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A Study on the Clinical Application of a Rapid Diagnostic Reagent for Measles

机译:麻疹快速诊断试剂的临床应用研究

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Measles is an acute febrile rashes and infections caused by the measles virus belonging to the paramyxovirus. Each year more than twenty million peoples are affected to measles all over the world and 242,000 patients are leading to death. Traditionally the diagnosis of measles had been based on clinical symptoms in daily clinical practice. In recent years, many clinical cases do not show typical clinical manifestations and laboratory confirmation of the disease is definitely required. Lateral flow-based immuno-chromatography reagents are widely used for rapid point-of-care testing in Japanese general clinics, because it does not require special skills and facilities. We have developed a rapid diagnostic reagent for measles that employs the lateral flow-based immuno-chromatography. The correlation of the results between obtained by the diagnostic reagent and RT-PCR assay, the diagnostic reagent and detection of serum IgM antibodies, and laboratory diagnosis and clinical findings or symptoms was investigated. The correlation of the results between obtained by the diagnostic reagent and RT-PCR was the positive results that match rate of 45.5%, 100% negative match, correlation of the diagnostic reagent and detection of serum IgM antibodies positive matches to 55.6%, 100% negative match. In what had been diagnosed with measles in clinical findings so far identified with differential diagnosis of measles cases obtained by laboratory confirmation. It was concluded that the lateral flow-based rapid diagnostic reagent for measles was useful in general clinics.
机译:麻疹是由属于副粘病毒的麻疹病毒引起的急性发热性皮疹和感染。每年全世界有超过两千万人受到麻疹的影响,有242,000名患者死亡。传统上,麻疹的诊断是基于日常临床实践中的临床症状。近年来,许多临床病例并未显示出典型的临床表现,因此绝对需要对该病进行实验室确认。基于侧流的免疫色谱试剂由于不需要特殊的技能和设施,因此在日本的普通诊所中广泛用于快速即时检测。我们已经开发了一种快速的麻疹诊断试剂,该试剂采用基于侧向流的免疫色谱法。研究了通过诊断试剂和RT-PCR分析获得的结果,诊断试剂和血清IgM抗体检测与实验室诊断和临床发现或症状之间的相关性。诊断试剂与RT-PCR结果之间的相关性为阳性率,匹配率为45.5%,阴性率100%,诊断试剂与血清IgM抗体检测率的阳性率分别为55.6%,100%。否定匹配。迄今为止,在已被诊断出患有麻疹的临床发现中,通过实验室确认获得的与麻疹病例的鉴别诊断相符。结论是,基于侧流的麻疹快速诊断试剂可用于一般诊所。

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