Lab Matters Spring 2019 - Page 21

GLOBAL HEALTH Figure 1: Expansion of Scope of Testing Figure 2: Illustration of audit scores based on the SLIPTA Checklist showing the laboratory’s improvement on QMS. Under the technical aspects of the project, the following have been achieved: • Implementation of media preparation • Implementation of culture techniques (see Table 1) • Implementation of outbreak response activities • Initiation of research activities • Expansion of the scope of testing, which has seen statistics move from an average of 90 tests per month (verbal information, data not available) to the current average of 700 tests per month. Under QMS, the following have been realized: • Full documentation and validation of the QMS procedures, including Quality, Biosafety, Laboratory User, Training, Media/Reagents Preparation Manuals and Examination Procedures PublicHealthLabs @APHL • In May 2017 the laboratory had a baseline score of 31/265 (11.7%) on the Stepwise Laboratory Quality Improvement Process towards Accreditation (SLIPTA) checklist and a rating of No Star. As of December 2018, the laboratory scored 173/265 (65.3%, Figure 4) for a rating of Two Stars. This represented a 53.6% increase in under two years 2. The ODCH/PCMH microbiology laboratory is currently used as a referral facility for bacteriology culture analyses and antimicrobial sensitivity testing. In addition, the laboratory supports outbreak responses for epidemic prone diseases such as cholera and meningitis. Impact 4. Clinical research can now be carried out at this facility. n 1. A MoHS Antimicrobial Resistance Surveillance Program is currently running in this facility. This will ensure that resistance patterns of common isolates are determined so that Empirical Treatment Regimes are based on available data. Also, extended spectrum β-lactamase (ESBL) strains can now be identified based on Cefotaxime resistance; this is significant resistance and considered is a high priority infection control alert. APHL.org 3. The facility currently supports the practical training of MLS students. Spring 2019 LAB MATTERS 19