深圳市医疗机构性病实验室现况调查分析

Survey of STD laboratories within medical institutions in Shenzhen

目的了解深圳市各级各类医疗机构性病实验室的现状,为加强性病实验室规范化建设,提高性病检测水平提供依据。方法对深圳市主要性病监测诊疗服务机构,包括市、区、街道公立医院及民营医疗机构,进行近5年来性病实验室资质、人员、检测方法、质评开展等情况的调查。结果调查的92家性病监测机构中,36家实验室建立了规范化性病实验室;平均专、兼技术人员分别从2005年的2.00和2.67上升到2009年的2.47和3.07,人员结构有所改善,业务培养得到了加强。2009年开展淋球菌涂片镜检、淋球菌培养、非梅毒螺旋体抗原血清学试验、梅毒螺旋体抗原血清学试验、沙眼衣原体抗原快速检测和核酸扩增检测的实验室比例,分别为89.13%、68.48%、96.74%、71.74%、82.61%和16.30%;2008年上述项目参加各类室间质评的比例分别为37.80%、58.73%、64.04%、65.15%、40.79%和40.00%。结论近年来深圳市性病实验室建设得到了加强,但存在不同类别医疗机构和不同区域发展不均衡现象;实验室的检测能力及质量控制需要进一步加强。

Objective To understand the sexually transmitted disease（STD）laboratory status within various medical institutions in Shenzhen city and provide information for strengthening capacity of STD laboratories. Methods A total of 92 medical institutions, including public city, district and community hospitals and private hospitals, were surveyed for their STD laboratory qualifications, personnel, testing methods and external quality assessment （EQA） in the past five years. Results Of the 92 surveyed hospitals 36 established standardized STD laboratories . The average full -time and parttime technical professional staff rose from 2.00 and 2.67 persons in 2005 to 2.47 and 3.07 persons in 2009; personnel structure was optimized and their technical training was strengthened. In 2009 gonorrhoeae smear, gonococcal culture, non-Treponema pallidum antigen serological test, Treponema pallidum antigen serological test, Chlamydia trachomatis antigen detection and nucleic acid PCR were carried out in 89.13%, 68.48%, 96.74%, 71.74%, 82.61% and 16.30% of the surveyed laboratories, respectively, while . in 2008 the, percentages of the laboratories participating in EQA in the above respective aspects were 37.80%, 58. 73%, 64.04%, 65.15%, 40.79% and 40.00%. Conclusion The data collected in this survey can be used to monitor trends in STD testing practices in Shenzhen. STD Laboratory capacity has been strengthened in the recent years however, there is imbalance between various institutions and in different regions. Laboratory testing capability and quality control should be further improved.