serodiagnosis

血清诊断
  • 文章类型: Case Reports
    假伯克霍尔德菌,类lioidosis的致病因子可导致广泛的临床表现和异质性预后,在急性发作时死亡率很高。我们报告了一例来自非高危人群的年轻农民的腹部深部脓肿伴继发于类鼻窦病的败血症。根据对Hcp1的血清抗体的检测进行紧急医学治疗,其结果为假性芽孢杆菌感染提供了病原学证据,以便在没有直接证据的情况下及时正确地进行抗菌治疗。据我们所知,这是中国首例血清诊断为类鼻窦病急性加重的病例。
    Burkholderia pseudomallei, the causative agent of melioidosis can be responsible for a wide spectrum of clinical manifestations and heterogeneous prognoses, with a high mortality in the acute onset. We report a case of a deep abdominal abscess with sepsis secondary to melioidosis in a young farmer from a non-high-risk population. Emergency medical treatment was administered according to the detection of serum antibodies against Hcp1, the results of which provided etiological evidence of B. pseudomallei infection for the timely and properly antimicrobial therapy in the absence of direct evidence of melioidosis. To our knowledge, this is the first reported case of serodiagnosis of acute exacerbation of melioidosis in China.
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  • 文章类型: Journal Article
    犬内脏利什曼病(CVL)是犬中表现出的最具侵袭性和致死性的利什曼病形式,是主要的公共卫生问题。尽管有足够灵敏的分子工具用于CVL诊断,它们在疾病传播的主要点是无法获得的,在这种情况下,血清诊断已被用作流行病学控制的替代工具。作为开发更准确的免疫诊断方法的尝试,多年来已经测试了许多抗原,在不同的平台上。这篇综述旨在访问报告可用于CVL血清诊断的新抗原的研究。从2016年1月到2021年3月发表的文章从GoogleScholar检索,科学直接,和PubMed,使用“犬内脏利什曼病”和“血清诊断”作为关键词。总的来说,确定了1527篇文章,其中42项是根据排除因素选择的。灵敏度,特异性,样本量,和样本质量数据通过手工整理提取和分析。在选定的文章中,26预期的ELISA,这使得对这些研究进行了更彻底的比较和批判性审查。可溶性利什曼原虫抗原(SLA)和A2蛋白在53.8和46.15%的这些文章中用作对照,分别,并进行了单独评估;它们的频繁使用受到质疑。随后,评估其他分析平台的文章,如免疫层析,免疫传感器,和其他人,还进行了报告和评估。最后,简要讨论了与商业试剂盒验证研究相关的数据.我们的结果表明,有几种抗原具有开发准确诊断工具的巨大潜力,但需要进一步的测试。批判性分析还带来了一些见解,这些见解对于CVL血清诊断的更可靠的工具的更自信的诊断开发是有用的。
    Canine visceral leishmaniasis (CVL) is the most aggressive and lethal form of leishmaniasis manifesting in dogs and represents a major public health concern. Although there are sufficiently sensitive molecular tools for CVL diagnosis, they are not accessible at the main points of disease dissemination, in which context serodiagnosis has been used as an alternative tool on the epidemiological control. As an attempt to develop more accurate immunodiagnostic assays, many antigens have been tested over the years, on different platforms. This review aimed to access studies reporting new antigens that can be applied for CVL serodiagnosis. Articles published from January of 2016 to March of 2021 were retrieved from Google Scholar, Science Direct, and PubMed, using \"Canine Visceral Leishmaniasis\" and \"Serodiagnosis\" as keywords. In total, 1527 articles were identified, of which 42 were selected based on exclusion factors. Sensitivity, specificity, sample size, and sample quality data were extracted by manual curation and analyzed. Of the selected articles, 26 contemplated ELISA, which enabled a more thorough comparison and a critical review of these studies. Soluble Leishmania Antigens (SLA) and the A2 protein were used as controls in 53.8 and 46.15 % of these articles, respectively, and were evaluated separately; their frequent use was questioned. Subsequently, articles that evaluated other assay platforms, such as immunochromatography, immunosensors, and others, were also reported and evaluated. Finally, data relative to validation studies of commercial kits were briefly discussed. Our results show that there are several antigens with great potential for the development of accurate diagnostic tools, but further testing is required. The critical analysis also brings insights that can be useful for more assertive diagnostic development of more robust tools for CVL serodiagnosis.
