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使用感染受试者的唾液诊断感染状态。

Diagnosis of Infection Status using Saliva of Infected Subjects.

机构信息

ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.

Complex Carbohydrate Research Center, University of Georgia, Athens, Georgia.

出版信息

Am J Trop Med Hyg. 2018 Feb;98(2):464-467. doi: 10.4269/ajtmh.17-0141. Epub 2018 Jan 4.

Abstract

Chagas disease has the highest prevalence of any parasitic disease in the Americas, affecting 6-7 million people. Conventional diagnosis requires a well-equipped laboratory with experienced personnel. The development of new diagnostic tools that are easy to use and adapted to the reality of affected populations and health systems is still a significant challenge. The main objective of this study was to measure infection status using saliva samples of infected subjects. Blood and saliva samples from 20 -seropositive individuals and 10 controls were tested for infection using two different commercial serological tests. We have shown that detection of infection is possible using saliva samples, supporting the potential use of saliva to diagnose Chagas disease in humans. This method could provide a simple, low-cost but effective tool for the diagnosis of infection. Its noninvasive nature makes it particularly well suited for endemic areas.

摘要

恰加斯病是美洲流行最广的寄生虫病,影响了 600 万至 700 万人。传统的诊断需要配备有经验人员的实验室。开发易于使用且适应当地感染者和卫生系统实际情况的新诊断工具仍然是一个重大挑战。本研究的主要目的是使用感染个体的唾液样本来测量 感染情况。使用两种不同的商业血清学检测方法,对 20 名 -血清阳性个体和 10 名对照者的血液和唾液样本进行了 感染检测。我们已经表明,使用唾液样本可以检测到 感染,这支持了使用唾液来诊断人类恰加斯病的可能性。这种方法可以提供一种简单、低成本但有效的工具来诊断 感染。其非侵入性使其特别适用于流行地区。

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本文引用的文献

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Trypanosoma cruzi and Chagas' Disease in the United States.美国的克氏锥虫和恰加斯病。
Clin Microbiol Rev. 2011 Oct;24(4):655-81. doi: 10.1128/CMR.00005-11.
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Diagnostic potential of saliva: current state and future applications.唾液的诊断潜力:现状和未来应用。
Clin Chem. 2011 May;57(5):675-87. doi: 10.1373/clinchem.2010.153767. Epub 2011 Mar 7.
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Chagas disease in Spain, the United States and other non-endemic countries.西班牙、美国和其他非流行国家的恰加斯病。
Acta Trop. 2010 Jul-Aug;115(1-2):22-7. doi: 10.1016/j.actatropica.2009.07.019. Epub 2009 Jul 29.
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Acute Chagas disease outbreak associated with oral transmission.与口腔传播相关的急性恰加斯病暴发。
Rev Soc Bras Med Trop. 2008 May-Jun;41(3):296-300. doi: 10.1590/s0037-86822008000300014.

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