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莫桑比克临床与解剖病理学实验室基础设施调查。

Survey of Clinical and Anatomic Pathology Laboratory Infrastructure in Mozambique.

机构信息

Pathology Department, Faculty of Medicine, Eduardo Mondlane University, Central Hospital of Maputo, Maputo, Mozambique.

Department of Microbiology, Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.

出版信息

Am J Clin Pathol. 2021 Oct 13;156(5):810-817. doi: 10.1093/ajcp/aqab026.

Abstract

OBJECTIVES

Pathology services are limited in most areas of sub-Saharan Africa. This study's aim was to survey anatomic and clinical pathology services and laboratory infrastructure in Mozambique.

METHODS

A survey was conducted from October-December 2018 across the four central hospitals of Mozambique to determine infrastructure and pathology services available.

RESULTS

Most laboratory/pathology services in Mozambique are limited to the four central hospitals. Only 14 pathologists practice in the country despite a population of 29.5 million for the world's fifth worst workforce/population ratio. Approximately 35,000 anatomic pathology specimens are evaluated annually. Standard services across chemistry, hematology, microbiology, and blood bank are available at the four central hospitals. Esoteric laboratory testing and immunohistochemistry are generally only available in Maputo.

CONCLUSIONS

While most pathology services are available in Mozambique, many are available only at the Maputo laboratory. Expansion of pathology services and infrastructure will improve provision of effective and efficient health care as access to timely and accurate clinical diagnoses increases in Mozambique.

摘要

目的

在撒哈拉以南非洲的大多数地区,病理服务都受到限制。本研究旨在调查莫桑比克的解剖和临床病理服务和实验室基础设施。

方法

2018 年 10 月至 12 月,对莫桑比克的 4 所中心医院进行了调查,以确定可用的基础设施和病理服务。

结果

莫桑比克的大多数实验室/病理服务仅限于 4 所中心医院。尽管全国人口为 2950 万,但仅有 14 名病理学家,这是世界上病理医生与人口比例第五差的国家。每年大约有 35000 份解剖病理学标本进行评估。化学、血液学、微生物学和血库的标准服务在 4 所中心医院都有提供。特殊的实验室检测和免疫组织化学检测通常仅在马普托提供。

结论

尽管莫桑比克提供了大多数病理服务,但许多服务仅在马普托实验室提供。病理服务和基础设施的扩展将改善莫桑比克有效的和高效的医疗保健的提供,因为及时和准确的临床诊断的获取增加。

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