[1]薛　苗,姚文杰,秦阳华.“和平方舟”医院船海外医疗服务术前梅毒筛查的实践和思考[J].现代检验医学杂志,2020,35(03):153-156.[doi:10.3969/j.issn.1671-7414.2020.03.041]
　XUE Miao,YAO Wen-jie,QIN Yang-hua..Practice and Review on Preoperative Syphilis Screening of Overseas Medical Service in “Ark Peace” Hospital Ship[J].Journal of Modern Laboratory Medicine,2020,35(03):153-156.[doi:10.3969/j.issn.1671-7414.2020.03.041]
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“和平方舟”医院船海外医疗服务术前梅毒筛查的实践和思考()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年03期
页码:
153-156
栏目:
质量控制·实验室管理
出版日期:
2020-07-20

文章信息/Info

Title:
Practice and Review on Preoperative Syphilis Screening of Overseas Medical Service in “Ark Peace” Hospital Ship
文章编号:
1671-7414（2020）03-153-04
作者:
薛　苗; 姚文杰; 秦阳华
（海军军医大学附属长海医院实验诊断科/“和平方舟”医院船检验室，上海　200433）
Author(s):
XUE Miao;  YAO Wen-jie;  QIN Yang-hua.
（Department of Clinical Laboratory，Changhai Hospital of the Second Military Medical University / Department of Clinical Laboratory of “Ark Peace” Hospital Ship, Shanghai 200433，China）
关键词:
医院船; 梅毒筛查; 海外医疗
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2020.03.041
摘要:
目的　评估“和平方舟”医院船海外医疗服务术前梅毒筛查的现状和要求，提出改进措施，提升医院船检验室 服务保障能力。方法　系统回顾“和谐使命-2018”任务实际，结合单位平时工作分析不同筛查策略对于梅毒筛查的影响。 结果　“和谐使命-2018”任务医疗服务为南太四国和中南美洲六国民众提供诊疗50 884 例，实施手术288 例，采用梅 毒抗体血清快速检测试剂共进行手术前梅毒血清学筛查544 例，检出梅毒抗体阳性43 例，弱阳性11 例，阳性率9.93%。 结论　“和谐使命”系列海外医疗任务，展开以主平台门诊和住院手术为主要方式的医疗服务。到访地区普遍属于梅毒 流行率较高的地区，包括中南美洲、东南亚和非洲，加上医院船医院感染控制要求高，这对术前实验室梅毒血清学筛查 提出了挑战。建议检验科增加化学发光法检测梅毒特异抗体作为梅毒筛查首个检测，阳性标本再采用梅毒非特异实验检 测的筛查策略，进一步提升医院船检验室的卫勤保障能力。
Abstract:
Objective　To evaluate the current situation and requirements of preoperative syphilis screening in “Ark Peace” Hospital Ship undertaking the “Mission Harmony” overseas medical missions, and to put forward reasonable suggestions for further improvement in turns to enhance the quality of clinical laboratory tests in the hospital ship. Methods　 Systematically review clinical laboratory work of “Mission Harmony-2018”, and took the current work in the clinical lab of Changhai Hospital into consideration to analyze the difference of different syphilis screening strategies. Results　“Mission Harmony-2018” provided medical service to 50 884 patients from four countries of south pacific and six countries of Southern America, performed 288 operations, and performed 544 preoperative syphilis screening tests with a colloidal gold syphilis rapid test kit. The results showed there were 43 positive and 11 weak positive cases, and overall positive rate was 9.93%. Conclusion　 “Mission Harmony” overseas medical missionsprovide main platform outpatient and inpatient surgery medical services. The visiting areas are generally among the areas with high prevalence of syphilis, including Central and South America, Southeast Asia and Africa, and the high demand for infection control in hospital ship which poses a challenge to preoperative syphilis serological screening in the lab. The high prevalence of syphilis indicates that the chemiluminescence immunoassay should be used as first test to screening the syphilis and followed by a non-specific test if the CLIA test is positive, and further enhances the quality of clinical laboratory tests in the hospital ship.

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备注/Memo

备注/Memo:
收稿日期：2019-11-19N 　修回日期：2020-01-20基金项目：上海市青年临床医技人才（临床检验）项目。 作者简介：薛苗（1987-），女，学士，技师，主要从事临床检验工作。 姚文杰（1987-），女，学士，技师，主要从事临床检验工作，并列第一作者。 通信作者：秦阳华，E-mail：qinyanghua@smmu.edu.cn，Tel：021-31162069
更新日期/Last Update: 2020-07-20