An Italian external quality assessment (EQA) program on urinary sediment.
BACKGROUND
EQA programs on urinary sediment are rare. We describe an EQA Italian program which started in 2001 and involves today more than 300 laboratories.


METHODS
The program, which started with a questionnaire about the methodological aspects on urinary sediment, includes today four surveys per year. These ask the participants the identification and clinical associations of urinary sediment particles shown by colour images (surveys 1 and 3) and the diagnosis of clinical cases presented by both images and a short clinical history (surveys 2 and 4). The results of each survey are then scored and commented.


RESULTS
Questionnaire (participants = 287): most methodological aspects were not dealt with properly.


METHODS
cells, lipids, casts and some contaminants were poorly known. However, when 27 particles were presented for the second time and 16 particles for the third time, the correct identification rate for most of them increased significantly. Clinical associations (No presented = 16): a correct answer was indicated by > or = 84% of participants for all particles but one. Clinical cases (No presented=4): lowest correct identification for urine contamination from genital secretion (77.3%), highest for ureteric stone (94.4%).


CONCLUSIONS
Our program shows that EQA programs are both useful and needed.
Fogazzi
Giovanni B
GB
Research Laboratory on Urine, Unità Operativa di Nefrologia, Dialisi, Trapianto, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy. fogazzi@policlinico.mi.it
Secchiero
Sandra
S
Consonni
Dario
D
Sciacovelli
Laura
L
Zardo
Lorena
L
Garigali
Giuseppe
G
Verdesca
Simona
S
Messa
Piergiorgio
P
Plebani
Mario
M
D019411:Clinical Laboratory Techniques / Q000379:methods / Q000592:standards*; D006801:Humans; D007558:Italy; D015397:Program Evaluation / Q000379:methods / Q000592:standards*; D011786:Quality Control; D011795:Surveys and Questionnaires; D016482:Urinalysis / Q000379:methods* / Q000592:standards*