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NTEP_ TB Laboratory Services_ 3-tier system _ PSM Made Easy.PDF
1. NTEP: TB Laboratory Services: 3-tier system
TB Laboratory Services: 3-tier system
• The peripheral laboratories
– The labs at dispensaries, PHCs, CHCs, referral hospitals, major hospitals, specialty clinics / other sector hospitals /
TB hospitals / Medical colleges and in the private/NGO sectors
– These laboratories are covered under quality assurance mechanisms
– large hospitals and medical colleges have facilities of digital X-Ray, rapid molecular test (Cartridge based nucleic acid
amplification test -CBNAAT & Line Probe Assay - LPA), Fine Needle Aspiration Cytology (FNAC), histopathology, and
culture & DST for diagnostic services of TB.
• State level- Intermediate reference laboratory (IRL),
– Usually situated in the State TB Training and Demonstration Centre (STDC)
– Monitoring laboratory services across the state
– CBNAAT sites
– DRTB Centres
• Central level
– Six National Reference Laboratories (NRLs)
– External Quality Assurance of Lab network,
– Drug resistance surveillance,
– Training and research.
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