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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,P<0.01)、染色合格率(χ~2=16.85,P<0.01)、清洁度合格率(χ~2=13.93,P<0.01)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。
Objective To investigate the capacity of microscopic examination of Plasmodium in medical institutions in Dongxihu District of Wuhan City, and provide a scientific basis for the goal of malaria elimination and malaria control in the future. Methods The hardware facilities of 15 malaria parasites stations in East Lake District from 2010 to 2015 were collected and the basic information of microscopic examination staff was collected and analyzed statistically. In addition, the negative blood film production, staining and cleanliness of the whole area were evaluated at this stage , The positive blood film for review. Results There were 28 microscopic examination staff and 9 qualified microscopes in 15 malaria examination stations. The primary medical examination institutions of primary and tertiary medical institutions were aged 40 to 50 years old, and secondary medical and health institutions were mainly aged 20 to 30 years old ; Grade I and III medical examination institutions engaged in microscopic examination more than 15 years of service life, secondary medical and health institutions are more than 10 years; a medical and health institutions microscopy education to college-based (50.00 %), Two, three medical institutions to undergraduate-based. From 2010 to 2015, a total of 8 561 blood tests and 539 negative and positive blood tests were performed in the whole district, with the coincidence rates of 100% and 82.08%, 79.92% and 83.33% respectively. The average passing rate of blood chip production, . In 2015, the pass rate of blood chip making (χ ~ 2 = 26.45, P <0.01), the passing rate of dyeing (χ ~ 2 = 16.85, P <0.01) and the passing rate of cleanliness (χ ~ 2 = 13.93, P <0.01) Higher than in 2010. Conclusion The construction of Plasmodium larvatus in East Lake District has been significantly improved. However, the echelon construction and hardware investment of Plasmodium malaria in the region should be further promoted. The quality control examination of grass-roots level should be inspected so as to ensure the sustainable and healthy development of malaria control.