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This document serves as a course workbook for training participants in quality assurance practices related to sputum smear microscopy for tuberculosis diagnosis, including objectives, session outlines,
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How to fill out quality assurance in sputum

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How to fill out QUALITY ASSURANCE IN SPUTUM SMEAR MICROSCOPY

01
Gather all necessary materials: sputum samples, microscopy slides, staining reagents, and a microscope.
02
Prepare the sputum sample by mixing it thoroughly to ensure homogeneity.
03
Place a small drop of the sputum sample onto the microscopy slide.
04
Using a second slide, spread the sample to create a thin smear across the first slide.
05
Air dry the smear completely to prevent distortion during staining.
06
Fix the smear by passing the slide through a flame briefly to adhere the sample to the slide.
07
Stain the smear using an appropriate staining method, such as Ziehl-Neelsen or Auramine-O stain, for acid-fast bacilli identification.
08
Rinse the slide with distilled water and allow it to dry.
09
Examine the stained smear under the microscope, using an oil immersion objective for best visibility.
10
Record the results accurately, noting the presence and characteristics of any bacteria observed.

Who needs QUALITY ASSURANCE IN SPUTUM SMEAR MICROSCOPY?

01
Clinical laboratories performing tuberculosis testing.
02
Healthcare professionals involved in diagnosing respiratory infections.
03
Pathologists and microbiologists involved in quality control of diagnostic procedures.
04
Public health institutions monitoring and ensuring quality standards in laboratory practices.
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People Also Ask about

Sputum microscopy The main limitations of smear microscopy include its low sensitivity (50–60% in most studies), inability to allow species identification and drug susceptibility testing, and inability to distinguish viable from dead bacteria while monitoring the response to treatment.
Your health care provider will need a sample of your sputum for all AFB tests. The AFB smear and AFB culture are usually done at the same time. To get sputum samples: You will be asked to breathe deeply and then cough and spit into a sterile container.
A good smear is spread evenly over a size of 2 cm × 3 cm and is neither too thick nor too thin. This was allowed to air-dry for 15-30 min and fixed by passing it over the blue flame of the bunsen burner three to four times.
The AFB culture refers to the process of inoculating a clinical specimen onto culture media; including Becton-Dickinson Mycobacteria Growth Indicator Tubes (B-D MGIT broth) and a Lowenstein-Jensen (L-J) media slant. It is then incubated at 37°C for up to six weeks. Lastly, it is examined for growth or no growth.
The quality of sputum samples is determined by the minimum number of squamous epithelial cells and polymorphonuclear leukocytes per low power field. An acceptable specimen has more than 25 leukocytes and fewer than 10 epithelial cells per low power field.
A health care provider will ask you to breathe deeply and then cough deeply into a special cup. Your provider may tap you on the chest to help loosen sputum from your lungs. If you have trouble coughing up enough sputum, your provider may ask you to breathe in a salty mist to help you cough more deeply.
In this test, your sputum sample is "smeared" on a glass slide and looked at under a microscope. It can provide results in 1-2 days. These results can show a possible or likely infection but cannot be used to provide a diagnosis.
Procedure of Acid-Fast Stain Prepare bacterial smear on clean and grease free slide, using sterile technique. Allow smear to air dry and then heat fix. Alcohol-fixation: This is recommended when the smear has not been prepared from sodium hypochlorite (bleach) treated sputum and will not be stained immediately.

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Quality assurance in sputum smear microscopy refers to the systematic processes and protocols established to ensure the accuracy, reliability, and consistency of results obtained from sputum smear examinations for diagnosing tuberculosis and other respiratory diseases.
Laboratory personnel, including laboratory managers and technicians involved in sputum smear microscopy, are required to file quality assurance reports to maintain standards and verify the integrity of testing processes.
Quality assurance in sputum smear microscopy should be filled out by documenting various parameters such as the date of analysis, technician's name, number of samples processed, results obtained, any discrepancies, and corrective actions taken. Additionally, routine checks and calibrations should be recorded.
The purpose of quality assurance in sputum smear microscopy is to ensure high standards of testing, enhance diagnostic accuracy, minimize errors, and ultimately contribute to better patient outcomes and public health interventions.
Reports for quality assurance in sputum smear microscopy must include information such as the number of samples analyzed, results (positive or negative), controls used, any problems encountered during testing, actions taken for quality improvement, and periodic review results.
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