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以脓性免疫原作为抗原的免疫酶法对铜绿假单胞菌感染的可能诊断

[Possible diagnosis of Pseudomonas aeruginosa infection by an immunoenzyme method using pyoimmunogen as the antigen].

作者信息

Severtsova M K, Dubova V G, Getmanova M A, Temper R M

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1988 Apr(4):63-6.

PMID:3137744
Abstract

The possibility of detecting P. aeruginosa antibodies in patients by means of indirect solid-phase EIA techniques is shown. This assay is carried out with the use of reagents produced in the USSR: polystyrene assay plates manufactured by the Lenigrad Medpolymer Works are used as carriers, P. aeruginosa vaccine (pyoimmunogen) obtained under semi-industrial conditions at the Mechnikov Central Research Institute for Vaccines and Sera is used as antigenic complex and the commercial preparation produced by the Gamaleia Research Institute of Epidemiology and Microbiology serves as conjugate. The studies have revealed that in 95% of cases the level of antibodies in the sera of patients with acute destructive pneumonia accompanied by pleural empyema, abscesses of internal organs and acute hematogenic osteomyelitis is essentially higher than the level of "normal" antibodies in healthy donors from whom biologically confirmed P. aeruginosa cultures can be isolated. In the groups of patients with similar nosological forms of diseases caused by other infective agents such difference in antibody titers is not detected. These results suggest that the detection of antibodies to P. aeruginosa in patients' sera by means of EIA can be used as an additional test for the diagnosis of P. aeruginosa infections.

摘要

研究表明了通过间接固相酶免疫测定技术检测患者体内铜绿假单胞菌抗体的可能性。该检测使用苏联生产的试剂进行:列宁格勒医用聚合物厂生产的聚苯乙烯检测板用作载体,在梅契尼科夫中央疫苗与血清研究所半工业条件下获得的铜绿假单胞菌疫苗(脓免疫原)用作抗原复合物,加马列亚流行病学与微生物学研究所生产的商业制剂用作缀合物。研究发现,在95%的伴有胸膜积脓、内脏脓肿和急性血源性骨髓炎的急性破坏性肺炎患者血清中,抗体水平明显高于可分离出经生物学证实的铜绿假单胞菌培养物的健康供体的“正常”抗体水平。在由其他感染因子引起的具有相似疾病分类形式的患者组中,未检测到抗体滴度有这种差异。这些结果表明,通过酶免疫测定法检测患者血清中铜绿假单胞菌抗体可作为诊断铜绿假单胞菌感染的一项附加检测。

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