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  • 文章类型: Journal Article
    Toxoplasmosis is a widely distributed zoonotic infection caused by the obligate intracellular apicomplexan parasite Toxoplasma gondii. It is mainly transmitted through the ingestion of oocysts shed by an infected cat acting as its definitive host. The key to effective control and treatment of toxoplasmosis is prompt and accurate detection of T. gondii infection. Several laboratory diagnostic methods have been established, including the most commonly used serological assays such as the dye test (DT), direct or modified agglutination test (DAT/MAT), indirect hemagglutination test (IHA), latex agglutination test (LAT), indirect immunofluorescent test (IFAT), enzyme-linked immunosorbent assays (ELISA), immunochromatographic tests (ICT), and the western blot. Nonetheless, creating specific and reliable approaches for serodiagnosis of T. gondii infection, and differentiating between acute and chronic phases of infection remains a challenge. This review provides information on the current trends in the serodiagnosis of human toxoplasmosis. It highlights the advantages of the use of recombinant proteins for serological testing and provides insight into the possible future direction of these methods.
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  • 文章类型: Journal Article
    布鲁氏菌病是一种人畜共患传染病,通过摄入受感染的食品从动物传播给人类,直接接触受感染的动物或吸入气溶胶。考虑到在人类中建立感染所需的相对低浓度的生物体(10-100个细菌),最后一种方法非常有效。并重新引起人们对这种古老疾病的关注。布鲁氏菌是一种兼性细胞内病原体,具有在吞噬细胞中存活和繁殖的能力,并在牛中引起流产和人的波状发热。布鲁氏菌属,特别是B.melitensis,B.流产,和猪链球菌代表了一个重大的公共卫生问题。目前,B.melitensis是印度人类布鲁氏菌病的主要原因。分子研究表明布鲁氏菌与农杆菌的系统发育关系,苍白杆菌,和根瘤菌.人类布鲁氏菌病仍然给科学家和临床医生带来了一些挑战,关于其致病机制的理解,严重程度,programming,以及改进治疗方案的发展。分子研究现在已经强调了布鲁氏菌的发病机制,为了开发新的诊断工具,这些工具将在布鲁氏菌病很常见的发展中国家有用,但往往是一种被忽视的疾病。这篇综述汇总了所有这些问题,特别是致病性和更新的诊断工具。
    Brucellosis is a zoonotic infection transmitted from animals to humans by the ingestion of infected food products, direct contact with an infected animal or inhalation of aerosols. The last method is remarkably efficient given the relatively low concentration of organisms (10 - 100 bacteria) needed to establish infection in humans, and has brought renewed attention to this old disease. Brucella is a facultative intracellular pathogen that has the ability to survive and multiply in the phagocytes and cause abortion in cattle and undulant fever in humans. Brucella spp particularly B. melitensis, B. abortus, and B. suis represent a significant public health concern. At present, B. melitensis is the principle cause of human brucellosis in India. Molecular studies have demonstrated the phylogenetic affiliation of Brucella to Agrobacterium, Ochrobactrum, and Rhizobium. Human brucellosis still presents scientists and clinicians with several challenges, with regard to the understanding of its pathogenic mechanism, severity, progression, and development of improved treatment regimens. Molecular studies have now highlighted the pathogenesis of Brucella, for the development of newer diagnostic tools that will be useful in developing countries where brucellosis is a common, but often a neglected disease. This review compiles all these issues in general and the pathogenicity and newer diagnostic tools in particular.
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