Evaluation of Acute and Convalescent Antibody Concentration Against Pneumococcal Capsular Polysaccharides for the Diagnosis of Pneumococcal Infection in Children with Community-Acquired Pneumonia

Michael J. Carter, S. Shrestha, P. O’Reilly, P. Gurung, M. Gurung, S. Thorson, R. Kandasamy, M. Voysey, Elizabeth O’Mahony, Sarah Kelly, I. Ansari, Ganesh Shah, P. Amatya, Irina Tcherniaeva, Guy Berbers, David R. Murdoch, Andrew J. Pollard, S. Shrestha, Dominic F. Kelly
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Abstract

We evaluated whether the quantification of IgG to pneumococcal capsular polysaccharides is an accurate diagnostic test for pneumococcal infection in children with pneumonia in Nepal. Children with pneumococcal pneumonia did not have higher convalescent, or higher fold change, IgG to pneumococcal polysaccharides than children with other causes of pneumonia. Caution is needed in interpreting antibody responses in pneumococcal infections.
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评估针对肺炎球菌囊多糖的急性期和恢复期抗体浓度,以诊断社区获得性肺炎患儿是否感染了肺炎球菌
我们评估了对肺炎球菌荚膜多糖 IgG 的定量检测是否能准确诊断尼泊尔肺炎患儿是否感染了肺炎球菌。与其他原因引起的肺炎相比,肺炎球菌肺炎患儿的肺炎球菌多糖 IgG 的恢复期或折叠变化并不高。在解释肺炎球菌感染的抗体反应时需要谨慎。
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