非公办独立医学实验室在大规模新冠病毒核酸筛查中的实践与启示  

Practice and enlightenment of non-government independent clinical laboratory participated in the large-scale detection of COVID-19

作　　者：蒋皓 沈洲 JIANG Hao;SHEN Zhou(Jiangsu Suncadia Industrial Co.,Ltd.Nanjing Branch,Nanjing 210008;Jiangsu Hengrui Medicine Co.,Ltd.,Lianyungang 222000;Nanjing Market Regulation Bureau,Nanjing 210018,China)

机构地区：[1]江苏盛迪亚实业有限公司南京分公司,江苏南京210008 [2]江苏恒瑞医药股份有限公司,江苏连云港222000 [3]南京市市场监督管理局,江苏南京210018

出　　处：《南京医科大学学报（社会科学版）》2022年第2期169-173,共5页Journal of Nanjing Medical University（Social Sciences）

摘　　要：为实现“动态清零”的防疫目标,在某一行政区域开展全员核酸筛查是抗击新冠肺炎疫情最常采用的重要措施之一。文章总结了非公办独立医学实验室在某特大城市开展大规模新冠病毒核酸筛查的实践经验,对现场走访调研和问卷收集的数据和资料进行统计分析。结果显示,参与新冠病毒核酸检测工作的21家非公办独立医学实验室,平时日检测能力约27.1万管,疫情期间最大日检测能力可扩充到84.0万管,19天累计检测422.7万管样本。调研发现的问题主要有各行政辖区实验室分布不均衡,疫情前期各实验室样本分配与能力不完全匹配,专业检验人员短缺,对部分实验室医疗废弃物清运不及时等。建议各地应重视引进培育独立医学实验室,合理统筹分配检测样本,建立检验人员储备机制,对医疗废弃物处置加强预判和统筹调度。In order to achieve the epidemic prevention goal of“dynamic zero-COVID”,conducting nucleic acid tests for all citizens is one of the most important measures.This paper summarized the practical experience of COVID tests in non-government independent clinical laboratory(ICL)in one metropolis,and makes a statistical analysis of the data and materials collected from field visits and questionnaires.The results showed that21 non-government ICL participated in the large-scale detection of COVID-19.The maximum daily detection capacity of the 21 laboratories could be expanded from 271000 to 840000.A total of 4.227 million samples were tested in 19 days.The main problems found in the survey were:the uneven distribution of laboratories in various regions,the incomplete matching of sample distribution and capacity of laboratories in the early stage of the epidemic,the shortage of professional inspection personnel,and the untimely clearance of medical waste in some laboratories.It was suggested that the introduction and cultivation of ICL should be attached importance by local governments,test samples should be rationally allocated,the mechanism of inspector reserving should be established,and the ability to predict and dispatch medical waste should be strengthened.

关 键 词：新冠病毒 核酸检测 独立医学实验室 

分 类 号：R115[医药卫生—公共卫生与预防医学]