皮肤性病诊疗学杂志2023，Vol.30Issue(6)：544-548,5.DOI:10.3969/j.issn.1674-8468.2023.06.011
694家医疗机构性病实验室沙眼衣原体室间质评结果分析
Evaluation of the ability of STD laboratories to detect Chlamydia trachomatis in Guangdong province
摘要
Abstract
Objective To evaluate the ability of sexually transmitted disease(STD)laborato-ries in different medical institutions to detect Chlamydia trachomatis in Guangdong province.Methods The samples of Chlamydia trachomatis were prepared and distributed to all partici-pants,without specified detection methods.The test results,methods and reagents were reported through the EQA online reporting system of provincial STD laboratory.If the results agreed with the expected results,a score of 2 would be achieved.Otherwise,the score was zero.The test re-sults from different medical institutions,the types of STD laboratories and testing methods were compared.Results A total of 694 laboratories,including 388 secondary and higher-level medical institutions,82 maternal and child health institutions,79 chronic disease prevention institutions,and 145 primary or other medical institutions,participated in the evaluation of the inter-laboratory ability.Of the 694 laboratories,537 were standardized STD laboratories and 157 were general la-boratories.The overall conformity rate was 96.11％,with a qualification rate of 98.70％.Nota-bly,the conformity rate of laboratories in chronic disease prevention institutions was the highest(98.23％).The standardized STD laboratories achieved significantly higher scores(Z=4.25)and qualification rates(x2=22.87)than non-standardized laboratories(both P＜0.001).Addi-tionally,the nucleic acid testing method yielded a significantly higher score than the immuno-chromatographic method(Z=3.72,P＜0.001).Conclusions The ability to detect Chlamydia trachomatis is high in the STD laboratories in Guangdong province.As the institutions dedicated to the prevention and treatment of STDs,skin venereal disease prevention and control institutions show a higher conformity rate.Moreover,standardized STD laboratories demonstrate higher detec-tion ability than the non-standardized STD laboratories.Therefore,strengthening the standardiza-tion of STD laboratories can effectively improve the detection ability.Meanwhile,the nucleic acid testing method is recommended for Chlamydia trachomatis in clinical practice.关键词
性病实验室/沙眼衣原体/检测/能力/评价Key words
STD laboratory/Chlamydia trachomatis/detection/ability/evaluation引用本文复制引用
覃晓琳,周涵,张自岩,刘丹,黄进梅,郑和平,陈洋,薛耀华,徐青青,欧江丽,许巧珍,吴兴中,陈文韬,尹笑纳..694家医疗机构性病实验室沙眼衣原体室间质评结果分析[J].皮肤性病诊疗学杂志,2023,30(6):544-548,5.基金项目
国家自然科学基金(81974307) （81974307）
广州市科技计划项目(202201000007) （202201000007）
