河北省助产机构实验室艾滋病检测服务能力调查分析  

Investigation of AIDS laboratory testing services in Midwifery institutions in Hebei Province

作　　者：钱立杰[1] 张英奎[1] 李林[2] 孙兆阳 马书军[1] 李雅丽[1] 马倩[1] 许长田[1] QIAN Lijie;ZHANG Yingkui;LI Lin;SUN Zhaoyang;MA Shujun;LI Yali;MA Qian;XU Changtian(Hebei Maternal and Child Health Care Center,Shijiazhuang 050031,China;The Sixth People's Hospital of Hebei Province,Baoding 071000)

机构地区：[1]河北省妇幼保健中心,石家庄050031 [2]河北省第六人民医院,河北保定071000

出　　处：《中国艾滋病性病》2022年第11期1294-1297,共4页Chinese Journal of Aids & STD

基　　金：中国性病艾滋病防治协会·艾伯维妇幼关爱及预防母婴传播基金项目(2020PMTCT-W9b)。

摘　　要：目的评估河北省助产机构实验室艾滋病检测服务能力。方法采用问卷的方法收集河北省各级助产机构实验室艾滋病检测服务能力资料,包括实验室资质、检测方法、转诊和质控等。所有资料进行描述性分析。结果本次调查于2021年4-6月开展,共计调查385个助产机构。河北省97.66%(376/385)的助产机构有HIV初筛检测资质,79.74%(307/385)的助产机构为HIV初筛实验室。其中79.85%(214/268)县级助产机构、63.64%(42/66)的乡级助产机构为HIV初筛实验室。不同级别助产机构HIV初筛方法差异有统计学意义,省级以化学发光免疫试验(CLIA)一种方法为主,占50.00%(8/16),市县级以CLIA和快速检测试验(RT)为主,分别占25.71%(9/35)和30.22%(81/268),乡级以单一RT方法为主,占71.93%(41/57)。376个机构中,0.27%(1/376)机构开展HIV病毒载量检测,6.38%(24/376)机构开展CD4细胞计数检测。15.96%(60/376)助产机构实验室未开展室内质控,25.26%(95/376)助产机构未开展室间质控。结论河北省助产机构实验室艾滋病检测网络比较健全,县乡级助产机构检测服务能力还有待提高,实验室质控待加强。Objective To evaluate midwifery institutions’laboratory AIDS testing service capacity in Hebei province.Methods The questionnaire was used to collect midwifery institutions’laboratory AIDS testing service capacity data at all levels in Hebei Province,including laboratory qualification,testing methods,referral,and quality control.All data were used for descriptive analysis.Results The survey was conducted from April to June 2021,with385 midwifery institutions were surveyed.97.66%(376/385)of midwifery institutions in Hebei province had HIV primary screening test qualification,and 79.74%(307/385)were primary screening laboratories.Among them,79.85%(214/268)of county-level midwifery institutions and 63.64%(42/66)of township-level midwifery institutions were primary screening laboratories.There are statistical differences in the HIV primary screening methods among different levels of laboratories.Provincial level to CLIA as the primary method.50.00%(8/16)of city and county level laboratories were mainly used CLIA(25.71%,9/35)and RT(30.22%,81/268).Single RT method was mainly used at the township level which was71.93%(41/57).Among 376 institutions,0.27%(1/376)of them conducted HIV viral load testing and 6.38%(24/376)of them conducted CD4 cells count testing.15.95%(60/376)of midwifery institution laboratories did not conduct indoor quality control,and 25.26%(95/376)did not conduct interventricular quality control.Conclusions Midwifery institutions’laboratory AIDS testing network has been constructed.However,the testing service ability and quality control at the county and township levels needs to be improved.

关 键 词：助产机构 艾滋病病毒感染者/艾滋病患者 实验室检测 

分 类 号：R512.91[医药卫生—内科学]