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目的了解当前我国各级疾控机构寄生虫病防治人员的蠕虫检测能力,以促进寄生虫病检测整体实力的提升。方法 2012年5月以省(区、市)为单位,每省选送4名各级疾控机构的在职专业技术人员(未参加2011年竞赛,年龄≤45周岁,县级至少2名),竞赛内容包括粪便标本改良加藤厚涂片制作(制片)和常见蠕虫(血吸虫、蛔虫、鞭虫、蛲虫、华支睾吸虫和肺吸虫等)虫卵镜检鉴别两部分。结果来自30个省(市、区)120名参赛选手的平均成绩为6.9分(满分10分),及格102人,占85.00%,较2011年有所下降(P<0.05);常见蠕虫镜检成绩平均为23.0分(满分50分),及格人数38人,占31.67%,较2011年有所上升(P<0.05)。蠕虫平均检出率为53.38%,最低的带绦虫和布氏姜片虫为48.51%和39.08%。不同性别、年龄、职称、来源单位级别和地区的参赛人员之间成绩差异无统计学意义(P>0.05);有血吸虫病防治任务的省(市、区)参赛选手粪便标本片制作和镜检读片成绩均好于无血吸虫病防治任务的地区(P<0.05)。结论各级疾控机构的在职专业技术人员寄生虫病检测总体水平不高,且对不同虫种的检测能力差别明显。需在加强对重点寄生虫病认识的前提下,通过有针对性地开展人才培养和技术储备来强化寄防队伍的建设。
Objective To understand the current worm detection capabilities of parasitosis prevention and control staff at all levels of CDC in China in order to promote the overall strength of parasitic diseases detection. Methods In May 2012, 4 provincial-level CDCs (including those who did not participate in the 2011 competition, aged ≤45 years and at least 2 at the county level) were selected by provincial (autonomous regions and municipalities) Contents include stool specimens improved Kato thick smear production (production) and common worms (schistosomes, roundworms, whipworm, pinworm, Clonorchis sinensis and paragonimiasis, etc.), egg microscopy identification of two parts. Results The average scores of 120 contestants from 30 provinces (cities and districts) were 6.9 (out of 10) and 102 (85.00%), which were lower than those in 2011 (P <0.05). Common worm microscopy The average score was 23.0 points (out of 50 points), the number of passing 38 people, accounting for 31.67%, compared with 2011 increased (P <0.05). The average detection rate of worms was 53.38%, the lowest of tapeworms and Brachyspira were 48.51% and 39.08% respectively. There was no significant difference in the scores among the participants of different genders, ages, titles, units and regions of origin (P> 0.05). The provincial (city, district) contestants who had schistosomiasis prevention and control task were making stool specimens and making microscopic examination Reading results were better than those without schistosomiasis control tasks (P <0.05). Conclusion The overall level of parasitic disease detection of in-service professional technicians at all levels of CDC institutions is not high, and the detection ability of different kinds of insects is obviously different. Under the premise of strengthening the understanding of key parasitic diseases, it is necessary to strengthen the construction of sending troops by carrying out personnel training and technical reserve in a targeted manner.