Rogo Tanya, Schwartz Richard H, Ascher David P
Inova Fairfax Hospital for Children, Falls Church, VA, USA.
Clin Pediatr (Phila). 2010 Nov;49(11):1050-2. doi: 10.1177/0009922810376235. Epub 2010 Aug 19.
Previous studies of the accuracy of rapid in-office tests for group A Streptococcus had disparate results, ranging from sensitivity of 70% to more than 90%. The sensitivity and specificity of 3 commercially available Strep A tests were determined in 2 private pediatric office settings. Acceava Strep A, Genzyme OSOM Strep A, and the Quidel QuickVue Strep A tests were the representative rapid tests for detection of Streptococcus pyogenes. Overnight culture on standard 5% sheep blood agar was the reference standard for this study. All 3 CLIA (Clinical Laboratory Improvement Amendments)-waived tests had sensitivities and specificities that exceeded 95%.
先前关于A组链球菌快速门诊检测准确性的研究结果各不相同,灵敏度从70%到超过90%不等。在2家私立儿科诊所测定了3种市售A组链球菌检测的灵敏度和特异性。Acceava A组链球菌检测、Genzyme OSOM A组链球菌检测和Quidel QuickVue A组链球菌检测是检测化脓性链球菌的代表性快速检测方法。在标准5%绵羊血琼脂上进行过夜培养是本研究的参考标准。所有3种获临床实验室改进修正案(CLIA)豁免的检测的灵敏度和特异性均超过95%。