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目的分析广东省县级妇幼机构实验室艾滋病和梅毒检测服务能力,为提高广东省预防艾滋病和梅毒母婴传播实验室检测能力提供政策依据。方法采用调查问卷收集广东省县级妇幼机构实验室检测服务能力资料,包括实验室资质和检测方法。问卷资料采用Epi Data3.0进行盲法双录入后,采用Excel进行数据整理和分析。结果广东省县级妇幼机构中,有HIV初筛实验室资质的比例为90%,有梅毒检测实验室资质的比例为81%;在有HIV初筛检测实验室中,64%能够提供酶联免疫吸附法(ELISA)和快速检测两种检测方法;在有梅毒检测资质的实验室中,60%能够开展两种方法学的梅毒检测,绝大多数以甲苯胺红不加热血清试验(TRUST)检测方法作为首选的梅毒检测方法,而开展非梅毒螺旋体定量检测的实验室所占比例相对较低,开展快速血浆反应素卡片试验(RPR)定量的占15%,开展TRUST定量的占57%。结论县级妇幼机构实验室艾滋病和梅毒的检测服务能力还有待提高,建议加强县级妇幼机构实验室能力建设,提高艾滋病和梅毒的检测服务水平。
Objective To analyze the AIDS and syphilis testing services in Guangdong Provincial Women’s and Children’s Gynecology Laboratories, and to provide policy basis for improving the detection ability of AIDS prevention and syphilis testing laboratories in Guangdong Province. Methods A questionnaire was used to collect data on service capabilities of laboratory testing of women and children at county level in Guangdong Province, including laboratory qualification and testing methods. Questionnaire data using Epi Data3.0 blind double entry, using Excel for data collation and analysis. Results There were 90% of HIV screening laboratories in Guangdong Province and 81% of those in syphilis testing laboratories. 64% of HIV screening laboratories were able to provide enzyme linkage Immunosorbent assay (ELISA) and rapid detection of two detection methods; syphilis testing in qualified laboratories, 60% to carry out two methodological syphilis testing, the vast majority of toluidine red non-heated serum test (TRUST) As the first choice of syphilis detection method, the proportion of non-Treponema pallidum testing laboratories is relatively low. RPR (rapid plasma cardin test) (RPR) assay accounted for 15%, and TRUST quantification accounted for 57%. Conclusion The testing service capability of HIV / AIDS and syphilis in county-level MCH laboratories has yet to be improved. It is suggested that the capacity-building of laboratories at county-level MCH agencies should be strengthened and the testing services for AIDS and syphilis should be improved.