Conference abstract

Evaluation of the quality of histology samples received in the pathology laboratories of the University Teaching Hospital of Yaounde (UTHY) and the Central Hospital of Yaounde (HCY), Cameroon

Pan African Medical Journal - Conference Proceedings. 2023:18(158).03 Oct 2023.
doi: 10.11604/pamj-cp.2023.18.158.2275
Archived on: 03 Oct 2023
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Keywords: Pathology diagnosis, histological sample, pre-analytical, non-conformities, quality of diagnosis
Oral presentation

Evaluation of the quality of histology samples received in the pathology laboratories of the University Teaching Hospital of Yaounde (UTHY) and the Central Hospital of Yaounde (HCY), Cameroon

Nya Kemkeu Stéphane1, Nganwa Grace2, Buh Nkum Collins3, Beyala Bita’a Landry3, Ngo Pambe Rissia4, Nsangou Ahmed Moustapha5, Ateudjieu Jerome3,6,7, Yonkeu Emmanuel1, Nangue Charlette3,8,9

1Institut Supérieur des Etudes Medico-Sanitaires et Biomédicales de l´Institut Universitaire des tropiques, Yaoundé, Cameroun, 2Department of Biological Science, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon, 3Department of Health Research, Meilleur Accès aux Soins de Santé (M.A. SANTE), Yaoundé, Cameroon, 4Yaoundé Central Hospital, Cameroon, 5Department of Microbiology, University of Selçuk, Turkey, 6Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon, 7Division of Health Operations Research, Ministry of Public Health, Yaoundé, Cameroon, 8Anato-Cytopathology Laboratory, Centre Hospitalier Dominicain Saint Martin de Pores, Yaoundé, Cameroon, 9School of Health and Medical Sciences, Catholic University of Bamenda, Bamenda, Cameroon

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Introduction: pathology diagnosis (PD) defines the therapy to be applied to patients after analysis of the tissues or cells. The pre-analysis phase is important for this diagnosis, as it can compromise the PD. This study was conducted to identify Non-Conformities (NC) in histological samples received in two Pathology Laboratories (PL).

Methods: a descriptive cross-sectional study was conducted at the APL of the University Teaching Hospital of Yaounde (UTHY) and the Yaounde Central Hospital (YCH) from 05 March to 06 April 2018. Using an NC data collection sheet, the histological samples received in these two health structures were subjected to quality control: exam form, container, fixative, and large samples. The data collected were analyzed using Microsoft Excel 2010 software to identify the types and proportions of NC.

Results: we received 78 samples, including 8 large samples; 48 (61.54%) samples had at least one NC. This NC was found in thirty-one (39.74) exam forms, 10 (12.82) containers, 7 (10.45) fixatives, and 7 (10.45) large samples. One hundred and twenty-eight (128) NCs were observed; the average number of NCs per sample was 1.64. Ninety-two (71.9%) NCs were related to the exam forms, 17 (12.28%) to the containers, 9 (7%) to the fixative, and 10 (7.8%) specific to the large samples. Two (1.6%) NCs were considered major.

Conclusion: samples received at the PL of HCY and UTHY have many NCs that could affect the quality of the PD. Improved pre-analysis performance is needed to enhance the quality of the PD through training of health personnel on proper handling of the samples that are collected and sent to the PL in Cameroon.