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[通过聚合酶链反应从咽喉拭子中检测肺炎支原体]

[Detection of Mycoplasma pneumoniae from throat swab by polymerase chain reaction].

作者信息

Okazaki N, Yamai S, Sasaki T, Sasaki Y, Kojima K, Yano Y

机构信息

Department of Bacteriology and Pathology, Kanagawa Prefectural Public Health Laboratories.

出版信息

Kansenshogaku Zasshi. 1995 Jun;69(6):723-8. doi: 10.11150/kansenshogakuzasshi1970.69.723.

Abstract

Polymerase chain reaction (PCR) with primers directed against the 16S-rRNA gene of Mycoplasma pneumoniae was used to diagnose M. pneumoniae infections, and the results were compared with those of culture and serology methods. Eighty (22%) of 363 throat swab samples from patients with acute respiratory complaints gave positive results by using the PCR method. Sixty-seven (18.5%) of the samples were positive in culture method. Of 35 samples which were unreliable culture results due to contamination with other bacteria, 13 gave positive results in the PCR method. Of the 97 cases obtained throat swabs and paired sera, 28 (28.9%) showed positive results by the PCR assay, and 29 (29.9%) by serology method (particle agglutination test). The positive rate was increased to 36% by using both the PCR and the serology methods. From these results it was concluded that the PCR method is useful for laboratory diagnosis of M. pneumoniae infections.

摘要

采用针对肺炎支原体16S - rRNA基因的引物进行聚合酶链反应(PCR)来诊断肺炎支原体感染,并将结果与培养法和血清学方法的结果进行比较。在363份来自急性呼吸道疾病患者的咽拭子样本中,80份(22%)采用PCR方法检测结果呈阳性。67份(18.5%)样本培养法检测呈阳性。在35份因受其他细菌污染而培养结果不可靠的样本中,13份采用PCR方法检测呈阳性。在97例采集了咽拭子并配对血清的病例中,28例(28.9%)PCR检测呈阳性,29例(29.9%)血清学方法(颗粒凝集试验)检测呈阳性。同时采用PCR和血清学方法时,阳性率提高到36%。从这些结果得出结论,PCR方法对肺炎支原体感染的实验室诊断有用。

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