Fernando Sumadhya Deepika, Dharmawardana Priyani, Epasinghe Geethanee, Senanayake Niroshana, Rodrigo Chaturaka, Premaratne Risintha, Wickremasinghe Rajitha
Department of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Anti Malaria Campaign, Ministry of Health, 555/5 Public Health Complex, Narahenpita, Colombo 5, Sri Lanka.
Malar J. 2016 Oct 18;15(1):504. doi: 10.1186/s12936-016-1570-5.
Sri Lanka is currently in the prevention of re-introduction phase of malaria. The engagement of the private sector health care institutions in malaria surveillance is important. The purpose of the study was to determine the number of diagnostic tests carried out, the number of positive cases identified and the referral system for diagnosis in the private sector and to estimate the costs involved.
This prospective study of private sector laboratories within the Colombo District of Sri Lanka was carried out over a 6-month period in 2015. The management of registered private sector laboratories was contacted individually and the purpose of the study was explained. A reporting format was developed and introduced for monthly reporting.
Forty-one laboratories were eligible to be included in the study and 28 participated by reporting data on a monthly basis. Excluding blood bank samples and routine testing for foreign employment, malaria diagnostic tests were carried out on 973 individuals during the 6-month period and nine malaria cases were identified. In 2015, a total of 36 malaria cases were reported from Sri Lanka. Of these, 24 (67 %) were diagnosed in the Colombo District and 50 % of them were diagnosed in private hospitals.
An equal number of cases were diagnosed from the private sector and government sector in the Colombo District in 2015. The private sector being a major contributor in the detection of imported malaria cases in the country should be actively engaged in the national malaria surveillance system.
斯里兰卡目前处于疟疾再传入预防阶段。私营部门医疗机构参与疟疾监测至关重要。本研究旨在确定私营部门进行的诊断检测数量、确诊的阳性病例数、诊断转诊系统，并估算相关成本。
2015年，对斯里兰卡科伦坡地区的私营部门实验室进行了为期6个月的前瞻性研究。分别联系了注册私营部门实验室的管理人员，并解释了研究目的。制定并引入了月度报告的格式。
41个实验室符合纳入研究的条件，28个实验室通过每月报告数据参与研究。排除血库样本和国外就业常规检测，6个月期间对973人进行了疟疾诊断检测，确诊9例疟疾病例。2015年，斯里兰卡共报告36例疟疾病例。其中，24例（67%）在科伦坡地区确诊，其中50%在私立医院确诊。
2015年科伦坡地区私营部门和政府部门确诊的病例数相同。私营部门作为该国输入性疟疾病例检测的主要贡献者，应积极参与国家疟疾监测系统。
