scholarly journals RhD-induced immunogenetic disparity between mother and fetus: medical and economic effect of using molecular genetic technology

2020 ◽  
Author(s):  
A. G. Konopliannikov ◽  
A. N. Toropovskii ◽  
D. A. Viktorov ◽  
Yu. V. Myakisheva ◽  
R. F. Burganova ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Pregnant Women ◽  
Economic Efficiency ◽  
Predictive Value ◽  
False Negative ◽  
Test System ◽  
Negative Results ◽  
Diagnostic Characteristics ◽  
D Antigen ◽  
The Cost

Introduction. The article discusses the problem of timely diagnosis and prevention of Rh-immunity of pregnant women and hemolytic disease of the fetus, which remains relevant today, despite the existence of proven methods of diagnosis, treatment and prevention.Aim: to assess the medico-economic efficiency of non-invasive prenatal diagnostics of the Rh factor (rhesus D antigen, RhD) of the fetus in the mother's blood – RhD-genotyping of the fetus.Materials and Methods. In a retrospective observational study, the results were analyzed of determining the Rh-factor of the fetus in the blood of 4109 Rh-negative pregnant women observed in 41 medical organizations of the Ulyanovsk region in the period 2018–2020. At a gestational age of ≥ 10 weeks, the RhD state of the fetus was determined by polymerase chain reaction. To assess the medical effectiveness of the test, the sensitivity, specificity, predictive value of positive and negative results, and diagnostic accuracy were determined. The data collected during the study were compared with the information obtained after childbirth. To assess the economic efficiency, the difference between the cost of immunization and the cost of determining the D antigen of the Rhesus system (Rh factor) of the fetus was determined.Results. A positive Rh-factor of the fetus was detected in 67.26 % of cases (n = 2793), negative – in 32.74 % (n = 1316). Diagnostic accuracy of the test system "Test-RhD" was 99.40 %, the sensitivity – 99.84 %, the specificity – 97.51 %, the prognostic value of a positive result – 99.43 %, the predictive value of a negative result – 99.28 % with low rates of false positive and false negative results. It has been shown that this study avoids unnecessary immunization costs for all Rh-negative pregnant women.Conclusion. Analysis of the diagnostic characteristics and cost-effectiveness of the RhD test indicate the high medical significance of the method and make it possible to recommend its wider use.

scholarly journals Diagnostic accuracy of multiplex polymerase chain reaction on tissue biopsies in periprosthetic joint infections

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Igor Lazic ◽  
Susanne Feihl ◽  
Peter M. Prodinger ◽  
Ingo J. Banke ◽  
Andrej Trampuz ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Multiplex Pcr ◽  
Predictive Value ◽  
Joint Infection ◽  
False Negative ◽  
Revision Arthroplasty ◽  
Pathogen Identification ◽  
Negative Results ◽  
Joint Infections ◽  
Pcr Assays

AbstractThe diagnosis and treatment of periprosthetic joint infection (PJI) currently relies on cultures, which are time-consuming and often fail. Multiplex PCR assays promise reliable and prompt results, but have been heterogeneously evaluated. In this study, we analyse multiplex PCR in pathogen identification using only tissue biopsies. 42 patients after revision arthroplasty of the hip or knee were evaluated using multiplex PCR to identify microorganisms. The patients were classified according to the diagnostic criteria published by Zimmerli et al. and the results were compared to the respective microbiological cultures. PJI was detected in 15 patients and 27 revisions were aseptic. The multiplex PCR of tissue biopsies had a sensitivity of 0.3 (95% CI 0.12–0.62), a specificity of 1.0 (0.87–1.0), a positive predictive value of 1.0 (0.48–1.0) and a negative predictive value of 0.73 (0.56–0.86). The diagnostic accuracy of multiplex PCR on tissue biopsy samples is low in comparison to routine microbiological cultures. The evaluation of tissue biopsies using multiplex PCR was prone to false negative results. However, multiplex PCR assays have the advantage of rapid pathogen identification. We therefore recommend further investigation of multiplex PCR in the setting of suspected PJI with a careful choice of specimens.

