武汉市东西湖区疟原虫镜检能力建设分析

目的对武汉市东西湖区医疗卫生机构疟原虫镜检能力建设情况进行调查分析,为实现消除疟疾目标及今后疟疾防治工作提供科学依据。方法收集2010-2015年东西湖区15家疟原虫镜检站硬件设施情况以及镜检人员基本信息,并进行统计分析;此外,对该阶段全区阴性血片制作、染色、清洁度合格情况进行评价,对阳性血片进行复核。结果 15家疟疾镜检站有镜检人员28人,合格显微镜9台;一、三级医疗卫生机构镜检人员年龄以40~50岁为主,二级医疗卫生机构以20~30岁为主;一、三级医疗卫生机构镜检人员从事镜检工作年限多在15年以上,二级医疗卫生机构则多在10年以下;一级医疗卫生机构镜检人员学历以大专为主(占50.00%),二、三级医疗卫生机构以本科为主。2010-2015年全区共血检8 561例,复核阴性和阳性血片539张,符合率均为100%,血片制作、染色、清洁度平均合格率分别为82.08%、79.92%、83.33%。2015年血片制作合格率(χ~2=26.45,P0.01)、染色合格率(χ~2=16.85,P0.01)、清洁度合格率(χ~2=13.93,P0.01)均高于2010年。结论东西湖区疟原虫镜检能力建设已明显提高,但应进一步推进区内疟原虫镜检站人才梯队建设和硬件投入,坚持基层镜检质控考核工作,以保障疟疾防治工作持续健康发展。

Analysis of capabilities of microscopic examinations of Plasmodium in Dongxihu District,Wuhan City

Objective To investigate and analyze the capabilities of Plasmodium microscopic examinations in medical and health organizations in Dongxihu District， Wuhan City， so as to provide evidences for achieving the standard of malaria elimination and malaria control in the future. Methods The basic information of the laboratorians and the hardware facilities in 15 microscopic examination stations of Plasmodium were collected and analyzed from 2010 to 2015. Meanwhile， the quality of making， dyeing， cleanliness of all the negatives blood smears were evaluated， and all the positive smears were re?checked in the district during the period above mentioned. Results Totally， there were 28 laboratorians and 9 qualified microscopes in 15 microscopy stations in Dongxihu District. The age of the laboratorians in the first?level and third?level organizations was mainly from 40 to 50 years old， but the age of those in the second?level organizations was from 20 to 30 years old. The years for microscopic examination working of most of the laboratorians in the first?level and third?level organizations were more than 15 years， while the working years of those in the second?level organizations were mainly less than 10 years. The education level of the laboratorians in the first?level organization was mainly （50.00%） junior college， while the education levels of those in the second and third organizations were mainly bachelor. From 2010 to 2015， 8 561 blood smears were produced and 539 of them were reviewed，the coincidence rates of review were all 100%， and the average qualified rates of making， dyeing， and cleanliness of the negative blood smears were 82.08%， 79.92% and 83.33%， respectively. All the rates mentioned above in 2015 were higher than those in 2010 （χ2]= 26.45， 16.85， 13.93， all P ＜ 0.01）. Conclusion The capability of microscopic examinations of Plasmodium has improved obviously in Dongxihu District， but the human resources construction and hardware input in this district should be improved， meanwhile， the check on the quality control of microscopic examinations of Plasmodium should be continued， so as to guarantee the sustainable and healthy development of malaria control work in this district.