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Scale-up of tuberculosis laboratory services in Gujarat, India

Nilesh D Patel.

Abstract
M. tuberculosis has been classified as risk group 3 pathogen and has to be handled at appropriate containment level. The IRL, Ahmedabad got WHO accreditation in March 08 for Lowenstein-Jensen solid culture and first line anti-tuberculosis drug sensitivity. Immediately after WHO endorsement of line probe assay (LPA) for rapid MDR-TB testing in 2008, Gujarat state leaped forwarded and started research on “Genotype MTB DR Plus assay” in collaboration with WHO. In 2009 this effort gained momentum when the IRL, Ahmedabad was radically upgraded to BSL 3 facility. BSL 3 facility like this can balance risk of air-borne infection. As a minimum, countries embarking on drug-resistant tuberculosis programmes should establish laboratory capacity to diagnose MDR-TB and monitor culture conversion of patients on Category IV treatment. Gujarat has set the example of a truly dynamic tuberculosis management, demonstrating that rapid scale-up of laboratory services for MDR-TB diagnosis is feasible even at regional level, in resource-constrained settings.

Key words: RNTCP, Scale-up, Bio-Safety Level


 
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REFERENCES
1. Ramachandran R, Nalini S, Chandrasekar V, Dave PV, Sanghvi AS, Wares F, et al. Surveillance of drug-resistant tuberculosis in the state of Gujarat, India. Int J Tuberc Lung Dis 2009; 13: 1154–1160.
2. Raizada N, Dewan PK, Malhotra B, KishorReddy VC, Dave P, Sharma P, et al. Establishing laboratory proficiency to conduct the line probe assay for MDR-TB diagnosis. Abstracts of the 40th World Conference on Lung Health of the International Union Against Tuberculosis and Lung Disease, 2009; Mexico; S304; Abstract No. PC-94473-07.
3. Gumusboga AG. Occupational transmission of TB in laboratories. Abstracts of the 38th World Conference on Lung Health of the International Union Against Tuberculosis and Lung Disease, 2007; Cape Town, South Africa; S33.

How to Cite this Article
Pubmed Style

Nilesh D Patel. Scale-up of tuberculosis laboratory services in Gujarat, India. Int J Med Sci Public Health. 2013; 2(4): 1133-1134. doi:10.5455/ijmsph..2013.110620131


Web Style

Nilesh D Patel. Scale-up of tuberculosis laboratory services in Gujarat, India. http://www.ijmsph.com/?mno=34100 [Access: October 22, 2018]. doi:10.5455/ijmsph..2013.110620131


AMA (American Medical Association) Style

Nilesh D Patel. Scale-up of tuberculosis laboratory services in Gujarat, India. Int J Med Sci Public Health. 2013; 2(4): 1133-1134. doi:10.5455/ijmsph..2013.110620131



Vancouver/ICMJE Style

Nilesh D Patel. Scale-up of tuberculosis laboratory services in Gujarat, India. Int J Med Sci Public Health. (2013), [cited October 22, 2018]; 2(4): 1133-1134. doi:10.5455/ijmsph..2013.110620131



Harvard Style

Nilesh D Patel (2013) Scale-up of tuberculosis laboratory services in Gujarat, India. Int J Med Sci Public Health, 2 (4), 1133-1134. doi:10.5455/ijmsph..2013.110620131



Turabian Style

Nilesh D Patel. 2013. Scale-up of tuberculosis laboratory services in Gujarat, India. International Journal of Medical Science and Public Health, 2 (4), 1133-1134. doi:10.5455/ijmsph..2013.110620131



Chicago Style

Nilesh D Patel. "Scale-up of tuberculosis laboratory services in Gujarat, India." International Journal of Medical Science and Public Health 2 (2013), 1133-1134. doi:10.5455/ijmsph..2013.110620131



MLA (The Modern Language Association) Style

Nilesh D Patel. "Scale-up of tuberculosis laboratory services in Gujarat, India." International Journal of Medical Science and Public Health 2.4 (2013), 1133-1134. Print. doi:10.5455/ijmsph..2013.110620131



APA (American Psychological Association) Style

Nilesh D Patel (2013) Scale-up of tuberculosis laboratory services in Gujarat, India. International Journal of Medical Science and Public Health, 2 (4), 1133-1134. doi:10.5455/ijmsph..2013.110620131





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