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通过采用改变的标本运送方法和高质量的宫颈管内标本,改进沙眼衣原体的聚合酶链反应检测。

Improved PCR detection of Chlamydia trachomatis by using an altered method of specimen transport and high-quality endocervical specimens.

作者信息

Kellogg J A, Seiple J W, Klinedinst J L, Stroll E S, Cavanaugh S H

机构信息

Department of Pathology, York Hospital, Pennsylvania 17405, USA.

出版信息

J Clin Microbiol. 1995 Oct;33(10):2765-7. doi: 10.1128/jcm.33.10.2765-2767.1995.

Abstract

Duplicate endocervical swabs were collected for detection of Chlamydia trachomatis by PCR (Roche Diagnostics). One swab was swirled in Specimen Transport Medium (Roche) for PCR testing and discarded. A saline aliquot from the other specimen, sent as a dry swab to the laboratory, was Papanicolaou stained to determine specimen adequacy, and the remainder was PCR tested. Significantly more (24%) PCR-positive results (118 versus 95; P < 0.001) were obtained with the dry specimens than with the swirled specimens when first tested. In addition, PCR-positive results were obtained with 107 (10.6%) of 1,007 microscopically adequate specimens but with only 3 (0.9%) of 341 inadequate specimens (P < 0.001).

摘要

采集两份宫颈拭子,通过聚合酶链反应(PCR,罗氏诊断公司)检测沙眼衣原体。一份拭子在标本运输培养基(罗氏)中涡旋以进行PCR检测,然后丢弃。另一份标本作为干燥拭子送至实验室,取其一份盐水样本进行巴氏染色以确定标本是否合格,其余部分进行PCR检测。首次检测时,干燥标本获得的PCR阳性结果(118例对95例;P<0.001)明显多于涡旋标本。此外,在1007例显微镜检查合格的标本中,有107例(10.6%)获得PCR阳性结果,但在341例不合格标本中,只有3例(0.9%)获得阳性结果(P<0.001)。

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