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The role of leptospirosis reference laboratories
Rudy A Hartskeerl1, Lee D Smythe
1WHO/FAO/OIE and National Leptospirosis Reference Centre, Royal Tropical Institute, KIT Biomedical Research, Meibergdreef 39, 1105 AZ, Amsterdam, The Netherlands, r.hartskeerl@kit.nl.
Reference centres support diagnostic and research communities by providing strains, reagents, and guidance. They play crucial roles in leptospirosis diagnosis, surveillance, and applied research.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Reference centres are essential for supporting diagnostic laboratories and research institutions.
- They provide critical resources such as reference strains and reagents.
- These centres offer guidance and recommendations to various organizations and individuals.
Purpose of the Study:
- To outline the multifaceted roles and responsibilities of reference centres.
- To detail the key pillars of reference tasks: research, training, diagnosis, identification, and surveillance.
- To highlight the varying scope of activities from local to international reference centres.
Main Methods:
- The chapter focuses on four main pillars of reference centre tasks.
- It describes the provision of reference substances and applied research.
- It details diagnostic confirmation, strain identification, and surveillance activities.
Main Results:
- Reference centres engage in applied research and offer diverse training programs.
- They are involved in diagnostic confirmation, validation, harmonization, and quality assurance.
- Identification of Leptospira strains is crucial for source identification and surveillance.
Conclusions:
- Reference centres are pivotal in advancing leptospirosis research, diagnosis, and control.
- Their activities span from applied research and training to surveillance and guideline production.
- International reference centres play a key role in global health decision-making regarding leptospirosis.
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