| Autor: |
W, Sikhondze, T, Dlamini, D, Khumalo, G, Maphalala, S, Dlamini, T, Zikalala, H, Albert, J, Wambugu, K, Tayler-Smith, E, Ali, S, Ade, A D, Harries |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Public health action. 5(2) |
| ISSN: |
2220-8372 |
| Popis: |
All 19 public health laboratories in Swaziland that had Xpert(®) MTB/RIF machines installed as part of a countrywide roll-out between June 2011 and June 2014.To evaluate the utilisation and functionality of Xpert from 2011 to mid-2014.Descriptive study of Xpert implementation using routinely collected data.Of 48 829 Xpert tests conducted, 93% were successful: 14% detected Mycobacterium tuberculosis and 12% showed rifampicin resistance. The most common cause of unsuccessful tests was an 'Error' result (62%). Similar findings were obtained in government-supported and partner-supported laboratories. Annual utilisation of Xpert improved from 51% of maximum capacity in 2011 and 2012 to 74% in 2013 and 2014. A monitoring and supervision exercise of all Xpert testing sites in 2014 showed a generally good performance, with over 50% of laboratories achieving a ⩾80% score on most components. However, poor scores were obtained with equipment use and maintenance (6% achieving a score of ⩾80%), internal audit (19% achieving a score of ⩾80%) and process control (25% achieving a score of ⩾80%).Countrywide roll-out of Xpert in Swaziland has been successful, although operational issues have been identified and need to be resolved. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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