Tatsumi N, Lewis S M
Osaka City University Medical School, Osaka, Japan.
Int J Hematol. 2002 Aug;76 Suppl 1:281-5. doi: 10.1007/BF03165263.
Standardization and harmonization in Laboratory testing are a key issue in the midst of globalization era, because most of laboratory testing has been currently achieved with various kinds of automated systems. In the developed countries, automated systems with highly-regulated principles are commonly used in the routine laboratory. However, there are so many undeveloped and developing countries in Asia that diversity of testing levels can be observed in the area. Some laboratories use glass chamber method for blood cell counting, while other laboratory use semi-automated or fully automated analyzers for complete blood count. International standardization on Hematology is focused on the developed system but not for the developing system. Established standardized documents therefore whould not be unsuitable for Asian societies. In the context, International Council for Standardization in Hematology (ICSH) changed its rules to adjust our Asian Societies and ICSH started to restructure the body. International ICSH society is divided into 5 region sub-groups. Asian area is able to possess one new sub-society, ICSH-Asia. Its reconstruction work has been just started with Asain colleagues, and we are now extending the new societies to discuss Asian problems on the quality of hematology testing.
在全球化时代,实验室检测的标准化与协调是一个关键问题,因为目前大多数实验室检测都是通过各种自动化系统完成的。在发达国家,具有高度规范原则的自动化系统通常用于常规实验室。然而,亚洲有许多不发达国家和发展中国家,该地区的检测水平存在多样性。一些实验室使用玻璃计数池法进行血细胞计数,而其他实验室则使用半自动或全自动分析仪进行全血细胞计数。血液学的国际标准化侧重于发达系统,而非发展中系统。因此,既定的标准化文件可能不适用于亚洲社会。在此背景下,国际血液学标准化委员会(ICSH)改变了其规则以适应我们亚洲社会,并且ICSH开始重组机构。国际ICSH协会分为5个区域分组。亚洲地区能够拥有一个新的分会,即ICSH-亚洲。其重建工作刚刚与亚洲同事展开,我们现在正在扩展新分会,以讨论亚洲血液学检测质量问题。