2013年全国寄生虫病防治技术竞赛成绩分析:蠕虫检测能力分析

Analysis of capability of examining helminthes:National technique competition of parasitic disease diagnosis in 2013

目的了解我国各级疾控机构寄生虫病防治人员的蠕虫检测能力,推动各级疾控机构能力建设。方法 2013年6月,以省为单位,每省选送4名疾控机构在职专业技术人员参加全国寄生虫病防治技术竞赛,收集竞赛结果进行分析。结果来自全国30个省（市、自治区）和新疆生产建设兵团的31支代表队共124人参赛,选手的蠕虫镜检及制片平均成绩分别为27.3分和7.6分,较2012年均有显著提高（t=3.169、5.009,P均〈0.05）。蠕虫平均检出率为62.7%,较2012年显著提高（c2=28.630,P〈0.05）。不同性别、年龄、职称选手的成绩差异有统计学意义（t=1.400、2.080,F=2.366~3.864,P均〈0.05）,有血防任务的省份成绩显著高于无任务的省份（t=6.650、4.630,P均〈0.01）。结论全国寄生虫病防治技术竞赛提高了各省寄生虫病防治专业人员,尤其是年轻人员的专业技术能力,但选手对常见土源性线虫虫卵的识别能力有待加强。建议在寄生虫病低度流行区和无防治任务的省份设立监测点,并加大人才培养力度。

Objectives To understand the ability of worm detection of staff of centers for disease control and prevention（CDC）in China,so as to promote the ability construction. Methods In each province,four competitors were selected from the institutions of parasitic diseases control to attend the National Technique Competition for Parasitic Disease Diagnosis and the results of competition were collected and analyzed. Results The average scores of microscopic identification and slide preparation of all the 124 competitors were 27.3 and 7.6 respectively and the scores were increased significantly（t = 3.169,5.009,both P〈0.05）compared to those in 2012. The average detection rate of helminthes was 62.7%,and it was increased significantly（c2= 28.630,P〈0.05）compared to that in 2012. The scores of competitors of different genders,ages,and profession titles were significantly different（t = 1.400,2.080,F = 2.366-3.864,all P〈0.05）. The scores of competitors of provinces with the control task of parasites were higher than those without any control task（t = 6.650,4.630,both P〈0.01）. Conclusions The competition has enhanced the ability of staff of CDCs,especially for the young staff. However,the ability of detection for soil transmitted helminth eggs should be intensified. Monitoring sites should be established in low endemic areas of parasites and provinces without the prevention and control task and the training for the professional staff should be strengthened.