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[B族链球菌型特异性抗体的酶联免疫吸附测定及其临床意义]

[ELISA for type-specific group B streptococcal antibody and its clinical significance].

作者信息

Ooe Y, Nishiyama Y, Sugiyama A, Simizu S, Kunishima S, Itou T, Sugiyama M

机构信息

Department of Clinical Laboratory, Meiji Hospital.

出版信息

Kansenshogaku Zasshi. 1990 Oct;64(10):1251-4. doi: 10.11150/kansenshogakuzasshi1970.64.1251.

Abstract

In order to investigate the neonatal infection of group B streptococci (GBS), vaginal and anal cultures, and measurement of type-specific antibodies to GBS were carried out on 461 pregnant women. Levels of antibody to GBS were measured with ELISA plates coated with type-specific antigen of GBS. These plates were furnished by Toyo Jozo Co., Ltd. The results were as follows: 1) Antibodies to type Ia, Ib, II and III were detected in 41.9, 34.7, 31.7 and 40.1% of subjects, respectively. 2) GBS was isolated in 78 (16.9%) of subjects. 3) Antibody levels against GBS in the sera of colonized mothers and cord blood of their infants were well correlated. 4) Among the colonized mothers, 4 out of 19 (Ia), 9 out of 18 (Ib) 5 out of 8 (II) and 5 out of 17 (III) showed low levels of antibody. 5) Those who had low levels of antibody were administered antibiotic delivery, and there was no case of crisis in both treatment (antibody levels were negative) and non-treatment (antibody levels were positive) groups.

摘要

为了调查B族链球菌(GBS)的新生儿感染情况,对461名孕妇进行了阴道和肛门培养以及GBS型特异性抗体检测。使用涂有GBS型特异性抗原的ELISA板测量GBS抗体水平。这些板由东洋酿造株式会社提供。结果如下:1)分别在41.9%、34.7%、31.7%和40.1%的受试者中检测到针对Ia型、Ib型、II型和III型的抗体。2)在78名(16.9%)受试者中分离出GBS。3)定植母亲血清和其婴儿脐带血中针对GBS的抗体水平具有良好的相关性。4)在定植母亲中,19名(Ia型)中有4名、18名(Ib型)中有9名、8名(II型)中有5名和17名(III型)中有5名抗体水平较低。5)对抗体水平低的孕妇进行了抗生素分娩,治疗组(抗体水平为阴性)和未治疗组(抗体水平为阳性)均未出现危急情况。

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