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Related Experiment Videos

CD4+ T-cell testing practices as implications for training

E Rosner1, V Willis, R Lambert

  • 1Centers for Disease Control and Prevention, Public Health Practice Program Office, Division of Laboratory Systems, Chamblee, Georgia 30341, USA.

Cytometry
|August 15, 1997
PubMed
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Clinical laboratories performing CD4+ T-cell counts (CD4) generally follow recommended practices. However, some variations in quality control, quality assurance, and safety indicate potential training needs for laboratory personnel using flow cytometry.

Area of Science:

  • Clinical laboratory science
  • Immunology
  • Medical diagnostics

Background:

  • Emerging diseases and testing methods necessitate continuous skill updates for clinical laboratory personnel.
  • Complex techniques like flow cytometry demand significant education and practical experience for proficiency.
  • Assessing laboratory practices against expert guidelines identifies areas requiring targeted training.

Purpose of the Study:

  • To evaluate current laboratory practices for CD4+ T-cell counting.
  • To identify discrepancies between reported practices and established guidelines.
  • To establish a baseline for flow cytometry practices in 1993.

Main Methods:

  • A written survey was distributed to 206 laboratories performing CD4+ T-cell counts.

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  • Participants selected their laboratory's practices from a list of alternatives for key testing steps.
  • Survey questions were informed by published guidelines, expert interviews, and focus groups.
  • Main Results:

    • A 73% response rate (247/337 laboratories) indicated general adherence to recommended practices.
    • Notable deviations were observed in quality control, quality assurance, and safety protocols.
    • The study provides a snapshot of flow cytometry practices in 1993.

    Conclusions:

    • Most laboratories adhere to recommended CD4+ T-cell testing procedures.
    • Specific areas, including quality control and safety, present opportunities for enhanced training.
    • The findings establish a benchmark for flow cytometry practices during the initial implementation phase of testing guidelines.