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县级血吸虫病防治机构诊断实验室现状被引量:33
2011年
目的了解我国县级血吸虫病防治机构血吸虫病诊断实验室建设及诊断能力现状,为国家和省级有关部门制订卫生(血防)政策、优化卫生资源配置提供依据。方法随机抽取40个国家级血吸虫病监测点所在的县级血防专业机构实验室,通过问卷调查等方式调查实验室人员、用房面积、仪器设备配置情况及常用血吸虫病诊断方法等信息;抽取各监测点10%的居民查病血清样本和改良加藤片样本进行复检,评估县级血防机构检验人员的检测水平。结果监测点所在各县级血防专业机构实验室人员平均年龄为(40.93±9.56)岁,其中>35岁占69.39%;86.22%的人员学历在本科以下(不含本科);除4人职称不明外,初级、中级、高级职称比例分别为56.63%、39.29%和2.04%。各地实验室面积差别较大,以独立县级血吸虫病防治所/站实验室面积最小,仅为(52.81±40.08)m2,且实验室仪器设备配置水平较低。各实验室血清样本和改良加藤片样本复检符合率分别为95.89%和99.53%,Kappa值均>0.90。现场使用的免疫诊断试剂达9种,病原学检测以改良加藤法和尼龙绢集卵孵化法为主。结论基层血防机构实验室人员结构不合理,基础建设落后,诊断试剂/方法使用现状混乱。各地应加强实验室诊断能力建设,规范实验室建设和管理。
冯婷许静杭德荣吴子松唐丽汪奇志喻鑫铃曾小军沈美芬吴成果元艺郭家钢周晓农
关键词:血吸虫病监测点
Research gaps for three main tropical diseases in the People’s Republic of China被引量:5
2013年
This scoping review analyzes the research gaps of three diseases:schistosomiasis japonica,malaria and echinococcosis.Based on available data in the P.R.China,we highlight the gaps between control capacity and prevalence levels,and between diagnostic/drug development and population need for treatment at different stages of the national control programme.After reviewing the literature from 848 original studies and consultations with experts in the field,the gaps were identified as follows.Firstly,the malaria research gaps include(i)deficiency of active testing in the public community and no appropriate technique to evaluate elimination,(ii)lack of sensitive diagnostic tools for asymptomatic patients,(iii)lack of safe drugs for mass administration.Secondly,gaps in research of schistosomiasis include(i)incongruent policy in the implementation of integrated control strategy for schistosomiasis,(ii)lack of effective tools for Oncomelania sp.snail control,(iii)lack of a more sensitive and cheaper diagnostic test for large population samples,(iv)lack of new drugs in addition to praziquantel.Thirdly,gaps in research of echinococcosis include(i)low capacity in field epidemiology studies,(ii)lack of sanitation improvement studies in epidemic areas,(iii)lack of a sensitivity test for early diagnosis,(iv)lack of more effective drugs for short-term treatment.We believe these three diseases can eventually be eliminated in China's Mainland if all the research gaps are abridged in a short period of time.
Qi ZhengSamantha VanderslottBin JiangLi-Li XuCong-Shan LiuLe-Le HuoLi-Ping DuanNing-Bo WuShi-Zhu LiZhi-Gui XiaWei-Ping WuWei HuHao-Bing Zhang
关键词:SCHISTOSOMIASISMALARIAECHINOCOCCOSISEPIDEMIOLOGYCHEMOTHERAPY
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