Evaluación de la red de diagnóstico local de malaria y los laboratorios intermedios en el Ecuador. Calidad en el diagnóstico en un escenario encaminado a la eliminación de la malaria.
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| Title: | Evaluación de la red de diagnóstico local de malaria y los laboratorios intermedios en el Ecuador. Calidad en el diagnóstico en un escenario encaminado a la eliminación de la malaria. |
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| Alternate Title: | Evaluation of local malaria diagnosis network and intermediate laboratories in Ecuador. Quality of diagnosis in a setting towards malaria elimination. |
| Authors: | Marcela Mendoza, Nohora1 marcemendoza07@gmail.com, Eduardo Díaz, César2, Yim Yan Wong3, Estefanía Echeverría, Adriana4, Grimaneza Guale, Doris3, Haydeé Delgado, Rosa3, Mauricio Muñoz, José5, Fernando Solórzano, Luis3, Eduardo Andrade, Marcelo3, Alba Quintero, Rosa5, Regina Palacios, Belinda6, Marlene Ortega, Saida7, Benigno Cuero, Wilson5, Richard Castillo, John5 |
| Source: | Biomédica: Revista del Instituto Nacional de Salud. 2019 Supplement, Vol. 39, p1-41. 41p. |
| Abstract (English): | Introduction. Having a network of laboratories with capacity to perform microscopic diagnosis that meets WHO/PAHO quality standards and allows the provision of adequate treatment of cases, is required to reach the goal of malaria elimination in Ecuador for the year 2020. Objective. To know the competences of parasitological diagnosis in the microscopists from the local public network and performance in reference laboratories from the intermediate level. Materials and methods. Descriptive cross-sectional study based on information collected in workshops carried out to evaluate the competencies of microscopic diagnosis in the laboratory network from zonal health coordinations 1 to 8, through a slide panel to evaluate the agreement on diagnosis. In addition, diagnostic performance of the intermediate laboratories in an external quality assessment program was evaluated. The results obtained were compared with reference results of the supranational laboratory of Peru. Results. The competencies of 191 microscopists were evaluated In 11 workshops, 153 (80.1%) participants were approved. The medians of the indicators were: concordance for parasite detection 100% (95% CI: 100-100), concordance for species identification 100.0% (95% CI: 100-100), concordances for stage identification 93.0% (95% CI: 91-96) and concordance for parasite counting 77.0% (95% CI: 73-86). In the external quality assessment program, the three intermediate laboratories obtained 100% for the concordance for parasite detection and 96% for concordance species detection. Conclusions. The competence results in primary network and performance indicators in the intermediate laboratories reached high-quality standards related to the training program implemented in the country. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción. Para eliminar la malaria en Ecuador para el 2020 es necesario contar con capacidad para realizar diagnóstico microscópico que cumpla con estándares de calidad de la Organización Mundial de la Salud (OMS) / Organización Panamericana de la Salud (OPS) y permita proveer tratamiento adecuado a los casos. Objetivo. Conocer las competencias para el diagnóstico parasitológico de microscopistas de la red pública local y el desempeño de laboratorios referentes intermedios. Materiales y métodos. Estudio descriptivo de corte transversal a partir de información recogida en talleres que evaluaron las competencias del diagnóstico microscópico en la red de laboratorio de las coordinaciones zonales de salud, a través de un panel de láminas para evaluar la concordancia del diagnóstico. Además, se calificó el desempeño del diagnóstico de los laboratorios intermedios en el Programa de Evaluación Externa de Desempeño (PEED). Los resultados se compararon con los obtenidos por el laboratorio supranacional de Perú. Resultados. En los 11 talleres se evaluaron las competencias de 191 microscopistas, aprobaron 153 (80,1%) participantes. Las medianas de los indicadores fueron: concordancia de detección/resultado 100% (IC 95%: 100-100), concordancia de especie 100% (IC 95%: 100 -100), concordancias de estadio 93,0% (IC 95%: 91-96) y concordancia de recuento 77% (IC 95%: 73-86). En el PEED, los tres laboratorios intermedios obtuvieron concordancia de resultado del 100% y de especie del 96%. Conclusiones. Los indicadores de competencia de la red local y de desempeño en laboratorios intermedios alcanzaron altos estándares de calidad relacionados con el proceso de entrenamiento implementado en el país. [ABSTRACT FROM AUTHOR] |
| Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 137617293 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluación de la red de diagnóstico local de malaria y los laboratorios intermedios en el Ecuador. Calidad en el diagnóstico en un escenario encaminado a la eliminación de la malaria. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Evaluation of local malaria diagnosis network and intermediate laboratories in Ecuador. Quality of diagnosis in a setting towards malaria elimination. