On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
- PMID: 38191470
- PMCID: PMC10775656
- DOI: 10.1186/s13756-023-01362-5
On-site evaluation as external quality assessment of microbiology laboratories involved in sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso
Abstract
Background: The laboratory-based surveillance of antimicrobial resistance (AMR) is a priority component of the multisectoral national action plan to combat AMR in Burkina Faso. This study aimed to assess the QMS of microbiology laboratories involved in the Sentinel laboratory-based antimicrobial resistance surveillance network in Burkina Faso.
Methods: A cross-sectional study was conducted from September 1st to November 30th, 2022. The external quality assessment (EQA) method used was on-site evaluation using a checklist that was developed and validated by a technical committee of experts. Teams of two, including an antimicrobial susceptibility test (AST) specialist and a QMS specialist, were trained on this checklist to conduct the assessment. Satisfactory performance was defined as any on-site evaluation score 80% and above with the aim of developing action plans to address gaps.
Results: All 18 laboratories were evaluated. The overall average performance score of the participating laboratories was 40%. The highest overall performance score was 58%, and the lowest overall performance score was 26%. The average overall scores were not significantly different between private and public laboratories (p value = 0.78). The only section of the checklist with the satisfactory performance concerned the "Analytical step of AST", with 76.5% (13/17) of the sentinel laboratories having a score ≥ 80%.
Conclusion: The performance of the QMS of the sentinel laboratories in Burkina Faso for AMR surveillance was unsatisfactory, and a corrective action plan was proposed to support these laboratories in improving their QMS over the next 3 years.
Keywords: AMR; Burkina Faso; External quality assessment; Sentinel laboratories.
© 2024. The Author(s).
Conflict of interest statement
The authors declare that they have no competing interests.
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References
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- WHO. Antimicrobial resistance. 2021. Available on https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance. Accessed 29 Apr 2023.
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- Ministry of Health. National multisectoral plan to combat antimicrobial resistance 2017–2020. Burkina Faso; 2017.
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- Ministry of Health. National guide for laboratory surveillance of antimicrobial resistance. Burkina Faso; 2018.
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- Ministry of Health. Manual of procedures for performing antibiotic susceptibility testing in Burkina Faso. Ed 01 (2018).
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- Centers for Disease Control and Prevention. Laboratory Assessment of Antibiotic Resistance Testing Capacity. Atlanta.; 2020. GA: U.S. Department of Health and Human Services, CDC; 2020. Available on: https://www.cdc.gov/drugresistance/intl-activities/laarc.html. Accessed 29 Apr 2023.
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