netSPEAR surveillance data PGH EMBU Kenya

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netSPEAR surveillance dataPGH EMBUKenya

• Present
• Medical Officer (Paediatrics) Dr. Ndirangu M. W
• Incharge Lab Mr Munyi
• SNO Mr Koome
• Provincial Lab Tech Mr Nyagah
• PDSC Wario B Tore

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Site details

• Hospital PGH Embu
• Personnel
• No. pediatricians 1
• No. medical officers / COs 1
• No. Laboratory Staff 2
• No. of beds on paediatric wards cots 64
• Paediatric admissions per month Avg 200
• No. of LPs monthly before netSPEAR 3

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Progress in Nov.-04 to Oct.-05
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Progress in Nov. 05 to Aug. 06
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Bacterial isolates from suspected meningitis
cases Nov-04 to Oct-05 (N6)
Most common other organisms
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Bacterial isolates from suspected meningitis from
Nov. 05 Aug. 06
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Total organisms by age Nov-04 to Oct-05
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Total organisms by age Nov-05 to Aug-06
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Reasons for Success

• We used to process fewer specimens but with
  support from netSPEAR , we are now processing
  more samples.
• Support from our clinicians by requesting for
  more investigations.
• Support from our administration office by way of
  encouragement and facilitating communication to
  and from netSPEAR.
• .

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What do we need to do better and what are our
plans?

• Increase the number of laboratory staff involved
  in the program.
• We wish to improve our recovery of isolates and
  therefore encourage the clinicians to investigate
  more patients.

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• TURNING THINGS AROUND
• THE EMBU EXPERIENCE

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CLINICIANS COMPLAINTS

• No materials for LP when you need them.
• The lab does not work at night/ weekends.
• Results never (rarely) come back.
• Results come too late.
• The lab never grows anything.

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SOLUTIONS

• Familiarization with SOPs
• All to know where to find LP materials
• Bombard lab with CSF samples

• Receive samples at all times of day and night
• Inform ward by phone for positive CSF
• Return negative results promptly

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LABORATORYS COMPLAINTS

• We do not receive enough samples from clinicians.

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Embu PGH Monthly Summary
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• END.
• THANK YOU.