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Revista de Salud Pública

Print version ISSN 0124-0064

Abstract

IMAZ, María S. et al. Training tuberculosis laboratory workers in LED-fluorescence microscopy: experience learned in Argentina. Rev. salud pública [online]. 2018, vol.20, n.1, pp.110-116. ISSN 0124-0064.  http://dx.doi.org/10.15446/rsap.v20n1.61402.

Objective

To assess a LED-fluorescence microscopy (LED-FM) capacitation program for the training of laboratory technicians without previous experience in FM.

Methods

We evaluated a teaching program that consists of a three-day course followed by an "in situ" two-month phase in which technicians acquired skills without the help of a FM expert; in order to gain confidence to recognize auramine-stained bacillus, during this phase, technicians examined duplicate slides stained by Ziehl Neelsen (ZN) and FM in a unblinded way. Technicians with acceptable performance, continued with a blinded-training period. Testing panels and rechecking process were used to evaluate proficiency after different length of experience.

Results

Post-course panel results showed that 70% of trainees made Low False Positive errors (LFPs). Analysis of two other panels showed that LFPs significantly decreased (Chi-squared test, p<0.05) as the "in situ" training phase progressed. Processing at least three slides/day was associated with acceptable performance. During the blinded-training period, results of the rechecking process showed that sensitivity (96.8%) and specificity (99.8%) levels were satisfactory.

Conclusion

Moderate training (a three-day course) is not enough to make technicians proficient in LED-FM; however, great ability can be reached after a short "in situ" training phase even without the presence of experienced staff available in field to review doubtful results. Training was more effective in services with a minimum workload of 750 slides/year.

Keywords : Tuberculosis; teaching; fluorescence (source: MeSH, NLM).

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