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[非梅毒螺旋体抗原VDRL和RPRC反应的评估]

[Evaluation of non-treponemal VDRL and RPRC reactions].

作者信息

Cacciapuoti B, Ciceroni L, Paesani I

出版信息

Boll Ist Sieroter Milan. 1978 Mar 31;57(1):38-45.

PMID:656196
Abstract

The non-treponemal reactions VDRL and RPRC for the serological diagnosis of syphilis were compared in serum samples having low-titer antibodies and/or antibody dissociations. The analysis of the serological results obtained by performing non-treponemal (VDRL, RPRC) and treponemal (FTA-5, FTA-ABS) tests indicates the best choice of reactions for the serology of lues, which may be summarized as follows: a) The VDRL is the most sensitive and specific test of the non-treponemal reactions which employ cardiolipin antigen. b) A screening serology of syphilis, performed by associating two selected tests (VDRL, FTA-5), demonstrates more positive cases than the use of only one test. c) The serological identification of the antibodies present in luetic sera, obtained by associating selected treponemal and non-treponemal tests (VDRL, FTA-5, FTA-ABS, CF-ATPS) enables us to correlate the serological data with the main biological phases of lues, even during the periods of clinical latency of the disease.

摘要

在抗体滴度较低和/或抗体解离的血清样本中,对用于梅毒血清学诊断的非梅毒螺旋体反应VDRL和RPRC进行了比较。通过进行非梅毒螺旋体(VDRL、RPRC)和梅毒螺旋体(FTA-5、FTA-ABS)检测所获得的血清学结果分析表明,梅毒血清学反应的最佳选择可总结如下:a)VDRL是采用心磷脂抗原的非梅毒螺旋体反应中最敏感和特异的检测方法。b)通过联合两种选定检测方法(VDRL、FTA-5)进行梅毒筛查血清学检测,比仅使用一种检测方法能发现更多阳性病例。c)通过联合选定的梅毒螺旋体和非梅毒螺旋体检测方法(VDRL、FTA-5、FTA-ABS、CF-ATPS)对梅毒血清中存在的抗体进行血清学鉴定,即使在疾病临床潜伏期,也能使我们将血清学数据与梅毒的主要生物学阶段相关联。

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