2011年全国寄生虫病防治技术竞赛成绩分析报告Ⅱ疟原虫检测能力分析

Report of analysis of National Technique Competition for Diagnosis of Parasitic Diseases in 2011 Ⅱ Analysis of capabilities of Plasmodium detection

目的对2011年全国寄生虫病防治技术竞赛成绩进行分析,了解当前我国各级疾控机构寄生虫病防治专业人员的疟原虫检测能力。方法将参赛选手按性别、年龄、职称、单位级别、所在省份疟疾流行程度、是否有全球基金疟疾防治项目支持、地理位置等进行分组,对各组选手疟原虫检测成绩进行比较分析。结果不同性别、年龄、职称、单位级别的参赛选手之间成绩差异均无统计学意义(P均>0.05);来自不同疟疾流行程度、有无全球基金疟疾防治项目支持、不同地理位置省份的选手其疟原虫检测成绩差异均具有统计学意义(P均<0.05),有一、二类疟疾流行县省份的选手其血片制片及镜检读片成绩均优于无一、二类疟疾流行县省份的选手,有全球基金项目支持省份的选手血片制作及镜检读片成绩均显著优于无全球基金项目支持省份的选手,南方省份选手血片制片及镜检读片成绩均显著优于北方省份。结论各省疟原虫检测能力总体水平不均衡,镜检读片技能水平较低,寄生虫病人才梯队建设和病原学检测技能培训亟需加强。

Objective To analyze the results of the National Technique Competition for Diagnosis of Parasitic Diseases in 2011, so as to understand the capability of detection on Plasmodium among professionals from institutes for disease control and prevention at different levels. Methods All the contestants were grouped by the gender, age, professional title, level of institution, epidemic degree of malaria of provinces, coverage status of the project of the global fund to fight malaria, and geographical location of the provinces, and their scores were statistically analyzed by SPSS 17.0 software. Results There were no significantly differences among the scores grouped by the different genders, ages, professional titles, and levels of institution （all P 〉 0.05）. However, there were significantly differences among the scores grouped by the different epidemic degrees of malaria of the prov- ince, coverage statuses of the project of the global fund to fight malaria, and geographical locations of the province （all P 〈 0.05）. For the contestants who came from the provinces with malaria epidemic counties of Class I and Class II types, provinces covered by the project of the global fund to fight malaria, and provinces located in the south, their scores of blood slides making and films reading under a microscope were significantly higher than those of the contestants from the provinces without epidemic counties of Class I and II types, not covered by the project of the global fund, and provinces located in the north, respectively. Conclu- sions The overall level of the capabilities of detection on Plasmodium is imbalanced, and the capability of films reading under a microscope is especially low. It is urgent to promote the personnel training and strengthen the capability of pathogenic detection of parasitic diseases.