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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1987-7-17
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pubmed:abstractText |
Two antigen detection systems (MicroTrak [MT], Syva Co., Palo Alto, Calif.; and Chlamydiazyme [CZ], Abbott Laboratories, North Chicago, Ill.) were compared with semiquantitative culture for diagnosis of chlamydial infection in 1,059 patients. Cultures were done on microtiter plates and blind passaged once. Culture-negative but CZ- or MT-positive specimens were recultured. True positives were positive by either initial or repeat cultures. Of 827 nonpregnant and 231 pregnant patients, 9.1 and 12.1%, respectively, had positive cultures. Overall sensitivity of the initial culture was 48.5% without passage and 86.4% with passage. The sensitivity of CZ was 67%. The sensitivity of MT in our laboratory was 50%; however, further review of these specimens by Syva employees gave a combined sensitivity of 71.6%. MT and CZ were more sensitive for pregnant patients (MT, 84.6%; CZ, 85.7%) than for nonpregnant patients (MT, 65.5%; CZ, 60.0%). All the tests had specificities above 95%. Of the specimens that were positive after initial culture without subculture, MT-negative specimens had a mean of 3.7 inclusions in culture, and MT-positive specimens had a mean of 24.8 (P = 0.002); CZ-negative specimens had a mean of 4.3 inclusions, and CZ-positive specimens had a mean of 20.0 (P = 0.026). In addition, cultures of specimens from pregnant patients had more inclusions than did those from gynecology patients, but this was not statistically significant (P = 0.096). No method is ideal; however, MT and CZ were less sensitive than was this culture system for detecting chlamydial infection in patients in gynecology clinics and were of comparable sensitivity for pregnant patients.
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pubmed:grant | |
pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3089086,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3517035,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3517052,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3519787,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3536994,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3711304,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3888022,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-3911605,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-6091511,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-6357824,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-6386864,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-6622887,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3294888-7019235
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0095-1137
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
868-72
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:3294888-Adult,
pubmed-meshheading:3294888-Antigens, Bacterial,
pubmed-meshheading:3294888-Cervix Uteri,
pubmed-meshheading:3294888-Chlamydia,
pubmed-meshheading:3294888-Chlamydia Infections,
pubmed-meshheading:3294888-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:3294888-Female,
pubmed-meshheading:3294888-Fluorescent Antibody Technique,
pubmed-meshheading:3294888-Humans,
pubmed-meshheading:3294888-Predictive Value of Tests,
pubmed-meshheading:3294888-Pregnancy,
pubmed-meshheading:3294888-Pregnancy Complications, Infectious,
pubmed-meshheading:3294888-Random Allocation
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pubmed:year |
1987
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pubmed:articleTitle |
Diagnosis of chlamydial infection in women attending antenatal and gynecologic clinics.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Controlled Clinical Trial
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