A comparative evaluation of dot immunobinding assay (Dot-Iba) and polymerase chain reaction (PCR) for the laboratory diagnosis of tuberculous meningitis

The results of a Dot immunobinding assay (Dot Iba) for the detection of mycobacterial antigen in the cerebrospinal fluid (CSF) of 45 patients with tuberculous meningitis (TBM) were compared with the results of a polymerase chain reaction (PCR) for the detection of Mycobacterium tuberculosis. In eigh...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2002, Vol.42 (1), p.35-38
Hauptverfasser: Sumi, M.G, Mathai, A, Reuben, S, Sarada, C, Radhakrishnan, V.V, Indulakshmi, R, Sathish, M, Ajaykumar, R, Manju, Y.K
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container_title Diagnostic microbiology and infectious disease
container_volume 42
creator Sumi, M.G
Mathai, A
Reuben, S
Sarada, C
Radhakrishnan, V.V
Indulakshmi, R
Sathish, M
Ajaykumar, R
Manju, Y.K
description The results of a Dot immunobinding assay (Dot Iba) for the detection of mycobacterial antigen in the cerebrospinal fluid (CSF) of 45 patients with tuberculous meningitis (TBM) were compared with the results of a polymerase chain reaction (PCR) for the detection of Mycobacterium tuberculosis. In eight patients with culture proven TBM, Dot-Iba gave positive results, while PCR yielded positive results only in six patients. The overall sensitivities of Dot-Iba and PCR in 37 patients with culture negative (probable) TBM were 75.67% and 40.5% respectively. Dot-Iba, in contrast to PCR is a rapid and relatively easier method. More importantly, Dot-Iba is suitable for the routine application for the laboratory diagnosis of TBM and therefore best suited to laboratories in the developing world.
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subjects Antigens, Bacterial - cerebrospinal fluid
Bacteriological methods and techniques used in bacteriology
Bacteriology
Biological and medical sciences
DNA, Bacterial - cerebrospinal fluid
Dot immunobinding assay (Dot-Iba)
Fundamental and applied biological sciences. Psychology
Humans
Immunoblotting - methods
Laboratories
Laboratory diagnosis
Microbiology
Mycobacterium tuberculosis
Mycobacterium tuberculosis - genetics
Mycobacterium tuberculosis - immunology
Mycobacterium tuberculosis - isolation & purification
Polymerase Chain Reaction - methods
Polymerase chain reaction PCR
Sensitivity and Specificity
Techniques used in virology
Tuberculosis, Meningeal - cerebrospinal fluid
Tuberculosis, Meningeal - diagnosis
Tuberculosis, Meningeal - immunology
Tuberculosis, Meningeal - microbiology
Tuberculous meningitis
Virology
title A comparative evaluation of dot immunobinding assay (Dot-Iba) and polymerase chain reaction (PCR) for the laboratory diagnosis of tuberculous meningitis
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