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M94A2710.TXT
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1994-10-25
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Document 2710
DOCN M94A2710
TI Quality assurance (QA) in Dominican laboratories doing HIV testing.
DT 9412
AU Koenig RE; Malla A; Butler M; National Laboratory of Public Health,
Santo Domingo, Dominican; Republic.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):242 (abstract no. PB0398). Unique
Identifier : AIDSLINE ICA10/94369865
AB OBJECTIVE: To determine how the QA intervention during the previous year
influenced the outcome of the laboratory evaluations this year and to
extend the appraisal of laboratory capability with respect to HIV
testing to the entire country. METHODS: Two criteria were utilized:
laboratory inspections and a proficiency panel prepared in the country.
RESULTS: The overall inspection average of all the laboratories that
participated last year increased from 3.71 (of 5) in 1992 to 4.06 in
1993. The average for the laboratories that joined the program this year
was 3.56. A total of 116 laboratories participated in the program. In
the proficiency panel, the laboratories from last year correctly
identified 91.4% of the reactive sera and 100% of the nonreactive sera;
whereas, the laboratories joining this year only identified 78.2% of the
reactive samples and 98.7% of the nonreactive. When the participants
evaluated the project, 72% said they had implemented at least 55% of the
suggestions made by the inspectors, while all indicated their desire for
the program to continue. CONCLUSIONS: QA programs can bring about
positive changes in laboratory performance and are needed in developing
countries to improve and maintain the quality of the clinical
laboratories. Moreover, such a program in the area of HIV diagnosis
could provide the impetus to develop QA programs for all areas of the
laboratory.
DE *AIDS Serodiagnosis *Developing Countries Dominican Republic Human
HIV Seropositivity/*DIAGNOSIS/IMMUNOLOGY Predictive Value of Tests
*Quality Assurance, Health Care Quality Control MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).