Proficiency of drug susceptibility testing for Mycobacterium tuberculosis in Taiwan, 2007-2011

M. H. Wu, C. Y. Chiang, Y. M. Deng, T. F. Wang, Ruwen Jou

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

SETTING: Authorised clinical mycobacteriology laboratories in Taiwan. OBJECTIVE: To evaluate the impact of external quality assessment (EQA) on the quality of drug susceptibility testing (DST) in 2007-2011. DESIGN: Panels consisting of 20-30 Mycobacterium tuberculosis strains were used. Efficiency of 95% in detecting resistance to both isoniazid (INH) and rifampicin (RMP), and of 90% to ethambutol (EMB) and streptomycin (SM) was used to define a competent laboratory. RESULTS: The proportion of laboratories that fulfilled the competency criteria for all first-line drugs was 16.7% in 2007, increasing to 85.7% in 2008, 86.1% in 2009, 82.4% in 2010, and to 96.8% in 2011 (P <0.01). The mean efficiency in detecting resistance to INH and RMP reached >99% during 2008-2011 (P = 0.90 for INH and P = 0.82 for RMP), and for EMB it increased from 82.0% in 2007 to 92.2% in 2008 and 99.5% in 2011 (P <0.01), while that for resistance to SM increased from 82.0% in 2007 to 98.1% in 2008 and 99.5% in 2011 (P <0.01). Preparations of inoculum for DST and detection of EMB resistance were the main reasons for non-competence. CONCLUSION: The EQA programme was effective in improving the competency of clinical laboratories in performing DST for tuberculosis.

Original languageEnglish
JournalInternational Journal of Tuberculosis and Lung Disease
Volume17
Issue number1
DOIs
Publication statusPublished - Jan 1 2013

Fingerprint

Taiwan
Mycobacterium tuberculosis
Ethambutol
Streptomycin
Rifampin
Pharmaceutical Preparations
Drug Compounding
Clinical Competence
Isoniazid
Tuberculosis

Keywords

  • Drug susceptibility testing
  • Mycobacterium tuberculosis
  • Proficiency

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Proficiency of drug susceptibility testing for Mycobacterium tuberculosis in Taiwan, 2007-2011. / Wu, M. H.; Chiang, C. Y.; Deng, Y. M.; Wang, T. F.; Jou, Ruwen.

In: International Journal of Tuberculosis and Lung Disease, Vol. 17, No. 1, 01.01.2013.

Research output: Contribution to journalArticle

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abstract = "SETTING: Authorised clinical mycobacteriology laboratories in Taiwan. OBJECTIVE: To evaluate the impact of external quality assessment (EQA) on the quality of drug susceptibility testing (DST) in 2007-2011. DESIGN: Panels consisting of 20-30 Mycobacterium tuberculosis strains were used. Efficiency of 95{\%} in detecting resistance to both isoniazid (INH) and rifampicin (RMP), and of 90{\%} to ethambutol (EMB) and streptomycin (SM) was used to define a competent laboratory. RESULTS: The proportion of laboratories that fulfilled the competency criteria for all first-line drugs was 16.7{\%} in 2007, increasing to 85.7{\%} in 2008, 86.1{\%} in 2009, 82.4{\%} in 2010, and to 96.8{\%} in 2011 (P <0.01). The mean efficiency in detecting resistance to INH and RMP reached >99{\%} during 2008-2011 (P = 0.90 for INH and P = 0.82 for RMP), and for EMB it increased from 82.0{\%} in 2007 to 92.2{\%} in 2008 and 99.5{\%} in 2011 (P <0.01), while that for resistance to SM increased from 82.0{\%} in 2007 to 98.1{\%} in 2008 and 99.5{\%} in 2011 (P <0.01). Preparations of inoculum for DST and detection of EMB resistance were the main reasons for non-competence. CONCLUSION: The EQA programme was effective in improving the competency of clinical laboratories in performing DST for tuberculosis.",
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