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Revista Cubana de Medicina Tropical

ISSN 1561-3054 (Electronic)
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2013, Number 2

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Rev Cubana Med Trop 2013; 65 (2)

Proposal and evaluation of a statistical model for the quality control of veneral disease research laboratories/rapid plasma reagin serologies

Roque de Escobar MH, Hernández SC, Sánchez AML, Pastrana TAC, Rodríguez GI
Full text How to cite this article

Language: Spanish
References: 7
Page: 223-233
PDF size: 0. Kb.


Key words:

quality control, syphilis, serological diagnosis.

ABSTRACT

Introduction: the purpose of every quality control laboratory for the serological diagnosis of syphilis is to monitor the accuracy of test performance.
Objective: to evaluate the proposal of a statistical model to tabulate the results of the laboratories involved in the quality control of the veneral disease research laboratories-rapid plasma reagin serology for the assessment of and customized attention to them.
Methods: a model for the collection of information from the 21 laboratories of Villa Clara's provincial network in the 2006-2010 period was designed and refined until the final version was reached. The defined variables comprised Number of sent sera, Total discordant, Nonreactive Discordant, Reactive Discordant, Shipping by month and Final evaluation were defined. Evaluation criteria were set for each variable. This paper presented the evaluation of the model with information from January to March, 2011.
Results: the suggested model allowed the detection of the main difficulties such as the non-compliance with the number of sent sera, non-reception of samples monthly and also current conflicting results. The model is fair when making evaluation, since it uses generalized quantitative criteria that enable individualized qualitative assessment and it is also in line with current evaluative techniques applied in different fields of social endeavor.
Conclusions: the statistical model allows provincial quality control laboratory to tabulate data by using the suggested variables and thus evaluate each laboratory in Villa Clara.


REFERENCES

  1. Cuba, Ministerio de Salud Pública. Programa Nacional de Prevención y Control de ITS. Cuba: MINSAP; 1997.

  2. Cuba, Ministerio de Salud Pública. Infecciones de Transmisión Sexual: pautas para su tratamiento. Cuba: MINSAP; 2004.

  3. Vulcano F, Milazzo L, Volpi S, Battista MM, Barca A, Hassan HJ, et al. Italian national survey of blood donors: external quality assessment (EQA) of syphilis testing. J Clin Microbiol. 2010;48(3):753-7.

  4. Ratnam S. The laboratory diagnosis of syphilis. Can J Infect Dis Med Microbiol. 2005;16(1):45-51.

  5. Muller I, Brade V, Hagedorn HJ, Straube E, Schorner C, Frosch M, et al. Is serological testing a reliable tool in laboratory diagnosis of syphilis? Meta-analysis of eight external quality control surveys performed by the German infection serology proficiency testing program. J Clin Microbiol. 2006;44(4):1335-41.

  6. Gupta SM, Bala M, Muralidhar S, Ray K. Evaluation of test results of microbiology laboratories of North India for standard tests for syphilis under an external quality assurance scheme. Eur J Clin Microbiol Infect Dis. 2009;28(5):461-8.

  7. Ruiz de Gopegui E, Serrano MR, Orta N, Ovies MR, Poveda M, Cardona CG. Análisis de resultados del Programa Externo de Control de Calidad SEIMC. Año 2010. Enferm Infecc Microbiol Clin. 2011;29(Suppl 5):1-7.




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Rev Cubana Med Trop. 2013;65