广州市2009年性病实验室室间质评分析 |
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引用本文: | 毕超,曹文苓,林路洋,张莉,梁艳华,宋卫忠. 广州市2009年性病实验室室间质评分析[J]. 中国性病艾滋病防治, 2010, 0(5): 500-502 |
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作者姓名: | 毕超 曹文苓 林路洋 张莉 梁艳华 宋卫忠 |
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作者单位: | 广州市皮肤病防治所,广东广州510095 |
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摘 要: | 目的通过对广州市性病实验室开展室间质评活动,提高实验室检测质量,完善全市三级性病监测网络。方法发放衣原体(Ct)抗原样本、梅毒螺旋体血清样本、性病常规阅片,共计990份,要求做Ct抗原检测、梅毒血清学试验和性病常规阅片。结果 58家实验室室间质评成绩平均分90.09分,各质控项目得分由高到低分别为梅毒血清特异性抗体定性试验100分,非特异性抗体定性检验97.24分,非特异性抗体定量检验90分,衣原体抗原检测86.55分,分泌物涂片阅片86.38分。全市成绩优秀实验室39家(67.24%),操作水平(SI)≥0有39家,占67.24%。通过性病规范化建设的实验室成绩优秀面达到90.91%。结论通过性病规范化建设的实验室,检测能力明显高于其他医疗单位。通过这次质评活动还发现,部分单位使用试剂不合理,检验报告不规范等问题,需加强专业技术人员培训和室内、室间质控,提高检测水平。
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关 键 词: | 性病实验室 规范化 质量控制 |
An analysis of external quality assessment of STD laboratories in Guangzhou in 2009 |
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Affiliation: | BI Chao, CAO Wen ling , LIN Lu-yang ,et al. (Guangzhou Municipal Institute of Dermatology ,Guangzhou , Guangdong 510095 ,China) |
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Abstract: | Objective To improve the quality of STD laboratory testing and establish a well functioning three-tier STD surveillance network in Guangzhou through external quality assessment.Methods A total of 990 specimens were delivered to the STD laboratories which were requested to perform chlamydia(Ct) antigen detection,syphilis sero-logical tests and secretion smears reading.Results Fifty eight laboratories participated in the assessment,and their average scores were 90.09 points.The scores of quality assessment for different items were: 100 for treponema qualitative test,97.24 for non-treponema qualitative test,90 for non-treponema quantitative test,86.55 for chlamydia(Ct) antigen detection,and 86.38 for secretion smears reading.Among the participating laboratories,39(67.24%)were assessed as excellent with an average score more than 90,and 39(67.24%) laboratories had SI≥0,i,e,above the city average.As a result of standardization of STD laboratories,90.91% of them were assessed as excellent.Conclusions The STD laboratories which participated in a standardization program have higher testing capacity than other laboratories.Meanwhile,through this external quality assessment activities,some laboratories have been found to use inappropriate reagents and to issue sub-standardized reports,therefore it is obligatory to strengthen professional and technical personnel training and carry out quality control activities within and between laboratories,so as to upgrade overall quality of STD testing. |
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Keywords: | STD laboratory Standardization Quality control |
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