• 제목/요약/키워드: Rapid antigen test

검색결과 92건 처리시간 0.043초

Reliability of Stool Antigen Tests: Investigation of the Diagnostic Value of a New Immunochromatographic Helicobacter pylori Approach in Dyspeptic Patients

  • Korkmaz, Huseyin;Findik, Duygu;Ugurluoglu, Ceyha;Terzi, Yuksel
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.657-660
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    • 2015
  • Background: A diagnosis of H. pylori infection can be made by invasive or non-invasive methods. Several noninvasive diagnostic tests based on the detection of H. pylori stool antigen (HpSA) have been developed. The Genx H. pylori stool antigen card test is a new rapid, non-invasive test that is based on monoclonal immunochromatographic assay. The aim of this study was to determine its sensitivity, specificity, and diagnostic accuracy for diagnosing H. pylori infection in adult patients. Materials and Methods: A total of 162 patients were included in the study. A gastric biopsy was collected for histopathology and rapid urease testing. Stool specimens for HpSA testing were also collected. Patients were considered H. pylori positive if two invasive tests (histological and rapid urease tests) were positive. Results: Using the reference test, 50.6% of the samples were positive for H. pylori infection. The Genx H. pylori antigen test was positive in 19.7% of patients. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of the Genx H. pylori antigen test were 51.6%, 96.0%, 88.8%, 76.1%, and 79.0%, respectively. Conclusions: The Genx H. pylori stool antigen card test is a new non-invasive method that is fast and simple to perform but provides less reliable results.

Clinical characteristics of 2009 pandemic influenza A (H1N1) infection in children and the performance of rapid antigen test

  • Park, Yong-Jae;Jin, Jang-Yong;Yang, Hyeon-Jong;Lee, Woo-Ryung;Lee, Dong-Hwan;Pyun, Bok-Yang;Suh, Eun-Sook
    • Clinical and Experimental Pediatrics
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    • 제54권10호
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    • pp.405-408
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    • 2011
  • Purpose: In autumn 2009, the swine-origin influenza A (H1N1) virus spread throughout South Korea. The aims of this study were to determine the clinical characteristics of children infected by the 2009 H1N1 influenza A virus, and to compare the rapid antigen and realtime polymerase chain reaction (PCR) tests. Methods: We conducted a retrospective review of patients ${\geq}18$ years of age who presented to Soonchunhyang University Hospital in Seoul with respiratory symptoms, including fever, between September 2009 and January 2010. A real-time PCR test was used to definitively diagnose 2009 H1N1 influenza A infection. Medical records of confirmed cases were reviewed for sex, age, and the time of infection. The decision to perform rapid antigen testing was not influenced by clinical conditions, but by individual factors such as economic conditions. Its sensitivity and specificity were evaluated compared to real-time PCR test results. Results: In total, 934 patients tested positive for H1N1 by real-time PCR. The highest number of patients (48.9%) was diagnosed in November. Most patients (48.2%) were aged between 6 and 10 years. Compared with the H1N1 real-time PCR test results, the rapid antigen test showed 22% sensitivity and 83% specificity. Seventy-eight patients were hospitalized for H1N1 influenza A virus infection, and fever was the most common symptom (97.4%). Conclusion: For diagnosis of 2009 H1N1 influenza A virus infection, the rapid antigen test was inferior to the real-time PCR test in both sensitivity and specificity. This outcome suggests that the rapid antigen test is inappropriate for screening.

Acute-onset respiratory signs in a Labrador Retriever with a positive SARS-CoV-2 rapid antigen test and infection confirmed by RT-PCR analysis: a case report

  • Mark, Gosling;Jessica, Bacon
    • Journal of Veterinary Science
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    • 제23권6호
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    • pp.80.1-80.6
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    • 2022
  • A 10-year-old male neutered Labrador Retriever presented with a history of acute-onset tachypnoea, lethargy and anorexia. The dog was pyrexic, tachypnoeic and dyspnoeic on examination. A rapid antigen test for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was performed on an oropharyngeal swab and yielded a positive result. SARS-CoV-2 infection was subsequently confirmed by reverse transcription polymerase chain reaction (RT-PCR) analysis. Both of the dog's owners had positive rapid antigen test and RT-PCR analysis results for SARS-CoV-2. Additional diagnostics included computed tomography. Resolution of the dog's clinical signs was achieved with symptomatic treatment.

