临床微生物检验中质量控制存在问题与应对措施分析

Analysis of existing problems and countermeasures of quality control testing in clinical microbiology

目的分析临床微生物检验中质量控制所存在的问题并探讨应对的措施。方法使用不同方法对同一痰标本进行检测，以验证合适的方法对微生物检验的重要性；通过对比医院执行严格质量管理前后的药敏试验结果准确性，探讨质量管理对微生物检验的切实效果和具体的质量管理措施。结果通过对比，痰培养和痰培养＋痰涂片对同一痰标本的检验阳性率比较差异有统计学意义（P〈0．05）。医院执行严格质量管理前后的药敏试验结果准确性比较差异有统计学意义（P〈0．05）。结论质量控制管理对于微生物检验至关重要，一般管理存在标本采样不规范、检验方法与检验环境不合理、检验和临床沟通不畅等问题，可以通过严格培训、规范操作规程、加强检验与临床沟通等措施提升临床微生物检验的质量。

Objective To investigate the clinical microbiological testing in quality control problems and the measures to deal with. Methods Using different methods for the same sputum samples for testing, to verify the importance of appropriate methods for microbiological examination; perform susceptibility test results accuracy through strict quality control before and after comparison of my hospital to investigate the quality of the management of microbiological testing of practical effects and specific quality management measures. Results By contrast, sputum culture and sputum culture ＋ sputum smear-positive rate for the same sputum test had significant differences （ P 〈 0. 05 ）. Hospital perform susceptibility test results accuracy strict quality control before and after contrast were significantly different （ P 〈 0. 05 ）. Conclusions Quality control and management is essential for microbiological testing, the general management is not standardized specimen sampling, testing methods unreasonable, testing and clinical issues such as poor communication, can improve the clinical training through rigorous, standardized procedures, strengthen communication and clinical testing and other measures microbial testing.