qRT-PCR、G 试验及 GM 试验在 侵袭性真菌感染诊断中的价值
CSTR:
作者:
作者单位:

作者简介:

刘松,女,主管技师,主要从事临床检验工作。

通讯作者:

中图分类号:

R 725

基金项目:


Value of qRT-PCR, G Test Combined with GM Test in the Diagnosis of Invasive Fungal Infection
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘 要目的:研究实时荧光定量聚合酶链式反应(qRT–PCR)、(1,3)–β–D– 葡聚糖试验(G 试验)和半乳甘露聚 糖抗原试验(GM 试验)在侵袭性真菌感染诊断中的价值。 方法:选择 2020 年 1 月至 2022 年 6 月在郑州市第一人民医院 就医的 147 例可疑侵袭性真菌感染患者为研究对象,采用真菌培养法鉴定感染组真菌类型。分别采用 qRT–PCR、G 试验 及 GM 试验检测可疑侵袭性真菌感染患者样本,以真菌培养结果为标准,分析 qRT–PCR、G 试验及 GM 试验在侵袭性真 菌感染诊断中的价值。 结果:147 例可疑侵袭性真菌感染患者中,86 例检测到侵袭性真菌(阳性率 58.5 %),包括白色念 珠菌 21 例(24.4 %)、曲霉菌 18 例(20.9 %)、热带念珠菌 15 例(17.4 %)、隐球菌 12 例(13.9 %)、马拉色菌 10 例 (11.6 %)、酵母菌 10 例(11.6 %)。147 例可疑侵袭性真菌感染患者中 qRT–PCR 检测阳性 74 例,阳性率 50.3 %;G 试验 检测阳性 63 例,阳性率 42.9 %;GM 试验检测阳性 55 例,阳性率 37.4 %。qRT–PCR 诊断侵袭性真菌感染灵敏度高于 G 试验及 GM 试验,差异具有统计学意义(P < 0.05);G 实验诊断侵袭性真菌感染特异度高于 qRT–PCR 及 GM 试验,但 差异无统计学意义(P > 0.05)。 结论:qRT–PCR 对侵袭性真菌感染的检出阳性率高于 G 试验及 GM 试验。qRT–PCR 诊 断侵袭性真菌感染灵敏度高于 G 试验及 GM 试验,G 实验诊断侵袭性真菌感染特异度高于 qRT–PCR 及 GM 试验。

    Abstract:

    AbstractObjective To investigate the value of real-time quantitative polymerase chain reaction (qRT-PCR), (1,3)-β-Dglucan test (G test), and galactomannan antigen test (GM test) in the diagnosis of invasive fungal infection. Methods A total of 147 patients with suspected invasive fungal infection who were treated in the First People's Hospital of Zhengzhou from January 2020 to June 2022 were selected as the research subjects, and the fungal culture method was used to identify the fungal type in the infection group. The samples of patients with suspected invasive fungal infection were detected by qRT-PCR, G test and GM test, respectively, and the value of qRT-PCR, G test and GM test in the diagnosis of invasive fungal infection were analyzed with fungal culture results as the standard. Results Among 147 patients with suspected invasive fungal infection, invasive fungi were detected in 86 cases (positive rate 58.5 %), including 21 cases of Candida albicans (24.4 %), 18 cases of Aspergillus (20.9 %), and 15 cases of Candida tropicalis (17.4 %), 12 cases of cryptococcus (13.9 %), 10 cases of Malassezia (11.6 %), and 10 cases of yeast (11.6 %). Among the 147 patients with suspected invasive fungal infection, 74 cases were positive by qRT-PCR, with a positive rate of 50.3 %; 63 cases were positive by G test, with a positive rate of 42.9 %; 55 cases were positive by GM test, with a positive rate of 37.4 %. The sensitivity of qRT-PCR in diagnosing invasive fungal infection was higher than that of G test and GM test, and the difference was statistically significant (P < 0.05). The specificity of G test for diagnosing invasive fungal infection was higher than that of qRT-PCR and GM test, but the difference was not statistically significant (P > 0.05). Conclusion The positive rate of qRT-PCR for invasive fungal infection was higher than that of G test and GM test. The sensitivity of qRT-PCR in diagnosing invasive fungal infection was higher than that of G test and GM test, and the specificity of G test in diagnosing invasive fungal infection was higher than that of qRT-PCR and GM test.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2023-04-02
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-08-28
  • 出版日期:
文章二维码
特别声明

近期有不法分子冒充我刊名义给作者打电话或发邮件,编造各种理由要求添加微信或QQ、伪造复制我刊编辑部公章发放假冒录用通知书等等各种方式试图骗取作者钱财。为强化编辑部工作规范,加强单位公章管理,维护作者的正当权益和财产利益, 我刊在此郑重声明:(1)编辑部与作者沟通方式为电话和邮件,在本刊唯一官方网站(http:/szzxyjhzz.szrch.com)“联系我们”下拉菜单,或者网站最下端信息栏可以查询),绝对不会要求作者添加微信或QQ。 (2)自2025年2月1日起,注销废除“深圳中西医结合杂志编辑部”电子公章;我刊稿件录用通知调整为加盖编辑部实体公章的纸质文件或其扫描件,录用稿件仅收取合理版面制作费和审稿费,收款单位为“深圳市第二人民医院”对公账户,其他加盖电子公章或涉及私人账户者均为伪造假冒。望广大作者提高警惕,谨防上当受骗。 《深圳中西医结合杂志》编辑部

关闭