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首页> 外文期刊>African Journal of Laboratory Medicine >Laboratory testing improves diagnosis and treatment outcomes in primary health care facilities
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Laboratory testing improves diagnosis and treatment outcomes in primary health care facilities

机译：实验室测试可改善初级卫生保健机构的诊断和治疗结果

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Objective: To determine if use of basic laboratory tests improves diagnosis and treatment outcomes in outpatients attending rural primary health care facilities.Setting: Six rural health centres in Kenya.Design: Cross-sectional study to observe change in diagnosis and treatment made by clinical officers after laboratory testing in outpatients attending six rural health centres in Kenya.Subject: The diagnosis and treatment of 1134 patients attending outpatient services in six rural health centres were compared before and after basic laboratory testing. Essential clinical diagnostic equipment and laboratory tests were established at each health centre. Clinical officers and laboratory technicians received on-site refresher training in good diagnostic practices and laboratory procedures before the study began.Results: Laboratory tests were ordered on 704 (62.1%) patients. Diagnosis and treatment were changed in 45% of tested patients who returned with laboratory results (21% of all patients attending the clinics). 166 (23.5%) patients did not return to the clinician for a final diagnosis and management decision after laboratory testing. Blood slide examination for malaria parasites, wet preparations, urine microscopy and stool microscopy resulted in most changes to diagnosis. There was no significant change in drug costs after laboratory testing. The greatest changes in numbers of recorded diseases following laboratory testing was for intestinal worms (53%) and malaria (21%).Conclusion: Effective use of basic laboratory tests at primary health care level significantly improves diagnosis and patient treatment. Use of laboratory testing can be readily incorporated into routine clinical practice. On-site refresher training is an effective means of improving the quality of patient care and communication between clinical and laboratory staff.
机译：目的：确定使用基础实验室检查是否能改善就诊于农村初级卫生保健机构的门诊病人的诊断和治疗结果。环境：肯尼亚的六个农村卫生中心设计：横断面研究，以观察临床人员做出的诊断和治疗变化在肯尼亚的六个农村卫生中心对门诊进行实验室测试后，对受试者进行了比较。主题：比较了基础实验室测试前后在六个农村卫生中心对1134例门诊患者的诊断和治疗情况。在每个保健中心都建立了必要的临床诊断设备和实验室测试。在研究开始之前，临床干事和实验室技术人员接受了有关良好诊断规范和实验室程序的现场进修培训。结果：对704名（62.1％）患者进行了实验室检查。在返回实验室结果的接受测试的患者中，有45％改变了诊断和治疗的方式（占所有就诊患者的21％）。 166名（23.5％）患者在实验室测试后没有返回临床医生做最终的诊断和管理决定。对疟疾寄生虫，湿制剂，尿液镜检和粪便镜检的血片检查导致诊断的大部分改变。实验室测试后，药物成本没有显着变化。实验室检查后记录的疾病数量变化最大的是肠道蠕虫（53％）和疟疾（21％）。结论：在初级卫生保健水平有效使用基础实验室检查可显着改善诊断和患者治疗。使用实验室测试可以很容易地纳入常规临床实践。现场进修培训是提高患者护理质量以及临床人员与实验室人员之间沟通的有效手段。

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