RESUMO
This review attempts to clarify the concepts of Laboratory Quality Management System (Lab QMS) for a medical testing and diagnostic laboratory in a holistic way and hopes to expand the horizon beyond quality control (QC) and quality assurance. It provides an insight on accreditation bodies and highlights a glimpse of existing laboratory practices but essentially it takes the reader through the journey of accreditation and during the course of reading and understanding this document, prepares the laboratory for the same. Some of the areas which have not been highlighted previously include: requirement for accreditation consultants, laboratory infrastructure and scope, applying for accreditation, document preparation. This section is well supported with practical illustrations and necessary tables and exhaustive details like preparation of a standard operating procedure and a quality manual. Concept of training and privileging of staff has been clarified and a few of the QC exercises have been dealt with in a novel way. Finally, a practical advice for facing an actual third party assessment and caution needed to prevent post-assessment pitfalls has been dealt with.
Assuntos
Acreditação/métodos , Técnicas de Laboratório Clínico/normas , Humanos , Laboratórios/normas , Garantia da Qualidade dos Cuidados de Saúde/métodosRESUMO
Reported is a case of seven-year-old, migrant from Bihar state, infested with Fasciolopsis buski Strongyloides stercoralis Ascaris lumbricoides, Trichuris trichiura and Ankylostoma duodenale in feces. Patient responded to treatment with piperazine, thiabendazole and albendazole, the importance of considering multiple and non-endemicparasite infestations in migrant of poor socio-economic background is emphasized.
Assuntos
Albendazol/uso terapêutico , Animais , Anti-Helmínticos/uso terapêutico , Criança , Humanos , Masculino , Nematoides/efeitos dos fármacos , Infecções por Nematoides/tratamento farmacológico , Piperazinas/uso terapêutico , Tiabendazol/uso terapêutico , Trematódeos/efeitos dos fármacos , Infecções por Trematódeos/tratamento farmacológicoRESUMO
The reported case is of primary pulmonary nocardiosis, caused by Nocardia brasiliensis, in a immunocompromised patient, which ended fatally despite appropriate treatment. The partially acid fast filamentous bacterium was predominant on direct examination of the sputum. It was cultured on blood agar, MacConkey agar and by paraffin baiting technique. The bacterium was resistant to cotrimoxazole, the drug of choice for nocardiosis.
Assuntos
Adulto , Evolução Fatal , Humanos , Pneumopatias/microbiologia , Masculino , Nocardia/classificação , Nocardiose/microbiologiaAssuntos
Adolescente , Animais , Anticorpos Anti-Helmínticos/sangue , Túnica Conjuntiva/parasitologia , Conjuntivite/parasitologia , Cisticercose/diagnóstico , Infecções Oculares Parasitárias/diagnóstico , Humanos , Imunoglobulina G/sangue , Masculino , Sensibilidade e Especificidade , Testes Sorológicos , Taenia solium/imunologiaRESUMO
Genitourinary myiasis, associated with ulcerating lesions and poor hygiene of the local site, has been infrequently reported. We report a case of 45 year-old urinary incontinent female suffering from carcinoma cervix, who presented with genitourinary myiasis. The larva was identified as of Chrysomyia bezziana Villeneuve (C. bezziana).
Assuntos
Animais , Dípteros/crescimento & desenvolvimento , Feminino , Doenças Urogenitais Femininas/parasitologia , Doenças dos Genitais Femininos/parasitologia , Humanos , Larva , Pessoa de Meia-Idade , Miíase/parasitologia , Sistema Urogenital/parasitologiaRESUMO
Intestinal Heterophyid infections are almost unknown in India with only one documented case report. We report a case of six year old child with diarrhoea without any other associated gastrointestinal symptoms. Examination of the faeces revealed eggs of Metagonimus yokogawai. However, the patient left against medical advice and was lost to follow up. The case is being reported because of its rarity.