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. 2008 May;14(5):701–708. doi: 10.3201/eid1405.070721

Table 4. Considerations for decentralized drug susceptibility testing (DST) capacity for first-line drugs, Peru.

Criterion Ideal situation
Drugs to test First-line DST; isoniazid and rifampin most important because empiric treatment regimen and further DST may follow
Reproducibility Because drug-resistant samples identified by regional DST, then referred to National Reference Laboratory for DST to second-line drugs, sensitivity most important
Sample source Direct method optimal for processing 
at local health clinic to minimize turnaround time
Cost per sample Low cost
Time to obtain result Rapid
Technical demand Less technically demanding, less processing time
Biologic safety risk Low biosecurity risk
Required equipment Limited additional equipment 
(refridgerated centrifuge) procured and maintained in local site
Reagents and supplies Commonly used reagents and supplies available through local vendors is preferable