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快速酶联免疫吸附试验诊断人体包虫病的诊断准确性

Diagnostic accuracy of rapid enzyme linked immunosorbent assay for the diagnosis of human hydatidosis.

作者信息

Kaur M, Mahajan R C, Malla N

机构信息

Department of Parasitology, Postgraduate Institute of Medical Education & Research, Chandigarh.

出版信息

Indian J Med Res. 1999 Jul;110:18-21.

Abstract

Rapid enzyme linked immunosorbent assay (ELISA) was compared with the standard ELISA and indirect haemagglutination (IHA) techniques for the diagnosis of human hydatidosis. Eighty nine serum samples including 17 from hydatidosis patients (10 surgically confirmed and 7 clinically suspected), 50 from patients with other parasitic diseases and 22 samples from normal healthy individuals were analysed for anti-hydatid IgG antibodies using sheep hydatid cyst fluid antigen. The sensitivity and specificity respectively was found to be 82.3 and 100 per cent by rapid ELISA; 88.23 and 90.27 per cent by standard ELISA and 70.58 and 100 per cent by IHA technique. No cross reactions were observed with rapid ELISA technique using samples from cysticercosis and amoebiasis patients and normal healthy controls. The present study indicates that rapid ELISA can easily be performed in place of the standard ELISA for the serodiagnosis of human hydatidosis with the advantage of minimising reporting time and manpower hours.

摘要

为诊断人类包虫病,将快速酶联免疫吸附测定(ELISA)与标准ELISA及间接血凝试验(IHA)技术进行了比较。使用绵羊包虫囊液抗原,对89份血清样本进行了抗包虫IgG抗体分析,其中包括17份来自包虫病患者的样本(10份经手术确诊,7份临床疑似)、50份来自其他寄生虫病患者的样本以及22份来自正常健康个体的样本。结果发现,快速ELISA的敏感性和特异性分别为82.3%和100%;标准ELISA为88.23%和90.27%;IHA技术为70.58%和100%。使用来自囊尾蚴病和阿米巴病患者及正常健康对照的样本进行快速ELISA技术检测时,未观察到交叉反应。本研究表明,快速ELISA可轻松替代标准ELISA用于人类包虫病的血清学诊断,具有缩短报告时间和减少人力工时的优势。

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