中国农村卫生
中國農村衛生
중국농촌위생
China rural health
2015年
20期
4-4,5
,共2页
室间质评%室内质控%临床微生物%检验
室間質評%室內質控%臨床微生物%檢驗
실간질평%실내질공%림상미생물%검험
EQA%Internal quality control%Clinical microbiol-ogy%Examination
目的：：对临床微生物检验过程中,室内质控以及室间质评所发挥的作用进行有效的分析评估,进一步确定临床微生物检验过程中出现的问题。方法：选取临床检验室间质评200株标本细菌作为主要的研究对象,依照相关的标准分析检验上述200株细菌标本,通过相关的药敏试验完成正确菌株的鉴定。严格按照相关的临床标本的鉴定标准完成鉴定结果跟标本的有效比较及分析,对那些鉴定失误的原因进行深入探讨。结果：上述所有的细菌均完成转种工作,188株鉴定正确,12株鉴定错误,错误鉴定的是6株革兰阳性杆菌跟6株革兰阴性杆菌。鉴定正确的188株细菌,通过药敏试验,有184例符合,4例不符合,试验结果不符合的抗菌素都是青霉素。结论：在有效的降低实验室细菌鉴定失误的过程中,临床微生物室间质评发挥着非常重要的作用,所以需要在严格室内质控的基础上,进行微生物检验以及室间质评工作。
目的：：對臨床微生物檢驗過程中,室內質控以及室間質評所髮揮的作用進行有效的分析評估,進一步確定臨床微生物檢驗過程中齣現的問題。方法：選取臨床檢驗室間質評200株標本細菌作為主要的研究對象,依照相關的標準分析檢驗上述200株細菌標本,通過相關的藥敏試驗完成正確菌株的鑒定。嚴格按照相關的臨床標本的鑒定標準完成鑒定結果跟標本的有效比較及分析,對那些鑒定失誤的原因進行深入探討。結果：上述所有的細菌均完成轉種工作,188株鑒定正確,12株鑒定錯誤,錯誤鑒定的是6株革蘭暘性桿菌跟6株革蘭陰性桿菌。鑒定正確的188株細菌,通過藥敏試驗,有184例符閤,4例不符閤,試驗結果不符閤的抗菌素都是青黴素。結論：在有效的降低實驗室細菌鑒定失誤的過程中,臨床微生物室間質評髮揮著非常重要的作用,所以需要在嚴格室內質控的基礎上,進行微生物檢驗以及室間質評工作。
목적：：대림상미생물검험과정중,실내질공이급실간질평소발휘적작용진행유효적분석평고,진일보학정림상미생물검험과정중출현적문제。방법：선취림상검험실간질평200주표본세균작위주요적연구대상,의조상관적표준분석검험상술200주세균표본,통과상관적약민시험완성정학균주적감정。엄격안조상관적림상표본적감정표준완성감정결과근표본적유효비교급분석,대나사감정실오적원인진행심입탐토。결과：상술소유적세균균완성전충공작,188주감정정학,12주감정착오,착오감정적시6주혁란양성간균근6주혁란음성간균。감정정학적188주세균,통과약민시험,유184례부합,4례불부합,시험결과불부합적항균소도시청매소。결론：재유효적강저실험실세균감정실오적과정중,림상미생물실간질평발휘착비상중요적작용,소이수요재엄격실내질공적기출상,진행미생물검험이급실간질평공작。
Objective:Clinical microbiological testing process,internal quality control and the role played by external quality assessG ment of effective analysis and evaluation,and further determine the clinical microbiological testing process problems.Methods:Selected clinical testing EQA 200 bacterial species as the main object of study,in accordance with the relevant standard analytical testing above 200 concurrent bacterial specimens,it further strains identified by related susceptibility testing is completed correctly identified strains above 200 strains complete identification.Strict complete identification results with a valid comparison and analysis of specimens in acG cordance with accreditation standards related to clinical specimens,identifying the reasons for those failures in depth.Results:All of the bacteria turn the above kinds of work are completed,188 identification is correct,the rest of the 12 identified error,the error is identiG fied six Gram-positive bacilli with six gram-negative bacilli.188 right above identified bacteria susceptibility testing following results obtained by the test results meet the 184 cases,the test results do not meet there are four bacteria,said the test results are not in line with the antibiotic penicillin.Conclusion:In effectively reduce laboratory errors in the process of identification of bacteria,clinical microG biology EQA plays a very important role,it is necessary to strictly internal quality control on the basis of clinical need for frequent miG crobiological testing and EQA work.
