From: Baseline study for improving diagnostic stewardship at secondary health care facilities in Nigeria
Capacities and practices | n (%) N = 25 |
---|---|
A) Laboratory infrastructure | |
 i. Perform blood cultures | 8 (32) |
 ii. Perform routine cultures of urine, wound, stool and/or cerebrospinal fluid | 24 (96) |
 iii. Perform routine AST | 22 (88) |
 iv. Regular supply of electricity including local back-up | 11 (44) |
 v. Has a database and information system for laboratory data management | 4 (16) |
B) Staff and training | |
 i. Has at least one pathologist | 1 (4) |
 ii. Has at least one laboratory scientist and technician | 25 (100) |
 iii. Has at least a data clerk | 8 (32) |
 iv. Trained laboratory staff in pathogen identification and/or AST in the preceding year | 4 (16) |
C) Quality management | |
 i. Has SOP for sample collection and processing | 21 (84) |
 ii. Has SOPs/workflows for the preparation and quality control of media | 20 (80) |
 iii. Use standard bacterial organisms for quality control of media | 7 (28) |
 iv. Has SOPs/workflows for the identification of bacterial isolates | 18 (72) |
 v. Use reference quality control strains for quality assurance of AST | 4 (16) |
 vi. Performs regular external quality assurance | 1 (4) |