摘要
目的了解山东省专业技术人员寄生虫病防控知识和技能掌握情况,为强化寄生虫病防控能力建设提供依据。方法2017年10月12、13日,山东省17个地市各组织5名专业技术人员参加"2017年山东省寄生虫病防治工作岗位技能竞赛",包括理论知识考试(笔试)和技能操作考核(操作)两部分。笔试包括疟原虫及其他常见寄生虫生活史、病原、诊断、流行和防治等基本知识;操作包括血片制作、加藤片制作、疟原虫镜检和蠕虫卵镜检4项。对选手竞赛成绩进行统计分析,并计算及格率、答对率和镜检正确率。根据2010-2017年疟疾病例报告情况,将山东省17个地市分为疟疾一类报告区(≥100例)和疟疾二类报告区(<100例),比较两类地区竞赛成绩。结果全省共有85名选手参加本次竞赛,其中,男性19人(22.35%),女性66人(77.65%);年龄为(34.67±6.04)岁,最小的25岁,最大的51岁。笔试和操作成绩分别为(67.06±12.73)和(59.31±14.23)分,二者比较差异有统计学意义(t=4.949,P<0.01)。笔试及格率为74.12%(63/85);形态、生活史、致病、诊断、流行和防治知识答对率分别为71.76%(366/510)、71.61%(913/1275)、67.94%(462/680)、71.18%(847/1190)、66.91%(455/680)和65.76%(1062/1615),不同知识点答对率比较差异有统计学意义(χ^(2)=18.185,P<0.01)。操作及格率为55.29%(47/85);其中,血片制作、加藤片制作、疟原虫镜检和蠕虫卵镜检及格率分别为98.82%(84/85)、98.82%(84/85)、70.59%(60/85)和31.76%(27/85)。共考查了4种疟原虫,总体镜检正确率为61.41%(261/425),不同疟原虫镜检正确率比较差异无统计学意义(χ^(2)=4.791,P>0.05)。共考查了9种常见蠕虫卵,总体镜检正确率为47.29%(402/850),不同蠕虫卵镜检正确率比较差异有统计学意义(χ^(2)=180.064,P<0.01)。疟疾一类报告区疟原虫镜检和蠕虫卵镜检得分[(28.27±3.74)、(23.20±3.39)分,n=30]均高于疟疾二类报告区[(22.40±5.81)、(18.25±3.41)分,n=55],差异均有统计学意义(t=2.217、2.860,P均<0.05)。结论山东省专业技术人员对寄生虫病防控理论知识的掌握优于技能操作,应加强能力薄弱地区寄生虫病防控技能的培训和考核。
Objective To understand the knowledge and skills of professional technicians in prevention and control of parasitic diseases in Shandong Province,and to provide a basis for further capacity building.Methods On October 12 and 13,2017,five professional technicians from each of 17 prefectures and cities in Shandong Province participated in the"Shandong Province Parasitic Diseases Prevention and Control Job Skills Competition in 2017".This competition included theoretical knowledge examination(written test)and operation skill examination(operation test).The written test included basic knowledge of parasites life history,pathogen,diagnosis,epidemic and prevention;the operation test included blood smear making,Kato-Katz thick smear making,microscopic examination of Plasmodium and Helminth eggs.The competition results of the competitors were statistically analyzed,and the pass rate,correct answer rate and accuracy of microscopic examination were calculated.According to the report of malaria cases from 2010 to 2017,17 prefectures and cities in Shandong Province were divided into malaria classⅠreport area(≥100 cases)and malaria classⅡreport area(<100 cases),and the competition results of the two types of areas were compared.Results A total of 85 competitors in Shandong Province participated in the competition,including 19 males(22.35%)and 66 females(77.65%);the age was(34.67±6.04)years old,the youngest was 25 years old,and the oldest was 51 years old.The scores of written test and operation test were(67.06±12.73)and(59.31±14.23)points,respectively,and the difference between them was statistically significant(t=4.949,P<0.01).The pass rate of written test was 74.12%(63/85);the correct answer rates of morphology,life history,pathogenicity,diagnosis,epidemic and prevention were 71.76%(366/510),71.61%(913/1275),67.94%(462/680),71.18%(847/1190),66.91%(455/680)and 65.76%(1062/1615),respectively,there was statistically significant difference in the correct answer rates of different knowledge points(χ^(2)=18.185,P<0.01).The pass rate of operation test was 55.29%(47/85);among them,the pass rates of blood smear making,Kato-Katz thick smear making,microscopic examination of Plasmodium and Helminth eggs were 98.82%(84/85),98.82%(84/85),70.59%(60/85)and 31.76%(27/85),respectively.Four Plasmodium species were examined,and the overall accuracy of microscopic examination was 61.41%(261/425),there was no statistically significant difference in the accuracy of microscopic examination between different Plasmodium species(χ^(2)=4.791,P>0.05).Nine common Helminth eggs were examined,and the overall accuracy of microscopic examination was 47.29%(402/850),there was statistically significant difference in the accuracy of microscopic examination between different Helminth eggs(χ^(2)=180.064,P<0.01).The scores[(28.27±3.74)and(23.20±3.39)points,n=30]of microscopic examination of Plasmodium and Helminth eggs in the malaria classⅠreport area were higher than those in the malaria classⅡreport area[(22.40±5.81)and(18.25±3.41)points,n=55],and the differences were statistically significant(t=2.217,2.860,P<0.05).Conclusions For professional technicians,the mastery of theoretical knowledge in prevention and control of parasitic diseases is better than operation skills in Shandong Province.So the training and assessment of prevention and control skills of parasitic diseases should be strengthened in areas with weak abilities.
作者
许艳
王用斌
张本光
赵长磊
卜秀芹
王龙江
孔祥礼
Xu Yan;Wang Yongbin;Zhang Benguang;Zhao Changlei;Bu Xiuqin;Wang Longjiang;Kong Xiangli(Shandong Institute of Parasitic Diseases,Shandong First Medical University&Shandong Academy of Medical Sciences,Jining 272033,China)
出处
《中华地方病学杂志》
CAS
北大核心
2021年第6期464-469,共6页
Chinese Journal of Endemiology
基金
山东省自然科学基金(ZR2019PH118、ZR2017YL005)
山东省医药卫生科技发展计划项目(2016WS0391)。
关键词
寄生虫病
防控
评估
Parasitic diseases
Prevention and control
Evaluation
