Feasibility of using Determine TB-LAM to diagnose tuberculosis in HIV-positive patients in programmatic conditions: a multisite study

Figures & data

Table 1. Health workers who participated in the LAM test feasibility assessment.

Position of health worker	DRC		Malawi		Mozambique		Total
	MSF	MOH	MSF	MOH	MSF	MOH
Laboratory technician	0	0	6	0	2	0	8
Nurses	3	0	3	3	2	0	11
Clinical officers	0	0	4	1	2	0	7
Doctors	9	0	0	0	1	0	10
District medical officer	0	0	0	1	0	0	1
Environmental health technicians	0	0	0	1	0	1	2
Health assistants/microscopists	0	2	0	3	0	0	5
Program Managers	3	0	0	0	2	0	5
Total	15	2	13	9	9	1	49

Figure 1. Comparison of TB diagnosis procedures in HIV-positive patients with signs and symptoms of TB before and after the introduction of the LAM test.

*Patients could be initiated on TB treatment based on clinical criteria before and after the LAM test was introduced.

Figure 2. LAM users’ responses on the ease of performing each step of the LAM test (N = 32).

Figure 3. LAM users’ responses on the important elements to teach new users about performing the LAM (N = 32).

Table

Item	Answer 1: Difficult = D; Easy = E;	Answer 2: Comments
Understanding the LAM test information leaflet
Finding each of the items in the packet (test strips, reading card)
Labelling the sample collection tube
Setting the pipette to the correct volume
Collecting the correct amount of urine using the pipette
Pipetting the urine onto the sample pad
Reading the internal control line
Discriminating between the 4 positive grades by use of the reference card
Interpreting the result as either positive or negative
Disposal of the urine sample
Disposal of the LAM test strip
Disposal of the pipette tip