基层医疗机构梅毒检验质量状况与趋势分析  

The Analysis of Detection Status and Quality Trend of Treponema Pallidum in Primary Medical Institutions

作　　者：胡梅[1] 雷婷[1] 张曼[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院医学检验科尿液细胞分子诊断北京市重点实验室,北京100038

出　　处：《标记免疫分析与临床》2017年第7期816-818,共3页Labeled Immunoassays and Clinical Medicine

基　　金：北京市医管局首届登峰人才计划(DFL20150701)

摘　　要：目的通过分析基层医疗机构梅毒检验现状,了解基层检验质量及发展趋势,为切实提高基层检验质量、制定相应管理方案提供客观依据。方法连续6年随机抽取我国县级妇幼医疗机构共1455家,应用盲样检测方法对梅毒进行检测,共5个水平,对回馈的数据进行分类、核对、整理、分析与总结。结果参评基层医疗机构梅毒的检测方法主要有ELISA法、胶体金法、梅毒螺旋体颗粒凝集试验(TPPA)、快速血浆反应素试验(RPR)、甲苯胺红不加热血清试验(TRUST)、化学发光免疫分析法等。对各方法在2011至2016年间的使用情况进行分析显示,6年间,梅毒血清学检测的及格率明显提升,由2011年第一次的52%提高到2016年的98.3%。结论随着全国临床检验室间质量评价活动的开展和积极推进,基层医疗机构梅毒检测结果的准确性提高,服务机构的检验水平显著提升。Objective To analyze the detection status in primary medical institutions, so to evaluate the quality and development trend of Treponema Pallidum tests, and provide objective basis for improving the detection quality and formulating management plan for primary medical institutions.Methods We randomly selected county-level maternal and child medical institutions with number of 345 ± 107 for 6 consecutive years.Treponema Pallidum was detected by blind detection method with five levels per item.The feedback data were collected, classified, sorted, analyzed and summarized.Results The detection methods of Treponema Pallidum include： ELISA method, gold standard method, TPPA, RPR, TRUST,CLIA and others.We further analyzed the use status of different methods in 2011-2016.Duringthis period of time, the passing rate of syphilisin was significantly improved from 52% in 2011 to 98.3% in 2016.Conclusion With the development of the quality evaluation activities, the accuracy of primary medical institutions was increased and the service quality was improved remarkably.

关 键 词：室间质量评价 梅毒 基层医疗机构 质量控制 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]