中华皮肤科杂志

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广东省性病实验室间质量评价结果分析

黄进梅, 郑和平, 潘慧清, 曾维英, 吴兴中, 李美玲, 薛耀华   

  1. 广东省皮肤性病防治中心, 广州510500
  • 收稿日期:2006-09-04 出版日期:2007-05-15 发布日期:2007-05-15
  • 通讯作者: 郑和平,email:Hpzheng@21cn.com E-mail:Hpzheng@21cn.com

External quality assessment of STD laboratories in Guangdong Province

HUANG Jin-mei, ZHENG He-ping, PAN Hui-qing, ZENG Wei-ying, WU Xing-zhong, LI Mei-ling, XUE Yao-hua   

  1. Guangdong Provincial Centre for Skin Diseases and STIs Control and Prevention, Guangzhou 510500, China
  • Received:2006-09-04 Online:2007-05-15 Published:2007-05-15

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摘要： 目的 通过对性病实验室间质量评价,了解广东省性病实验室总体水平。方法 发放衣原体(Ct)、单纯疱疹病毒(HSV)、支原体、淋球菌、分泌物涂片、梅毒血清质控样本共3330份,要求做Ct、HSV抗原检测,支原体、淋球菌培养,分泌物涂片阅片和梅毒血清学试验。结果 95家性病实验室参加2005年室间质评,全省平均84.5分。各质控项目平均得分由高至低依次是,非梅毒螺旋体抗体定性试验98.3分、HSV抗原检测95.1分、Ct抗原检测94.0分、梅毒螺旋体抗体定性试验89.3分、非梅毒螺旋体抗体定量试验83.9分、分泌物涂片阅片83.6分、支原体培养81.0分、梅毒螺旋体抗体定量试验77.8分、淋球菌培养57.8分。95家性病实验室,60分以上合格占90.5%,成绩在全省平均水平之上(SI≥0)实验室占68.3%。结论 通过规范化建设的性病实验室性病常规检测能力普遍较高,但个别实验室存在试剂质量、操作方法、结果报告准确性和规范性等问题,有待进一步提高。

关键词: 性传播疾病, 实验室, 医院, 质量控制

Abstract: Objective To investigate the technical capability of STD laboratories in Guangdong Province by external quality assessment.Methods A total of 3330 samples were prepared and delivered to STD laboratories for the detection of Chlamydia trachomatis and Herpes simplex virus(HSV)antigen, non-treponemal and treponemal quantitative and qualitative tests for syphilis,mycoplasma and gonococcal culture and discharge smear reading.Results Ninety-five laboratories in Guangdong Province were enrolled in this assessment in 2005,and obtained an average score of 84.5.The average scores for quality assessment in decreasing order were 98.3 for non-treponemal qualitative test,95.1 for HSV antigen,94.0 for C.trachoma-tis antigen,89.3 for treponemal qualitative test,83.9 for non-treponemal quantitative test,83.6 for discharge smear-reading,81.0 for mycoplasma culture,77.8 for treponemal quantitative test,and 57.8 for gonococcal culture.Among the laboratories evaluated,90.5% were eligible with a score of more than 60,and 68.3% were higher than the provincial average level(SI≥0).Conclusions The technical capability of STD lab-oratories has been generally enhanced due to standardized construction.However,several laboratories still need to improve in choice of qualified test reagents,operation procedures,accuracy and standardization of reporting,and so on.

Key words: Sexually transmitted diseases, Laboratories,hospital, Quality control