ArticleBulletin of the World Health Organization2007
Roles of laboratories and laboratory systems in effective tuberculosis programmes.
Article in Bulletin of the World Health Organization, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed.
- Impact of Xpert MTB/RIF for TB diagnosis in a primary care clinic with high TB and HIV prevalence in South Africa: a pragmatic randomised trial.PLoS medicine · 2014Trial
- Impact of COVID-19 on tuberculosis and HIV health services delivery in Ghana: qualitative evidence from the perspectives of healthcare providers.BMC health services research · 2025Article
- Impact of randomized blinded rechecking program on the performance of the AFB Microscopy Laboratory Network in Uganda: a decadal retrospective study.BMC infectious diseases · 2023Article
- Innovative laboratory methods for improved tuberculosis diagnosis and drug-susceptibility testing.Frontiers in tuberculosis · 2023Review
- Tuberculosis and Other Airborne Microbes in Occupational Health and Safety.International journal of environmental research and public health · 2020Article
- Reducing delays to multidrug-resistant tuberculosis case detection through a revised routine surveillance system.BMC infectious diseases · 2020Article
- European Union training programme for tuberculosis laboratory experts: design, contribution and future direction.BMC health services research · 2020Article
- Microscopic Observation Drug Susceptibility (MODS) Assay: A Convenient Method for Determining Antibiogram of Clinical Isolates ofMedical sciences (Basel, Switzerland) · 2020Article
- Evaluation of continuous quality improvement of tuberculosis and HIV diagnostic services in Amhara Public Health Institute, Ethiopia.PloS one · 2020Article
- Assessing the Potential Deployment of Biosensors for Point-of-Care Diagnostics in Developing Countries: Technological, Economic and Regulatory Aspects.Biosensors · 2018Review
- Recent advances in tuberculosis diagnostics in resource-limited settings.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018Review
- Integrating tuberculosis and antimicrobial resistance control programmes.Bulletin of the World Health Organization · 2018Article
- Addressing antiretroviral therapy-related diagnostic coverage gaps across South Africa using a programmatic approach.African journal of laboratory medicine · 2018Article
- Developing a customised approach for strengthening tuberculosis laboratory quality management systems toward accreditation.African journal of laboratory medicine · 2017Article
- Performance evaluation of tuberculosis smear microscopists working at rechecking laboratories in Ethiopia.African journal of laboratory medicine · 2017Article
- Polio Eradication Initiative (PEI) contribution in strengthening public health laboratories systems in the African region.Vaccine · 2016Article
- Decentralization of Acid Fast Bacilli (AFB) External Quality Assurance Using Blind Rechecking for Sputum Smear Microscopy in Ethiopia.PloS one · 2016Article
- Experience in implementing a quality management system in a tuberculosis laboratory, Kisumu, Kenya.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2015Article
- External Quality Assessment of Sputum Smear Microscopy in Tuberculosis Laboratories in Sughd, Tajikistan.Central Asian journal of global health · 2015Article
- Does task shifting in tuberculosis microscopy services to non-certified technicians in Afghanistan affect quality?Public health action · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Laboratories and laboratory networks are a fundamental component of tuberculosis (TB) control, providing testing for diagnosis, surveillance and treatment monitoring at every level of the health-care system. New initiatives and resources to strengthen laboratory capacity and implement rapid and new diagnostic tests for TB will require recognition that laboratories are systems that require quality standards, appropriate human resources, and attention to safety in addition to supplies and equipment. To prepare the laboratory networks for new diagnostics and expanded capacity, we need to focus efforts on strengthening quality management systems (QMS) through additional resources for external quality assessment programmes for microscopy, culture, drug susceptibility testing (DST) and molecular diagnostics. QMS should also promote development of accreditation programmes to ensure adherence to standards to improve both the quality and credibility of the laboratory system within TB programmes. Corresponding attention must be given to addressing human resources at every level of the laboratory, with special consideration being given to new programmes for laboratory management and leadership skills. Strengthening laboratory networks will also involve setting up partnerships between TB programmes and those seeking to control other diseases in order to pool resources and to promote advocacy for quality standards, to develop strategies to integrate laboratories functions and to extend control programme activities to the private sector. Improving the laboratory system will assure that increased resources, in the form of supplies, equipment and facilities, will be invested in networks that are capable of providing effective testing to meet the goals of the Global Plan to Stop TB.
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