2013—2022年白银市艾滋病检测实验室网络建设及运行情况分析

Analysis of construction and operation of network on AIDS testing laboratory in Baiyin City from 2013 to 2022

目的全面掌握白银市艾滋病检测实验室网络建设及运行情况,分析存在的问题及原因,为今后艾滋病检测实验室网络建设及管理提供科学依据。方法对2022年以前建立的艾滋病检测实验室从实验室基本情况、生物安全、HIV相关检测项目开展情况等方面进行调查,汇总2013—2022年艾滋病实验室信息管理系统网络直报数据和HIV抗体血清学能力验证考核资料,使用SPSS 19.0软件进行统计分析,构成比的比较采用χ^(2)检验、Fisher确切概率法、χ^(2)趋势检验,以P<0.05为差异有统计学意义。结果截至2022年白银市共建成艾滋病检测实验室107家,其中确证(筛查中心)实验室1家、筛查实验室18家、检测点88家,实现乡级及以上医疗卫生机构及设立检验室的民营医疗机构全覆盖;共有检测人员231人,均为兼职;10年间共筛查检测HIV抗体2106197人次、检出阳性482人次;确证(筛查中心)实验室、筛查实验室、检测点能力验证参加率均为100.0%,平均合格率分别为100.0%、98.3%和99.1%。结论白银市艾滋病检测实验室网络建设初具规模,发挥了应有的作用,将二级以上医疗机构及妇幼保健机构检测点升级建成筛查实验室迫在眉睫;今后应加大医疗机构筛查实验室硬件设备投入,艾滋病定点医院筛查实验室开展艾滋病疗效随访检查;加强实验室质量管理,出台相关措施保证检测队伍稳定。

Objective To understand the network construction and operation of AIDS testing laboratories comprehensively in Baiyin,to analyze the existing problems and reasons,and to provide scientific basis for the network construction and management of AIDS testing laboratories in the future.Methods To investigate the AIDS testing laboratories which established before 2022 from the aspects of basic laboratory conditions,bio-safety and HIV related testing projects,the direct network reporting data of AIDS laboratory information management system and HIV antibody serological ability verification and assessment data from 2013 to 2022 were summarized,SPSS 19.0software was used for statistical analysis.The comparison between different constituent ratios was carrired out by Chi-square test,Fisher′s exact test and Chi-square trend test,P<0.05 was considered statistically significant.Results By 2022,a total of 107 AIDS testing laboratories had been built in Baiyin,including 1 confirmatory laboratory(screening center),18 screening laboratories,and 88 testing points,full coverage with laboratories of medical and health institutions at township level and above and private medical institutions;There were a total of 231 testing personnel,all of them were part-time workers;Over the past 10 years,a total of 2106197 people were screened and tested for HIV antibodies,and 482 people were found to be positive;The participation rates for proficiency testing in the confirmatory(screening center)laboratory,screening laboratory,and testing point were all 100.0%,with an average qualification rate of 100.0%,98.3%,and 99.1%,respectively.Conclusions The network construction of AIDS testing laboratories in Baiyin has begun to take shape and has played its due role.It is urgent to upgrade the testing points of medical institutions above the second level and maternal and child health care institutions into screening laboratories;In the future,more investment should be made in hardware equipment of screening laboratories in medical institutions,and screening laboratories in AIDS designated hospitals should carry out follow-up examinations of AIDS efficacy;Laboratory quality management and introduce relevant measures should be strengthen to ensure the stability of the testing team.