Varela Salgado M
Servicio de Urología, Hospital Montecelo, Pontevedra.
Actas Urol Esp. 1994 Jun;18(6):674-9.
We used the ACB (antibody coated bacteria) on 214 urinary samples with bacteriuria. Patients were grouped in 14 clinical entities at the beginning of the study. Later, after supplementary examinations had been conducted, the findings were compared. ACB testing was positive in 37 cases (17.45%). Of 25 patients with signs and symptoms of acute pyelonephritis, 18 (72% sensitivity) were positive. In contrast, of 64 patients with clinical symptoms of lower urinary infection, tests were positive only in 4.7%--3 patients--(95.5% specificity). The paper includes a review of international literature on the method's behaviour in certain clinical diagnoses and a comparison is made with that in our study. We conclude stating that the method is simple, economical, non-aggressive and useful for U.I.'s location and evolution follow-up.
我们对214份存在菌尿的尿液样本进行了抗体包被细菌(ACB)检测。研究开始时,患者被分为14个临床类别。之后,在进行补充检查后,对结果进行了比较。ACB检测在37例(17.45%)中呈阳性。在25例有急性肾盂肾炎体征和症状的患者中,18例(敏感性72%)呈阳性。相比之下,在64例有下尿路感染临床症状的患者中,检测仅在4.7%(3例)呈阳性(特异性95.5%)。本文包括对该方法在某些临床诊断中的表现的国际文献综述,并与我们研究中的情况进行了比较。我们得出结论,该方法简单、经济、无侵害性,对泌尿道感染的定位及病情进展监测很有用。