CLINICAL-EVALUATION OF ORAL FLUID SAMPLES FOR DIAGNOSIS OF VIRAL-HEPATITIS

被引:66
作者
THIEME, T [1 ]
YOSHIHARA, P [1 ]
PIACENTINI, S [1 ]
BELLER, M [1 ]
机构
[1] WASHINGTON CTY DEPT HLTH & HUMAN SERV,HILLSBORO,OR 97124
关键词
D O I
10.1128/JCM.30.5.1076-1079.1992
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Oral fluid samples were compared with serum samples as a specimen source for hepatitis A, B, and C virus markers. Oral fluid was obtained with a treated absorbent pad and tested by using existing commercial enzyme immunoassays with only minor modifications. Compared with serum sampling the sensitivity and specificity of oral sampling were 100% (51 of 51 samples) and 98% (46 of 47 samples) for hepatitis A virus immunoglobulin M, 100% (29 of 29 samples) and 100% (29 of 29 samples) for hepatitis B virus surface antigen, and 100% (13 of 13 samples) and 100% (13 of 13 samples) for hepatitis C virus antibody, respectively. The decline of hepatitis A virus immunoglobulin M in oral samples was parallel to, though somewhat more rapid than, that of hepatitis A virus immunoglobulin M in serum samples. It is proposed that oral sampling represents a safer and more convenient procedure for reliable hepatitis virus testing than blood sampling and that it has wide application in patient and outbreak management.
引用
收藏
页码:1076 / 1079
页数:4
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