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Module 8: Recording and reporting Global Laboratory Initiative – Xpert MTB/RIF Training Package.
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Transcript of Module 8: Recording and reporting Global Laboratory Initiative – Xpert MTB/RIF Training Package.
Module 8: Recording and reporting
Global Laboratory Initiative – Xpert MTB/RIF Training Package
Global Laboratory InitiativeXpert MTB/RIF Training Package-2-
Record keeping
Reporting of Xpert MTB/RIF results
Entry of data into the Laboratory Register
Consequences of inaccurate recording and reporting
Contents of this module
Global Laboratory InitiativeXpert MTB/RIF Training Package-3-
At the end of this module, you will be able to:
Describe essential elements of recording and reporting Xpert MTB/RIF results
Report Xpert MTB/RIF results on the Laboratory Request Form
Record Xpert MTB/RIF results correctly in the Laboratory Register
Learning Objectives
Global Laboratory InitiativeXpert MTB/RIF Training Package-4-
Laboratory Request Form (Request for examination of biological specimen for TB)
Laboratory Report Forms Laboratory Registers (may vary depending on diagnostics available in
laboratory)
Laboratory Record Keeping
Retain all laboratory records according to National policy
To be customized according to country policy on retaining records
Global Laboratory InitiativeXpert MTB/RIF Training Package-5-
Laboratory Request Form: example
To be customized by country.Add your local request form, and demonstrate to participants how to correctly complete the form.
Adapt according to NTP guidelines in your country
Global Laboratory InitiativeXpert MTB/RIF Training Package-6-
Name of treatment unit Date of request Patient's information ( i.e., name, sex, age, address, and
patient/suspect register number) Number of specimens and specimen type sent for testing Date of collection of specimen(s) Reason for examination (e.g., diagnosis or follow-up) Signature of person requesting examination
Laboratory Request Form: contentAdapt according to NTP guidelines in your country
Global Laboratory InitiativeXpert MTB/RIF Training Package-7-
Report forms include microscopy and/or Xpert MTB/RIF results (and if applicable, culture and DST results)
Laboratory Report Form
To be customized by country.Add your local report form, and demonstrate to participants how to correctly complete the form.
Adapt according to NTP guidelines in your country
Global Laboratory InitiativeXpert MTB/RIF Training Package-8-
Date specimen received and collected Laboratory Serial Number Type of specimen Patient's information (i.e., name, sex, age, address and register
number) Reason for examination (e.g., diagnosis or follow-up) Microscopy results (and results of culture and/or DST, if applicable) Xpert MTB/RIF results
◦ Add a new column, or record in the column “Comments”◦ Similar to microscopy, use red or other colored pen for positive
and resistant results Name and signature of person performing test
Laboratory Register contentAdapt according to NTP guidelines in your country
Global Laboratory InitiativeXpert MTB/RIF Training Package-9-
As a temporary measure, NTPs may use the existing laboratory register by recording Xpert MTB/RIF results in the “comments” column
The format of the laboratory register should be modified to include a specific column for Xpert MTB/RIF results
Example:
Laboratory Register (example)
*
*
Adapt according to NTP guidelines in your country
Global Laboratory InitiativeXpert MTB/RIF Training Package-10-
Accurate recording and reporting of results is absolutely critical:
False-negatives mean that the results that were reported as negative were truly positive Patients with TB may not be treated resulting in on-going disease,
disease transmission, or death.
False-positives mean that the results that were reported as positive were truly negative Patients are treated unnecessarily or treatment may continue longer
than necessary Medications will be wasted Patient has a different underlying condition that requires treatment
Accurate recording and reporting
Global Laboratory InitiativeXpert MTB/RIF Training Package-11-
Main laboratory record keeping consists of: Laboratory Request Form, Laboratory Report Form, Laboratory Register
WHO provides a standardised reporting framework for TB, which should be customized by the countries
Accurate recording and reporting is absolutely critical to avoid inaccurate/false results
Summary
Global Laboratory InitiativeXpert MTB/RIF Training Package-12-
What are the key elements required for accurate record keeping? What essential data must be entered into the Laboratory Register? What is a false-negative result and false-positive result? What are the consequences of a false-positive result being reported?
Assessment
Acknowledgements
The Xpert MTB/RIF Training Package has been developed by a consortium of GLI partners, including FIND, KNCV, US CDC, USAID, TB CARE I and WHO, with funding from USAID.
The modules are based on materials originally developed by FIND, KNCV and Cepheid.