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[卫生流行病学站(WSSE)实验室开展的肺炎支原体感染血清学诊断试验可靠性评估]

[Evaluation of the reliability of serological diagnostic tests for Mycoplasma pneumoniae infection carried out by laboratories in sanitary epidemiological stations (WSSE)].

作者信息

Jagielski M, Rastawicki W, Kałuzewski S

机构信息

Zakład Bakteriologii PZH w Warszawie.

出版信息

Med Dosw Mikrobiol. 1997;49(1-2):69-74.

PMID:9411075
Abstract

In the action undertaken for evaluating of the reliability of serological tests for M. pneumoniae infection 33 laboratories of the Sanitary Epidemiological Stations participated. Every laboratory had to determine twice at an interval of 2-4 weeks the level of mycoplasma antibodies by the complement fixation test in serum samples divided into 4 groups: sera not containing these antibodies-titre < 5, or containing them in titres of 60, 120 and 320. The correct results of the determinations were obtained in 27 laboratories (81.8%) for samples without M. pneumoniae antibodies, and in 22 (66.6%) and 14 (42.4%) for samples with titres of 60 and 120, and 320 respectively. Only 4 laboratories (12.1%) obtained correct results of these determinations for every sample and in both testing series. In these series considered separately correct results were obtained in 9 (27.3%) and 8 (24.2%) laboratories. Faulty results in all samples in both testing series were reported from 2 (6.1%) laboratories. In the individual series all false results were obtained in 4 (12.1%) and 3 (9.1%) laboratories. The study showed that for raising of the quality and reliability level of serological investigations for M. pneumoniae infection a permanent practice should be periodic training of laboratory workers and frequently repeated interlaboratory controls of the reliability of test results.

摘要

在评估肺炎支原体感染血清学检测可靠性的行动中,33个卫生防疫站实验室参与其中。每个实验室必须在2至4周的间隔内,对分为4组的血清样本通过补体结合试验进行两次肺炎支原体抗体水平测定:不含这些抗体的血清——滴度<5,或滴度为60、120和320的含抗体血清。对于不含肺炎支原体抗体的样本,27个实验室(81.8%)获得了正确的测定结果;对于滴度为60、120和320的样本,分别有22个(66.6%)和14个(42.4%)实验室获得了正确结果。只有4个实验室(12.1%)在两个检测系列中对每个样本都获得了这些测定的正确结果。在分别考虑的这些系列中,9个(27.3%)和8个(24.2%)实验室获得了正确结果。2个(6.1%)实验室报告了两个检测系列中所有样本的错误结果。在单个系列中,4个(12.1%)和3个(9.1%)实验室出现了所有错误结果。该研究表明,为提高肺炎支原体感染血清学调查的质量和可靠性水平,一项长期做法应该是定期培训实验室工作人员,并经常重复进行实验室间检测结果可靠性的对照。

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