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Marcela+Mendoza%2C+Nohora%22">Marcela Mendoza, Nohora</searchLink><relatesTo>1</relatesTo><i> marcemendoza07@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Eduardo+Díaz%2C+César%22">Eduardo Díaz, César</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Yim+Yan+Wong%22">Yim Yan Wong</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Estefanía+Echeverría%2C+Adriana%22">Estefanía Echeverría, Adriana</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Grimaneza+Guale%2C+Doris%22">Grimaneza Guale, Doris</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Haydeé+Delgado%2C+Rosa%22">Haydeé Delgado, Rosa</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Mauricio+Muñoz%2C+José%22">Mauricio Muñoz, José</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Fernando+Solórzano%2C+Luis%22">Fernando Solórzano, Luis</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Eduardo+Andrade%2C+Marcelo%22">Eduardo Andrade, Marcelo</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Alba+Quintero%2C+Rosa%22">Alba Quintero, Rosa</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Regina+Palacios%2C+Belinda%22">Regina Palacios, Belinda</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Marlene+Ortega%2C+Saida%22">Marlene Ortega, Saida</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Benigno+Cuero%2C+Wilson%22">Benigno Cuero, Wilson</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Richard+Castillo%2C+John%22">Richard Castillo, John</searchLink><relatesTo>5</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Biomédica%3A+Revista+del+Instituto+Nacional+de+Salud%22">Biomédica: Revista del Instituto Nacional de Salud</searchLink>. 2019 Supplement, Vol. 39, p1-41. 41p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction. Having a network of laboratories with capacity to perform microscopic diagnosis that meets WHO/PAHO quality standards and allows the provision of adequate treatment of cases, is required to reach the goal of malaria elimination in Ecuador for the year 2020. Objective. To know the competences of parasitological diagnosis in the microscopists from the local public network and performance in reference laboratories from the intermediate level. Materials and methods. Descriptive cross-sectional study based on information collected in workshops carried out to evaluate the competencies of microscopic diagnosis in the laboratory network from zonal health coordinations 1 to 8, through a slide panel to evaluate the agreement on diagnosis. In addition, diagnostic performance of the intermediate laboratories in an external quality assessment program was evaluated. The results obtained were compared with reference results of the supranational laboratory of Peru. Results. The competencies of 191 microscopists were evaluated In 11 workshops, 153 (80.1%) participants were approved. The medians of the indicators were: concordance for parasite detection 100% (95% CI: 100-100), concordance for species identification 100.0% (95% CI: 100-100), concordances for stage identification 93.0% (95% CI: 91-96) and concordance for parasite counting 77.0% (95% CI: 73-86). In the external quality assessment program, the three intermediate laboratories obtained 100% for the concordance for parasite detection and 96% for concordance species detection. Conclusions. The competence results in primary network and performance indicators in the intermediate laboratories reached high-quality standards related to the training program implemented in the country. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción. Para eliminar la malaria en Ecuador para el 2020 es necesario contar con capacidad para realizar diagnóstico microscópico que cumpla con estándares de calidad de la Organización Mundial de la Salud (OMS) / Organización Panamericana de la Salud (OPS) y permita proveer tratamiento adecuado a los casos. Objetivo. Conocer las competencias para el diagnóstico parasitológico de microscopistas de la red pública local y el desempeño de laboratorios referentes intermedios. Materiales y métodos. Estudio descriptivo de corte transversal a partir de información recogida en talleres que evaluaron las competencias del diagnóstico microscópico en la red de laboratorio de las coordinaciones zonales de salud, a través de un panel de láminas para evaluar la concordancia del diagnóstico. Además, se calificó el desempeño del diagnóstico de los laboratorios intermedios en el Programa de Evaluación Externa de Desempeño (PEED). Los resultados se compararon con los obtenidos por el laboratorio supranacional de Perú. Resultados. En los 11 talleres se evaluaron las competencias de 191 microscopistas, aprobaron 153 (80,1%) participantes. Las medianas de los indicadores fueron: concordancia de detección/resultado 100% (IC 95%: 100-100), concordancia de especie 100% (IC 95%: 100 -100), concordancias de estadio 93,0% (IC 95%: 91-96) y concordancia de recuento 77% (IC 95%: 73-86). En el PEED, los tres laboratorios intermedios obtuvieron concordancia de resultado del 100% y de especie del 96%. Conclusiones. Los indicadores de competencia de la red local y de desempeño en laboratorios intermedios alcanzaron altos estándares de calidad relacionados con el proceso de entrenamiento implementado en el país. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 41 StartPage: 1 Titles: – TitleFull: Evaluación de la red de diagnóstico local de malaria y los laboratorios intermedios en el Ecuador. Calidad en el diagnóstico en un escenario encaminado a la eliminación de la malaria. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Marcela Mendoza, Nohora – PersonEntity: Name: NameFull: Eduardo Díaz, César – PersonEntity: Name: NameFull: Yim Yan Wong – PersonEntity: Name: NameFull: Estefanía Echeverría, Adriana – PersonEntity: Name: NameFull: Grimaneza Guale, Doris – PersonEntity: Name: NameFull: Haydeé Delgado, Rosa – PersonEntity: Name: NameFull: Mauricio Muñoz, José – PersonEntity: Name: NameFull: Fernando Solórzano, Luis – PersonEntity: Name: NameFull: Eduardo Andrade, Marcelo – PersonEntity: Name: NameFull: Alba Quintero, Rosa – PersonEntity: Name: NameFull: Regina Palacios, Belinda – PersonEntity: Name: NameFull: Marlene Ortega, Saida – PersonEntity: Name: NameFull: Benigno Cuero, Wilson – PersonEntity: Name: NameFull: Richard Castillo, John IsPartOfRelationships: – BibEntity: Dates: – D: 02 M: 08 Text: 2019 Supplement Type: published Y: 2019 Identifiers: – Type: issn-print Value: 01204157 Numbering: – Type: volume Value: 39 Titles: – TitleFull: Biomédica: Revista del Instituto Nacional de Salud Type: main |
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