Laboratory Services in Tuberculosis Control
Part I: Organization and Management WHO/TB/98.258
Document produced by the WHO GLobal Tuberculosis Programme
Technical Units
Order Number    19301167   
Price    CHF    14.00 / US$    16.80 Developing countries:    CHF    9.80
English     1999        63   pages
Table of contents
Related Publications
Translation(s) available
A practical guide to the organization and management of laboratory services for tuberculosis control. Addressed to programme managers and administrators, the volume is the first in a series of three guides aimed at improving the quality of bacteriological services as an essential support for accurate diagnosis and reliable monitoring of treatment progress. Noting that laboratory services are often the most neglected component of national TB programmes, the guides promote the use of standardized techniques and procedures that are simple, reliable, and suitable for use in low- and middle-income countries.
The guide has eight chapters. The first introduces the importance of laboratory services to TB control and explains the appropriate roles of microscopy, culture, drug susceptibility testing and species identification. The organization of laboratory services is covered in chapter two, which outlines the most economical and efficient arrangements for laboratory services. Subsequent chapters offer advice on training, supervision, and motivation of laboratory staff and describe a number of standardized forms and procedures that can support efficient laboratory administration and record keeping.
Laboratory hygiene and safety are covered in chapter five, which offers detailed guidelines for the control of procedural hazards, laboratory hygiene, the safe use of disinfectants, essential safety equipment and supplies, and the management of accidents. Subsequent chapters describe recommended procedures for waste disposal and explain the vital role of well-designed and properly managed programmes for quality control. The final chapter offers advice on the health monitoring of laboratory workers. Further practical guidance is provided in a series of annexes, which reproduce a large number of model forms for reporting, registration, and evaluation.