Diagnostic characteristics of serological tests for the detection of SARS-CoV-2 cases

2021 ◽  
Vol 66 (4) ◽  
pp. 210-212
Author(s):  
O. V. Petrova ◽  
D. K. Tverdokhlebova ◽  
O. I. Murygina ◽  
E. V. Smeltsova ◽  
D. M. Nikulina
Keyword(s):  
Predictive Value ◽  
Test System ◽  
Diagnostic Sensitivity ◽  
Diagnostic Specificity ◽  
Serological Tests ◽  
Test Systems ◽  
Negative Results ◽  
Core Technology ◽  
Diagnostic Characteristics ◽  
Diagnostic Sensitivity And Specificity

To study the diagnostic characteristics of test systems for detecting antibodies to SARS-Cov-2. We studied the diagnostic characteristics of two test systems for detecting antibodies to SARS-Cov-2, registered in the Russian Federation. The first test system is a kit for detecting total antibodies to SARS-Cov-2 using immunochemiluminescence analysis on the «Cobas e 411» analyzer («Roche Diagnostics», Germany). The second test system is a kit for detecting IgM and IgG to SARS-Cov-2 («Core Technology Co., Ltd», China) by immunochromatographic analysis. The biological material for the study was blood serum. We assessed: diagnostic sensitivity, diagnostic specificity, and predictive value of positive and negative results. In the test system for detecting total antibodies to SARS-CoV-2, using an IHLA, the diagnostic sensitivity and specificity were 100%; the predictive value of positive and negative results was 100%. In the test system for the detection of IgM and IgG to Sars-CoV-2, using IHA, diagnostic sensitivity for IgM and IgG were 100%; diagnostic specificity for IgM - 60%, for IgG - 72%; predictive value of a positive result for IgM - 60%, IgG - 68,18%; predictive value of negative results for IgM and IgG - 100%. The best diagnostic characteristics were found in the test system for the detection of total antibodies to SARS-Cov-2, which must be taken into account when deciding whether to purchase test systems for the detection of antibodies to SARS-Cov-2.

The role of serum periostin in the diagnosis of asthma: A meta-analysis

2020 ◽  
Vol 41 (4) ◽  
pp. 240-247
Author(s):  
Lei Yang ◽  
Qingtao Zhao ◽  
Shuyu Wang
Keyword(s):  
Diagnostic Accuracy ◽  
Meta Analysis ◽  
Characteristic Curve ◽  
False Negative ◽  
Summary Receiver Operating Characteristic ◽  
True Negative ◽  
Negative Results ◽  
Noninvasive Biomarker ◽  
Sensitivity Specificity ◽  
Serum Periostin

Background: Serum periostin has been proposed as a noninvasive biomarker for asthma diagnosis and management. However, its accuracy for the diagnosis of asthma in different populations is not completely clear. Methods: This meta-analysis aimed to evaluate the diagnostic accuracy of periostin level in the clinical determination of asthma. Several medical literature data bases were searched for relevant studies through December 1, 2019. The numbers of patients with true-positive, false-positive, false-negative, and true-negative results for the periostin level were extracted from each individual study. We assessed the risk of bias by using Quality Assessment of Diagnostic Accuracy Studies 2. We used the meta-analysis to produce summary estimates of accuracy. Results: In total, nine studies with 1757 subjects met the inclusion criteria. The pooled estimates of sensitivity, specificity, and diagnostic odds ratios for the detection of asthma were 0.58 (95% confidence interval [CI], 0.38‐0.76), 0.86 (95% CI, 0.74‐0.93), and 8.28 (95% CI, 3.67‐18.68), respectively. The area under the summary receiver operating characteristic curve was 0.82 (95% CI, 0.79‐0.85). And significant publication bias was found in this meta‐analysis (p = 0.39). Conclusion: Serum periostin may be used for the diagnosis of asthma, with moderate diagnostic accuracy.

scholarly journals NESTROFT—A Cost-Effective Mass Screening Tool for the Detection of β-Thalassemia Carrier Status in Anemic Pregnant Women: A Step Toward Reducing the National Disease Burden

2021 ◽  
Author(s):  
Manasi Gosavi ◽  
Ramesh Chavan ◽  
M. B. Bellad
Keyword(s):  
Pregnant Women ◽  
Effective Mass ◽  
Mass Screening ◽  
Predictive Value ◽  
Screening Tool ◽  
Hematological Parameters ◽  
False Negative ◽  
Cost Effective ◽  
Mean Corpuscular Hemoglobin ◽  
Carrier Status

