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目的了解浙江省梅毒检测实验室现状,为提高实验室检测能力提供依据。方法以调查表的形式对345个梅毒检测实验室的概况进行分析。结果近3年345个机构中,79.42%(274/345)接受梅毒实验室检测专业培训;294个拥有水平旋转仪,11.88%(41/345)的实验室仍在采用普通振荡器或手摇方式;梅毒螺旋体和非梅毒螺旋体抗原血清试验均开展的占96.52%(333/345),梅毒血清学检测策略以特异性试验和非特异性试验同时做为主;在梅毒规范化报告方面专科医院符合要求,其次为医学独立实验室;非特异性试验和特异性试验均开展室内质控的机构比较少,特别是非特异性试验的室内质控只占38.84%(134/345)。结论浙江省性病梅毒检测实验室现状有待提高,需加大实验室质量管理和培训力度,从而更好地为性病诊疗、流行病学监测以及科研提供有效支持。
Objective To understand the status quo of syphilis testing laboratory in Zhejiang Province and provide evidence for improving laboratory testing ability. Methods The survey of 345 syphilis testing laboratories was analyzed in the form of a questionnaire. Results Among the 345 institutions in the past 3 years, 79.42% (274/345) received professional training in syphilis laboratory testing; 294 laboratories with horizontal rotamers and 11.88% (41/345) were still using ordinary oscillators or hand-cranks (96.52% (333/345)). The syphilis serological test strategy was based on both the specific test and the nonspecific test at the same time. The special hospitals in the syphilis standardization report met the requirements , Followed by medical independent laboratories; non-specific tests and specific tests were carried out indoor quality control mechanism is relatively small, especially non-specific test indoor quality control accounted for only 38.84% (134/345). Conclusion The status quo of STD syphilis testing laboratory in Zhejiang Province needs to be improved. Laboratory quality management and training needs to be strengthened so as to provide better support for diagnosis and treatment of STDs, epidemiological surveillance and scientific research.