Abraham B, Cariappa A
Schieffelin Leprosy Research and Training Center, Karigiri, India.
Int J Lepr Other Mycobact Dis. 1991 Mar;59(1):76-81.
This paper defines the variations in the reporting of skin smears between a base and field laboratory in a leprosy control program. Ten percent of all slides read by the field laboratory in a control area were re-read by the base laboratory. There was almost no variation in the reporting of negative slides, but a variation of 1 + was present in approximately 92% of positive slides. Thus, there was agreement in approximately 8% of positive slides. This paper also defines the variations in the reporting of positive slides under "ideal" conditions by describing the results of a study on intra- and inter-observer variations among technicians at the base laboratory. There was between 45% and 55% agreement within observers and about 36% agreement between observers. The results of both studies are compared. Simple guidelines are derived to monitor the reporting of skin smears in leprosy control programs.
本文定义了麻风病防治项目中基层实验室与现场实验室在皮肤涂片报告方面的差异。控制区现场实验室所阅全部玻片的10%由基层实验室重新阅片。阴性玻片报告几乎没有差异，但约92%的阳性玻片存在1+的差异。因此，约8%的阳性玻片报告一致。本文还通过描述基层实验室技术人员内部和之间观察者差异的研究结果，定义了“理想”条件下阳性玻片报告的差异。观察者内部的一致性在45%至55%之间，观察者之间的一致性约为36%。对两项研究结果进行了比较。得出了简单的指导方针，以监测麻风病防治项目中皮肤涂片的报告。
