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新型InoDiag自动化荧光多重抗原微阵列与参考技术在非典型细菌性肺炎血清学诊断中的比较。

Comparison of the new InoDiag automated fluorescence multiplexed antigen microarray to the reference technique in the serodiagnosis of atypical bacterial pneumonia.

作者信息

Gouriet F, Levy P-Y, Samson L, Drancourt M, Raoult D

机构信息

Unité des Rickettsies, Faculté de Médecine, Université de la Méditerranée, Marseille, France.

出版信息

Clin Microbiol Infect. 2008 Dec;14(12):1119-27. doi: 10.1111/j.1469-0691.2008.02119.x.

Abstract

The aetiological diagnosis of pneumonia depends largely on culture-, antigen- or PCR-based tests. Atypical agents of pneumonia include Coxiella burnetii, Chlamydophila pneumoniae, Chlamydia psittaci, Legionella pneumophila, Francisella tularensis and Mycoplasma pneumoniae. In these cases, serological tests are commonly used for diagnosis. All of the above species were comparatively screened for by using the InoDiag multiplexed automatic immunofluorescence assay and established reference techniques. The InoDiag assay required 5 microL of serum, took 76 min per serum sample, and required an incubator, a fluorescence reader and interpretation software. In total, 248 single sera from patients were tested, for the diagnosis of pneumonia, and the results obtained with selected serum samples were compared with results obtained with the reference method. It was shown that, for the detection of Coxiella burnetii IgM, the automated assay had a sensitivity and specificity of 100%. For the detection of M. pneumoniae IgM, sensitivity was 100% and specificity was 98%. For the detection of Chlamydophila pneumoniae and Chlamydia psittaci IgG, sensitivity was 81% and specificity was 94%. For the detection of L. pneumoniae IgG, sensitivity was 63% and specificity was 98%. For the detection of F. tularensis IgG and IgM, sensitivity was 100% for both, and specificity was 95% and 100%, respectively. The performance of this serological assay was comparable to that of other assays reported in the literature. This preliminary study shows that the automatic InoDiag assay opens the way to immunofluorescence assay standardization.

摘要

肺炎的病因诊断很大程度上依赖于基于培养、抗原或聚合酶链反应的检测。肺炎的非典型病原体包括伯氏考克斯体、肺炎衣原体、鹦鹉热衣原体、嗜肺军团菌、土拉弗朗西斯菌和肺炎支原体。在这些病例中,血清学检测常用于诊断。通过使用InoDiag多重自动免疫荧光检测法和既定的参考技术对上述所有菌种进行了比较筛选。InoDiag检测法需要5微升血清,每个血清样本检测耗时76分钟,并且需要一个培养箱、一台荧光读数仪和解读软件。总共对248例患者的单份血清进行了肺炎诊断检测,并将所选血清样本的检测结果与参考方法的结果进行了比较。结果表明,对于伯氏考克斯体IgM的检测,自动化检测法的灵敏度和特异性均为100%。对于肺炎支原体IgM的检测,灵敏度为100%,特异性为98%。对于肺炎衣原体和鹦鹉热衣原体IgG的检测,灵敏度为81%,特异性为94%。对于嗜肺军团菌IgG的检测,灵敏度为63%,特异性为98%。对于土拉弗朗西斯菌IgG和IgM的检测,两者的灵敏度均为100%,特异性分别为95%和100%。这种血清学检测方法的性能与文献中报道的其他检测方法相当。这项初步研究表明,InoDiag自动检测法为免疫荧光检测标准化开辟了道路。

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