无锡市医疗机构疟疾镜检能力现状调查与分析

目的对无锡市各级医疗机构疟原虫镜检能力建设情况进行分析,为今后疟疾防治工作提供科学依据。方法收集2016年无锡市各级医疗机构镜检员问卷调查数据,建立数据库,并采用Logistic回归对镜检员疟原虫检测能力的影响因素进行分析。结果共调查全市54家医疗机构54名镜检员,男性16人,女性38人,男女性别比0.42∶1;有12名镜检员曾在工作中检出疟原虫,占被调查者的22.22%。多因素分析结果表明:女性镜检员在工作中检测出疟原虫的能力比男性镜检员弱(调整OR=0.11,95%CI:0.02~0.53),中级及以上职称镜检员在工作中检测出疟原虫的能力高于初级职称镜检员(调整OR=5.31,95%CI:1.04~27.19),县乡级医疗机构镜检员在工作中检测出疟原虫的能力比其他机构的镜检员弱(调整OR=0.04,95%CI:0.01~0.98)。结论无锡市各级镜检站均具备一定的疟疾诊治能力,需进一步加强基层医疗机构的镜检能力建设。

Investigation on current situation of Plasmodium microscopic examination capabilities of professional staff in medical situations in Wuxi City

Objective To investigate the capabilities of Plasmodium microscopic examinations of professional staff in medical institutions in Wuxi City， so as to provide evidences for improving malaria control and elimination work in the future. Methods The data of questionnaires for laboratorial staff in charge of Plasmodium microscopic examinations were collected and analyzed in the medical institutions in Wuxi City in 2016， and the influencing factors related to the capabilities of Plasmodium microscopic examinations were analyzed by the method of logistic regression. Results Totally 54 laboratorial workers in 54 medical institutions in Wuxi City were investigated， 16 of them were male， and 38 were female， and the ratio of male to female was 0.42∶1. Among the 54 laboratorial workers， 12 persons （22.22%） had the experience of detecting Plasmodium in the work. The multivariable analysis showed the ability to detect Plasmodium was associated with male laboratorial workers （adjusted OR = 0.11， 95%CI：0.02-0.53）， laboratorial workers with intermediate or higher professional titles （adjusted OR = 5.31， 95%CI： 1.04-27.19） and laboratorial workers from county and township medical institutions （adjusted OR = 0.04， 95%CI： 0.01-0.98）. Conclusions All of the medical institutions in Wuxi City have the capability of microscopic examinations of Plasmodium. However， the ability of laboratorial staff in primary hospitals still should be improved.