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[两种血清学方法诊断急性肺炎支原体呼吸道感染的比较研究]

[Comparative study of 2 serological methods of diagnosis of acute respiratory Mycoplasma pneumoniae infections].

作者信息

Crăcca E, Constantinescu S, Botez D, Ioanid L, Brăila-Georgescu M, Mitache E, Boerescu L, David B

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Bacteriol Virusol Parazitol Epidemiol. 1978 Jul-Sep;23(3):163-70.

PMID:694331
Abstract

Complement fixation (CF) and haemagglutination (HAP) with M. pneumoniae antigen have proved valuable methods for the etiological diagnosis of acute respiratory infections. Both methods are sensitive and specific, provided purified antigens are used, of the Kenny and Grayston lipid antigen type for CF and the antigen treated by ultrasound and purified by centrifugation for HAP. Concomitant and repeated use of both tests is recommended, following the taking of paired serum samples at 7 to 10 day intervals the first samples being taken within the first ten days of the disease. A single test can only be used for a presumptive serologic diagnosis of acute infection with M. pneumoniae and only if the minimal diagnostic titre is taken into consideration, i.e. 1/64 for CF and 1/160 for HAP.

摘要

用肺炎支原体抗原进行补体结合试验(CF)和血凝试验(HAP)已被证明是急性呼吸道感染病因诊断的有价值方法。如果使用纯化抗原,这两种方法都是敏感且特异的,CF 使用肯尼和格雷斯顿脂质抗原类型,HAP 使用经超声处理并通过离心纯化的抗原。建议在每隔 7 至 10 天采集配对血清样本(首份样本在疾病发作的前十天内采集)后,同时并重复使用这两种检测方法。单项检测仅可用于肺炎支原体急性感染的血清学推定诊断,且仅在考虑最小诊断滴度时适用,即 CF 为 1/64,HAP 为 1/160。

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