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影响微生物检验结果的因素分析与质量控制策略 被引量:3

Analysis of Factors Affecting Microbiological Test Results and Quality Control Strategies
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摘要 目的探究对微生物检验结果产生影响的主要因素,并提出相应的质量控制策略。方法筛选2020年10月—2022年4月邹平市疾病预防控制中心实施微生物检验的报告490份,通过对上述报告展开回顾性分析,并统计检验的准确性与出现的误差情况,研讨产生影响的主要因素。结果本次检测的准确率为85.51%(419份),误差率14.49%(71份)。其中蛋白定量的准确率最高(87.50%),其他依次为尿常规(86.73%)、其他检验(86.36%)、血常规(85.03%)、细菌及霉菌培养(84.21%)、脑脊液试验(84.13%)。而对微生物检验质量产生影响的相关因素以操作规范性的占比最高:39.44%(28/71),其他依次为标本因素30.99%(22/71)、人员因素23.94%(17/71)、其他因素5.63%(4/71)。结论就目前来看,微生物检验出现的误差比率较高,以人员、操作、标本等因素的影响最大,应在今后的检验过程中通过人员素质、操作规范性及标本管理等方面的提升,把控好检验质量,确保检验结果的准确性。 Objective To investigate the main factors that affect microbiological test results and propose corresponding quality control strategies.Methods From October 2020 to April 2022,490 microbiological inspection reports of Zouping City Center for Disease Control and Prevention were screened.Through retrospective analysis of the above reports,the accuracy and errors of the tests were analyzed and the main influencing factors were discussed.Results The accuracy of this test was 85.51%(419 samples),and the error rate was 14.49%(71 samples).The accuracy of protein quantification was the highest(87.50%),followed by urine routine(86.73%),other tests(86.36%),blood routine(85.03%),bacteria and mold culture(84.21%)and cerebrospinal fluid test(84.13%).The relevant factors affecting the quality of microbiological test accounted for the highest proportion of 39.44%(28/71),followed by specimen factors 30.99%(22/71),personnel factors 23.94%(17/71)and other factors 5.63%(4/71).Conclusion At present,the error rate of microbial inspection is relatively high,and the factors such as personnel,operation and specimens have the greatest influence.In the future inspection process,the quality of inspection should be well controlled through the improvement of personnel quality,operation standardization and specimen management,so as to ensure the accuracy of test results.
作者 宗新锋 ZONG Xinfeng(Department of Laboratory,Zouping Disease Prevention and Control Center,Zouping,Shandong Province,256200 China)
出处 《中国卫生产业》 2023年第3期103-106,共4页 China Health Industry
关键词 微生物检验 影响因素 质量控制 Microbiological testing Influencing factors Quality control
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