使用试剂条进行细菌性脑膜炎的快速诊断
A A Moosa1, H A Quortum, M D Ibrahim
1Department of Paediatrics, Faculty of Medicine, University of Kuwait, Safat.
Lancet (London, England)
|May 20, 1995
概括
在没有实验室检测的情况下,Combur9试剂条可以准确地检测儿童脑膜炎. 这种具有成本效益的方法可靠地识别正常,细菌或病毒性脑膜炎病例.
科学领域:
- 临床诊断 临床诊断 临床诊断
- 微生物学 微生物学
- 儿科 儿科 儿科
背景情况:
- 脑脊液 (CSF) 分析对于脑膜炎的诊断至关重要,但在全球范围内往往无法获得.
- 现有的方法使用尿液试剂条进行CSF测试,结果不一致.
研究的目的:
- 评估Combur9试剂条的诊断准确性,用于分析疑似脑膜炎儿童的CSF葡萄糖,蛋白质和白细胞.
- 确定Combur9条带在细菌性脑膜炎和病毒性脑膜炎之间的区别中的有用性.
主要方法:
- 从234名怀疑患有脑膜炎的儿童的脑脊髓液样本使用Combur9试剂条进行了测试.
- 结果与葡萄糖,蛋白质和白细胞的标准实验室发现进行了比较.
- 独立解释条形结果,将脑膜炎分类为细菌性,病毒性或正常性.
主要成果:
- 在Combur9条带结果和CSF葡萄糖,蛋白质和白细胞的实验室方法之间观察到良好的一致性.
- 通过Combur9条纹方法,正确识别了97%的脑膜炎病例 (灵敏度).
- 特异性为100%,没有正常的脊髓样本被误诊为脑膜炎.
结论:
- 康布尔9试剂显示出高准确性在区分正常从感染的CSF.
- 这些条纹是诊断脑膜炎在资源有限的环境中的一个有价值的,易于使用的工具.
- 这种方法有助于区分脑膜炎类型,支持及时的临床决策.
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