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Table 1 Reported capacities and practices at participating secondary healthcare facilities in Abuja and Lagos, Nigeria, 2019

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)

  1. *SOP: Standard Operating Procedures, AST: Antimicrobial Susceptibility Testing