AN AUDIT OF SEROLOGICAL TESTS CARRIED OUT AT CLINICAL LABORATORY OF AYUB TEACHING HOSPITAL, ABBOTTABAD

Sirajuddin Hassan Ally, Ayesha Ahmed, Ruhila Hanif

Abstract


Background: Clinical audit is an important tool for reviewing and improving the quality of service in clinical laboratories. Here we present an audit of total serology test requests and the frequency of positive tests out of these in a calendar year. Methods: This is an audit of serology tests carried out at Microbiology section of Clinical Laboratory of Ayub Teaching Hospital, Abbottabad. We counted all the serology test requests for the year 2004. These tests requests were grouped month wise. The frequency of positive tests out of the total test requests were calculated. The tests included Widal, Toxoplasma, Brucella, Anti DNA, Anti Nuclear factor (ANF), Rheumatoid Arthritis Factor (RAF), HIV, HBsAg, HCV, Intra Chromatographic Technique for tuberculosis (ICT-TB), Purified Protein Derivative (PPD), Venereal Disease Research Laboratory (VDRL) test, Anti-Streptolysin-O-test (ASOT) and pregnancy test. Results and Conclusions: This audit gives a clear idea of trends of test requests in our hospital. It reflects accuracy of clinicians’ judgment in some tests and failure in others, prevalence of different diseases, seasonal variation in number of test requests for some tests and impact of awareness campaigns on attitude of clinicians towards certain diseases. This will help us in planning our laboratory requirements to improve quality.

Keywords: Serology, Audit, Clinical laboratory


References


Plebani M. The clinical importance of laboratory reasoning. Clin Chim Acta 1999;280(1-2):35-45.

Plebani M. Appropriateness in programs for continuous quality improvement in clinical laboratories. Clin Chim Acta 2003;333(2):131-9.

Horvath AR. Evidence-based laboratory medicine. Orv Hetil 2003;144(18):869-76.

Plebani M. Charting the course of medical laboratories in a changing environment. Clin Chim Acta 2002;319(2):87-100.

Horvath AR, Endroczi E, Miko T. Quality improvement of medical diagnostic laboratories. Orv Hetil. 2003;144(28):1389-95.

Kehinde AO, Obaseki FA, Cadmus SI, Bakare RA. Diagnosis of tuberculosis: urgent need to strengthen laboratory services. J Natl Med Assoc 2005;97(3):394-6.

Savic B, Vukovic D, Opavski N, Mijac V. Rapid laboratory diagnosis of tuberculosis in clinical practice. Med Pregl 2004;57 Suppl 1:9-11.

Wand P. Laboratory role in tuberculosis control. WMJ 2003;102(6):31-4.

Caruso I, Caruso EM, Signo P. Laboratory tests in rheumatology. J Int Fed Clin Chem 1994;6(4):124-30.

Cikes N. Clinical importance of laboratory tests in rheumatology. Reumatizam 2001;48(2):7-13.

Ahmed TA, Ikram N, Hussain T, Farooqui A, Haleem A, Bashir M. Clinical and laboratory features of systemic lupus erythematosus (SLE) in Pakistani patients. J Pak Med Assoc 2002;52(1):12-5.

Egner W. The use of laboratory tests in the diagnosis of SLE. J Clin Pathol 2000;53(6):424-32.

Al Dahouk S, Tomaso H, Nockler K, Neubauer H, Frangoulidis D. Laboratory-based diagnosis of brucellosis--a review of the literature. Part I: Techniques for direct detection and identification of Brucella spp. Clin Lab 2003;49(9-10):487-505.

Montoya JG. Laboratory diagnosis of Toxoplasma gondii infection and toxoplasmosis. J Infect Dis 2002;185 Suppl 1:S73-82.

Meyer MP, Baughn RE. Whole-blood hemagglutination inhibition test for venereal disease research laboratory (VDRL) antibodies. J Clin Microbiol 2000;38(9):3413-4.

Chung HH. Laboratory tests in rheumatic diseases: a guide for clinicians. Singapore Med J 1991;32(4):272-5


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