无锡市医疗机构疟疾镜检能力现状调查与分析

发布时间：2018-03-14 11:32

本文选题：疟疾　切入点：医疗机构　出处：《中国血吸虫病防治杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的对无锡市各级医疗机构疟原虫镜检能力建设情况进行分析,为今后疟疾防治工作提供科学依据。方法收集2016年无锡市各级医疗机构镜检员问卷调查数据,建立数据库,并采用Logistic回归对镜检员疟原虫检测能力的影响因素进行分析。结果共调查全市54家医疗机构54名镜检员,男性16人,女性38人,男女性别比0.42∶1;有12名镜检员曾在工作中检出疟原虫,占被调查者的22.22%。多因素分析结果表明:女性镜检员在工作中检测出疟原虫的能力比男性镜检员弱(调整OR=0.11,95%CI:0.02~0.53),中级及以上职称镜检员在工作中检测出疟原虫的能力高于初级职称镜检员(调整OR=5.31,95%CI:1.04~27.19),县乡级医疗机构镜检员在工作中检测出疟原虫的能力比其他机构的镜检员弱(调整OR=0.04,95%CI:0.01~0.98)。结论无锡市各级镜检站均具备一定的疟疾诊治能力,需进一步加强基层医疗机构的镜检能力建设。
[Abstract]:Objective to analyze the capacity construction of malaria parasite microscopic examination in Wuxi medical institutions at all levels in order to provide scientific basis for malaria control in the future. Methods the questionnaire data of mirror examiners in Wuxi medical institutions at all levels in 2016 were collected and a database was established. Logistic regression was used to analyze the factors influencing the detection ability of Plasmodium falciparum. Results A total of 54 medical examiners, 16 males and 38 females, were investigated. The sex ratio is 0.42: 1; 12 mirror examiners have detected malaria parasites in their work. The results of multivariate analysis showed that female mirror examiners were weaker than male mirror examiners in detecting malaria parasites in their work (adjusted ORA 0.1195 CI: 0.020.53), and middle grade and above mirror examiners had higher ability to detect Plasmodium parasites in their work. The results of multivariate analysis showed that the ability of female mirror examiners to detect malaria parasites in their work was lower than that of male ones (adjusted ORG 0.1195 CI: 0.02 / 0.53). At the junior post, the mirror examiner (adjust ORG 5.31 ~ 95CI: 1.04: 27.19) and the mirror examiner of the county and township medical institutions found that the ability to detect the malaria parasite was weaker than that of the mirror examiner of other institutions (adjust ORG 0.04 ~ 95CI: 0.01% 0.98). Conclusion Wuxi City mirror examination stations at all levels have certain ability of malaria diagnosis and treatment. It is necessary to further strengthen the ability construction of primary medical institutions for microscopic examination.
【作者单位】：江苏省无锡市疾病预防控制中心;
【分类号】：R531.3

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