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No. 3, 2006
LABORATORY UPDATE
Sessions at 2006 NTCA Workshop Focus on Laboratory Issues
The 2006 National TB Controllers (NTCA) Workshop themed
Eliminating TB: Fighting the Enemy, was held in Atlanta,
Georgia, on June 13-15. There were numerous breakout sessions each
day to enhance discussions, as well as to share program and
laboratory experiences and successes. This included two sessions
aimed at enhancing the integration of laboratory services and
diagnostics into TB programs.
The first laboratory breakout session, entitled
Integrating Laboratory Services into Your Program and held on
June 13, was led by John Bernardo, MD (NTCA), Anthony Tran, MPH,
MT(ASCP) (APHL), and David Warshauer, PhD (WI). Since accessing
appropriate laboratory services is becoming more important in the
management of patients with TB infection and disease, the
Association of Public Health Laboratories (APHL) published The
Future of TB Laboratory Services in 2004. This report outlined a
series of benchmarks that were recommended by a multidisciplinary
task force to integrate laboratory services into a systems approach
to TB control. Performing ongoing assessments of these laboratory
services and costs, with feedback to programs and providers, is one
such method to approach this systems integration. The group used the
publication, Mycobacterium tuberculosis: Assessing your Laboratory,
currently undergoing revision, as its focus of discussion
(http://www.phppo.cdc.gov/mpep/pdf/mtb/tb-ayl.pdf).
The second
laboratory breakout session, entitled Laboratory Issues and
held on June 14, was led by Dr. Bernardo and by Ed Desmond, PhD
(CA). The new laboratory technologies that are changing the way we
manage our patients with M. tuberculosis infection and TB
disease, coupled with the recent arrival of groups resettled to the
United States with high rates of multidrug-resistant disease, have
raised concerns among programs and have overstretched already
limited resources. Current and potential applications of these
technologies for screening and managing high-risk patients,
domestically and overseas, were discussed. Topics of discussion
included issues such as specific techniques for the screening of
high-risk persons; communication of information between
laboratories, providers, and public health officials; research
needs; and assessing costs of such services.
—Submitted by
Anthony Tran, MPH, MT(ASCP)
Association of
Public Health Laboratories
On behalf of the
APHL TB Steering Committee
Last Reviewed: 05/18/2008 Content Source: Division of Tuberculosis Elimination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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