乌鲁木齐市肺结核査痰点工作分析

Analysis of sputum smear situation of tuberculosis in Urumchi

目的分析乌鲁木齐市査痰点痰检的工作现状探讨改正办法。方法根据查痰点和结防机构实验室登记本和痰检质控资料进行分析和评价。结果乌鲁木齐市2006年设立29家査痰点开展痰涂片检查工作,截至2008年底共完成痰涂片检查20 058张,阳性涂片869张,其中乡镇级査痰点査痰563张,阳性46张。各级实验室阳性涂片数构成比在5.3%～40.3%之间,省级最高乡镇级最低;共抽检质控痰涂片2 693张,定性错误共15例。结论城市査痰点应设立在县级以下的非结防机构或社区卫生服务中心,结防机构做相应的督导和质控。

Objective To analyze the situation of sputum smear spots in Urumchi, and to explore the measures for the next step. Methods ＂Data from sputum examination register and quality control of sputum examination were collected and evaluated. Results Twenty-nine township sputum smear sites were set up in Urumchi in 2006. 20 058 smears had been examined till the end of 2008, with 869 smear positive smears. 563 smears were examined in township sputum smear sites with 46 positive smears. The smear positive rates were from 5.3% to 40.3% at different levels, with the highest at provincial level and the lowest at township level. 2 693 smears were selected for quality control, and 15 had qualitative errors. Conclusions Sputum smear site should be set up in non-tuberculosis institutions under county level or community health centers. The tuberculosis control and prevention institutions should carry out monitoring and quality control to ensure the quality of sputum smear.