Abstract Introduction β-Thalassemias are inherited hemoglobinopathies commonly encountered in practice. With chances of a promising cure being rare, the prevention of births with this disorder should assume priority, especially in low-resource countries. This can be achieved by the implementation of a mass screening program that is reliable and, at the same time, cost-effective. Objectives This study focuses on the utility of Naked Eye Single Tube Red Cell Osmotic Fragility Test (NESTROFT) as a mass screening tool to detect thalassemia carriers. Hematological parameters that may predict carrier status were also evaluated. Materials and Methods Hemoglobin estimation was performed on all consented pregnant women. If the patient was found to have hemoglobin < 11 g/dL, the blood sample was subjected to other routine hematological tests along with peripheral smear examination. NESTROFT was performed using 0.36% saline solution. Confirmation was done using high-performance liquid chromatography (HPLC). Statistical Analysis Data obtained were tabulated using version 21 of the Statistical Package for Social Sciences. Means, standard deviations, and percentages were used to describe the sample. Chi-square test and Students’ “t” test were used to identify differences between the groups. Results Of 441 pregnant women enrolled, 206 were found to be anemic. Nineteen (9.2%) of the anemic pregnant women were detected to be carriers of hemoglobinopathies. Among the hematological parameters, mean red blood cell count and reticulocyte count were higher, while mean corpuscular hemoglobin concentration was lower in carriers. Also, carriers were more likely to present with microcytic hypochromic anemia. NESTROFT showed a sensitivity of 84.21%, specificity of 96.25%, a positive predictive value of 69.56%, and a negative predictive value of 98.36%. A false-positive result was seen in 3.74% of the tests, while a false negative result was seen in 15.78% of the tests. Conclusions NESTROFT (0.36%) can be used as a simple and cost-effective mass screening tool for the detection of carrier status. This should be followed by confirmation using HPLC or hemoglobin electrophoresis.

scholarly journals Evaluation of the Carba NP Test for Rapid Detection of Carbapenemase-Producing Enterobacteriaceae and Pseudomonas aeruginosa

2013 ◽  
Vol 57 (9) ◽  
pp. 4578-4580 ◽  
Author(s):  
Nathalie Tijet ◽  
David Boyd ◽  
Samir N. Patel ◽  
Michael R. Mulvey ◽  
Roberto G. Melano
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Positive Predictive Value ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Rapid Detection ◽  
False Negative ◽  
Bacterial Extract ◽  
Content Type ◽  
Negative Results ◽  
False Negative Results

ABSTRACTThe Carba NP test was evaluated against a panel of 244 carbapenemase- and non-carbapenemase-producingEnterobacteriaceaeandPseudomonas aeruginosaisolates. We confirmed the 100% specificity and positive predictive value of the test, but the sensitivity and negative predictive value were 72.5% and 69.2%, respectively, and increased to 80% and 77.3%, respectively, using a more concentrated bacterial extract. False-negative results were associated with mucoid strains or linked to enzymes with low carbapenemase activity, particularly OXA-48-like, which has emerged globally in enterobacteria.

Preenrichment Conditions for Effective Recovery of Salmonella in Foods and Feed Ingredients

1979 ◽  
Vol 42 (2) ◽  
pp. 153-157 ◽  
Author(s):  
J. Y. D'AOUST ◽  
C. MAISHMENT
Keyword(s):  
Brilliant Green ◽  
False Negative ◽  
Food Samples ◽  
Contamination Level ◽  
Experimental Conditions ◽  
Feed Ingredients ◽  
Selective Enrichment ◽  
Negative Results ◽  
False Negative Results ◽  
The Cost

The efficacy of Clausen, EE, Eugon, GN, Tergitol 7, lactose and nutrient broths as Salmonella preenrichment media was evaluated using 165 food samples with an incident contamination level ranging from 1.5 to 460 salmonellae/100 g. Replicate food samples (100 g) were preenriched in each of seven media (900 ml) for 6 h and 24 h at 35 C; various amounts (10, 1.0 and 0.1 ml) of preenriched cultures were selectively enriched in tetrathionate brilliant green (43 C) and selenite cystine (35 C) broths and plated on bismuth sulfite and brilliant green sulfa agars. Short (6 h) and 24-h preenrichment conditions resulted in 26 (16%) and 8 (5%) false negative results, respectively. Recovery of Salmonella from 6-h but not 24-h preenrichment cultures also varied directly with the portion of culture inoculated into selective enrichment broths. None of the preenrichment media tested performed satisfactorily at 6 h of incubation where levels of recovery ranged from 32 to 62%; at 24 h, good recovery was obtained with all media (95 to 100%) except EE broth (74%). The incidence of competitive flora was significantly higher on selenite + brilliant green sulfa than on tetrathionate + bismuth sulfite; transfer volumes (10 and 1.0 ml) and preenrichment media did not contribute significantly to the presence of non-salmonellae on plating media. Characteristics of preenrichment media were found to be less critical than preenrichment incubation time for effective recovery of Salmonella in foods and feed ingredients. The use of 1.0- rather than 10-ml preenrichment transfer volume is indicated because it proved to be completely reliable under our experimental conditions and reduced the cost of analyses.

