中国寄生虫学与寄生虫病杂志 ›› 2025, Vol. 43 ›› Issue (6): 855-861.doi: 10.12140/j.issn.1000-7423.2025.06.016

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寄生虫病诊断实验室网络效能提升:四川省的实践与思考

尚婧晔1(), 张仲双1, 邓秀1, 龚希1, 李荣智1, 吴子松1, 秦志强2, 康殿巨1, 钟波1, 李石柱2,*()(), 刘阳1,*()()   

  1. 1 四川省疾病预防控制中心,四川 成都 610041
    2 中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心),传染病溯源预警与智能决策全国重点实验室,国家卫生健康委员会寄生虫病原与媒介生物学重点实验室,世界卫生组织热带病合作中心,科技部国家级热带病国际联合研究中心,上海 200025
  • 收稿日期:2025-11-07 修回日期:2025-11-29 出版日期:2025-12-30 发布日期:2025-12-24
  • 通讯作者: *刘阳(ORCID:0000-0002-6202-648X),女,博士,研究员,从事寄生虫病预防控制。E-mail:liuyangcdc@163.com;李石柱(ORCID:0000-0003-3172-5218),男,博士,研究员,从事寄生虫病预防控制。E-mail:lisz@chinacdc.cn
  • 作者简介:尚婧晔,女,硕士,副主管技师,从事寄生虫病预防控制。E-mail:jy_shang@126.com
  • 基金资助:
    四川省卫生健康委员会科技项目(24CXTD04);四川省科技计划(2024YFFK0194)

Improved efficiency of the parasitic disease diagnostic laboratory network: practices and reflections from Sichuan Province

SHANG Jingye1(), ZHANG Zhongshuang1, DENG Xiu1, GONG Xi1, LI Rongzhi1, WU Zisong1, QIN Zhiqiang2, KANG Dianju1, ZHONG Bo1, LI Shizhu2,*()(), LIU Yang1,*()()   

  1. 1 Sichuan Center for Disease Control and Prevention, Chengdu 610041, Sichuan, China
    2 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases; NHC Key Laboratory on Parasite and Vector Biology; WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai 200025, China
  • Received:2025-11-07 Revised:2025-11-29 Online:2025-12-30 Published:2025-12-24
  • Contact: *E-mail:liuyangcdc@163.com;lisz@chinacdc.cn
  • Supported by:
    Science and Technology Program of Sichuan Provincial Health Commission(24CXTD04);Sichuan Science and Technology Program(2024YFFK0194)

摘要:

随着我国重点寄生虫病防控相继步入消除与巩固阶段,实验室监测体系面临着从病例发现向传播阻断证实、输入风险预警转型的战略需求。本文以四川省寄生虫病诊断实验室网络的建设实践为例,梳理了其在实现省级参比实验室全覆盖、构建分层网络架构、保障监测数据质量等方面的探索经验,分析了新形势下制约网络效能提升的主要瓶颈,并围绕网络协同、质控保障、技术创新、数据赋能等4个方向,提出了系统性发展路径。四川省的实践表明,推动实验室网络由单一病种防控工具向综合性、区域性公共卫生资源的转型,是实现寄生虫病科学消除与长效巩固的关键支撑,也为同类地区提供了可参考的发展路径。

关键词: 寄生虫病, 四川省, 实验室网络

Abstract:

As the management of major parasitic diseases gradually stepped into elimination and consolidation phases in China, the laboratory-based surveillance system encounters a strategic need of transforming from case identification to validation of transmission interruption and early warning of a risk of imported cases. Using the construction of the parasitic disease diagnostic laboratory network in Sichuan Province as a case, this paper summarizes the exploratory experience in achieving province-wide coverage of the province-level reference laboratories, building a tiered network architecture, and ensuring the quality of surveillance data, analyzes the main bottlenecks that constrain improvements in network effectiveness under the new circumstances and proposes a systemic development pathway through four dimensions, including network coordination, quality control assurance, technological innovation, and data empowerment. Practices from Sichuan Province demonstrate that promoting the transformation of the laboratory network from a single-disease control tool into a comprehensive, regional public health resource is a critical support to the scientific elimination and long-acting consolidation of parasitic diseases, which provides a reference development path in similar regions.

Key words: Parasitic diseases, Sichuan Province, Laboratory network

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