Assessment of diagnostic performances of parasitological stool examinations performed in public sector medical laboratories of Abidjan (CĂ´te dâ??Ivoire)

Abstract


KonatÊ A*, Kiki-Barro PCM, Kassi KF, Djohan V, Angora KE, Bosson-Vanga H, DoukourÊ CY, Yavo W and Menan EIH

Parasitological stool examinations allows to identify intestinal parasites in order to achieve a better management. Their importance implies the need to ensure high reliability and to seek perfection in their performance. We therefore carried out this study in order to update data on the diagnostic performance of public sector medical laboratories of Abidjan with regard to the research and identification of helminths and protozoa contained in stools. Our study was led from April to November 2011. Each participating laboratory received a survey sheet for the collection of information and two suspensions of stools to be analyzed. Our results showed a participation rate of 78.4 %. The responsibility for laboratories was entrusted to technicians and engineers in 62.1 % of cases. The written operating procedures were absent in 34.5 % of cases. We obtained for a correct identification estimated at 10.3 % and 89.7 % respectively for samples No.1 and No.2. Strongyloides Stercoralis and Entamoeba coli were the most recognized (69%). Confusion was noted between the various species of parasites in both suspensions. This study shows the importance of the application of existing texts on quality, in particular on the external quality assessment which must be compulsory at the national level.

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