Yi M R, Shin M H, Leem M H, Ryu J S, Ahn M H, Min D Y
Department of Parasitology, College of Medicine, Hanyang University, Seoul, Korea.
Kisaengchunghak Chapchi. 1990 Mar;28(1):25-30. doi: 10.3347/kjp.1990.28.1.25.
The direct wet mount examination of vaginal secretion, widely applied for the diagnosis of Trichomonas vaginalis infection in woman patients, is rapid and economical, however, the sensitivity of this technique is not so high. In this study enzyme-linked immunosorbent assay (ELISA) was employed for the detection of serum anti-T. vaginalis IgG and IgM antibodies from 30 vaginal trichomoniasis patients and 30 non-infected healthy persons. The results were as follows: 1. Serum ELISA-IgG value was 0.37 +/- 0.134 (Mean +/- S.D.) in vaginal trichomoniasis patients and 0.21 +/- 0.054 in healthy controls (p less than 0.005), and the sensitivity and specificity of ELISA for serum IgG antibody were 70.0% and 96.7%, respectively. 2. Serum ELISA-IgM value was 0.33 +/- 0.177 (Mean +/- S.D.) in vaginal trichomoniasis patients and 0.11 +/- 0.051 in healthy controls (p less than 0.005), and the sensitivity and specificity of ELISA for serum IgM antibody were 70.0% and 96.7%, respectively. 3. The ELISA-IgG values showed a significant correlation with ELISA-IgM values (r = 0.77, p less than 0.005). With above results, it is assumed that ELISA is a reliable method for the diagnosis of T. vaginalis infection and simultaneous measurement of serum IgG and IgM with this technique is recommended.
阴道分泌物直接湿片检查广泛应用于女性患者阴道毛滴虫感染的诊断,该方法快速且经济,然而,此技术的敏感性不高。在本研究中,采用酶联免疫吸附测定(ELISA)法检测30例阴道毛滴虫病患者和30例未感染的健康人的血清抗阴道毛滴虫IgG和IgM抗体。结果如下:1. 阴道毛滴虫病患者血清ELISA-IgG值为0.37±0.134(均值±标准差),健康对照者为0.21±0.054(p<0.005),ELISA检测血清IgG抗体的敏感性和特异性分别为70.0%和96.7%。2. 阴道毛滴虫病患者血清ELISA-IgM值为0.33±0.177(均值±标准差),健康对照者为0.11±0.051(p<0.005),ELISA检测血清IgM抗体的敏感性和特异性分别为70.0%和96.7%。3. ELISA-IgG值与ELISA-IgM值呈显著相关性(r = 0.77,p<0.005)。基于上述结果,推测ELISA是诊断阴道毛滴虫感染的可靠方法,建议采用该技术同时检测血清IgG和IgM。