[马达加斯加用于结核病诊断的显微镜实验室：质量控制]

[Microscopy laboratories for the diagnosis of tuberculosis in Madagascar: quality control].

作者信息

Ramarokoto H, Cauchoix B, Ranivoarisoa L, Rakotoarisaonina A, Bichat B, Razafinimanana J, Chanteau S, Rakotondramarina D

机构信息

Programme National de Lutte Anti-Tuberculeuse, Direction de la Lutte contre les Maladies Transmissibles (DLMT), Ministère Santé Madagascar, BP 460, 101 Antananarivo, Madagascar.

出版信息

Arch Inst Pasteur Madagascar. 1996;63(1-2):4-7.

PMID:12463006

Abstract

As part of the National Tuberculosis Program (NTP), a quality control of the slides (search of acido-fast-bacilli in the sputa) of the Treatment and Diagnosis Centers (TDC) forming the National Laboratory Network was carried out in 1996. 60 TDC of the 165 TDC (36%) had been controlled according to the system of double reading of the smears. The global concordance of the results in the 60 TDC is satisfactory since it was of 94%. Reliability of smears positive was of 83%. For the negative smears reliability, 14% of the TDC had a low or insufficient level. A good quality of smears was observed in 40% of the centers. The TDC that had both positive and negative reliability at 100% were 23 (38%) of which 13 had good quality of smears. Those were especially found in Antananarivo, Toliara, Fianarantsoa and Mahajanga.

摘要

作为国家结核病项目（NTP）的一部分，1996年对构成国家实验室网络的治疗与诊断中心（TDC）的玻片（痰液中抗酸杆菌检测）进行了质量控制。165个TDC中的60个（36%）按照涂片双重阅片系统进行了检测。60个TDC结果的总体一致性令人满意，为94%。涂片阳性的可靠性为83%。对于涂片阴性的可靠性，14%的TDC水平较低或不足。40%的中心涂片质量良好。涂片阳性和阴性可靠性均为100%的TDC有23个（38%），其中13个涂片质量良好。这些中心尤其在塔那那利佛、图利亚拉、菲亚纳兰楚阿和马哈赞加被发现。