Usefulness of pneumococcal antigen detection in pleural effusion for the rapid diagnosis of infection by Streptococcus pneumoniae

Pleural effusion is increasingly reported in children. Standard culture of blood or pleural fluid is frequently negative and molecular diagnosis by polymerase chain reaction is not available in all hospitals. The Binax NOW Streptococcus pneumoniae Antigen test (Binax, Portland, USA) is a rapid immun...

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Veröffentlicht in:European journal of pediatrics 2010-05, Vol.169 (5), p.581-584
Hauptverfasser: Casado Flores, Juan, Nieto Moro, Montserrat, Berrón, Sonsoles, Jiménez, Raquel, Casal, Julio
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container_end_page 584
container_issue 5
container_start_page 581
container_title European journal of pediatrics
container_volume 169
creator Casado Flores, Juan
Nieto Moro, Montserrat
Berrón, Sonsoles
Jiménez, Raquel
Casal, Julio
description Pleural effusion is increasingly reported in children. Standard culture of blood or pleural fluid is frequently negative and molecular diagnosis by polymerase chain reaction is not available in all hospitals. The Binax NOW Streptococcus pneumoniae Antigen test (Binax, Portland, USA) is a rapid immunochromatographic test (ICT) for the detection of the C polysaccharide antigen. We evaluated the Binax NOW test on the pleural fluid of 73 children hospitalized with pleural effusion over a period of 4 years. In our sample, the sensitivity and specificity of ICT were high (88% and 71%, respectively), with a positive predictive value of 96%. Detection of the pneumococcal antigen in pleural fluid by ICT is easy and quick, and enables us to identify the pneumococcal origin of the effusion, thus, making the treatment of complicated pneumonia suitably and early.
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Standard culture of blood or pleural fluid is frequently negative and molecular diagnosis by polymerase chain reaction is not available in all hospitals. The Binax NOW Streptococcus pneumoniae Antigen test (Binax, Portland, USA) is a rapid immunochromatographic test (ICT) for the detection of the C polysaccharide antigen. We evaluated the Binax NOW test on the pleural fluid of 73 children hospitalized with pleural effusion over a period of 4 years. In our sample, the sensitivity and specificity of ICT were high (88% and 71%, respectively), with a positive predictive value of 96%. 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Standard culture of blood or pleural fluid is frequently negative and molecular diagnosis by polymerase chain reaction is not available in all hospitals. The Binax NOW Streptococcus pneumoniae Antigen test (Binax, Portland, USA) is a rapid immunochromatographic test (ICT) for the detection of the C polysaccharide antigen. We evaluated the Binax NOW test on the pleural fluid of 73 children hospitalized with pleural effusion over a period of 4 years. In our sample, the sensitivity and specificity of ICT were high (88% and 71%, respectively), with a positive predictive value of 96%. 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subjects Adolescent
Antibiotics
Antigens
Antigens, Bacterial - analysis
Bacterial diseases
Biological and medical sciences
Child
Child, Preschool
Female
General aspects
Human bacterial diseases
Humans
Infant
Infectious diseases
Male
Medical sciences
Medicine
Medicine & Public Health
Original Paper
Pediatrics
Pleural effusion
Pleural Effusion - immunology
Pneumococcal Infections - diagnosis
Pneumology
Pneumonia
Polymerase Chain Reaction
Prospective Studies
Respiratory system : syndromes and miscellaneous diseases
Sensitivity and Specificity
Staphylococcal infections, streptococcal infections, pneumococcal infections
Statistical analysis
Streptococcus infections
Streptococcus pneumoniae
Streptococcus pneumoniae - immunology
title Usefulness of pneumococcal antigen detection in pleural effusion for the rapid diagnosis of infection by Streptococcus pneumoniae
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