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肺结核病人痰涂片镜检室间质量保证模式的评价研究 被引量:10

Research on the evaluation of AFB-EQA models for diagnosis of tuberculosis
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摘要 目的了解痰涂片抗酸菌镜检室间质量评估体系(EQA)在提高相应检验工作质量中的作用。方法比较新旧2种EQA模式的结果差异,分析相应结果对提高结核病痰涂片镜检质量的作用。结果旧模式统计的阳性符合率为97.1%(578/595),阴性符合率为99.1%(1 135/1 145)。新模式统计的的阳性符合率是89.6%(225/251),阴性符合率是98.7%(1 067/1 081)。新的EQA模式的样本抽取和盲法复检方式,较以往模式更能反映被评估实验室的日常工作状态;新EQA摸式增加的痰标本性状和量化误差更能反映被评估实验室相应检验项目中存在的问题以及改进方向。结论新的EQA模式在操作上可行,且结果对促进痰涂片镜检质量提高更具指导意义。 Objective To comprehend the purpose of current AFB-EQA mode deeply for improving the quality of the microscopy examination for TB control.Methods The datum of current EQA mode and original mode were compared,and analyzed the effects of the results to improve the quality of AFB.Results The consistency positive rate from original mode was 97.1%(578/595),the consistency negative rate from original mode was 99.1%(1135/1145);from current EQA mode,they were 89.6%(225/251) for consistency positive rate and 98.7%...
出处 《中国防痨杂志》 CAS 2008年第1期43-46,共4页 Chinese Journal of Antituberculosis
关键词 抗酸杆菌 显微镜检查 室间质量评估 Acid fast bacilli Microscopy examination External quality assessment
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参考文献5

  • 1[3]WHO/IUATLD.Technical Guide.Sputum Examination for Tuberculosis by Direct Microscopy in Low Income Countries(5th edition)[S].2000:79-80
  • 2[4]WHO/Regional Office for the Western Pacific Stop TB Special Project.Quality Assurance of Sputum Microscopy in DOTS Programmes:Regional Guidelines for Countries in the Western Pacific[S].2003
  • 3[5]India/Ministry of Health and Family Welfare.Guidelines for Quality Assurance of Smear Microscopy for Diagnosing Tuberculosis[S].Central TB Division,Directorate General of Health Services.2005:1-26
  • 4[6]DOTS Expansion Working Group/National Reference Laboratory/Algeria.External Quality Assessment for AFB Smear Microscopy[S].2003
  • 5[7]Sloutsky A.,Lan N.,Dunbar D.,et al.Proficiency Testing Program for Acid Fast Bacilli (AFB) Microscopy[J].Int J Tuberc Lung Disease,2002,6(4):340-349.

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