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目的了解龙岩市各艾滋病筛查实验室总体情况,促进筛查实验室规范化管理,提高整体检测能力。方法采用血清学考核和职能工作问卷调查两个部分相结合的方法对全市所有筛查实验室进行综合考评。结果2011-2013年所有具有筛查资格的实验室均参加室间质评,参加率为100%;考评综合成绩均为合格,合格率100%,其中良好以上成绩2011、2012、2013年分别为96.3%、100%、100%。血清学检测结果:艾滋病病毒(HIV)抗体盲样考核正确率100%,梅毒盲样考核正确率分别为69.6%(2011年)、100%(2012年)、92.9%(2013年)。职能问卷调查结果显示,所有实验室均建立标准操作规程(SOP),部分实验室SOP文件未能及时更新;大多数实验室进行室内质控,实验原始记录基本完整,均建立生物安全制度,部分实验室存在室内质控不够规范、仪器未及时校准等情况。结论龙岩市艾滋病筛查实验室质量考评结果总体水平较好,能够满足艾滋病筛查工作的需要,但实验室规范化管理和人员培训需进一步完善和提高。
Objective To understand the overall situation of AIDS screening laboratories in Longyan, promote the standardized management of screening laboratories and improve the overall detection ability. Methods A serological examination and a questionnaire survey of functional work were combined to evaluate all the screening laboratories in the city. Results All laboratories with screening qualifications in 2011-2013 participated in the inter-laboratory quality assessment with a participation rate of 100%. The comprehensive scores of the examination were all qualified and the pass rate was 100%. Among the above, the scores were good in 2011, 2012 and 2013 respectively 96.3%, 100%, 100%. Serological test results: The correct rate of blind test for HIV antibody was 100%, and the positive rate of blind test for syphilis was 69.6% (2011), 100% (2012) and 92.9% (2013) respectively. Functional questionnaire results show that all laboratories have established a standard operating procedures (SOP), some laboratory SOP files failed to be updated in time; most laboratories for indoor quality control, the experimental original records are basically complete, are to establish biosecurity system, part of Laboratory quality control room is not standardized, the instrument is not calibrated in time and so on. Conclusion The results of quality assessment of HIV / AIDS screening laboratory in Longyan City are generally good, which can meet the needs of AIDS screening work. However, the standardization of laboratory management and staff training need to be further improved and improved.