سال 17، شماره 1 - ( بهمن - اسفند 1401 )                   جلد 17 شماره 1 صفحات 38-22 | برگشت به فهرست نسخه ها

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Igiri B E, Okoduwa S I R, Munirat S A, Otu-Bassey I B, Bashir A, Onyiyioza O M, et al . Diversity in Enteric Fever Diagnostic Protocols and Recommendation for Composite Reference Standard. Iran J Med Microbiol 2023; 17 (1) :22-38
URL: http://ijmm.ir/article-1-1584-fa.html
ایگیری برنادو اگوو، اوکوداوا استانلی ایرابِخ، مونیرات شعیبو احمد، اُتو-بَسِی اُی کیو بَسِی، بشیر عبداللهی، اّنی یواُزا اُتوری، و همکاران.. تنوع در پروتکل های تشخیصی تب روده و توصیه برای استاندارد مرجع کامپوزیتی. مجله میکروب شناسی پزشکی ایران. 1401; 17 (1) :22-38

URL: http://ijmm.ir/article-1-1584-fa.html

تنوع در پروتکل های تشخیصی تب روده و توصیه برای استاندارد مرجع کامپوزیتی
برنادو اگوو ایگیری1 ، استانلی ایرابِخ اوکوداوا 2، شعیبو احمد مونیرات3 ، اُی کیو بَسِی اُتو-بَسِی4 ، عبداللهی بشیر3 ، اُتوری اّنی یواُزا3 ، ایدُنگِسیت آسوکیو اِنانگ5 ، اوگُچی جودیث اُکُدو وا5
1- اداره تحقیق و توسعه، موسسه چرم و فناوری علوم نیجریه، زاریا، نیجریه
2- اداره تحقیق و توسعه، موسسه چرم و فناوری علوم نیجریه، زاریا، نیجریه ، siroplc@gmail.com
3- گروه میکروبیولوژی، دانشگاه احمدو بلو، زاریا، نیجریه
4- گروه علوم آزمایشگاهی پزشکی، دانشگاه کالابار، کالابار، نیجریه
5- گروه آلودگی صنعتی و محیطی، موسسه ملی تحقیقات فناوری شیمیایی، زاریا، نیجریه
چکیده:   (2156 مشاهده)

زمینه و اهداف:  تب روده به دلیل عدم وجود روش‌های تشخیصی قاطع، باعث مشکلات جدی سلامتی و مرگ و میر و ناخوشی قابل توجهی در سطح جهان می‌شود. توانایی روشی که اغلب استفاده می شود برای تأیید عدم وجود تب روده قابل بحث است. این مطالعه با هدف ارزیابی ویژگی و حساسیت تشخیص تیفوئید برای ایجاد تکنیک‌های تشخیصی بسیار دقیق و توصیه مرجع کامپوزیتی استاندارد شده مناسب انجام  شد.
مواد و روش کار:  مقالات منتشر شده در نمایه های Google Scholar، MEDLINE و PubMed برای یافته های بیمارستانی بررسی شدند. برای تعیین تفاوت در میانگین درصد ویژگی و حساسیت، از آزمون تی مستقل استفاده شده است.
یافته ها:  از ۴۳۲ مقاله شناسایی شده در این مطالعه، ۵۳ مقاله در تجزیه و تحلیل استفاده شد. نتایج حاصل نشان می‌دهد که تکنیک‌های Widal دقت متوسطی را با درصد میانگین ویژگی (۵۵%)، حساسیت (۵۳/۸%)، ارزش اخباری مثبت ۵۷/۸% و ارزش اخباری منفی ۵۵/۶% در مقایسه با ۲۸%، ۲۹/۴%، ۲۹/۵% نشان می‌دهند. و ۲۷/۸% از Typhidot به ترتیب ۳۴/۴ درصد از مطالعات از طرح مطالعه آینده نگر استفاده کردند. نتایج نشان داد که بین حساسیت تیفیدوت و ویدال در p<۰.۰۵ ارتباط آماری معنی‌داری وجود دارد. این یافته همچنین آزمایش‌های تشخیصی تب روده‌ای مانند بیومارکرهای پروتئین، بیومارکرهای متابولیت، بیومارکرهای اسید نوکلئیک و ژنومیک را ارائه کرد. آنتی ژن هایی که به طور منظم مورد سنجش قرار می گیرند لیپوپلی ساکاریدها (LPS) و همولیزین E (HlyE) هستند. بیشترین ویژگی ۹۶ درصد و حساسیت ۹۶ درصد در آنتی LPS IgA به دست آمد.
نتیجه‌گیری:  بر اساس نتایج به دست آمده، توصیه می شود که از روش کشت خون و ویدال با حساسیت ۶۰ درصد و ۵۳/۸ درصد به عنوان استاندارد مرجع کامپوزیتی هماهنگ شده برای تشخیص تب روده برای بهبود و ارزیابی شیوع استفاده شود.

واژه‌های کلیدی: تب حصبه، تشخیصی، متابولومیک، استاندارد مرجع کامپوزیت، دقت، حساسیت
متن کامل [PDF 758 kb]   (584 دریافت)    
نوع مطالعه: مقاله مروری | موضوع مقاله: باکتری شناسی پزشکی
دریافت: 1400/10/21 | پذیرش: 1401/3/19 | انتشار الکترونیک: 1401/10/30
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