STLS

Local Self Government is the management of local affairs by local bodies who have been elected by the local people.

• The local self-Government includes both rural and urban government.

Local Self Governance is the management of local affairs by local bodies who have been elected by the local people. There are 2 types of Local Self Government (LSG): panchayats in rural areas and municipalities in urban areas. Local self-government (LSG) has deep connections and linkages with local people.  Role of LSG in Tuberculosis (TB) elimination includes:   

Socio-economic factors affecting TB patients are: 

1. General socioeconomic conditions of the society, culture and environment. This includes:

Palliative care is specialised medical care for people living with a serious illness.

• This type of care is focused on providing relief from the symptoms and stress of the illness.
• The goal is to improve the quality of life for both the patient and the family.
• Palliative care is based on the needs of the patient, not on the patient’s prognosis.

Need for Palliative Care for TB Patients

The Patients’ Charter for Tuberculosis Care (the Charter) outlines the rights and responsibilities of people with TB. It empowers people affected by TB and their communities through this knowledge. Initiated and developed by persons affected by TB from around the world, the Charter makes the relationship with healthcare providers a mutually beneficial one.

Compliance to equipment installation criteria is necessary to/for:

• Establish accurate and reliable results as claimed by the manufacturer
• To assure standard/specific requirements are met
• Provide proof that the process will consistently produce predetermined outcome
• Equipment safety
• Improve overall performance of the equipment
• Decrease work interruptions due to equipment failure
• Lower repair costs
• Cover equipment warranty and free maintenance 

Instrument Qualification Documents include:

Disinfectants used in lab settings include:

1% Sodium Hypochlorite

• Broad spectrum antimicrobial action
• Used to disinfect surfaces
• Used to disinfect infectious material and disposal of used Truenat consumables (reagent bottles, cartridges, tips, chips) 
• Hazardous and corrosive, to be used with care
• Is highly alkaline so can corrode metal
• Waste soaked in Sodium Hypochlorite should not be discarded by autoclaving. 

70% Alcohol

Security of laboratory data and confidentiality of TB patient data are important. Hence, it is recommended to archive or take periodic data backup.

The Truelab Analyzer has an internal memory to store 20000 test results. The digital data can be transmitted through connectivity via email, SIM card, Wi-Fi or Bluetooth.

Recommended ways of documenting the results and archiving data are:

Daily maintenance of Truelab and Trueprep instruments performed by the laboratory personnel includes:

It is common in laboratories to see specimens with the following particles which may potentially alter nucleic acid amplification test (NAAT) results:

• Food particles
• Blood
• Tobacco
• Pan
• Debris or tissue pieces

These interfering substances cause failures in Truenat assays and may have inhibitory effects on CBNAAT assays. This interferes with the accuracy of results, leading to false positive or negative tests and delayed cycle threshold values.