netSPEAR surveillance network

1
netSPEAR surveillance network

• PGH Embu
• Kenya
• Representatives at conference
• PAEDIATRICIANDr Ngwiri
• Laboratory P. Njuki
• Med Sup Dr Wekesa

2
Site details

• Hospital PGH Embu
• Personnel
• No. pediatricians 1
• No. medical officers / COs 2
• We wish to improve our recovery of isolates and
  therefore encourage the clinicians to investigate
  more patients.
• 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

3
Progress to date Nov.-04 to Oct.-05
4
Bacterial isolates from suspected meningitis
cases Nov-04 to Oct-05 (N6)
Most common other organisms
5

Total organisms by age Nov-04 to Oct-05
6
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.
• .

7
What do we need to do better and what are our
plans?

• Increase the number of laboratory staff involved
  in the program.

8
TURNING THINGS AROUND

• THE EMBU EXPERIENCE
• DR.T.G NGWIRI-PAEDIATRICIAN

9
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.

10
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

11
LABORATORYS COMPLAINTS

• We do not receive enough samples from clinicians

12
Embu PGH Monthly Summary