전립선특이항원검사 Kit에 의한 정액의 신속 검출법 (Forensic Evaluation of Prostate-Specific-Antigen (PSA) Rapid Test Kit for Identification of Human Semen)

  • 임채원;이종훈;김형락
    • 대한임상검사과학회지
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    • 제41권2호
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    • pp.76-82
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    • 2009
  • It would be one of the most important tests that determination of semen in crime scene as a matter of significant evidences. Recently, it has been developed for the identification of semen in forensic specimens which was used simply, easily and reproductively. In this study, Prostate-Specific-Antigen (PSA) Rapid Test kit was evaluated for the forensic identification of semen and compared with one step semen inspection forensic rapid test kit. The sensitivity and specificity of the rapid PSA kit were examined in addition to the stability of PSA. The positive band of rapid PSA kit shown even with 1,000,000-fold diluted semen, which was at least 100 timed higher than qualitative one step semen inspection forensic rapid test kit. PSA was detected in urine from normal male adult, however, it was not detected in urine from young boys and female body fluids. It was shown that PSA was very stable to resist boiling for 20 minutes and the effect of bacteria. In crime scene investigation, rapid PSA kit is expected to help to identify semen easily in the evidences.

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Respiratory syncytial virus 감염진단을 위한 신속항원검사의 유용성 (Clinical usefulness of rapid antigen test to detect respiratory syncytial virus infection)

  • 김형수;김희라;박기형;조경순
    • Clinical and Experimental Pediatrics
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    • 제51권10호
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    • pp.1071-1076
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    • 2008
  • 목적: RSV 호흡기 바이러스 감염은 해마다 영유아에서 심한 호흡기 질환의 중요한 원인이 되고 있다. 이에 따라 최근 검사 방법이 간편하고 결과를 빨리 알 수 있는 면역 크로마토그래피법이 신속 항원 검사법으로서 소개되어 그 정확성과 임상에서의 유용성이 많이 연구되고 있으나 국내에서는 연구례가 드문 실정이다. 이에 저자들은 이 검사법의 정확성과 유용성을 평가하여 실질적인 검사법으로 정착시키고자 하였다. 방법: 2007년 4월부터 2008년 3월까지 발열, 기침, 천명, 호흡곤란, 빈호흡 등의 증상으로 외래 내원 및 입원치료를 받은 112명의 환아를 대상으로 비인두 가검물을 채취하여 RSV Respi-Strip과 효소 면역 측정법, RT-PCR(ASTEC)을 동시에 시행하였다. RT-PCR을 표준으로 하여 RespiStrip 과 EIA의 결과를 비교 분석하여 정확성과 유용성을 평가하였다. 결 과: RSV RespiStrip, RT-PCR, EIA에 양성을 보인 환아는 각각 42명, 45명, 39명 이었다. RespiStrip는 RT-PCR 검사법에 대하여 민감도 88%, 특이도 94%, 양성 예측도 90%, 음성 예측도는 92% 였으며 위양성률과 위음성률 그리고 일치도가 각각 5.9%, 11%, 83% 로 나왔다. EIA는 RT-PCR 검사법에 대하여 민감도 84%, 특이도 94%, 양성 예측도 90%, 음성 예측도 90%, 일치도 79% 로 나왔다. 결론: 신속 항원 검사가 비교적 민감도가 높으므로 RSV 감염의 선별 검사로서 적합하다고 생각한다. 외래 진료실에서 빠르고 경제적이며 간편하게 검사하여 조기에 적절한 치료를 함으로써 합병증을 예방할 수 있고 아울러 불필요한 항생제의 사용을 줄일 수 있다. 앞으로 이러한 신속검사가 실제 임상에서 많이 적용되리라 기대된다.

