دورية أكاديمية

[Effectiveness of rapid antigen test with throat gargle in detecting group A beta-hemolytic streptococci].

التفاصيل البيبلوغرافية
العنوان: [Effectiveness of rapid antigen test with throat gargle in detecting group A beta-hemolytic streptococci].
عنوان ترانسليتريتد: Boğaz gargarasi ile yapilan hizli antijen testinin grup A beta-hemolitik streptokoklari saptamadaki etkinliği.
المؤلفون: Yilmaz F; Department of Otolaryngology, Izzet Baysal Medicine Faculty of Abant Izzet Baysal University, Bolu, Turkey. yilmazfahrettin@yahoo.com, Karabay O, Ince NK, Ekerbiçer H, Koçoğlu E
المصدر: Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat [Kulak Burun Bogaz Ihtis Derg] 2008 Sep-Oct; Vol. 18 (5), pp. 280-3.
نوع المنشور: English Abstract; Journal Article
اللغة: Turkish
بيانات الدورية: Publisher: İ.Ü. Tıp Fakültesi K.B.B. Anabilim Dal Country of Publication: Turkey NLM ID: 100899230 Publication Model: Print Cited Medium: Print ISSN: 1300-7475 (Print) Linking ISSN: 13007475 NLM ISO Abbreviation: Kulak Burun Bogaz Ihtis Derg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: İstanbul : İ.Ü. Tıp Fakültesi K.B.B. Anabilim Dalı,
مواضيع طبية MeSH: Antigens, Bacterial/*analysis , Pharynx/*microbiology , Streptococcal Infections/*diagnosis , Streptococcus pyogenes/*isolation & purification , Tonsillitis/*diagnosis, Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Palatine Tonsil/microbiology ; Sensitivity and Specificity ; Streptococcal Infections/microbiology ; Streptococcus pyogenes/immunology ; Tonsillitis/microbiology ; Young Adult
مستخلص: Objectives: The most important disadvantage of rapid antigen tests (RAT) is low sensitivity for the diagnosis of group A beta-hemolytic streptococci (BHS). We determined the sensitivity, specificity, positive and negative predictive values of RAT in gargling samples.
Patients and Methods: The study included 106 patients (53 females, 53 males, mean age 22+/-12 years; range 16-65 years) with an initial diagnosis of tonsillopharyngitis. Swab samples were taken from the posterior pharyngeal wall and tonsil surface with a sterile cotton swab. Then, gargle samples were obtained by gargling for 10 seconds with sterile 0.9% NaCl to be examined by the RAT for group A BHS. Throat cultures were processed using standard microbiologic techniques.
Results: Throat cultures were positive in 12 patients (11.3%) and negative in 94 patients (88.6%). Rapid antigen test yielded five positive (4.7%) and 101 negative (95.2%) results. The sensitivity and specificity rates of RAT with throat gargling were 41.7% and 100%, with positive and negative predictive values of 100% and 93.1%, respectively.
Conclusion: Despite satisfactory specificity, positive and negative predictive rates of RAT with throat gargling, its low sensitivity limits its use for the diagnosis of group A BHS.
المشرفين على المادة: 0 (Antigens, Bacterial)
تواريخ الأحداث: Date Created: 20090122 Date Completed: 20100803 Latest Revision: 20090121
رمز التحديث: 20221213
PMID: 19155672
قاعدة البيانات: MEDLINE