Rodríguez Lay L A, Ribas Antúnez M A, Díaz Mendiondo B, Roque Quintero A, Aragón Rodríguez U, Martínez Casanueva R, Rodríguez Valdés C
Instituto de Medicina Tropical Pedro Kourí.
Rev Cubana Med Trop. 1998;50(1):42-7.
The usefulness of the whole sample taking in filter paper for the detection of anti-HAV IgM is described. 168 serum and filter paper samples were simultaneously compared. No alterations were observed in the specificity of the enzyme-linked immunosorbent assay for the catchment of IgM in the 52 samples of the control group or in the other 116 from patients with clinical suspicion of acute viral hepatitis. A sensitivity, specificity and coincidence of 100% was obtained on comparing the filter paper with the dilution 1:500 with the serum. The correlation established between the values of optical density of the positive results to anti-HAV IgM, the filter paper at dilution 1:500 and the serum was of 0.895. On applying this type of sample taking in a group of hospitalized patients, 100% of coindicence with clinical suspicion was attained. Besides, it was proved its usefulness for the diagnosis of a viral hepatitis outbreak. According to our results, it is recommended the introduction of this type of sample taking in the diagnosis of hepatitis A.
描述了采用滤纸采集全血样本检测抗甲型肝炎病毒免疫球蛋白M(anti-HAV IgM)的实用性。同时比较了168份血清样本和滤纸样本。在对照组的52份样本以及临床怀疑为急性病毒性肝炎的患者的另外116份样本中,用于捕获IgM的酶联免疫吸附测定的特异性未观察到改变。将滤纸与血清按1:500稀释度进行比较时,灵敏度、特异性和符合率均达到100%。抗甲型肝炎病毒IgM阳性结果的光密度值、滤纸1:500稀释度和血清之间建立的相关性为0.895。在一组住院患者中采用这种采样类型时,与临床怀疑的符合率达到100%。此外,还证明了其在诊断病毒性肝炎暴发中的实用性。根据我们的结果,建议在甲型肝炎诊断中采用这种采样类型。