01791nas a2200229   4500000000100000008004100001260001200042100003300054700001400087700002400101700001500125700001500140700001500155700001800170700001700188245013200205856007800337300001300415490000700428520111200435022001401547       2020                            d  c01/20201 aModesto Tolentino Binhardi F1 aNardi SMT1 aDos Santos Patine F1 aPedro HDSP1 aMontanha J1 ade Santi M1 aUle Belotti N1 aPaschoal VDA00aDiagnosis of the leprosy laboratory care network in Regional Health Department XV, São José do Rio Preto, São Paulo, Brazil.  uhttps://www.scielo.br/pdf/ress/v29n5/en_2237-9622-ress-29-05-e2020127.pdf  ae20201270 v293 a<p><b>OBJECTIVE: </b>To present the situational diagnosis of the leprosy laboratory reference network in the region of São José do Rio Preto, SP, Brazil.</p><p><b>METHODS: </b>This was an evaluation study with a descriptive design. The data were collected by means of an online form filled in by those in charge of the leprosy program in 2018.</p><p><b>RESULTS: </b>All 102 municipalities that make up the region provided the requested data, 82.4% (84/102) requested slit-skin smear microscopy and of these 68 received training. Of the total, 11.7% sent slit-skin smears to other laboratories outside the reference network. Only 57.8% (59/102) requested a biopsy, of these 47 had a doctor responsible for taking the biopsy sample and 31 did not send biopsy samples for analysis in the reference network. Lack of an adequate room, few trained professionals, absence of material for transportation and absence of printed test requisitions were described as aspects that hinder leprosy case diagnosis in the region.</p><p><b>CONCLUSION: </b>The laboratory network is fragile and needs to be restructured.</p>  a2237-9622