Uso de paneles de láminas estandarizadas para la evaluación de competencias en el diagnóstico microscópico de malaria en la Amazonía Peruana / Use of standardized blood smear slide sets for competency assessment in the malaria microscopic diagnosis in the Peruvian Amazon
Rev. peru. med. exp. salud publica
;
27(4): 540-547, dic. 2010. ilus, tab
Article
in Spanish
| LILACS, LIPECS
| ID: lil-573932
RESUMEN
Objetivos. Evaluar la competencia de los microscopistas en el diagnóstico de la malaria mediante paneles de láminas estandarizados en la Amazonía peruana. Materiales y métodos. Estudio transversal, realizado entre los meses de julio y septiembre de 2007, en 122 establecimientos de salud de primer nivel de atención de la Amazonía peruana. En el marco del Proyecto PAMAFRO, se evaluó las competencias en el diagnóstico de malaria en 68 microscopistas sin experiencia (ABSTRACT
Objectives. To assess the competency of microscopists for malaria diagnosis using standardized slide sets in the Peruvian Amazon. Material and methods. Cross-sectional study carried out in 122 first level health facilities of the Peruvian Amazon, between July and September 2007. Within the frame of the project "Control Malaria in the border areas of the Andean Region A community approach" (PAMAFRO), we evaluated the malaria diagnosis performance in 68 microscopists without expertise (< 1 year of expertise) and 76 microscopists with expertise (> 1 year) using standardized sets of 20 blood smear slides according to the World Health Organization (WHO) recommendations. A correct diagnosis (correct species identification) was defined as "agreement", a microscopist was qualified as an "expert" if they have an agreement ≥90 percent (≥ 18 slides with correct diagnosis), as a "referent" with an agreement between 80 percent and <90 percent, "competent" if they are between 70 and <80 percent and "in training" if they have <70 percent. Results. Microscopists with expertise (68.6 percent) had more agreement than those without expertise (48.2 percent). The competency assessment was acceptable (competent, referent, or experts levels) in 11.8 percent of the microscopists without expertise and in 52.6 percent from those with expertise. The agreement was lower using blood smear slides with P. falciparum with low parasitaemia, with P. malariae and with mixed infections. Conclusions. Is the first assessment, we found only one of three microscopists from the Peruvian Amazon is competent fro malaria diagnosis according to the WHO standards. From this baseline data, we have to continue working in order to improve the competency assessment of the microscopists within the frame of a quality assurance system.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Professional Competence
/
Malaria
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
South America
/
Peru
Language:
Spanish
Journal:
Rev. peru. med. exp. salud publica
Year:
2010
Type:
Article
Institution/Affiliation country:
Organismo Andino de Salud-Convenio Hipólito Unanue/PE
/
Solidaridad en Marcha/PE
/
Universidad Peruana Cayetano Heredia/PE
Similar
MEDLINE
...
LILACS
LIS