提高新型冠状病毒肺炎咽拭子采样和送检质量的对策探讨

Discussion on C ountermeasures of Improving the Sampling and Inspection Quality of Corona Virus Disease 2019 Throat Swabs

在新型冠状病毒肺炎疫情十分严峻的情况下,及时、早期诊断是疫情防控工作的重要环节。在临床诊疗过程中,检出SARS-CoV-2核酸是确诊新型冠状病毒肺炎的金标准。咽拭子在众多可选标本中,尽管核酸检出率偏低,但可操作性强,仍然是最普遍的一种采样方式。我院通过采取一些列举措,包括严格采样护士上岗前培训、规范咽拭子采样环境和暂存环境、优化咽拭子采样和送检流程等,并通过实施三定原则"定点采样、定人采样、定点送检",咽拭子采样合格率达99.99%,提高了新型冠状病毒肺炎咽拭子采样和送检质量。

Under the severe condition of Corona Virus Disease 2019 epidemic,timely and early diagnosis is an important part of epidemic prevention and control.In the clinical diagnosis and treatment process,the detection of SAR-CoV-2 nucleic acid is the gold standard for the diagnosis of Corona Virus Disease 2019.Although the detection rate of nucleic acid is relatively low,the throat swab is the most popular sampling method.Our hospital adopted a series of measures,including strict pre-job training for sampling nurses,standardized sampling environment and temporary storage environment of throat swab,and optimized sampling and examination procedures of throat swabs,and implemented the principle of"fixed point sampling,fixed person sampling,fixed point inspection".The qualified rate of throat swabs reached 99.99%,and the quality of Corona Virus Disease 2019 throat swab sampling and inspection was improved.