Vüllers R, Epp C
Fortschr Med. 1983 Oct 20;101(39):1749-54.
The district hospital Wertingen is nearly 100 km away from the Government-Investigation-Institute für Public Health, South-Bavaria, and there is no direct railway connection to Munich. This is a report how in spite of these insufficient traffic conditions in many cases the etiologic agent of virus diseases could be proved by isolation of virus or by showing specific IgM-antibodies or significant titer-rises in two blood-samples. For a successful investigation of the patient-material the knowledge of clinical symptoms and the anamnesis is most important. Furthermore is important the optimal time for collecting the material, which is for virus isolation always the earliest time after the onset of illness. For demonstration of titer-rises a second blood sample during the recovery has to be sent to the laboratory. During 1981 and 1982 in the district hospital Wertingen the diagnosis of 116 patients with virus diseases could be proved by demonstration of the etiologic agent.
韦廷根地区医院距离巴伐利亚州南部公共卫生政府调查研究所近100公里，且没有直达慕尼黑的铁路连接。这是一份关于尽管交通条件欠佳，但在许多情况下如何通过病毒分离、检测特异性IgM抗体或显示两份血样中显著的滴度升高来证实病毒疾病病原体的报告。对于成功调查患者材料而言，了解临床症状和病史最为重要。此外，采集材料的最佳时间也很重要，对于病毒分离来说，总是发病后最早的时间。为了证明滴度升高，康复期间的第二份血样必须送检。1981年至1982年期间，在韦廷根地区医院，通过病原体检测证实了116例病毒疾病患者的诊断。
