The Performance of Tuberculosis Sputum Examination at District Hospitals, Khon Kaen, Thailand

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dc.contributor.authorSompong Srisaenpangen_US
dc.contributor.authorMaarten Elink Schuurmanen_US
dc.contributor.authorSomdej Pinitsoontornen_US
dc.contributor.authorKriangsak Vaeteewootacharnen_US
dc.contributor.authorSamai Kungsawornen_US
dc.contributor.authorAroon Chirawatkulen_US
dc.contributor.authorWichai Usawaphacen_US
dc.date.accessioned2011-02-24T04:34:31Z
dc.date.available2011-02-24T04:34:31Z
dc.date.created2010-05-28en_US
dc.date.issued2010-05-28en_US
dc.description.abstract Setting : Nineteen  district  hospital  laboratories  and  a  reference  Zonal  Tuberculosis  control  Centre  laboratory  in  Khon  Kaen,  Thailand. Objective : To  assess  the  performance  of  sputum  smear  examinations  by  peripheral  laboratory  technicians  in  their  own  work  setting. Design : Exploratory  study.  19  district  hospital laboratories  were  asked  to  submit  monthly  a  sample  of  sputum  slides that  were  examined  during  1990 and  1991.  These  slides  were  reexamined  by  a  reference  laboratory  technician.  The  reading  results  were  compared and  the  influence  of  slide  preparation  on  the  reading  result  was  analyzed. Results  :  In  a  sample  of  1057  slides  the  agreement  in  reading  results  between  the  reference  and  peripheral  laboratories  was  94%  However,  39%  of  slides  were  not  prepared  well  in  sputum  collection,  smearing  or  staining.  Among  the  slides  with  good  sputum  but  with  poor  smearing  or  staining  a  significantly  different  proportion  of  positive  slides  were  found  compared  with  the  well  prepared  slides  when  examined  by  the  reference  laboratory.  The  authors  speculate  that  technicians  in  the  district  and  reference  laboratories  make  the  same  mistakes  in  reading  these  poorly  prepared  slides,  so  that  a  high  agreement  in  results  does  not  guarantee  good  performance. Conclusion :  Not  only  agreement  in  reading  results  but  also  the  proportion  well   prepared   slides  is  and  important   indicator  for  peripheral  laboratory  performance. Keyword  :  tuberculosis,  performance,  sputum  smear  examination,  district  hospitalRequest  for  reprints :en_US
dc.identifier.citationSrinagarind Medical Journal (SMJ); Vo. 11 No. 1 January - March 1996; 11-20en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/134004
dc.language.isoen_USen_US
dc.publisherFaculty of Medicine, Khon Kaen Universityen_US
dc.rightsAcademic Affairs, Faculty of Medicine, Khon Kaen University, KhonKaen, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/SMJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/SMJ/article/view/4110en_US
dc.titleThe Performance of Tuberculosis Sputum Examination at District Hospitals, Khon Kaen, Thailanden_US
dc.typeOriginal Articlesen_US
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