인플루엔자 바이러스에 대한 신속 항원 검출 검사 검출한계의 융합적 분석 (Fusion Analytical Sensitivity of Rapid Influenza Antigen Limit of Detection Tests for Human Influenza virus)

  • 송창섭;성현호;김정현;김대은;박창은;윤중수
    • 한국융합학회논문지
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    • 제9권3호
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    • pp.165-171
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    • 2018
  • 본 논문은 국내 인플루엔자 신속항원검사키트의 민감도의 검출한계를 분석하기위하여 국내 시판중인 인플루엔자 신속항원검사키트 5종을 대상으로 인플루엔자 바이러스 A형과 B형 배양액을 연속 희석하여 양성 검출 한계를 분석하였다. 분석 결과 A형의 육안측정결과는 웰스바이오 제품은 1:8192까지, II제품은 1:4096까지, I과 III제품은 1:512까지, IV제품은 1:128에서만 양성이 확인되었고, B형 육안측정결과는 웰스바이오 제품이 1:8192까지, II제품은 1:4096까지, I, III, IV제품의 경우 1:1024까지 양성이 확인되었다. 같은 검체의 기기 판독의 경우 A형, B형 모두 웰스바이오 제품이 1:8192까지, II제품이 1:4096까지, I제품은 1:2048까지 양성으로 확인되었다. 인플루엔자 신속항원검사의 민감도는 환자의 검체 채취부위 및 감염기간, 검체의 양 등에 따라 많은 차이가 있으므로, 검체의 채취시기 및 방법 등을 정확하게 준수해야할 것이며, 신속항원검사 키트의 민감도를 높이기 위한 다각적인 연구가 필요할 것으로 사료된다.

Evaluation of Urinary Antigen Test for Rapid Diagnosis of $Streptococcus$ $pneumoniae$ in Community-Acquired Pneumonia Patients

  • Yu, Mi-Young;Kim, In-Sik;Kang, Sang-Sun;Cha, Beong-Hun;Hyun, Sung-Hee
    • 대한의생명과학회지
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    • 제17권4호
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    • pp.355-361
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    • 2011
  • We evaluated the performance of the NOW $Streptococcus$ $pneumoniae$ urinary antigen test, standard culture and polymerase chain reaction for detecting $S.$ $pneumoniae$. The urinary antigen test of pneumonia patients represented sensitivity at 72% and specificity at 79%. The results of PCR were targeting for autolysin ($lyt$A), pneumolysin ($ply$), and spn9828. The $lyt$A sensitivity and specificity stood at 56% and 87% respectively while $ply$ sensitivity reported 83% and specificity was 47%, sensitivity and specificity of spn9828 stood at 83% and 73% respectively. The results of urinary antigen test and three genes were all statistically meaningful within $P$ <0.05. When the urinary antigen test of $S.$ $pneumoniae$ was positive, the three kinds of genes were also likely to be positive. According to the result of urinary antigen test, the results of PCR presented a meaningful difference ($P$ <0.05). Especially, the urinary antigen test of $S.$ $pneumoniae$ was likely to be positive ($P$ <0.05) when more than two genes were positive in PCR results.

Bordetella 감염증(感染症)의 혈청학적진단(血淸學的診斷): 특히 보균돈검색(保菌豚檢索)을 위한 급속평판응집반응(急速平板凝集反應)의 실용화(實用化) (Serological Diagnosis of Bordetellosis: Application of Rapid Plate Agglutination Technique for the Detection of Carrier in Swine)

