Interferon Gamma Release Assays EQA

Accreditation Status: UKAS Schedule of Accreditation
Date Scheme started: 2009
Clinical Applicability: Test for latent tuberculosis infection and a useful aid for diagnosing M. tuberculosis complex infection
Analytes: IGRA TB (SER/039)
Units for Reporting: Qualitative responses (Positive, Negative and Indeterminate), Quantitative responses (IU/mL), number of T-spots, Clinical and Technical Interpretations
Samples Distributed:

Normal and pathological human serum

Distributions are linked to cases on the UK NEQAS for Immunology, Immunochemistry & Allergy Interpretative EQA Scheme (iEQA) website

Number of Distributions per year: 6
Number of Samples per Distribution: 2 sets of 4 (Nil, TB1 antigen, TB2 antigen and Mitogen), or one pre-incubated microtiter strip consisting of two samples
Frequency of Distributions: Every two months as outlined in the Distribution Schedule
Schedule of Analysis: Data entry is via the web for the submission of results. Data analysis commences 21 days after sample dispatch. Late returns are accepted and will contribute to the laboratory's cumulative performance statistics.
Data Analysis:

All Laboratory Trimmed Mean (ALTM) with truncation at 2SD, SD and CV%. Reports show method specific statistics. Individual laboratory performance is expressed in terms of MRBIS, SDBIS and MRVIS

Chosen Coefficient of Variation for Interferon gamma is 20%

Qualitative responses are assessed in relation to the designated response

Performance Scoring: MRVIS / MI scoring
Criteria of Performance:

OMIS for qualitative results over a running analytical window of 6 Distributions (12 months)

  OMIS
Good Zero
Adequate 1
Poor >1

Individual laboratory performance over a running analytical window of 6 Distributions (12 months) for Interferon Gamma Release Assay quantitation is expressed in terms of MRBIS, SDBIS and MRVIS

  MRVIS
Ideal <50
Good 50-100
Adequate 101-200
Poor >200 or SDBIS >200
Persistent Poor Performance:

Defined as being in the Poor Performance category for two or more successive Distributions