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犬丝虫病的诊断:一些血液学技术的相对敏感性和特异性

Diagnosis of canine filariosis: relative sensitivity and specificity of some haematological techniques.

作者信息

Martini M, Poglayen G, Capelli G, Roda R

机构信息

Istituto di Malattie Infettive, Profilassi e Polizia Veterinaria, Università degli Studi di Bologna, Italy.

出版信息

Angew Parasitol. 1991 Aug;32(3):133-6.

PMID:1928796
Abstract

Blood samples from 329 dogs of an hyperendemic area in Northern Italy were examined for filariosis. At the filter method (5 microns), taken as reference test, 163 (49.5%) were positive: 160 for Dirofilaria immitis, 2 for D. repens and 1 for both species. The direct smear test (DS), the modified Knott technique (KT) and a further modification of the Knott technique (MKT) were performed in order to assess their relative sensitivity (SE), specificity (SP), positive and negative predictive values (PPV and NPV). The relative SE values are of 88.3%, 91.0% and 91.8% for DS, KT and MKT, respectively. Only the DS relative SP value (99.3%) is less than 100%. Also the PPV and NPV are very high (all above 89%) as well as the values of the coefficient Kappa (all above 0.8), a measure of the concordance between the results of the FT and of the comparison tests.

摘要

对意大利北部一个高度流行地区的329只犬的血液样本进行了丝虫病检测。以过滤法(5微米)作为参考检测方法,163只(49.5%)呈阳性:160只为犬恶丝虫阳性,2只为匐行恶丝虫阳性,1只为两种丝虫均阳性。为评估直接涂片检测(DS)、改良Knott技术(KT)以及Knott技术的进一步改良方法(MKT)的相对敏感性(SE)、特异性(SP)、阳性预测值和阴性预测值(PPV和NPV),进行了这些检测。DS、KT和MKT的相对SE值分别为88.3%、91.0%和91.8%。只有DS的相对SP值(99.3%)小于100%。PPV和NPV也非常高(均高于89%),以及Kappa系数值(均高于0.8),Kappa系数是衡量过滤法(FT)结果与比较检测结果之间一致性的指标。

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