32家儿童医院真菌实验室建设和能力基线调研报告OACSTPCD

Objective In order to comprehensively understand the construction of fungal laboratories in children's hospitals,women's and children's hospitals,and pediatric units in some general hospitals in China,the China Fungal Disease Surveil-lance System(CFDSS)of the National Health Commission has carried out a"baseline survey on the construction and capaci-ty of fungal laboratories in children's hospitals"[National Health Medical Letter(2021)No.73].Method An online survey was conducted on the infrastructure construction,hardware investment,staffing,technical ability,clinical service ability and mycosis related research and teaching ability of pediatric departments in children's hospitals,women's and children's hospitals and some general hospitals in 2022,and the results were statistically analyzed in this paper.Result The survey showed that the infrastructure of the 32 hospitals participating in the survey basically met the needs of clinical fungal testing,and the re-serve and technical ability of fungal testing technicians needed to be further improved.The implementation rates of some fun-gal testing projects were low,such as silver hexamine staining(37.5％),fungal fluorescence staining(53.1％),antifungal susceptibility test of filamentous fungi(12.5％)and so on.Conclusion It is suggested that all laboratories should further strengthen the capacity building of fungal examination,carry out diversified fungal examination projects,especially improve the diagnosis and detection ability of filamentous fungi,and establish a standardized clinical diagnosis system of fungal etiology,so as to provide a solid support for improving the diagnosis and treatment ability of clinical children with fungal diseases.