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本文引用的文献

1
Early and rapid microscopy-based diagnosis of true treatment failure and MDR-TB.基于显微镜检查的早期快速诊断真正的治疗失败和耐多药结核病。
Int J Tuberc Lung Dis. 2006 Nov;10(11):1248-54.
2
Yield of continued monthly sputum evaluation among tuberculosis patients after culture conversion.结核患者培养转阴后持续每月痰评估的阳性率
Int J Tuberc Lung Dis. 2002 Mar;6(3):238-45.
3
The significance of the persistent presence of acid-fast bacilli in sputum smears in pulmonary tuberculosis.肺结核患者痰涂片抗酸杆菌持续存在的意义
Chest. 1999 Sep;116(3):726-31. doi: 10.1378/chest.116.3.726.
4
Incidence and significance of acid-fast bacilli in sputum smears at the end of antituberculous treatment.抗结核治疗结束时痰涂片抗酸杆菌的发生率及意义。
Chest. 1996 Jun;109(6):1562-5. doi: 10.1378/chest.109.6.1562.
5
Acid-fast bacilli in sputum smears of patients with pulmonary tuberculosis. Prevalence and significance of negative smears pretreatment and positive smears post-treatment.肺结核患者痰涂片抗酸杆菌。涂片预处理阴性和治疗后涂片阳性的发生率及意义。
Am Rev Respir Dis. 1984 Feb;129(2):264-8.
6
Assessing the viability of Mycobacterium leprae by the fluorescein diacetate/ethidium bromide staining technique.通过荧光素二乙酸酯/溴化乙锭染色技术评估麻风分枝杆菌的生存能力。
Indian J Lepr. 1991 Apr-Jun;63(2):203-8.
7
[Application of FDA/EB staining for the detection of viable or non-viable mycobacteria in clinical specimens].[FDA/EB染色在临床标本中检测活菌或非活菌分枝杆菌的应用]
Kekkaku. 1992 Feb;67(2):113-7.

现场评估一种简单的荧光方法,用于检测治疗随访期间痰标本中的活结核分枝杆菌。

Field evaluation of a simple fluorescence method for detection of viable Mycobacterium tuberculosis in sputum specimens during treatment follow-up.

机构信息

Epicentre, Paris, France.

出版信息

J Clin Microbiol. 2012 Aug;50(8):2788-90. doi: 10.1128/JCM.01232-12. Epub 2012 May 30.

DOI:10.1128/JCM.01232-12
PMID:22649015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3421534/
Abstract

Simple tuberculosis (TB) treatment monitoring tools are needed. We assessed the performance of fluorescein-diacetate (FDA) smear microscopy for detection of viable Mycobacterium tuberculosis in sputum specimens (n = 288) of TB cases under treatment compared to culture (17.4% culture positivity). FDA sensitivity was moderate (83.7% [95% confidence interval {CI}, 70.3 to 92.6]), and specificity was low (66.1% [59.5 to 72.2]). The good negative predictive value (94.8% [90.1 to 97.8]) and negative likelihood ratio (0.2) suggest using this method to rule out treatment failure in settings without access to culture.

摘要

需要简单的结核病(TB)治疗监测工具。我们评估了荧光素二乙酸酯(FDA)痰涂片显微镜检测在治疗中的结核病例(n=288)中检测活结核分枝杆菌的性能,与培养(17.4%的培养阳性率)相比。FDA 的灵敏度为中度(83.7%[95%置信区间(CI):70.3 至 92.6]),特异性较低(66.1%[59.5 至 72.2])。良好的阴性预测值(94.8%[90.1 至 97.8])和负似然比(0.2)表明,在无法进行培养的情况下,可使用该方法排除治疗失败的情况。