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目的分析泉州市各县市区结核病实验室发展现状,为结核病实验室的网络建设提供参考。方法对收集的泉州市上报的各级结核病实验室基本情况调查表进行分析。结果 2009—2014年,各级结核病实验室由11个增至15个,达到BSL-2标准由2个增至15个,并配备了开展痰培养的设备和Gene Xpert检测设备,均开展痰培养和Gene Xpert检测。痰涂片质量提高,量化误差率0.14%~0.27%,低假阴性率0.37%~0.75%;“未用药受检人涂阳培阴率”6.2%。实验室人员总体上有增加,但仍不足;人员流动性较大,专职和中/高级职称偏少,专职人员中检验专业比例从66.7%提高至80.8%,保证了工作质量。结论需继续加强泉州市区县级结核病实验室的能力建设和队伍建设,促进结防工作的更好开展。
Objective To analyze the status quo of tuberculosis laboratory development in all counties in Quanzhou and to provide reference for the network construction of tuberculosis laboratory. Methods The collected questionnaires of the basic situation of TB laboratories at all levels in Quanzhou were collected. Results From 2009 to 2014, the number of TB laboratories at all levels increased from 11 to 15, reaching BSL-2 from 2 to 15, with sputum culture equipment and Gene Xpert testing equipment, both of which performed sputum culture And Gene Xpert detection. The quality of sputum smear increased, the error rate of quantification was 0.14% -0.27%, the false negative rate was 0.37% ~ 0.75%, and the rate of smear positive rate was 6.2%. Laboratory staff generally increased, but still inadequate; staff mobility larger, less professional and medium / senior professional titles, full-time staff in the proportion of professional inspection increased from 66.7% to 80.8%, ensuring the quality of work. Conclusion It is necessary to continue to strengthen the capacity building and contingent building of TB counties in Quanzhou, so as to promote better prevention and treatment work.