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External quality assurance scheme for Haemophilus influenzae 2011

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TECHNICAL REPORT<br />

<strong>External</strong> <strong>quality</strong> <strong>assurance</strong> <strong>scheme</strong> <strong>for</strong> <strong>Haemophilus</strong> <strong>influenzae</strong><br />

Contents<br />

Abbreviations ................................................................................................................................................ v<br />

Executive summary ........................................................................................................................................ 1<br />

Introduction .................................................................................................................................................. 2<br />

1 Material and methods .................................................................................................................................. 3<br />

1.1 Study design ....................................................................................................................................... 3<br />

1.2 Participants......................................................................................................................................... 3<br />

1.3 Timelines ............................................................................................................................................ 3<br />

1.4 The EQA panel material ....................................................................................................................... 4<br />

1.4.1 Bacterial isolates .......................................................................................................................... 4<br />

1.4.2 Non-culture simulated meningitis samples ...................................................................................... 4<br />

2 Results ....................................................................................................................................................... 5<br />

2.1 Part 1: Characterisation of viable isolates .............................................................................................. 6<br />

2.1.1 Phenotypic species identification .................................................................................................. 10<br />

2.1.2 Phenotypic serotyping ................................................................................................................. 10<br />

2.1.3 Biotyping ................................................................................................................................... 10<br />

2.1.4 Genotypic species identification ................................................................................................... 11<br />

2.1.5 Genotypic capsule typing ............................................................................................................ 12<br />

2.1.6 Other molecular typing ............................................................................................................... 12<br />

2.2 Part 2: Antimicrobial susceptibility testing ............................................................................................ 12<br />

2.2.1 β-lactamase activity testing ......................................................................................................... 12<br />

2.2.2 Antimicrobial susceptibility testing ................................................................................................ 12<br />

2.3 Part 3: Non-culture detection of H. <strong>influenzae</strong> ...................................................................................... 14<br />

2.4 Part 4: Summary comparison of IBD-Labnet H. <strong>influenzae</strong> EQA panels 2009 and <strong>2011</strong> ............................ 15<br />

Overall comments ........................................................................................................................................ 16<br />

Conclusions ................................................................................................................................................. 18<br />

References .................................................................................................................................................. 19<br />

Annex 1. Participating reference laboratories .................................................................................................. 21<br />

Annex 2. Consensus results <strong>for</strong> <strong>Haemophilus</strong> <strong>influenzae</strong> identification, typing and antimicrobial susceptibility testing 23<br />

Annex 3. Example of report generated by UK NEQAS ...................................................................................... 25<br />

iii

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