Abstract:

Objective To understand the construction of the examination ability with microscopy for malaria at the beginning
of the malaria elimination project in Nantong City，Jiangsu Province. Methods At all the medical and health institution levels，
the construction of microscopy stations，the blood slide examiners，the hardware equipment，the microscopy skill training，and so
on were investigated in 2011. Results There were 204 microscopy stations，228 blood slide examiners，and 255 microscopes in
Nantong City，2011. Among 228 examiners，225 persons（98.7%）received the theory and technical training，and the rate of eligi?
bility was 98.4%. A total of 57 893 people received the blood examinations for malaria and the total population blood examination
rate was 0.76%. In the re?examination in the microscopy stations of townships，the mean pass rates of blood slide making，dyeing，
and cleanliness were 87.1%，86.7% and 85.6%，respectively. Among 57 medical institutions，the mean pass rates were 86.8%，
86.0% and 85.0%，respectively. Conclusion Most of the microscopy stations in Nantong City could well carry out the blood slide
examinations for malaria. However，the construction of the examination ability and supervision still need to be enhanced.

Key words: Malaria；Microscopic examination；Ability construction；Nantong City

摘要：

目的了解南通市消除疟疾项目启动初期各级医疗卫生机构疟疾镜检能力建设状况。方法调查全市2011年各级医疗卫生机构疟疾镜检站建设、镜检人员和硬件配备、镜检技能培训等情况；调查各级医疗卫生机构开展“三热”病人血片疟疾镜检工作开展情况等镜检站镜检工作运行状况；调查各县（市、区）和市级疾病预防控制机构开展疟疾镜检员培训考核及血片抽查复检工作等。结果2011年，全市9个县（市、区）共建有204家疟疾镜检站，镜检员228人，显微镜255台；98.68%（225/228）的镜检员接受了疟原虫检验理论和操作技能培训，培训考核合格率为98.67%；共开展疟疾血检57 893人，全年人群总血检率为0.76%。抽查复检乡（镇）门诊镜检站的血片制作、染色和清洁度平均合格率分别为87.14%、86.69%和85.61%，57家医疗机构平均合格率分别为86.82%、86.01%和84.97%；个别乡（镇）和县级疾病预防控制机构未设镜检站，少部分乡（镇）门诊镜检站未开展血检工作或血检质量不符合要求。结论南通市各级镜检站大部分能按要求开展疟疾镜检工作，运行良好。但对照江苏省消除疟疾行动计划要求，仍需加强镜检站能力建设，加强督查，提高血检覆盖率和血检工作质量，确保全市2017年达到消除疟疾标准

关键词: 疟疾；镜检；能力建设；南通市