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用于检测脑脊液中微生物的亚甲蓝染色法韦森改良法的评估。

Evaluation of the Wayson variation of a methylene blue staining procedure for the detection of microorganisms in cerebrospinal fluid.

作者信息

Daly J A, Gooch W M, Matsen J M

出版信息

J Clin Microbiol. 1985 Jun;21(6):919-21. doi: 10.1128/jcm.21.6.919-921.1985.

DOI:10.1128/jcm.21.6.919-921.1985
PMID:2409104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC271818/
Abstract

Meningitis of bacterial origin is a severe infection that must receive immediate attention and prompt treatment. We evaluated a basic fuchsin-methylene blue, ethyl alcohol-phenol staining procedure (Wayson stain) and compared it with the Gram stain procedure for evaluation of cerebrospinal fluid. All smears were prepared within 30 min of receiving the specimen and examined without knowledge of the results of the companion smear or culture. Of 546 specimens entered into the study, 84 were culture positive. Based on the culture results, the sensitivity and specificity of Wayson stain were 90 and 98%, respectively, compared with 73% sensitivity and 99% specificity by Gram stain. We observed that Wayson staining is a particularly sensitive method for screening clinical specimens that contain proteinaceous background material. The Wayson staining procedure is a simple and sensitive technique for early detection of meningitis.

摘要

细菌性脑膜炎是一种严重感染,必须立即引起关注并进行及时治疗。我们评估了一种碱性品红-亚甲蓝、乙醇-苯酚染色方法(韦逊染色法),并将其与革兰氏染色法用于脑脊液评估进行比较。所有涂片均在收到标本后30分钟内制备,并在不知道配对涂片或培养结果的情况下进行检查。在纳入该研究的546份标本中,84份培养呈阳性。根据培养结果,韦逊染色法的敏感性和特异性分别为90%和98%,而革兰氏染色法的敏感性为73%,特异性为99%。我们观察到,韦逊染色是筛查含有蛋白质背景物质的临床标本的一种特别敏感的方法。韦逊染色程序是早期检测脑膜炎的一种简单且敏感的技术。

相似文献

1
Evaluation of the Wayson variation of a methylene blue staining procedure for the detection of microorganisms in cerebrospinal fluid.用于检测脑脊液中微生物的亚甲蓝染色法韦森改良法的评估。
J Clin Microbiol. 1985 Jun;21(6):919-21. doi: 10.1128/jcm.21.6.919-921.1985.
2
Comparison of acridine orange and Gram stains for detection of microorganisms in cerebrospinal fluid and other clinical specimens.吖啶橙染色与革兰氏染色在脑脊液及其他临床标本中检测微生物的比较。
J Clin Microbiol. 1981 Aug;14(2):201-5. doi: 10.1128/jcm.14.2.201-205.1981.
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Determination of bacterial meningitis: a retrospective study of 80 cerebrospinal fluid specimens evaluated by four in vitro methods.细菌性脑膜炎的诊断:一项对80份脑脊液标本采用四种体外方法进行评估的回顾性研究。
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引用本文的文献

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Another way? An investigation into an institution's use of the Wayson stain in re-evaluating "no organisms seen" on Gram stain smears from positive blood cultures.另一种方法?一项关于某机构使用韦逊染色法重新评估血培养阳性的革兰氏染色涂片上“未发现微生物”情况的调查。
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A Yersinia pestis tat mutant is attenuated in bubonic and small-aerosol pneumonic challenge models of infection but not as attenuated by intranasal challenge.鼠疫耶尔森菌tat突变体在腺鼠疫和小剂量气溶胶吸入性肺炎感染攻击模型中减毒,但经鼻内攻击时减毒程度较小。
PLoS One. 2014 Aug 7;9(8):e104524. doi: 10.1371/journal.pone.0104524. eCollection 2014.
3
Evaluation of the Wayson stain for the rapid diagnosis of melioidosis.用于类鼻疽快速诊断的韦逊染色法评估。
J Clin Microbiol. 2007 May;45(5):1669-70. doi: 10.1128/JCM.00396-07. Epub 2007 Mar 14.
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Detection of infection or infectious agents by use of cytologic and histologic stains.利用细胞学和组织学染色检测感染或感染因子。
Clin Microbiol Rev. 1996 Jul;9(3):382-404. doi: 10.1128/CMR.9.3.382.
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Laboratory diagnosis of bacterial meningitis.细菌性脑膜炎的实验室诊断
Clin Microbiol Rev. 1992 Apr;5(2):130-45. doi: 10.1128/CMR.5.2.130.
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Clinical and laboratory analyses of cytospin-prepared Gram stains for recovery and diagnosis of bacteria from sterile body fluids.对经细胞离心涂片制备的革兰氏染色进行临床和实验室分析,以从无菌体液中检出和诊断细菌。
J Clin Microbiol. 1992 Feb;30(2):377-80. doi: 10.1128/jcm.30.2.377-380.1992.

本文引用的文献

1
Primary amoebic meningoencephalitis.原发性阿米巴脑膜脑炎
Arch Dis Child. 1981 Feb;56(2):140-3. doi: 10.1136/adc.56.2.140.
2
Recovery of pathogenic bacteria from cerebrospinal fluid.从脑脊液中分离出致病细菌。
J Clin Microbiol. 1980 Oct;12(4):554-7. doi: 10.1128/jcm.12.4.554-557.1980.
3
Concentrated gram stain smears prepared with a cytospin centrifuge.使用细胞离心涂片机制备浓缩革兰氏染色涂片。
J Clin Microbiol. 1982 Dec;16(6):1052-6. doi: 10.1128/jcm.16.6.1052-1056.1982.
4
Comparison of acridine orange, methylene blue, and Gram stains for blood cultures.吖啶橙、亚甲蓝和革兰氏染色在血培养中的比较。
J Clin Microbiol. 1982 Apr;15(4):562-6. doi: 10.1128/jcm.15.4.562-566.1982.
5
Comparison of acridine orange and Gram stains for detection of microorganisms in cerebrospinal fluid and other clinical specimens.吖啶橙染色与革兰氏染色在脑脊液及其他临床标本中检测微生物的比较。
J Clin Microbiol. 1981 Aug;14(2):201-5. doi: 10.1128/jcm.14.2.201-205.1981.
6
Diagnosis of bacterial meningitis.细菌性脑膜炎的诊断
Pediatrics. 1973 Oct;52(4):589-92.
7
Acridine orange staining of urethral and cervical smears for the diagnosis of gonorrhea.用于淋病诊断的尿道和宫颈涂片吖啶橙染色法。
Acta Derm Venereol. 1979;59(3):281-2.
8
Differential staining of bacteria in clinical specimens using acridine orange buffered at low pH.使用低pH缓冲的吖啶橙对临床标本中的细菌进行鉴别染色。
Acta Pathol Microbiol Scand B. 1977 Aug;85(4):249-54. doi: 10.1111/j.1699-0463.1977.tb01970.x.
9
Relation of concentrations of bacteria and bacterial antigen in cerebrospinal fluid to prognosis in patients with bacterial meningitis.细菌性脑膜炎患者脑脊液中细菌及细菌抗原浓度与预后的关系。
N Engl J Med. 1977 Feb 24;296(8):433-5. doi: 10.1056/NEJM197702242960806.