: Four teams evaluated the antimicrobial resistance sentinel sites laboratories throughout Burkina Faso from 19 to 28 September 2022. Eighteen out of 19 sentinel laboratories were evaluated. A four-member technical committee designed and validated the evaluation tool composed of three Microsoft Excel sheets. The evaluation emphasised quality controls for culture media, antibiotic discs and compliance with antimicrobial susceptibility testing procedures by the laboratories. Excel software was used for data recording and graphs and table design. The free R software version 4.2.0 was used for descriptive statistics. An overall score below 80% was considered noncompliance.

Results: Most (83.33%) of the sentinel laboratories conducted at least one quality control activity for culture media, and 66.67% conducted at least one quality control activity for antibiotic discs. Over three-quarters (76.47%) of the laboratories were more than 80% compliant with the modified Kirby Bauer antimicrobial susceptibility testing method.

Conclusion: The evaluation revealed the noncompliance of sentinel laboratories with the national procedure manual, particularly in the quality control component.

What this study adds: This study has provided baseline data on the sentinel laboratories' compliance with the national antimicrobial susceptibility testing procedures manual, particularly in areas performing quality control checks or meeting quality indicators for culture media and antibiotic discs.

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来源期刊
African Journal of Laboratory Medicine
African Journal of Laboratory Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.70
自引率
9.10%
发文量
53
审稿时长
12 weeks
期刊介绍: The African Journal of Laboratory Medicine, the official journal of ASLM, focuses on the role of the laboratory and its professionals in the clinical and public healthcare sectors,and is specifically based on an African frame of reference. Emphasis is on all aspects that promote and contribute to the laboratory medicine practices of Africa. This includes, amongst others: laboratories, biomedical scientists and clinicians, medical community, public health officials and policy makers, laboratory systems and policies (translation of laboratory knowledge, practices and technologies in clinical care), interfaces of laboratory with medical science, laboratory-based epidemiology, laboratory investigations, evidence-based effectiveness in real world (actual) settings.
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