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National Reference Laboratory for Mycobacteria

The National Mycobacterium Reference Laboratory (LNRM) was created as a result of  dissolution the organization of cooperation and coordination to fight against great endemics (OCCGE) and the handover of IRTIRA Mauritania in the 2011,and as a result of the decision to integrate the form IRTIRA at the National Institute for Research in Public Health (INRSP) (ex-CNH) and with the collaboration of the Medicos del Mundo, INRSP proceeded Mycobacterium laboratory missions, which acts as the reference for the national control program of tuberculosis and diagnosis of tuberculosis bacteriology, were detailed by the memorandum No. 072 / SG / MSAS May 14, 2002. This memorandum is the result of several meetings between the PNTL and the INRSP.

The main lines of TB screening are:
1. Bacteriological diagnosis of tuberculosis by microscopy and Culture
2. Susceptibility testing and identification of mycobacteria
3. Ensure the feedback of microscopic diagnosis in tuberculosis laboratories.
4. Training and qualification of workers in mycobacterium laboratory
5.  Supplying of functional laboratories with smear reagents
6. Supervision and quality control of peripheral laboratories
7. Buliding of regional capacities in the framework of the decentralization of laboratory network in the regions
8. Research and epidemiological surveillance of mycobacterial strains.

laboratory network consists of 73 laboratories for microscopic screening of tuberculosis, LNRM began the implementation of cultural activities and drug sensitivity tests to better guide treatment choice to assist in patienthealing. Laboratories at the national level were endowed with equipments (microscope, platinum loop ...), dyes (methylene blue, fuchsin and sulfuric acid) and consumables (Blade, Oil immersion, wire handle, storage box blades, cotton wool ...) to provide free tuberculosis screening. Everytechnician or health worker in the labhas to receive training on the microscopic screening methods for TB. So the laboratory network todays has required reagents and consumables itemsfor the microscopic diagnosis of tuberculosis.

The achievements of the laboratory network are:

  1. Decentralization (establishment of network coordinators at regional level)
    2. A smear guide in Arabic and French
    3. A illustration poster of Ziehl-Neelsen staining technique
    4. A procedures manual for LNRM
    5. A smear TB quality control guide

The provision of a set of work tools demonstrate and regulate the work of TB diagnosis laboratories such as: a standard questionnaire to examine the sputum, a standard form for activity reports quarterly pro forma consolidated to present the results of the mycobacterium transplant, pro forma to report the results of fumbling on antibiotics, Bact Alert device for liquids culturing, completes equipment for biology molecular.