Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic

Laboratory diagnostic capacity is crucial for an optimal national response to a public health emergency such as the COVID-19 pandemic. Preventing laboratory-acquired infections and the loss of critical human resources, especially during a public health emergency, requires laboratories to have a good...

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Main Authors: Samreen Sarwar, Faheem Shahzad, Ayesha Vajeeha, Rimsha Munir, Amina Yaqoob, Aniqa Naeem, Mamoona Sattar, Sheereen Gull
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-06-01
Series:Journal of Biosafety and Biosecurity
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2588933822000012
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author Samreen Sarwar
Faheem Shahzad
Ayesha Vajeeha
Rimsha Munir
Amina Yaqoob
Aniqa Naeem
Mamoona Sattar
Sheereen Gull
author_facet Samreen Sarwar
Faheem Shahzad
Ayesha Vajeeha
Rimsha Munir
Amina Yaqoob
Aniqa Naeem
Mamoona Sattar
Sheereen Gull
author_sort Samreen Sarwar
collection DOAJ
description Laboratory diagnostic capacity is crucial for an optimal national response to a public health emergency such as the COVID-19 pandemic. Preventing laboratory-acquired infections and the loss of critical human resources, especially during a public health emergency, requires laboratories to have a good biorisk management system in place. In this study, we aimed to evaluate laboratory biosafety and biosecurity in Pakistan during the COVID-19 pandemic. In this cross-sectional study, a self-rated anonymous questionnaire was distributed to laboratory professionals (LPs) working in clinical diagnostic laboratories, including laboratories performing polymerase chain reaction (PCR)-based COVID-19 diagnostic testing in Punjab, Sindh, Khyber Pakhtunkhwa, and Gilgit-Baltistan provinces as well as Islamabad during March 2020 to April 2020. The questionnaire assessed knowledge and perceptions of LPs, resource availability, and commitment by top management in these laboratories. In total, 58.6% of LPs performing COVID-19 testing reported that their laboratory did not conduct a biorisk assessment before starting COVID-19 testing in their facility. Only 31% of LPs were aware that COVID-19 testing could be performed at a biosafety level 2 laboratory, as per the World Health Organization interim biosafety guidelines. A sufficiently high percentage of LPs did not feel confident in their ability to handle COVID-19 samples (32.8%), spills (43.1%), or other accidents (32.8%). These findings demonstrate the need for effective biosafety program implementation, proper training, and establishing competency assessment methods. These findings also suggested that identifying and addressing gaps in existing biorisk management systems through sustainable interventions and preparing LPs for surge capacity is crucial to better address public health emergencies.
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spelling doaj.art-ec68d9d418204e4a8db35005abc58f392022-12-22T02:28:30ZengKeAi Communications Co., Ltd.Journal of Biosafety and Biosecurity2588-93382022-06-01414349Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemicSamreen Sarwar0Faheem Shahzad1Ayesha Vajeeha2Rimsha Munir3Amina Yaqoob4Aniqa Naeem5Mamoona Sattar6Sheereen Gull7Health Security Partners, Lahore, Punjab, Pakistan; Corresponding author.Department of Immunology, University of Health Sciences Lahore, Punjab, PakistanCentre for Applied Molecular Biology, University of the Punjab, Lahore, Punjab, PakistanCancer Biology Lab, Institute of Microbiology and Molecular Genetics, University of the Punjab, and Molecular Geneticist, Hormone Lab, Lahore, Punjab, PakistanCenter of Excellence in Molecular Biology, University of the Punjab, Lahore, PakistanFood and Meal Science, Kristianstad University, Kristianstad, SwedenMicrobiological Engineering and Industrial Biotechnology Group, College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai, ChinaSchool of Biological Sciences, University of the Punjab, Lahore, PakistanLaboratory diagnostic capacity is crucial for an optimal national response to a public health emergency such as the COVID-19 pandemic. Preventing laboratory-acquired infections and the loss of critical human resources, especially during a public health emergency, requires laboratories to have a good biorisk management system in place. In this study, we aimed to evaluate laboratory biosafety and biosecurity in Pakistan during the COVID-19 pandemic. In this cross-sectional study, a self-rated anonymous questionnaire was distributed to laboratory professionals (LPs) working in clinical diagnostic laboratories, including laboratories performing polymerase chain reaction (PCR)-based COVID-19 diagnostic testing in Punjab, Sindh, Khyber Pakhtunkhwa, and Gilgit-Baltistan provinces as well as Islamabad during March 2020 to April 2020. The questionnaire assessed knowledge and perceptions of LPs, resource availability, and commitment by top management in these laboratories. In total, 58.6% of LPs performing COVID-19 testing reported that their laboratory did not conduct a biorisk assessment before starting COVID-19 testing in their facility. Only 31% of LPs were aware that COVID-19 testing could be performed at a biosafety level 2 laboratory, as per the World Health Organization interim biosafety guidelines. A sufficiently high percentage of LPs did not feel confident in their ability to handle COVID-19 samples (32.8%), spills (43.1%), or other accidents (32.8%). These findings demonstrate the need for effective biosafety program implementation, proper training, and establishing competency assessment methods. These findings also suggested that identifying and addressing gaps in existing biorisk management systems through sustainable interventions and preparing LPs for surge capacity is crucial to better address public health emergencies.http://www.sciencedirect.com/science/article/pii/S2588933822000012BiosafetyLaboratory professionalsCOVID-19 pandemic
spellingShingle Samreen Sarwar
Faheem Shahzad
Ayesha Vajeeha
Rimsha Munir
Amina Yaqoob
Aniqa Naeem
Mamoona Sattar
Sheereen Gull
Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic
Journal of Biosafety and Biosecurity
Biosafety
Laboratory professionals
COVID-19 pandemic
title Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic
title_full Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic
title_fullStr Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic
title_full_unstemmed Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic
title_short Assessment of biosafety implementation in clinical diagnostic laboratories in Pakistan during the COVID-19 pandemic
title_sort assessment of biosafety implementation in clinical diagnostic laboratories in pakistan during the covid 19 pandemic
topic Biosafety
Laboratory professionals
COVID-19 pandemic
url http://www.sciencedirect.com/science/article/pii/S2588933822000012
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