scholarly journals Diagnostic accuracy of QuickVue® Dipstick Strep A test and its effect on antibiotic prescribing in children in the United Arab Emirates

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Seyed Ali Safizadeh Shabestari ◽  
Zainab A. Malik ◽  
Fadil Y. A. Al-Najjar
Keyword(s):  
Diagnostic Accuracy ◽  
United Arab Emirates ◽  
Predictive Value ◽  
Resistant Bacteria ◽  
Antibiotic Prescribing ◽  
Upper Respiratory Tract ◽  
Sample Collection ◽  
Throat Culture ◽  
Negative Results ◽  
Tract Infections

Abstract Background Unnecessary antibiotic prescription to patients with upper respiratory tract infections (URTIs) has led to the increase in antibiotics resistant bacteria rates. In this study, we evaluated the diagnostic accuracy of QuickVue® Dipstick Strep A test (QV-SAT) in children presenting with acute pharyngotonsillitis and its effect on antibiotic prescribing. Methods A single-gated diagnostic accuracy study of children with fever, runny nose, and tonsillitis presenting to a paediatric clinic between March 2016 and September 2018. Paired throat swabs for QV-SAT and culture were collected. None of the children received antibiotics prior to sample collection. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the test were calculated. Results Two hundred four children were included in this study. 111 (54.4%) were boys and 146 (71.6%) were under the age of 5 years. QV-SAT was positive in 44 (21.6%) and throat culture was positive for Group A β- haemolytic Streptococcus (GAS) in 42 (20.6%) of the children. The results of QV-SAT were highly consistent with culture results: only 2 (0.9%) children with negative results had a positive throat culture. The sensitivity of the QV-SAT in the identification of GAS infection was 100% (95% CI 91.6%, 100%) and the NPV was 100% (95% CI 99.9%, 100%). Only 42 children ( 20.6%) were given antibiotics, while 162 (79.4%) were not. Conclusion The QV-SAT is a quick and reliable test that can help dramatically reduce antibiotic prescriptions to children presenting with fever and acute pharyngotonsillitis.

Transhepatic forceps biopsy after PTCD for histological assessment of bile duct stenoses or occlusions

2019 ◽  
Vol 57 (02) ◽  
pp. 133-138
Author(s):  
Eva-Marie Warnken ◽  
Michael Uder ◽  
Hubert Stein ◽  
Michael Wucherer ◽  
Michael Lell ◽  
...  
Keyword(s):  
Predictive Value ◽  
False Negative ◽  
Short Term ◽  
Microsoft Excel ◽  
Ct Guided ◽  
Forceps Biopsy ◽  
Negative Results ◽  
False Negative Results ◽  
Pet Ct ◽  
Ct Guided Biopsy

Abstract Purpose The goal of this study was to evaluate the experience of 11 years of wire-guided forceps biopsy via PTCD in patients with obstructive jaundice. Materials and methods In a retrospective approach, 56 biopsies in 51 patients were analyzed (22 female, 29 male). Data was collected from 2006 to 2016. Mean age was 71 years (range: 34 – 86 years). Data was extracted from dig. Patients’ records (KIS, PACS, RIS) to be analyzed in Microsoft Excel. Results All 56 procedures were technically successful. Stenosis in anastomoses were benign due to scarring in 7 patients and in 9 due to papillitis or others. In 4 patients, results in anastomosis were malignant. In 19 patients without anastomosis, CCC was the diagnosis, thereof 10 klatskin, 9 stenosis in other locations, followed by gastric, pancreatic, and colon carcinoma in 5, 3, and 2 patients. Three patients had a CUP (multimetering in case of more than 1 related category). Overall results were 35 mal. and 16 benign, 76.8 % of all proc. had a correct histopathologic result, and 23.2 % were false negative. Sensitivity was 65.8 %, which results in negative predictive value of 58.1 %. There was no false positive and so specificity was 100 %, as was the positive predictive value. False negative results (no malignancy but clinically and imaging suspect) were corrected by rerunning the procedure, by CT-guided biopsy or by 1 PET-CT. In 1 case the surg. sample brought the result. Minor complications occurred in 8 patients: shivering in 1 case, distinct but hemodynamically not relevant hemobilia in 5 cases, 2 portovenal bleedings. All bleedings were short-term and self-limiting. Conclusion Despite good feasibility, low peri- and post-interv. risk and high validity the forceps biopsy via PTCD is not widely used. For experienced interventionalists, it is an effective method for obtaining histology.

