• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2018, Vol. 20 ›› Issue (6): 575-578.DOI: 10.3969/j.issn.1671-2587.2018.06.006

• 核酸检测专题 • 上一篇    下一篇

核酸检测无效结果及无效列表的探讨与分析

崔晓蕾   

  1. 455000 河南省安阳市中心血站检验科
  • 收稿日期:2018-06-12 出版日期:2018-12-20 发布日期:2018-11-12
  • 作者简介:崔晓蕾(1983-),女,河南安阳人,主管技师,学士,主要从事核酸检测工作,(Tel)13569076866(E-mail)cuixiaolei1983111@163.com。

An Impact Factor of the Invalid Results and Lists of the Nucleic Acid Tests

CUI Xiao-lei   

  1. Department of Quality Control,Anyang Blood Center,Anyang 455000
  • Received:2018-06-12 Online:2018-12-20 Published:2018-11-12

摘要: 目的 探讨和查找造成无效结果的原因,以制定相应的解决方案,确保血液检测质量。方法 采用浩源ChiTas BSS1200全自动核酸提取仪和ABI7500荧光扩增仪,对安阳市2016年6月~2017年5月无偿献血者的血液标本进行核酸检测,对无效结果和无效列表进行统计分析。结果 共检测核酸样本88 739份,其中无效结果占0.06%,无效列表占1.04%,通过对ChiTas BSS1200核酸检测系统的无效检测结果的统计分析,发现试剂批号原因不是无效结果和无效列表发生的主要原因,大多是因加样量不足,造成内标扩增无效,或人为操作失误,实验室污染所致。结论 加强核酸工作人员的培训及完善操作规程,做好核酸检测实验室的日常清洁与消毒,预防实验室污染,加强试剂使用前的性能确认,每月做好无效结果和无效列表的统计分析工作,及时查找原因并制定相应的解决方案,有助于将无效结果和无效列表数降到最低。

关键词: 核酸检测, 无效结果, 无效列表

Abstract: Objective The invalid results and listsmay influence thetimely sending ofthe nucleic acid test reports. This work aimed to explore the reason for the invalid results and to optimize the corresponding operations for safety of blood transfusion. Methods Blood samples were collected from the voluntarydonors in Anyang from Jun 2016 to may 2017and DNAs were extracted withHaoyuan ChiTas BSS1200 automatic nucleic acid separator and subsequently amplified with ABI7500 Fluorescent Amplifier. The invalid results and lists were analyzed. Results A total of 88739 samples were tested for DNAs and 0.06% results and 1.04% lists were found to be invalid. Further analyses of the invalid results showed that it is not the batche's number of reagent but the insufficient amounts of samples as well as personal operation errorsor laboratory contaminationsthat causedthe invalid amplification of internal standard. Conclusion The invalid results and lists can be minimized by enhancing the training of the staff who are involved in nucleic acid tests,improving operating procedures,and avoiding laboratory contaminations by daily cleaning and disinfecting.

Key words: Nucleic acid test, Invalid result, Invalid list

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