A Review of Sentinel Laboratory Performance Identification and Notification of Bioterrorism Agents.

Context.--The anthrax incident of 2001 in the United States prompted the College of American Pathologists (CAP), the Association of Public Health Laboratories, and the Centers for Disease Control and Prevention to develop exercises for Laboratory Response Network (LRN) sentinel laboratories. Objecti...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 134; no. 10; pp. 1490 - 1504
Autores principales: Wagar, Elizabeth A., Mitchell, Michael J., Carroll, Karen C., Beavis, Kathleen G., Petti, Cathy Anne, Schlaberg, Robert, Yasin, Bushra
Formato: algorithm research tables/charts Journal Article
Publicado: College of American Pathologists Oct2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2010
      vid: 134
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      pub: College of American Pathologists
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        atl: A Review of Sentinel Laboratory Performance Identification and Notification of Bioterrorism Agents.
      aug:
        au:
          Wagar, Elizabeth A.
          Mitchell, Michael J.
          Carroll, Karen C.
          Beavis, Kathleen G.
          Petti, Cathy Anne
          Schlaberg, Robert
          Yasin, Bushra
        affil: Department of Laboratory Medicine, University of Texas, M. D. Anderson Cancer Center, Houston
      sug:
        subj:
          Bioterrorism
          Proficiency Testing, Laboratory
          Clinical Laboratories
          Public Health Administration
          Communicable Diseases Diagnosis
          Communicable Diseases Microbiology
          Human
          In Vitro Studies
          Descriptive Statistics
          Microbiological Techniques
          Bacillus
          Burkholderia
          Prospective Studies
          Yersinia Infections
          Klebsiella
      ab: Context.--The anthrax incident of 2001 in the United States prompted the College of American Pathologists (CAP), the Association of Public Health Laboratories, and the Centers for Disease Control and Prevention to develop exercises for Laboratory Response Network (LRN) sentinel laboratories. Objective.--To provide an overview of the results of the CAP bioterrorism Laboratory Preparedness Survey (LPS, 2007) and Laboratory Preparedness Exercise (LPX, 2008) and assist LRN sentinel laboratories and public health agencies in planning for bioterrorism events. Design.--Bioterrorism agents and nonbiothreat mimic organisms were provided in 2 mailings per year (2007 and 2008, 20 total challenges). Within each mailing, 2 to 3 agents were category A or category B bioterrorism agents (total of 10 categoric challenges). Some category A/B isolates were modified/vaccine strains. The total number of laboratories participating in these exercises ranged from 1316 to 1381. Isolate characteristics used to identify the organisms were compiled along with the participants' reporting actions. Educational commentary was provided with each exercise. Results.--Acceptable identification responses were as follows: Bacillus anthracis, 90% (2007) and 99.9% (2008); Yersinia pestis, 83.8% (2007) and 87.6% (2008); and Francisella tularensis subsp Holarctica, 86.6% (2007) and 91.6%(2008). The time interval between specimen receipt and notification of results to an LRN reference laboratory decreased from more than 10 days in 2007 to 3 or 4 days in 2008 for some challenges. Conclusions.--The bioterrorism challenge program (LPS, LPX) provides important comparative data from more than 1300 sentinel laboratories that can be used by individual laboratories to evaluate their identification and LRN reporting performance.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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