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[酶联免疫吸附测定法用于测定血清和脑脊液中肠道病毒抗体水平的实用性评估]

[Evaluation of the usefulness of the ELISA method for determining the level of enterovirus antibodies in serum and cerebrospinal fluid].

作者信息

Binduga I, Gut W, Jarzabek Z

机构信息

Zakład Wirusologii PZH w Warszawie.

出版信息

Med Dosw Mikrobiol. 1998;50(3-4):277-84.

Abstract

The usefulness of the methods was compared: complement fixation test (CFT), neutralization test (NT) and ELISA IgG and IgM against enteroviruses for the evaluation of specific immune reaction in sera and cerebrospinal fluid (CSF) samples of patients with confirmed enterovirus infections. The criteria were established for the assessment of ELISA results in rapid diagnosis of enterovirus neuroinfections. The criteria accepted by the producer lowered the sensitivity of the method and the possibility of recognition of local synthesis of antibodies in the CNS. The use of serum negative in CFT and negative CSF as reference for the determination made possible using of that kit for rapid diagnosis of neuroinfections. The modified ELISA IgG test makes possible determination of antibodies in CSF and serum, and accepting the generally recognized criteria for local production of antibodies in the CNS the ELISA test makes possible rapid diagnosis of neuroinfections which is not possible by other methods.

摘要

比较了以下几种方法的效用

补体结合试验(CFT)、中和试验(NT)以及针对肠道病毒的ELISA IgG和IgM检测,用于评估确诊肠道病毒感染患者血清和脑脊液(CSF)样本中的特异性免疫反应。制定了评估ELISA结果以快速诊断肠道病毒神经感染的标准。生产商认可的标准降低了该方法的敏感性以及识别中枢神经系统中抗体局部合成的可能性。使用CFT血清阴性且脑脊液阴性作为检测参考,使得该试剂盒可用于神经感染的快速诊断。改良后的ELISA IgG检测能够测定脑脊液和血清中的抗体,并且采用中枢神经系统中抗体局部产生的普遍认可标准,ELISA检测能够实现神经感染的快速诊断,而其他方法无法做到这一点。

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