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[马达加斯加结核病显微镜诊断实验室网络:玻片的质量控制]

[Laboratory network for the microscopic diagnosis of tuberculosis in Madagascar: quality control of slides].

作者信息

Ramarokoto H, Cauchoix B, Rakotoarisaonina A, Rakotoherisoa R, Ralamboson M, Rakotondramarina D

机构信息

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

出版信息

Arch Inst Pasteur Madagascar. 2000;66(1-2):18-22.

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 is carried out each year. In 1999, 76 TDC out of the 174 (44%) had been controlled using the method of double reading of the smears. The global concordance of the results in the 76 TDC is satisfactory (98%). Reability was 91% for the positive smears and 92% for the negative smears. A good quality of smears was observed in 53% of the centers. The TDC reliable at 100% for both positive and negative smears were 51 (67%) of which 36 (47%) had also a good quality of smears. Those later were mainly found in Toamasina, Fianarantsoa, Antananarivo and Mahajanga.

摘要

作为国家结核病规划(NTP)的一部分,每年都会对构成国家实验室网络的治疗与诊断中心(TDC)的玻片(痰中抗酸杆菌检测)进行质量控制。1999年,174个TDC中有76个(44%)采用涂片双重阅片法进行了检测。76个TDC的结果总体一致性令人满意(98%)。阳性涂片的可靠性为91%,阴性涂片的可靠性为92%。53%的中心涂片质量良好。阳性和阴性涂片可靠性均达100%的TDC有51个(67%),其中36个(47%)涂片质量也良好。这些中心主要分布在图阿马西纳、菲亚纳兰楚阿、塔那那利佛和马哈赞加。

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