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LABORATORY DIAGNOSIS OF TB
&
QUALITY ASSURANCE
Dr. Rachana Vishwajeet, Dr. Neelu Gupta, Dr. Anitha AK, Dr.
Sunil Kumar, Dr. Rajesh Kumar, Dr. Arun Sinha, Dr. Shakutala
Singh, Dr. Shashi Nath
Felicitator: Dr. NEETA SINGLA
RNTCP has
separate
diagnostic
algorithm for
pediatric
pulmonary
TB and
common
forms of
extrapulmonary
TB
At least 2% of new
adult out-patients.
10-15% sputum
smear-positive
EP cases and
contacts of all
positive cases with
cough should be
subjected for
sputum
examination
irrespective of the
duration of cough.
EP TB is diagnosed
depending upon
the organ
involvement
smear microscopy
Chest
X-ray, Sputum culture and DST for diagnosis of Drug Resistant TB,
Newer rapid diagnostic tools for detection of MDR TB, Newer tools under
evaluation for diagnosis of MDR/XDR TB
QUALITY ASSURANCE
External Quality Assessment ((EQA)
2.
It
includes
technical
procedures,
checking
diagnostic
services
are
carefully
slides:
re-reading a statistically valid sample of slides from a
laboratory to assess whether that laboratory has an acceptable
level of performance
Performed once a month for every DMCs
INFECTION CONTROL