Rastawicki W, Jagielski M, Kałuzewski S
Zakład Bakteriologii PZH w Warszawie.
Med Dosw Mikrobiol. 2000;52(2):151-64.
The usefulness of latex agglutination test prepared in our laboratory for the diagnosis of M. pneumoniae infections was assessed. A total of 628 serum samples obtained from patients with respiratory tract infections were tested by complement fixation test and by latex test, from among them 274 serum samples were additionally tested by ELISA--Ig A/--IgG/--IgM and by immunoelectroprecipitation test. The highest sensitivity and specificity was displayed by the latex test in relation to ELISA when determining mycoplasmal antibodies of IgM class (respectively 82.1% and 89.6%) and to the complement fixation test (81.0% and 89.0%). Positive latex test results in our investigations were associated only with the presence of IgM antibodies and were not dependent on the IgA and IgG antibody classes. The latex agglutination test may be used in routine serodiagnosis of mycoplasmosis under condition that the results obtained in this test will be confirmed by the complement fixation test or ELISA.
对我们实验室制备的用于诊断肺炎支原体感染的乳胶凝集试验的效用进行了评估。对总共628份从呼吸道感染患者获得的血清样本进行了补体结合试验和乳胶试验检测,其中274份血清样本还进行了ELISA-IgA/IgG/IgM检测以及免疫电沉淀试验。在检测IgM类支原体抗体时,乳胶试验相对于ELISA显示出最高的敏感性和特异性(分别为82.1%和89.6%),相对于补体结合试验则为(81.0%和89.0%)。在我们的研究中,乳胶试验阳性结果仅与IgM抗体的存在相关,而不依赖于IgA和IgG抗体类别。在通过补体结合试验或ELISA确认该试验获得的结果的条件下,乳胶凝集试验可用于支原体病的常规血清学诊断。