生物卡支原体免疫球蛋白M快速检测在肺炎支原体感染诊断中的作用

Ta-Yu Liu, Hong-Ren Yu, Wei‐Ju Lee, Chih-Min Tsai, K. Kuo, Chih-Hao Chang, Yu-Tsun Su, Suiqiong Wang, C. Niu, K. Hsieh
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引用次数: 3

摘要

背景:肺炎支原体是引起儿童社区获得性肺炎的重要致病菌。肺炎支原体感染的快速和可靠的实验室诊断对于开始适当的抗生素治疗非常重要。目前,用于检测肺炎支原体免疫球蛋白M (IgM)的血清学检测已被用于确定是否存在急性感染,其结果取决于实验室设施,无法立即获得。因此,需要一种最佳和即时的检测方法来促进更准确的诊断,从而对肺炎支原体相关肺炎患者进行适当的治疗,并降低因抗生素滥用而导致的抗生素耐药率。目的:探讨一种肺炎支原体特异性IgM抗体快速检测试剂盒BioCard支原体IgM快速检测试剂盒在检测儿童支原体感染中的临床诊断价值。材料与方法:选取44例临床疑似支原体感染的患儿作为研究对象。结果:82份支原体igm阳性样本中,51份采用BioCard快速检测结果为阳性。试剂盒的灵敏度和特异性分别为62.20%(51/82)和100%(16/16)。阳性预测值为100%(51/51),阴性预测值为34.04%(16/47)。结论:总之,BioCard支原体IgM快速检测为肺炎支原体感染提供了准确的护理点诊断。
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Role of biocard Mycoplasma immunoglobulin M rapid test in the diagnosis of Mycoplasma pneumoniae infection
Background: Mycoplasma pneumoniae is an important pathogenic bacterium that causes community-acquired pneumonia in children. Rapid and dependable laboratory diagnosis of M. pneumoniae infection is important for starting an appropriate antibiotic treatment. Currently, the serological testing for detection of M. pneumoniae immunoglobulin M (IgM) has been used to determine the presence of an acute infection, the results of which, depending on the laboratory facility, are not available immediately. Therefore, an optimal and instant detection method is needed to facilitate a more accurate diagnosis, which leads to the appropriate treatment of patients with M. pneumoniae-related pneumonia and reduces rates of resistance to antibiotics because of their misuse. Aims: Here, we investigated the clinical diagnostic value of a rapid detection kit for M. pneumoniae-specific IgM antibody, the BioCard Mycoplasma IgM rapid test, in the detection of a Mycoplasma infection in children. Material and Method: 44 pediatric patients with clinically suspected Mycoplasma infection were enrolled for study. Result: Among 82 Mycoplasma IgM-positive samples, 51 samples were detected to be positive using the BioCard rapid test. The sensitivity and specifi city of the kit were 62.20% (51/82) and 100% (16/16), respectively. The positive and negative predictive values were 100% (51/51) and 34.04% (16/47), respectively. Conslusion: In conclusion, the BioCard Mycoplasma IgM rapid test provides an accurate point-of-care diagnosis for M. pneumonia infection.
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