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Table 1 Diagnostic capabilities, appropriate location and procedures for microbiological and routine tests in 48 referral center for HID in 16 European countries

From: Diagnostic issues and capabilities in 48 isolation facilities in 16 European countries: data from EuroNHID surveys

Diagnostic capabilities

Evaluation score*

A Fully/mostly

B Partially

C Not

Achieved

achieved

Achieved

N (%)

N (%)

N (%)

Topic 1: The isolation facility has access to BSL-4 labs or capabilities/protocols for the safe and appropriate handling of group 4 agent specimens for diagnosis

11/48 (23)

30/48 (62)

7/48 (15)

Topic 2: The isolation facility has access to BSL-3 labs or capabilities/protocols for the safe and appropriate handling of group 3 agent specimens for diagnosis

39/48 (81)

9/48 (19)

0/48

Topic 3: The isolation facility has capabilities/procedures for the safe and appropriate management of other tests/routine analysis in HID patients (i.e., use of bed-side tests inside isolation area or use of central hospital lab after inactivation of samples or without inactivation but with appropriate measures of biosecurity and biosafety, including the use of automatic, closed-type system analyzers)

16/48 (33)

19/48 (40)

13/48 (27)

Appropriate location and procedures for microbiological or routine tests

microbiological test

routine test

 

N (%)

N (%)

Inside the isolation area (same room or other room)

8/47 (17)

13/48 (27)

 

In the BSL-3 reference lab

32/47 (68)

15/48 (31)

 

In the general lab, with closed-type automatized analyzers

19/47 (40)

26/48 (54)

 

In the general lab, without closed-type automatized analyzers

5/47 (11)

15/48 (31)

 
  1. *The corresponding assessment of the evaluation scores of the three topics are summarized below:
  2. Topic 1: management of group 4 agent specimens (A: The unit is located in the same hospital/city as a BSL-4 lab and has protocols for the safe and appropriate handling of group 4 agent specimens; B: The unit is not located in the same hospital/city as a BSL-4 lab but has protocols for the safe and appropriate handling of group 4 agent specimens to another city/country; C: The unit is not located in the same hospital/city as a BSL-4 lab and does not have adequate protocols for the safe and appropriate handling of group 4 agent specimens to another city/country). Topic 2: management of group 3 agent specimens (A: The unit is located in the same hospital/city as a BSL-3 lab and has adequate protocols for the safe and appropriate handling of group 3 agent specimens; B: The unit is not located in the same hospital/city as a BSL-3 lab but has adequate protocols for the safe and appropriate handling of group 3 agent specimens to another city; C: The unit is not located in the same hospital/city as a BSL-3 lab and does not have adequate protocols for the safe and appropriate handling of group 3 agent specimens to another city). Topic 3: management of other tests/routine analysis (A: Optimal use of bed-side testing inside the isolation area OR use of the central hospital lab after inactivation of samples OR use of the BSL-3 lab; B: Use of the central hospital lab without inactivation with special measures of biosecurity and biosafety, including the use of automatic, closed-type system analyzers; C: Use of central hospital lab without special measures of biosecurity and biosafety).