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在资源匮乏地区加强结核病诊断:坦桑尼亚多多马的经验教训

Strengthening tuberculosis diagnosis in a low-resource setting: experience learned in Dodoma, Tanzania.

作者信息

Cannas Angela, Paglia Maria Grazia, Sakhoo Dominick Calistus, Vairo Francesco, Doulla Basra, Nguhuni Boniface, Chaula Zainab, Mlumba Raphael, Mirrione Maurizio, Bevilacqua Nazario, Nicastri Emanuele, De Nardo Pasquale, Meschi Silvia, Girardi Enrico, Racalbuto Vincenzo, Ippolito Giuseppe

机构信息

National Institute for Infectious Diseases (INMI) "L. Spallanzani", Rome, Italy.

出版信息

J Infect Dev Ctries. 2013 Sep 16;7(9):676-9. doi: 10.3855/jidc.3366.

DOI:10.3855/jidc.3366
PMID:24042104
Abstract

INTRODUCTION

Diagnosing tuberculosis in low-resource settings mostly relies on sputum smear microscopy. Improvement through capacity building is a priority. This project aimed to strengthen tuberculosis diagnosis at an intermediate level laboratory.

METHODOLOGY

The Italian National Institute for Infectious Diseases and the Italian Development Cooperation closely collaborated with regional and national institutions and reference laboratories to provide laboratory setup, equipment and reagents, personnel training, and the implementation of culture and quality assessment programs at Dodoma Regional Hospital, Dodoma, Tanzania.

RESULTS

Microscopy sensitivity was increased, personnel were trained, and culture techniques and quality assessment programs were introduced.

CONCLUSIONS

Implementing tuberculosis diagnosis in resource-constrained settings is feasible and represents a basis for further strengthening.

摘要

引言

在资源匮乏地区诊断结核病主要依靠痰涂片显微镜检查。通过能力建设实现改进是当务之急。本项目旨在加强一家中级实验室的结核病诊断能力。

方法

意大利国家传染病研究所和意大利发展合作部与坦桑尼亚各地区及国家机构和参考实验室密切合作,在坦桑尼亚多多马的多多马地区医院提供实验室设施、设备和试剂、人员培训,并实施培养和质量评估项目。

结果

提高了显微镜检查的敏感性,对人员进行了培训,并引入了培养技术和质量评估项目。

结论

在资源有限的环境中实施结核病诊断是可行的,并且是进一步加强的基础。

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