尼日利亚7天疟疾显微镜检查强化培训课程前后参与者能力评估。

Assessment of competence of participants before and after 7-day intensive malaria microscopy training courses in Nigeria.

作者信息

Olukosi Yetunde A, Agomo Chimere O, Aina Oluwagbemiga O, Akindele Samuel K, Okoh Hilary I, Akinyele Margaret O, Ajibaye Olusola, Orok Bassey A, Iwalokun Bamidele A, Enya Veronica, Igbasi Uche T, Awolola Samson

机构信息

Malaria Research Programme (MRP), Nigerian Institute of Medical Research (NIMR), 6 Edmond Crescent, Lagos, Nigeria.

出版信息

Malariaworld J. 2015 Jun 9;6:6. doi: 10.5281/zenodo.10870129. eCollection 2015.

DOI:10.5281/zenodo.10870129

PMID:38779622

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11107866/

Abstract

BACKGROUND

The accuracy of malaria diagnosis by microscopy has been a challenge in health facilities in Nigeria due to poor competence of microscopists and inability to report on malaria species other than Short microscopy courses were conducted to improve the skills of laboratory personnel to perform malaria microscopy in public health facilities in Nigeria.

MATERIALS AND METHODS

Seven-day malaria microscopy courses were conducted annually between 2011 and 2013 for microscopists in public health facilities. The training courses contained theoretical and practical sessions. Impact of the training was evaluated by practical and theoretical pre- and post-training assessments on malaria slide reading, parasite enumeration and basic malariology.

RESULTS

The 102 participants who completed the training consisted of medical laboratory scientists (62; 60.8%), medical laboratory technicians (24; 23.5%) and other healthcare workers (16; 15.7%). The knowledge of basic malariology (theory) at pre- and post-tests were 34% (95% CI 31.7-36.3%) and 74.9% (95% CI 71.8-78.0%), respectively (P<0.001). The mean slide reading detection, species and counting agreements in pre-training assessment were 48.9%, 27.9% and 0%, respectively, and in post-training 56.8%, 39.2% and 25%, respectively. The mean species agreements in picture test pre- and post-training were 21.9% and 55.1%, respectively. There were significant differences (P<0.05) in the median pre-test scores in picture tests and basic malariology of the three categories of participants but not in malaria slide reading and parasite counting tests. However, post-training, a significant difference in test scores of the three categories of participants was recorded only for basic malariology (P=0.0003).

CONCLUSIONS

The 7-day malaria microscopy courses significantly increased the knowledge and microscopy skills of the trainees and were sufficient to bridge the significant difference in baseline microscopy skills of the different categories of trainees that participated in the training courses.

摘要

背景

在尼日利亚的医疗机构中，由于显微镜检查人员能力欠佳且无法报告除之外的疟原虫种类，通过显微镜诊断疟疾的准确性一直是一项挑战。尼日利亚针对公共卫生机构的实验室人员开展了短期显微镜课程培训，以提高其进行疟疾显微镜检查的技能。

材料与方法

2011年至2013年期间，每年为公共卫生机构的显微镜检查人员举办为期7天的疟疾显微镜课程培训。培训课程包括理论和实践环节。通过培训前后对疟疾玻片阅读、疟原虫计数和基础疟疾学的实践及理论评估来评价培训效果。

结果

完成培训的102名参与者包括医学检验科学家（62名；60.8%）、医学检验技术员（24名；23.5%）和其他医护人员（16名；15.7%）。培训前和培训后基础疟疾学（理论）知识测试的正确率分别为34%（95%可信区间31.7 - 36.3%）和74.9%（95%可信区间71.8 - 78.0%）（P<0.001）。培训前评估中玻片阅读检测、疟原虫种类鉴定和计数的平均符合率分别为48.9%、27.9%和0%，培训后分别为56.8%、39.2%和25%。培训前和培训后图片测试中疟原虫种类鉴定的平均符合率分别为21.9%和55.1%。三类参与者在图片测试和基础疟疾学的培训前中位数测试分数存在显著差异（P<0.05），但在疟疾玻片阅读和疟原虫计数测试中无显著差异。然而，培训后，仅在基础疟疾学方面记录到三类参与者的测试分数存在显著差异（P = 0.0003）。

结论

为期7天的疟疾显微镜课程显著提高了学员的知识水平和显微镜检查技能，足以弥合参加培训课程的不同类别学员在基线显微镜检查技能方面的显著差异。（注：原文中“Short microscopy courses were conducted to improve...”一句里“Short”前似乎少了些内容，翻译时根据语境补充完整了句子大意。）