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[微生物学方法的验证与确认]

[Validation and verfication of microbiology methods].

作者信息

Camaró-Sala María Luisa, Martínez-García Rosana, Olmos-Martínez Piedad, Catalá-Cuenca Vicente, Ocete-Mochón María Dolores, Gimeno-Cardona Concepción

机构信息

Laboratorio de Salud Pública, Centro Superior de Investigación en Salud Pública (CSISP), Valencia, España.

Área de Calidad y Consultoría, Instrumentos Científicos SA (ICSA), Valencia, España.

出版信息

Enferm Infecc Microbiol Clin. 2015 Aug-Sep;33(7):e31-6. doi: 10.1016/j.eimc.2013.11.010. Epub 2014 Jun 21.

DOI:10.1016/j.eimc.2013.11.010
PMID:24958671
Abstract

Clinical microbiologists should ensure, to the maximum level allowed by the scientific and technical development, the reliability of the results. This implies that, in addition to meeting the technical criteria to ensure their validity, they must be performed with a number of conditions that allows comparable results to be obtained, regardless of the laboratory that performs the test. In this sense, the use of recognized and accepted reference methodsis the most effective tool for these guarantees. The activities related to verification and validation of analytical methods has become very important, as there is continuous development, as well as updating techniques and increasingly complex analytical equipment, and an interest of professionals to ensure quality processes and results. The definitions of validation and verification are described, along with the different types of validation/verification, and the types of methods, and the level of validation necessary depending on the degree of standardization. The situations in which validation/verification is mandatory and/or recommended is discussed, including those particularly related to validation in Microbiology. It stresses the importance of promoting the use of reference strains as controls in Microbiology and the use of standard controls, as well as the importance of participation in External Quality Assessment programs to demonstrate technical competence. The emphasis is on how to calculate some of the parameters required for validation/verification, such as the accuracy and precision. The development of these concepts can be found in the microbiological process SEIMC number 48: «Validation and verification of microbiological methods» www.seimc.org/protocols/microbiology.

摘要

临床微生物学家应在科学技术发展允许的最大程度上确保结果的可靠性。这意味着,除了满足确保其有效性的技术标准外,还必须在一定条件下进行检测,以获得可比较的结果,无论检测由哪个实验室进行。从这个意义上讲,使用公认和接受的参考方法是实现这些保证的最有效工具。由于技术不断发展、分析技术和分析设备日益复杂,以及专业人员对确保质量过程和结果的关注,与分析方法验证和确认相关的活动变得非常重要。本文描述了验证和确认的定义,以及不同类型的验证/确认、方法类型,以及根据标准化程度所需的验证水平。讨论了强制和/或建议进行验证/确认的情况,包括与微生物学验证特别相关的情况。强调了在微生物学中推广使用参考菌株作为对照和标准对照的重要性,以及参与外部质量评估计划以证明技术能力的重要性。重点在于如何计算验证/确认所需的一些参数,如准确性和精密度。这些概念的发展可在微生物学流程SEIMC第48号文件《微生物学方法的验证和确认》中找到:www.seimc.org/protocols/microbiology 。

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