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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Making pragmatic sense of data in the tuberculosis laboratory register
International Journal of Tuberculosis and Lung Disease, Volume 12, No. 3, Year 2008
Notification
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Description
SETTING: Tuberculosis (TB) microscopy network in Moldova, Mongolia, Uganda and Zimbabwe. OBJECTIVE: To evaluate how scrutinising the information recorded in the TB Laboratory Register can assist in improving the performance of the microscopy laboratory network and TB case management. METHODS: Review of records for completeness in registration of age, sex, reason for examination, analysis of variability patterns in serial smears and provision of exemplary statistical process charts of scanty positive results over time in the four countries. RESULTS: A total of 128 808 records were analysed. A large proportion of examinees in Uganda (6.9%) and Zimbabwe (3.9%) had no information on sex. The reason for examination was unknown for 7.4%. Among suspects with three smear results with at least one positive result, 56.1% had no variation in the pattern. Statistical process control charts revealed considerable fluctuation in the frequency of scanty positive smears over a calendar year. CONCLUSION: An analysis of information recorded in the TB Laboratory Register not only identifies strengths and weaknesses in the laboratory, it also reveals weaknesses on a much wider scale, in the entire case management system. TB laboratory data can thus demonstrate when, where and what action is indicated, and how performance might be monitored over time. © 2008 The Union.
Authors & Co-Authors
Mabaera, Biggie
Zimbabwe, Harare
University of Zimbabwe
United States, Chevy Chase
University Research Co., Llc
Lauritsen, Jens M.
Denmark, Odense
Syddansk Universitet
Katamba, Achilles
Uganda, Kampala
Kampala City Council
France, Paris
International Union Against Tuberculosis and Lung Disease
Laticevschi, Dumitru
Moldova, Chisinau
Tuberculosis/aids Project Coordination Unit
Switzerland, Geneva
Fonds Mondial de Lutte Contre le Sida, la Tuberculose et le Paludisme
Naranbat, Nymadawa
Mongolia, Ulanbaatar
Ministry of Health
Rieder, Hans L.
France, Paris
International Union Against Tuberculosis and Lung Disease
Statistics
Citations: 6
Authors: 6
Affiliations: 8
Identifiers
ISSN:
10273719
Research Areas
Infectious Diseases
Study Locations
Uganda
Zimbabwe