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The External Quality Assessment (EQA) for Fluorescent Microscopy (FM) follows the same basic principles as for sputum smear microscopy using Ziehl-Neelsen (ZN) staining:

  1. On-site Evaluation (OSE)
  2. Panel Testing
  3. Random Blinded Re-checking

 

Differences between EQA for FM and sputum smear stained by ZN method:

  • The stained slides for FM are stored in the dark as fluorescence is prone to fading over time.
  • The slides for FM are viewed under 40X without use of immersion oil.
  • Acid-fast bacilli appear bright yellow against the dark background in FM.

 

During the OSE visit, the Senior Laboratory Supervisor (STLS) will cross check all positive smears and selected negative smears.

 

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