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目的评价四川省艾滋病筛查实验室管理工作现状,考核实验室检测工作质量,进一步健全四川省艾滋病筛查实验室检测网络。方法四川省疾控中心艾滋病确证中心实验室对全省艾滋病筛查实验室进行交叉督导检查和室间质量考评,并对结果进行分析。结果参加2011、2012年四川省艾滋病筛查网络实验室质量考评的实验室分别为451家、552家,优秀实验室分别有343家、415家,2011年无不合格单位,2012年仅有1家不合格。对2011年采供血、疾控、医院系统考评结果中优秀率进行比较,差异具有统计学意义(χ2=36.449,P<0.01)。对2012年采供血、疾控、医院系统考评结果中优秀率进行比较,差异具有统计学意义(χ2=34.392,P<0.01)。结论通过对下级艾滋病检测实验室采取的督导以及室间质评的管理,各实验室能正常的开展工作,基本满足了四川省艾滋病检测工作的需要。但医院系统的质量管理工作有待进一步加强。
Objective To evaluate the status quo of HIV / AIDS screening laboratory management in Sichuan Province, evaluate the quality of laboratory testing and further improve the network of AIDS screening laboratories in Sichuan Province. Methods The laboratory of AIDS Confirmation Center of CDC in Sichuan Province conducted cross supervision inspection and inter-laboratory quality evaluation on HIV / AIDS screening laboratories in the province, and analyzed the results. Results In 2011 and 2012, 451 laboratories of quality evaluation of HIV / AIDS screening laboratories in Sichuan Province were involved, respectively. Outstanding laboratories were 343 and 415, respectively. In 2011, there were no qualified units and only 1 in 2012 Unqualified. In 2011, blood collection, disease control and hospital system evaluation results in the excellent rate of comparison, the difference was statistically significant (χ2 = 36.449, P <0.01). In 2012, the excellent rate of blood collection, disease control and hospital system assessment was compared, the difference was statistically significant (χ2 = 34.392, P <0.01). Conclusion Through the supervision of subordinate AIDS testing laboratories and the management of laboratory quality assessment, all laboratories can work normally and basically meet the needs of HIV / AIDS testing in Sichuan Province. However, the quality management of the hospital system needs to be further strengthened.