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李建华, 韩德琳, 王先明. 霍乱弧菌三种试验的诊断效果比较[J]. 中国公共卫生, 1998, 14(12): 721-723.
引用本文: 李建华, 韩德琳, 王先明. 霍乱弧菌三种试验的诊断效果比较[J]. 中国公共卫生, 1998, 14(12): 721-723.
Li Jianhua, . Comparison of Diagnostic Effects of Three Assays for Detection of Vibrio Cholera[J]. Chinese Journal of Public Health, 1998, 14(12): 721-723.
Citation: Li Jianhua, . Comparison of Diagnostic Effects of Three Assays for Detection of Vibrio Cholera[J]. Chinese Journal of Public Health, 1998, 14(12): 721-723.

霍乱弧菌三种试验的诊断效果比较

Comparison of Diagnostic Effects of Three Assays for Detection of Vibrio Cholera

  • 摘要: 应用纯培养菌制备标本,以生理盐水为空白对照,共检测117例,并试验了实际标本的处理方法。从PCR法?菌培养?凝集试验入选判别模型的顺序?真实性评价及ROC曲线面积大小比较3个诊断试验的判别能力的大小。结果表明,3个诊断试验均入选判别模型,它们对诊断霍乱的判别能力均显著,3个指标的入选顺序为:PCR试验→菌培养→凝集试验,第一个入选的指标是X1(PCR),其对判别函数的贡献最大,判别能力也最大,其次是菌培养,最后是凝集试验;以判别函数为标准,PCR试验的灵敏度及特异度均可达到100%,细菌培养灵敏度为100%,特异度为96.55%,假阳性率为3.45%;凝集试验灵敏度为64.77%,特异度为96.55%,假阳性率为3.45%,假阴性率为35.23%,3种试验的真实性评价表明PCR试验的真实性高于其他两个试验;3种试验的ROC曲线面积由大到小顺序是:PCR试验(0.9617)>菌培养(0.9596)>凝集试验(0.6334),故诊断霍乱的判别能力由大到小的顺序是:PCR试验>菌培养>凝集试验。PCR试验的判别能力大于菌培养?凝集试验

     

    Abstract: In this study, the simulated samples used were compounded with pure culture bacteria and NaCl water. Sterilized 0. 85% NaCl water served as the blank control, selecting water vibrio and colon bacillus served as pathogen negative control. This study compared the distinguishing power of three assays from the order for them to enter thediscriminant model, the validity evaluation, and ROC curv e area of them. The results obtained indicated thorder of three assays to enter the discriminant model was: PCRtest→bacterial culture→agglutinate test. Taking thediscriminant classification as the reference test, the sensitivity of PCRtest reached 100% and the specificity 100%, the sensitivity of bacterial culture reached 100%, the specificity 96.5% and the false-positive rate 3. 45%, and the sensitivity of agglutinate test reached 64.77%, the specificity 96. 55%, the false-positive rate 3. 45% and the false-negative rate 35. 23% . The order of ROC curve area from large to small was* PCRtest(0. 9617)> bacterial culture(0 9596)> agglutinate test(0. 6334). So, the order of the distinguishing power of three assays from large to small was: PCR test> bacterial culture> agglutinate test, the diagnostic accuracy of PCRtest was higher than the other two assays.

     

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