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非洲区域实施 COVID-19 实验室检测认证计划(CoLTeP)。

Implementation of COVID-19 Laboratory Testing Certification Program (CoLTeP) in African Region.

机构信息

Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia.

African Society for Laboratory Medicine, Addis Ababa, Ethiopia.

出版信息

Front Public Health. 2022 Jul 4;10:919668. doi: 10.3389/fpubh.2022.919668. eCollection 2022.

Abstract

OBJECTIVES

Coronavirus disease 2019 was declared a global pandemic in March 2020 with correct and early detection of cases using laboratory testing central to the response. Hence, the establishment of quality management systems and monitoring their implementation are critical. This study describes the experience of implementing the COVID-19 Laboratory Testing and Certification Program (CoLTeP) in Africa.

METHODS

Private and public laboratories conducting SARS-CoV-2 testing using polymerase chain reaction were enrolled and assessed for quality and safety using the CoLTeP checklists.

RESULTS

A total of 84 laboratories from 7 countries were assessed between April 2021 to December 2021 with 52% of these from the private sector. Among them, 64% attained 5 stars and were certified. Section 4 had the highest average score of 92% and the lowest of 78% in Section 3. Also, 82% of non-conformities (NCs) were related to sample collection, transportation, and risk assessments. Non-availability, inconsistency in performing, recording, instituting corrective actions for failed internal and external quality controls were among major NCs reported.

CONCLUSIONS

Laboratories identified for SARS-CoV-2 testing by public and private institutions mostly met the requirements for quality and safe testing as measured by the CoLTeP checklist.

摘要

目的

2019 年冠状病毒病于 2020 年 3 月宣布为全球大流行,使用实验室检测正确且及早发现病例是应对工作的核心。因此,建立质量管理体系并监测其实施至关重要。本研究描述了在非洲实施 COVID-19 实验室检测和认证计划(CoLTeP)的经验。

方法

使用聚合酶链反应进行 SARS-CoV-2 检测的私人和公共实验室被纳入,并使用 CoLTeP 检查表评估其质量和安全性。

结果

2021 年 4 月至 2021 年 12 月期间,对来自 7 个国家的 84 家实验室进行了评估,其中 52%来自私营部门。其中,64%达到 5 星级并获得认证。第 4 节的平均得分最高,为 92%,第 3 节的得分最低,为 78%。此外,82%的不符合项(NCs)与样本采集、运输和风险评估有关。报告的主要 NC 包括无法获得、执行、记录不一致,以及未能对内部和外部质量控制的失败采取纠正措施。

结论

通过公共和私人机构确定用于 SARS-CoV-2 检测的实验室,按照 CoLTeP 检查表的要求,大多符合质量和安全检测的要求。

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