1-3-β-D葡聚糖检测的影响因素及其在真菌感染中的诊断价值探讨
The Discussion of Influencing Factors and Diagnosis Values of 1,3-β-D-Glucan Detection Clinical Significance in the Diagnosis of Fungal Infection

作者: 樊 新 , 陈 潇 , 孙怡群 , 徐修礼 :第四军医大学西京医院全军临床检验医学研究所,西安; 杨 聚 :第三军医大学学员旅二营,重庆;

关键词: 1-3-β-D葡聚糖真菌感染检测影响因素(13)-β-D-Glucan Fungi Infection Detection Influence Factors

摘要:
目的:探讨1-3-β-D葡聚糖检测(G实验)在诊断真菌感染性疾病上的临床意义及影响因素。方法:应用MB-80微生物动态快速检测系统及GKT150动态真菌检测试剂盒定量检测血浆中1-3-β-D葡聚糖的含量。结果:总1066例标本,阳性395例,占37.05%,阴性671例,占62.95%。结论:G实验是一种实用的真菌感染早期诊断方法,对临床上难以诊断的疾病也能起到一个良好的筛查作用,同时也能对真菌感染的患者的治疗效果起到一个动态观察的作用。造成G实验假阳性的主要原因可能为:标本溶血或乳糜血,医疗纱布或某些医疗物品中含有葡聚糖成分(如白蛋白、凝血因子、免疫球蛋白等),某些细菌败血病患者(尤其是链球菌败血症),含酶抑制剂的抗菌药物等。

Abstract: Objective: To discuss (1,3)-β-D-glucan detection (G experimental) clinical significance in the diag- nosis of fungal infections and its influence factors. Methods: Rapid microbial detection system and GKT150 fungal detection kit were used to test the plasma levels of (1,3)-β-D-glucan. Results: A total of 1066 cases were collected, of which 395 cases were positive(37.05%), and 671 cases were negetive (62. 95%). Conclusion: G experiment is a kind of method in the early diagnosis of fungal infection, and also can have a good screening effect for disease which is difficult to diagnose. G experiment could be used for early diagnose of the invasive fungal infection. Reasons for the false positive test minght include: Hemolysis or chylemia, medical gauze or some medical items contianing glucan ingredient, some patients with bacterial sepsis and inhibitors with antibacterial drugs. 

文章引用: 樊 新 , 杨 聚 , 陈 潇 , 孙怡群 , 徐修礼 (2014) 1-3-β-D葡聚糖检测的影响因素及其在真菌感染中的诊断价值探讨。 医学诊断, 4, 25-30. doi: 10.12677/MD.2014.43005

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