Problemi correnti
Test rapidi per la diagnosi di infezione
RAPID DIAGNOSTIC TESTS FOR INFECTIOUS DISEASES IN CHILDHOOD
LUCA BRIVIO
Pediatra di Famgilia, Bollate (Milano)
Giugno 2002 - pagg. 369 -373
Abstract
Recent literature on sensitivity and specificity of rapid group A Streptococcus diagnostic testing,
CRP, urinary tract infection (UTI) and aetiological diagnosis of Mycoplasma pneumoniae
(MP). Specificity for Rapid Diagnostic Test (RADT) is almost 100% and sensitivity about
90%. For UTI, combined urine leucocyte and nitrites testing by dipstick yields similar results.
Sensitivity of cold agglutinins for MP is much lower, ranging from 50 to 90%.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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technique for detection of group A
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4. Gerber MA, et al. Antigen detection test for streptococcal pharyngitis: evaluation of sensitivity with respect to true infections. J Pediatr 1986;108:654-8.
5. Children’s Hospital Medical Center of Cincinnati: Evidence based clinical practice guideline of fever of uncertain source. Outpatient evaluation and management for children 2 months to 36 months of age. National Guideline Clearinghouse, Feb. 2000. www.guideline. gov
6. Gambino R. C-reactive protein - undervalued, underutilized. Clinical Chemistry 1997; 43: 2017-8.
7. Lacour AG, et al. Procalcitonin, IL-6, IL-8, IL-1 receptor antagonist and C-reactive protein as identificators of serious bacterial infections in children with fever without localising signs. Eur J Pediatr 2001;160:95-100.
8. Jaye DL, Waites KB. Clinical applications of C-reactive protein in pediatrics. Pediatr Infect Dis J 1997;16:735-45.
9. Putto A, et al. C-reactive protein in the evaluation of febrile illness. Arch Dis Child 1986;61:24-9.
10. Paloheimo, et al. A fast B-CRP assay for near-patient testing or point-of-care testing. Laboratory Medicine 2000, XXVII Nordic Congress of Clinical Chemistry. Bergen, Norway 4-8/6/2000.
11. Gorelick MH, et al. Screening tests for urinary tract infection in children: a meta-analysis. Pediatrics 1999;104(5).
12. Bartolozzi G, Guglielmi M. Pediatria. Masson, 1998:436-38.
13. Cheng JH, et al. A rapid cold agglutinin test in Mycoplasma pneumoniae infection. Chung Hua I Hsueh Tsa Chih 1990;46:49-52.
14. http:// www.binax.com/pdfs/now_strep. pdf
15. Dowell SF, et al. Evaluation of Binax NOW, an assay for the detection of pneumococcal antigen in urine samples, performed among pediatric patients. Clin Infect Dis 2001;32:824-5.
2. Facklam RR. Screening for streptococcal pharyngitis: current technology. Infect Med 1997;14(11):891-8.
3. Kurtz B, et al. Importance of inoculum size and sampling effect in rapid antigen detection for diagnosis of Streptococcus pyogenes pharyngitis. J Clin Microbiol 2000;38:279-81.
4. Gerber MA, et al. Antigen detection test for streptococcal pharyngitis: evaluation of sensitivity with respect to true infections. J Pediatr 1986;108:654-8.
5. Children’s Hospital Medical Center of Cincinnati: Evidence based clinical practice guideline of fever of uncertain source. Outpatient evaluation and management for children 2 months to 36 months of age. National Guideline Clearinghouse, Feb. 2000. www.guideline. gov
6. Gambino R. C-reactive protein - undervalued, underutilized. Clinical Chemistry 1997; 43: 2017-8.
7. Lacour AG, et al. Procalcitonin, IL-6, IL-8, IL-1 receptor antagonist and C-reactive protein as identificators of serious bacterial infections in children with fever without localising signs. Eur J Pediatr 2001;160:95-100.
8. Jaye DL, Waites KB. Clinical applications of C-reactive protein in pediatrics. Pediatr Infect Dis J 1997;16:735-45.
9. Putto A, et al. C-reactive protein in the evaluation of febrile illness. Arch Dis Child 1986;61:24-9.
10. Paloheimo, et al. A fast B-CRP assay for near-patient testing or point-of-care testing. Laboratory Medicine 2000, XXVII Nordic Congress of Clinical Chemistry. Bergen, Norway 4-8/6/2000.
11. Gorelick MH, et al. Screening tests for urinary tract infection in children: a meta-analysis. Pediatrics 1999;104(5).
12. Bartolozzi G, Guglielmi M. Pediatria. Masson, 1998:436-38.
13. Cheng JH, et al. A rapid cold agglutinin test in Mycoplasma pneumoniae infection. Chung Hua I Hsueh Tsa Chih 1990;46:49-52.
14. http:// www.binax.com/pdfs/now_strep. pdf
15. Dowell SF, et al. Evaluation of Binax NOW, an assay for the detection of pneumococcal antigen in urine samples, performed among pediatric patients. Clin Infect Dis 2001;32:824-5.