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目的了解广东省各级疾病预防控制机构传染病实验室的现状。方法采用填写调查表,并结合现场调查核实的方式,对广东省46家不同级别的疾控机构传染病实验室进行人员情况、设备设施及检测能力的调查。结果(1)人员情况:高级职称、中级职称、初级职称及以下所占比例分别为15.57%、30.94%、53.49%,博士、硕士、本科、大专、中专及以下学历所占比例分别为2.20%、7.98%、33.93%、26.75%、29.14%,各级别实验室不同职称、不同学历人员构成上差异有统计学意义(均P<0.01)。(2)实验室设施和仪器设备:省、市级疾控中心二级生物安全实验室覆盖率为100%,县区级疾控中心仅66.67%建有二级生物安全实验室;省级疾控中心微生物实验室设备达到了标准配置数,地市、县区级疾控中心基本购置了微生物检测所必需的仪器,但达不到标准配置数。(3)检测能力:省级疾控中心、地市级疾控中心、县区级疾控中心的检验项目实际开展率分别为91.39%、59.57%、46.70%。结论广东省地市级和县区级疾控机构传染病实验室检测设备配置数量普遍达不到要求,必需开展的检验项目实际开展率偏低。说明各级政府对疾控机构传染病实验室重视不够,投入不足,传染病应急和监测检验能力亟待提高。
Objective To understand the status quo of infectious disease laboratory of CDC at all levels in Guangdong Province. Methods Fill in the questionnaire, combined with the field investigation and verification methods, 46 different levels of CDC infectious disease laboratory in Guangdong Province for personnel, equipment and facilities survey and detection capabilities. Results (1) Personnel: Senior professional titles, intermediate professional titles, junior professional titles and the following proportions were 15.57%, 30.94% and 53.49%, respectively, and the proportion of Ph.D., MA, undergraduate, tertiary, %, 7.98%, 33.93%, 26.75% and 29.14%. There were significant differences in the composition of staff with different academic titles and different academic qualifications at all levels (all P <0.01). (2) Laboratory facilities and equipment: The bi-level safety laboratory of provincial and municipal CDC coverage rate is 100%, and only 66.67% of county-level CDC has a secondary biosafety laboratory; provincial disease Control center microbial laboratory equipment reached the standard configuration number, prefectural and county CDC basic acquisition of the necessary equipment for microbial testing, but not up to the standard configuration number. (3) Testing Capability: The actual implementation rates of provincial CDC, municipal CDC and county-level CDC were 91.39%, 59.57% and 46.70% respectively. Conclusion The number of laboratory equipments in infectious disease laboratories in prefectural-level and county-level disease control institutions in Guangdong Province generally fails to meet the requirements. The actual implementation rate of test items that must be carried out is relatively low. This shows that the governments at all levels have inadequate attention and inadequate investment in infectious disease laboratory of CDC, and the emergency response and monitoring and testing capabilities of infectious diseases need to be improved urgently.