The Forum on laboratory Services organized by the National Health Insurance Fund, chaired by the Fund
and concluded yesterday, confirmed the adoption of a unified mechanism for the purchase hardware, operation, emergency maintenance, prevention and calibration, and learn how to optimize storage of the tissues, consumables and specifications Required to be available in storage, as well as to agree on the application of quality systems in order to achieve overall quality and standardize systems in determining the laboratory need for consumption rates to rationalize and reduce costs.
The panellists at the forum believed that the method of testing typhoid fever by pipe should be adopted as a standard method.
Said Dr. Jalal Abdulhadi, National Health Insurance Fund in his paper titled The Role of Laboratory supervision specializing in improving laboratory quality, said that the paper discussed the establishment of quality systems by laboratories to upgrade the service through mentoring, mentoring, monitoring and control, noting that the supervision of some States indicated that there was a lack of interest in following State laboratory safety procedures, as well as the failure to follow the calibration, specification and periodic maintenance of the equipment as well as the weakness of periodic supervision.
The paper recommended that internal quality regulations should be applied and technical supervision should be activated, as well as the storage of solutions and consumables according to optimum temperature, and the paper recommended that the diagnostic test tube method should be used.
The assessment paper on methods of diagnosis of typhoid fever was discussed by the general and special laboratories of the state of Khartoum by the Vidal test how to contain the cost using the Vidal Fever test by testing the pipes instead of the slice method to reduce the conflicting results and contribute to promoting rational use of medicines,
The paper noted that typhoid is a contagious disease caused by salmonella bacteria.
According to statistics from the World Health Organization (WHO), typhoid registers about seventeen million cases a year.
It results in the death of approximately 600,000 patients.
Where the infection is transmitted by means of food or drink contaminated with bacteria and the human being the only breadwinner, and 10% of the typhoid patients can have serious complications while (1-5%) Of patients are becoming permanent carriers of the disease,
According to a study conducted in 2007 by the Department of Health of the Department of Epidemiology, all types of medical laboratories in the state of Khartoum (Government, private, organizations (1034 laboratories) were visited with 99.5% of the total number (1039).
The study found that 68% of the coefficient is performed by a tevolide test. Of these, 21.1% are government laboratories, while the private sector (special coefficient + Organization laboratories) is 78.9%, so it is clear that the private sector factor represents the largest proportion of the equipment that examines typhoid, requiring a mentoring and follow-up programme Regular training and quality assurance to ensure that they perform the standard and results-oriented examination.
93.4% of the laboratories that test the Tevolide use the method of concentrating antibodies only while 3.8% use the methods of cultivation with the method of measuring the concentration of antibodies. Hence, it is clear that the vast majority of laboratories use a non-taxa method in the diagnosis of typhoid, according to a study conducted in Ngeria The diagnosis of tevolide based on the measurement of the concentration of antibodies is inaccurate, this is because the examination produces incorrect positive results (false positive) in cases of many other diseases such as malaria, Maltese fever and liver disease.
It was found that 6% of the use of the method of measuring the concentration of antibodies in the Tivolide test uses expired solutions, while 18% of them were kept in a non-good way. Validity and method of preservation are factors that affect the outcome of the examination as there is a wide use of the technique of measuring the concentration of antibodies In the laboratory diagnosis of typhoid fever, there is therefore an urgent need to issue a circular from the Ministry of Health authorities in Khartoum State to improve the practice in using this technique until a disease diagnosis protocol is developed.
The Forum discussed a number of papers, the most important of which are the current status of comprehensive quality systems in the laboratory sector in the Sudan and a paper on methods of diagnosing tequide by laboratories in Khartoum state by the Vidal Test and a paper on the role of laboratory supervision specializing in improving laboratory quality and paper on the path Al Mehty Medical Laboratories _ Requirements and adequacy and a paper on the management of medical dev