中国寄生虫学与寄生虫病杂志 ›› 2012, Vol. 30 ›› Issue (4): 11-305-308.

• 现场研究 • 上一篇    下一篇

2011年全国寄生虫病防治技术竞赛成绩分析报告:蠕虫检测能力分析

张丽1,李石柱1,王强1,付青1,柳伟1,祝红庆1,许静1,陈颖丹1,陈韶红1,陈家旭1,陈朝2,王立英2,周晓农1 *   

  1. 1中国疾病预防控制中心寄生虫病预防控制所,卫生部寄生虫病原与媒介生物学重点实验室,世界卫生组织疟疾、血吸虫病和丝虫病合作中心,上海 200025;2 中华人民共和国卫生部疾病预防控制局,北京 100044
  • 出版日期:2012-08-30 发布日期:2012-10-26

A Cross Analysis on the Capability of Examining Helminths: National Technique Competition for Parasitic Disease Diagnosis in 2011

ZHANG Li1,LI Shi-zhu1,LI Yu1,WANG Qiang1,FU Qing1,LIU Wei1,ZHU Hong-qing1,XU Jing1,CHEN Ying-dan1,CHEN Shao-hong1,CHEN Jia-xu1,CHEN Zhao2,WANG Li-ying2, ZHOU Xiao-nong1 *   

  1. 1 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology, MOH; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Shanghai 200025, China; 2 Bureau for Disease Control and Prevention, Ministry of Health, Beijing 100044, China
  • Online:2012-08-30 Published:2012-10-26

摘要: 目的  通过竞赛了解当前我国各级疾控机构寄生虫病防治专业人员的蠕虫检测能力,从而推动各级疾控机构的能力建设。 方法  2011年9月以省(区、市)为单位,每省选送各级疾控机构的在职专业技术人员4名(年龄<45周岁,县级不少于2名)。竞赛内容包括粪便标本改良加藤厚涂片制作(每参赛选手30 min内制作完成5张涂片;计满分为15分,9分为及格)和11种常见蠕虫卵镜检鉴别(每张标本片含1种或1种以上蠕虫卵;镜检10张,每张5 min;计满分为60分,36分为及格)。 结果   来自30个省(市、区)的119名参赛选手中,改良加藤厚涂片制片成绩,平均为11.4分,及格者111人,占93.3%;11种常见蠕虫卵镜检读片成绩,平均为22.0分,及格者20人,占16.8%。不同性别、年龄(≤30岁、31~40岁和>40岁)、专业技术职称(初级、中级和高级)、来源单位的级别(省级、市级和县级)的参赛人员制片和镜检成绩的差异无统计学意义(P>0.05)。来自有血吸虫病防治任务省份的参赛选手的制片(12.1±1.7)、镜检读片(32.1±11.5)成绩均好于没有血吸虫病防治任务的省份(11.1±1.8和18.1±10.5);西部地区参赛选手的镜检读片成绩(18.4±11.4)均低于东部(25.2±12.4)和中部(24.1±13.1)。  结论  我国寄生虫病防治机构的病原检测能力总体水平发展不均衡,仅部分地区检测能力较强,有待进一步的加强和提高。

关键词: 寄生虫病, 竞赛, 蠕虫检测, 能力分析

Abstract: Objective  To understand the comprehensive capability of helminth detection among professionals at different level of parasitic disease control institutions and promote the overall strength of diagnosis.  Methods  Four professionals from each parasitic diseases control institutions were selected as contestant (age<45 and at least two contestant from county-level institution). The content of contest included making stool slides with Kato-Katz method (five slides in thirty minutes, a total score of 15 and 9 as passing score) and identification of eleven common helminth eggs with microscopy (ten slides, five minutes per slide, a total score of 60, 36 as passing score).  Results  The average score of making slides in 119 contestants from 30 provinces was 11.4, and 119 contestants passed accouted for 93.3%. The average score of film-reading was 22.0, and 20 contestants passed accouted for 16.8%. There were no statistically significant differences between the results in different gender, age (≤30, 31-40, >40), job title (the junior, intermediate, and senior), institution level (provincial, municipal, and county level)(P>0.05). By Kato-Katz slide-making and film-reading, the scores in contestants from provinces with schistosomiasis control task (12.1±1.7,32.1±11.5, respectively) were better than contestants from other provinces (11.1±1.8,18.1±10.5, respectively). The scores in contestants from western (18.4±11.4) were lower than those from eastern (25.2±12.4) and central (24.1±13.1) for film-reading.  Conclusion  The overall capability of parasitic disease examination is unbalanced among regions, and evidently there is a need to strengthen the capacity of phthogen detection in the disease control programs.

Key words: Parasitic disease, Technical skill, Competition, Pathogen detection, Capacity building