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[对哮喘和过敏性鼻炎患者进行不同优先级螨标准化提取物的皮肤点刺试验]

[Skin prick tests with standardized extracts of mites of different precedence in patients with asthma and allergic rhinitis].

作者信息

Rodríguez Santos Olimpio, Abou Khair Feres, Tinoco Morán Iván Oswaldo, Celio Murillo Rodolfo, Meli Víctor R, Barata Humberto J, Labrada Rosado Alexis

机构信息

Policlínico Universitario Docente José Martí, Camagüey, Cuba.

出版信息

Rev Alerg Mex. 2010 Nov-Dec;57(6):196-201.

Abstract

BACKGROUND

House dust mites are important airborne allergens worldwide, particularly in the tropical environment.

OBJECTIVE

To assess sensitization of allergic patients to different mite species in the Cuban city of Camaguey; as well as to compare standardized allergen extracts from different sources by skin prick tests.

PATIENTS AND METHOD

Skin prick tests were performed in 60 patients with asthma and/or allergic rhinitis and in 60 non-allergic volunteers, ranging from 2 to 76 years old. In both groups, Diater-Prick lancets were used, together with Valergen extracts (Biocen, Cuba) at 20,000 BU/mL and Diater extracts (Argentina) at 50,000 UBE/PNU/mL.

RESULTS

The highest values of sensitization prevalence using Diater extracts were seen in Dermatophagoides pteronyssinus (Dp), Dermatophagoides farinae (Df), and Blomia tropicalis (Bt) in allergic patients and in non-allergic controls. Diagnostic sensitivity values were: Dp, 79; Df, 84; Bt, 84 and B. kulagini, 83%. Specificity varied from 72 to 85%. On the other hand, with Biocen extracts, the highest positivity was noted in Dp and D. siboney (Ds). Sensitivity values were 78% (Dp); 78% (Ds) and 82% (BT). Specificity values ranged from 79 to 82%.

CONCLUSIONS

The standardized allergen extracts from the assessed laboratories induced similar values of sensitivity and specificity.

摘要

背景

屋尘螨是全球重要的空气传播过敏原,在热带环境中尤为如此。

目的

评估古巴卡马圭市过敏患者对不同螨种的致敏情况;并通过皮肤点刺试验比较不同来源的标准化变应原提取物。

患者与方法

对60例哮喘和/或过敏性鼻炎患者以及60例2至76岁的非过敏志愿者进行皮肤点刺试验。两组均使用Diater - Prick采血针,以及浓度为20,000 BU/mL的Valergen提取物(古巴Biocen公司)和浓度为50,000 UBE/PNU/mL的Diater提取物(阿根廷)。

结果

在过敏患者和非过敏对照中,使用Diater提取物时,对粉尘螨、屋尘螨和热带无爪螨的致敏率最高。诊断敏感性值分别为:粉尘螨79%;屋尘螨84%;热带无爪螨84%,库拉吉尼无爪螨83%。特异性在72%至85%之间。另一方面,对于Biocen提取物,粉尘螨和西博尼螨的阳性率最高。敏感性值分别为:粉尘螨78%;西博尼螨78%,热带无爪螨82%。特异性值在79%至82%之间。

结论

评估实验室的标准化变应原提取物诱导出相似的敏感性和特异性值。

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