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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.

DOI:10.3109/02813438709013996
PMID:3313609
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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How reliable and useful is the latex agglutination test in diagnosing streptococcal throat infection in general practice?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?
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Rapid latex agglutination compared with the throat culture for the detection of group A streptococcal infection.快速乳胶凝集试验与咽拭子培养用于检测A组链球菌感染的比较。
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引用本文的文献

1
Rational decisions in managing sore throat: evaluation of a rapid test.咽痛管理中的合理决策:一项快速检测的评估
Br Med J (Clin Res Ed). 1988 Jun 11;296(6637):1646-9. doi: 10.1136/bmj.296.6637.1646.
2
Sore throat in family practice: comparison of blood agar throat culture with a rapid enzyme immunoassay test for diagnostic purposes.家庭医疗中的咽喉痛:血琼脂咽喉培养与快速酶免疫测定法用于诊断目的的比较。
J R Coll Gen Pract. 1989 Aug;39(325):332-4.