Objective To understand the serological detection ability and detection status of HIV antibody screening laboratory in Anhui province in 2015,analyze the laboratory testing process and possible problems of test results and improve the ability of laboratory testing in time. Methods Five blind samples were issued to the network screening laboratory for the evaluation,and the results of HIV antibody screening and their original records were required to be reported in the prescribed time. The results of these laboratories were summarized and the factors influencing the results were analyzed. Results A total of 369 laboratories were evaluated,of which 60.2% (222/369) were excellent,37.7% (139/369) were good,2.2% (8/369) were qualified,and the results of 5 blind qualitative tests were correct. There were significant differences in S/CO values between different methods or different reagents. Even though using the same reagent (Wan Tai) and the same method (enzyme linked method),there were significant differences in high positive blind samples between the enzyme labeled instrument and the automatic enzyme immunoassay analyzer. The CDC laboratories were generally superior to other institutional laboratories in the standardization of records such as report forms,re-examination test sheets and sample receipts. The blood system laboratory was generally better than other laboratories in the standardization of testing process and the accuracy of judging and calculating results. Conclusions The results of laboratory screening for AIDS in Anhui province were accurate,and the blind sample assessment should be based on qualitative results.The results of inteilat quality assessment with different methods,reagents or equipment should not be directly compared.
Key words
AIDS /
Screening laboratory /
Quality assessment
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References
[1] 中华人民共和国卫生部.全国艾滋病检测工作管理办法[EB/OL].http://www.gov.cn/gzdt/2006-06/26/content_319992_2.htm.
[2] 中国疾病预防控制中心.全国艾滋病检测技术规范(2015年修订版)[EB/OL].http://www.chinacdc.cn/jkzt/crb/azb/jszl_2219/201003/t20100322_24507.htm.
[3] 强来英,张桂云,蒋岩,等.我国HIV检测确认实验室室间质量评价及能力验证[J].中国输血杂志,2006,19(3):185-187.
[4] 吉阳涛,韩晓旭,欧阳金鸣,等.三种四代HIV筛查试剂检测窗口期的差异研究[J].中华检验医学杂志,2014,37(8) :613-616.
[5] 欧阳金鸣,韩晓旭,吉阳涛,等.三种不同技术原理的第4代HIV诊断试剂的临床检测性能比较研究[J].中华检验医学杂志,2013,36(10):903-907.
[6] Chen JJ,Liu TC,Liang QN,et al.Development of a time-resolved fluorescence immunoassay for Epstein-Barr virus nuclear antigen 1-immunoglobulin A in human serum[J].J MED VIROL,2015,87(11):1940-1945.