scholarly journals The progestogen challenge test in postmenopausal women: clinical and morphologic aspects

1996 ◽  
Vol 114 (3) ◽  
pp. 1166-1172
Author(s):  
Claudia de Carvalho Ramos Bortoletto ◽  
Edmund Chada Baracat ◽  
Wagner José Gonçalves ◽  
João Norberto Stávalle ◽  
Geraldo Rodrigues de Lima ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Predictive Value ◽  
Fasting Blood Glucose ◽  
False Negative ◽  
Challenge Test ◽  
Endometrial Biopsy ◽  
Clinical Aspects ◽  
Age At Menarche ◽  
Histopathological Analysis ◽  
Negative Results

The clinical aspects and anatomopathological patterns of 150 postmenopausal women were studied using the progestogen challenge test. An endometrial biopsy was obtained and submitted to the progestogen test. A histopathological analysis of the uterine mucosa from women with a positive progestogen test revealed that the endometrium was active in 44 percent of cases and atrophic or inactive in 56 percent. In contrast, among women with a negative response, the endometrium was atrophic in 94 percent of cases and active in 6 percent. Analysis of clinical aspects did not show significant differences between groups in terms of age; age at menarche and at menopause; fasting blood glucose levels; or body mass. However, postmenopausal time was significantly shorter for women with a positive test, with a correlation between postmenopausal time of one to two years and test positivity. The progestogen challenge test for the detection of atrophic endometrium presented 78.57 percent sensitivity, 77.05 percent specificity, 44 percent positive predictive value, and 94 percent negative predictive value. Thus, when negative, the test is highly valuable, indicating the presence of atrophic endometrium in 94 percent of cases. False-negative results occurred in only 6 percent of the subjects, with no case of hyperplasia detected. However, when the response to the test was positive, the endometrium was atrophic in 56 percent of the cases. We suggest that, in order to avoid invasive procedures, the progestogen challenge test be combined with other methods such as transvaginal ultrasonography.

scholarly journals Noninvasive Electromagnetic Detection of Bladder Cancer

ISRN Urology ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Luigi Cormio ◽  
Clarbruno Vedruccio ◽  
Giorgio Leucci ◽  
Paolo Massenio ◽  
Giuseppe Di Fino ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
False Negative ◽  
Electromagnetic Properties ◽  
Urinary Cytology ◽  
Predictive Values ◽  
Electromagnetic Detection ◽  
Voiding Symptoms ◽  
Asymptomatic Patients

Objectives. Normal and neoplastic human tissues have different electromagnetic properties. This study aimed to determine the diagnostic accuracy of noninvasive electromagnetic detection of bladder cancer (BC) by the tissue-resonance interaction method (TRIM-prob). Patients and Methods. Consecutive patients were referred for cystoscopy because of (i) microscopic or gross hematuria and/or irritative voiding symptoms and (ii) bladder ultrasounds and urinary cytology findings negative or just suspicious of malignancy. Patients were first submitted to TRIM-prob bladder scanning by a single investigator and then to cystoscopy by another investigator blind to TRIM-prob data. Results. In 125 evaluated patients cystoscopy was positive for BC in 47 and negative in the remaining 78; conversely, TRIM-prob bladder scanning was positive for BC in 53 and negative in 72. In particular, TRIM-prob scanning yielded 7 false positives and only one false negative; therefore, its overall sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were 97.9%, 89.9%, 86.8%, 98.6%, and 93.6%, respectively. Conclusions. TRIM-prob bladder scanning was a simple and quite accurate method for non-invasive electromagnetic detection of BC. If the elevated positive and negative predictive values will be replicated in further well-designed studies, it could be used to screen asymptomatic patients at high risk of BC.

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