  • 강병규
    • 대한수의학회지
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    • 제18권2호
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    • pp.61-67
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    • 1978
  • The detection of Bordetella bronchiseptica which is supposed to be an agent of the infectious atrophic rhinitis of swine, is likely to receive more attention in the future as the pork industry comes to realize that eradication of this infection from breeding herds is a practical possibility. Experiments described here were carried out to establish the rapid plate agglutination test for the detection of the infectious atrophic rhinitis of swine in the field using the criteria of antigen preparation, effects on the antigenecity after storing of the antigen and reaction appearing time. Also, the agglutinabilities between the plate and tube method were compared and the degree of pathological lesions were recorded in relation to tube agglutination titers. Obtained results were as follows: 1. No differences were noted in the agglutinabilities on the plate agglutination test between the treatments in antigen preparation-formolized, merthiolate-killed and living organism. 2. The agglutinability of the antigens did not show any significant changes until 10 weeks of storage at 4 C; however, after 10 weeks of storage, non-specific reaction was observed with the HPCD control sera. 3. The results of the plate and tube agglutination tests were not comparable but the effective use of the plate method in Bordetella bronchiseptica eradication programs in pigs especially in the sow is stressed as a screening test.

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Isolation, Identification and Production of Salmonella Pullorum Coloured Antigen in Bangladesh for the Rapid Whole Blood Test

  • Hoque, M.M.;Biswas, H.R.;Rahman, L.
    • Asian-Australasian Journal of Animal Sciences
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    • 제10권1호
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    • pp.141-146
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    • 1997
  • Postmortem examination was conducted on 350 (three hundred and fifty) chickens. Related samples (Liver, heart, ovary, spleen, bone-marrow, and caecal junction) were collected. The appropriate materials from the samples were cultured into different media. A total 40(forty) isolates of salmonella pullorum and S. gallinarum were identified and preserved. Characterization of the isolates were done by cultural, morphological, biochemical, and serological tests. Salmonella pullorum antigen was prepared from the local isolate, standardized and tested. This antigen was used in the field for the detection of pullorum or fowl typhoid infection or carrier birds. The antigen consisted of suspension of Salmonella pullorum in 0.50 percent sodium chloride plus 1.5 percent sodium sulfate and inactivated with 1% formalin U.S.P. and standardized with McFarland scale iv or by pour plate method containing 800 million organisms per milliliter and stained by the addition of alcoholic crystal violet. Sterility, safety and potency were tested and found as good as other international antigens. The antigen was found to retain its quality for six months when preserved at room temperatures. The test was made by mixing one drop of the antigen with a drop of blood or a drop of serum, on a glass plate or white tile. The locally produced antigen was as good as antigens from Japan, Hungary, Holland and India. A serological study was conducted with the locally prepared antigen in different farms, and the incidence was 0-4% in government farms, 5-10% in commercial imported breeds and 0-3% in cross breed local farms respectively.

Evaluation of the Atlas Helicobacter pylori Stool Antigen Test for Diagnosis of Infection in Adult Patients

  • Osman, Hussein Ali;Hasan, Habsah;Suppian, Rapeah;Bahar, Norhaniza;Che Hussin, Nurzam Suhaila;Rahim, Amry Abdul;Hassan, Syed;Andee, Dzulkarnaen Zakaria;Zilfalil, Bin-Alwi
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권13호
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    • pp.5245-5247
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    • 2014
  • Background: Helicobacter pylori (H.pylori) is one of the most important causes of dyspepsia and gastric cancer and diagnosis can be made by invasive or non-invasive methods. The Atlas Helicobacter pylori antigen test is a new rapid non-invasive method which is simple to conduct. The aim of this study was to determine its sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy. Materials and Methods: This prospective study was conducted between July 2012 and December 2013. Stool samples of 59 dyspeptic patients who underwent upper endoscopy were evaluated for H. pylori stool antigen. Results: From the 59 patients who participated in this study, there were 36 (61%) males and 23 (39%) females. H. pylori was diagnosed in 24 (40.7%) gastric biopsies, 22 (91.7 %) of these being positive for the Atlas H. pylori antigen test. The sensitivity, specificity, PPV, NPV and accuracy were 91.7%, 100%, 100%, 94.6% and 96.6% respectively. Conclusions: The Atlas H. pylori antigen test is a new non-invasive method which is simple to perform and avails reliable results in a few minutes. Thus it can be the best option for the diagnosis of H. pylori infection due to its high sensitivity and specificity.