查詢結果分析
相關文獻
- 分枝桿菌以抗酸性染色鏡檢之檢出率
- 肺結核分枝桿菌篩檢知多少?
- Antibiotic Susceptibility Analysis of Mycobacterial Infections in Central Taiwan
- Co-Infection of Pulmonary Mycobacterium chelonae and Spinal Mycobacterium tuberculosis: A Case Report
- 結核分枝桿菌特異性分泌蛋白抗原快速檢測方法之評估
- 中部某區域醫院以TB培養方式分析結核分枝桿菌陽性率及抗藥性
- 非結核性分枝桿菌的分離和臨床重要性:臺灣省慢性病防治局之經驗,1996-1997
- 養陰克敏方對兒童氣喘療效之研究
- Giant Somatosensory Evoked Potentials in Rats with Urea-Induced Stimulus-Sensitive Myoclonus
- 鎳基52與82銲材之熱龜裂敏感性研究
頁籤選單縮合
題名 | 分枝桿菌以抗酸性染色鏡檢之檢出率=The Detection Rate for Acid-Fast Staining of Mycobacteria |
---|---|
作者 | 魏秋芳; 郭金龍; 黃小娟; 廖甄齡; 李黛苹; 顏慕庸; | 書刊名 | 北市醫學雜誌 |
卷期 | 9:3 2012.09[民101.09] |
頁次 | 頁197-204 |
分類號 | 414.83 |
關鍵詞 | 分枝桿菌; 抗酸性染色; 敏感性; 專一性; Mycobacterium; Acid-fast staining; Sensitivity; Specificity; |
語文 | 中文(Chinese) |
中文摘要 | 評估本院分枝桿菌(Mycobacteria)檢驗中的抹片抗酸性染色鏡檢現況。方法:以回溯性方法蒐集本院2010年全年抹片抗酸性染色鏡檢結果、分枝桿菌培養結果及院外實驗室抹片染色鏡檢結果等資料與衛生署疾病管制局提供台灣九家TB實驗室之抹片染色與培養的結果,本院對抹片染色鏡檢能力的分析均以培養結果作為判讀標準。結果:有33871件檢體同時執行抹片染色及培養,其中抗酸性染色1841件陽性,陽性率5.44%;培養1949件陽性,陽性率5.75%;污染有955件,污染率2.82%。抗酸性染色敏感性63.06%,專一性98.03%;抗酸性染色陽性的檢體中培養為陰性之比率為33.08%;培養陽性的檢體中染色鏡檢亦為陽性之比率為63.06%,抹片偽陰性2.24%。369件抹片與院外實驗室比對的結果,本實驗室染色鏡檢234件陽性,敏感性達63.41%;院外實驗室染色鏡檢181件陽性,敏感性為49.05%。2011年上半年本院的抹片偽陰性為3.1%,抹片敏感性為68.04%。本院的抹片偽陰性低於其他實驗室的平均外,其敏感性也高於其他實驗室的平均。結論:為了早期治療與預防結核菌的傳播,結核病的快速診斷是必須的。考慮時效、設備、人員訓練及成本,抹片抗酸性染色鏡檢仍是目前結核病檢驗的首選,綜觀培養與實驗室間比對結果,本實驗室的抹片染色能力是值得信賴的。 |
英文摘要 | Our goal was to evaluate the performance of acid-fast staining and microscopic examination for the identification of Mycobacterium at a regional teaching hospital. Methods: We used a retrospective method to collect the data on acid-fast staining and compared these with mycobacterial culture results from the same hospital, with the latter being used as the standard. In addition, samples were also screened by nine other hospital laboratories and the Centers for Disease Control, R. O. C. (Taiwan) in 2010; these results were compared to the in-hospital results, Results: A total of 33871 samples were analyzed by acid-fast staining of smears and by culture at the same time. The results revealed that 1841 samples were found to be positive by acid-fast staining method (positive rate: 5.44%), and 1949 samples found to be positive by culture (positive rate: 5.75%). There were 955 contaminated samples (contamination rate: 2.82%). The sensitivity and specificity of acid-fast staining method was 63.06% and 98.03% respectively. Moreover, when the samples that had been confirmed as positive by acid-fast staining method were cultured, it was found that the negative rate was 33.08%. On the other hand, the samples that were positive by culture, when tested by the acid-fast staining method gave a positive rate was 63.06%. The false negative rate was 2.24% by smear staining. In total, 369 samples were screened by the staining method in the hospital as well as at outside hospital laboratories. It was found that 234 and 181 of these are positive in-hospital and outside-hospital, respectively and the sensitivity rates were 63.41% and 49.05%, respectively. From January to July, 2011, the false negative rate and sensitivity of the acid-fast staining method were 3.1% and 68.04%, respectively. The false negative rate was lower and the sensitivity was higher than the average obtained by testing at other laboratories. Conclusion: For early treatment and prevention of the spread of tuberculosis, there is a need for a rapid diagnosis. In terms of efficiency, equipment required, personal training and cost, the acid-fast staining method is still the first choice when detecting Mycobacterium tuberculosis. Furthermore, overall, the acid-fast staining method for mycobacterial diagnosis in our hospital laboratory is reliable. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。