微生物检验在临床应用中的质量控制探讨.docVIP

微生物检验在临床应用中的质量控制探讨 　　[摘要] 微生物检验涉及生物、化学、统计等多学科知识，指将人体分泌物、体液、排泄物、血液等检验样本，应用各种检验仪器及试剂检测及化验，分离、培养、鉴定机体内病原微生物的过程。微生物检验已被广泛应用于临床疾病诊疗过程中，并取得显著效果，是提高疾病诊断正确率及临床疗效的关键因素，微生物检验结果的准确性将直接影响患者的疗效及预后。按要求实施质量控制，可提高微生物检验质量控制的效果，确保医师获得准确的检验结果，降低误诊、漏诊概率，保障患者的疗效及预后。微生物检验质量控制分为室内质量控制（检验人员、样本采集及运输、方法、仪器试剂、培养基等）及室间质量控制。 　　[关键词] 微生物检验；临床应用；质量控制 　　[中图分类号] R446.1 [文献标识码] B [文章编号] 1674-4721（2014）09（b）-0166-03 　　Quality control discussion of bacteriological examination in clinical application 　　DONG De-ping 　　Clinical Laboratory，Haian Hospital Affiliated to Nantong University，Nantong 226600，China 　　[Abstract] Bacteriological examination refers to the process of putting test samples like secreta，humor，excreta，and blood in different inspection instruments and reagents for assay，separation，cultivation，and identification of pathogenic microorganisms from the body by combining with multiple disciplinaries such as biology，chemistry，and statistics and so forth. Bacteriological examination has been widely applied in the diagnosis of clinical disorders and has obtained great effect，which serves as a key factor in improving diagnostic accuracy and clinical effect.The accuracy of bacteriological examination outcomes directly influences on patient′s effect and prognosis.Implementation of quality control as required can improve its effect in bacteriological examination，ensure accuracy of inspection results，decrease the misdiagnosis rate and rate of missed diagnosis，and guarantee patient′s curative effect and prognosis Quality control of bacteriological examination can be divided into internal quality control and external quality control.The former includes inspection personnel，sample collection and transportation，method，instrument，reagent，and culture medium，etc. 　　[Key words] Bacteriological examination；Clinical application；Quality control 　　微生物检验在临床医师诊断及治疗疾病中具有重要意义，可为医师诊治疾病提供可靠依据，避免误诊、漏诊等情况，贻误患者的治疗时机。本文主要探讨微生物检验在临床应用中的质量控制措施，为提高微生物检验结果的准确性提供可靠依据，保障患者的诊疗效果。 　　1 概述 　　微生物检验涉及生物、化学、统计等多学科知识，指将人体