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在全科医疗中,乳胶凝集试验用于诊断链球菌性咽喉感染的可靠性和实用性如何?

How reliable and useful is the latex agglutination test in diagnosing streptococcal throat infection in general practice?

作者信息

Hjortdahl P, Laerum E, Gaustad P

机构信息

Department of General Practice, University of Oslo, Norway.

出版信息

Scand J Prim Health Care. 1987 Sep;5(3):151-4. doi: 10.3109/02813438709013996.

Abstract

A rapid latex agglutination test for diagnosing streptococcal pharyngitis in general practice was evaluated on 226 patients with acute throat infection. The test had a sensitivity of 96% and a specificity of 91% regarding group A beta hemolytic streptococci. The test was fairly simple to perform and the result was available before the patient left the office. The test was supplied as a self-contained kit, was safe to handle and economically acceptable. Even through this test is not a reliable as the traditional microbiological culture, it represents a significant practical and clinical improvement in the daily management of patients with acute throat infections.

摘要

在226例急性咽喉感染患者中,对一种用于全科医疗中诊断链球菌性咽炎的快速乳胶凝集试验进行了评估。对于A组β溶血性链球菌,该试验的敏感性为96%,特异性为91%。该试验操作相当简单,在患者离开诊室前即可获得结果。该试验以配套齐全的试剂盒形式提供,操作安全且在经济上可以接受。尽管该试验不如传统的微生物培养可靠,但它在急性咽喉感染患者的日常管理中代表了一项重大的实践和临床改进。

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