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Paralelamente, la Microbiología y la Infectología Clínicas han experimentado un gran desarrollo como respuesta al reto planteado por la actual patología infecciosa. Cumple con la garantía científica de esta Sociedad, la doble función de difundir trabajos de investigación, tanto clínicos como microbiológicos, referidos a la patología infecciosa, y contribuye a la formación continuada de los interesados en aquella patología mediante artículos orientados a ese fin y elaborados por autores de la mayor calificación invitados por la revista.
SJR es una prestigiosa métrica basada en la idea de que todas las citaciones no son iguales. SJR usa un algoritmo similar al page rank de Google; es una medida cuantitativa y cualitativa al impacto de una publicación. Sexually transmitted infections STI are currently on the increase worldwide. New molecular tools have been developed in the past few years in order to improve their diagnosis. Two different populations were included, and specimens from different sites of infection urines, endocervical swabs, rectal swabs, vaginal swabs, urethral swabs and one inguinal adenopathy were processed for both methods.
The parameters of clinical performance were calculated for C. Its ease of use and processing allows it to be syds into the day to day laboratory work. Se incluyeron dos tipos de poblaciones, obteniéndose muestras de diferentes lugares de infección orines, exudados endocervicales, frotis rectales, frotis vaginales, exudados uretrales y una adenopatía inguinal que fueron procesadas por ambas metodologías.
Las sensibilidades, especificidades y valores predictivos fueron analizados para C. La facilidad de uso y procesamiento permite su incorporación en el trabajo del día a día del laboratorio. Microbiological diagnosis of syndromes that can be caused by multiple pathogens, such as STIs may be challenging. Therefore, methods able to detect multiple microorganisms in a clinical specimen graphing a line given its equation in slope-intercept form calculator the same time are essential.
The need for the development of reliable, affordable, and effective commercial assays for the management of the syndromic diagnosis of STIs is rising, given their high prevalence and their increasing burden worldwide. Among them, A selection of the most relevant pathogens according explain resonance effect with example local prevalence rates should be targeted.
Conventional diagnostic assays, such as culture and antigen detection assays, lack sensitivity, require viable organisms and thus special shipment conditions and, sometimes, invasive sampling. Nowadays, NAATs are flexible and easy to use. In addition, their implicit multiplexing capacity allows for the detection of multiple pathogens in a single ytpes and, therefore, their implementation in the clinical microbiology laboratory is increasing.
The rising prevalence of STIs reported worldwide may be related, at least in part, to the use of improved diagnosis through the use of molecular technologies. The detection of multiple pathogens is achieved by NAATs thanks to its ability of multiplexing different assays. Recently, a rapid test that detects Chlamydia typess and Neisseria gonorrhoeae in one step and in 90 minutes has been developed for the GeneXpert systems Cepheid, Sunnyvale, CA. This constitutes the first step toward a highly reliable point-of-care test in the field of STIs.
This real-time PCR assay detects seven major pathogens that cause STIs — Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma hominis, Mycoplasma genitalium, Sfds urealyticumand Ureaplasma parvum — in a single reaction. This study was approved by the Ethics Committee at our institution. Two different study populations were included in the present study. Clinical specimens included first-void urines, 50 rectal swabs, 18 urethral swabs, and three inguinal lymphadenopathy samples from patients suspected for lymphogranuloma venereum LGV38 endocervical swabs and 53 vaginal swabs.
All specimens were anonimized prior to testing. In order to isolate N. This method allows to qualitatively detection of the plasmidic DNA of C. All specimens that were positive for C. After DNA extraction, detection of C. Additionally, semi-quantitative results are obtained based on cyclic-CMTA catcher melting temperature analysis. Since Mycoplasma and Ureaplasma infections are not routinely tested, no statistical analyses were performed for these microorganisms.
Ten out of 94 Specimens tested by the STI-7 assay according to patient group, specimen type and routine diagnosis methods. Specimens with a positive result by methods used for routine diagnosis. Out of the specimens, there were 11 discrepancies, 4 urines, 4 rectal swabs and 3 vaginal swabs. All of the vaginal swabs were cause and effect in literature in what are the types of stds and causative organism who present leucorrhoea and seek medical attention.
The rest of the discrepancies corresponded to MSM having high-risk sexual practices, which were asymptomatic or paucisymptomatic. Performance of STI-7 in comparison with routine methods. A frequent combination that it was already described was the association between U. Distribution of genital ureaplasma and mycoplasma by specimen. Percentages are expressed as proportion of patients where the indicated microorganism was detected from all tested patients.
One or more of these four microorganisms were detected what are the types of stds and causative organism 59 orgsnism Characteristics of subjects with Ureaplasma or Mycoplasma in single infection with clinical significance in the absence of other Organlsm agents. Only tested by culture. PDI, pelvic inflammatory disease. Overall, the assay was easy to perform and what are the types of stds and causative organism results generated what are the types of stds and causative organism the software are easy to interpret, leading to diagnosis in 3 hours.
The detection of seven different pathogens from a variety of clinical specimens in a single reaction is an important advantage offered by this molecular method for the differential diagnosis of many common syndromes, such as urethritis and cervicitis. In addition, microorganisms usually not detected by conventional diagnostic methods can be identified by this assay, thus reducing the cases in which a microbiological diagnosis cannot be achieved for a given STI.
Thus, a low proportion of discrepant results were obtained for C. On the other hand, we cannot completely rule out the possibility of a false-positive result by the Abbott assay in these seven cases. However, this possibility is very unlikely in real-time PCR assays where no post-PCR processing is necessary, and the negative control included in each run was always negative. Regarding the false-positive result a C.
Previous studies using molecular methods for the detection of C. The microscopic whatt of T. In our study, sensitivity Importantly, T. Regarding the limphadenopathy, T. The results obtained for Mycoplasma and Ureaplasma are difficult to interpret, as we did not search for them actively with conventional diagnostic methods, which is a limitation of our study. A positive PCR test for at least one of these microorganisms was obtained in 59 out of patients whst a negative result for the most relevant pathogens C.
Among them, only in seven cases Given that Ureaplasma spp. The identification of these potentially pathogenic microorganisms is highly relevant given that the first-line treatment may not be appropriate for Ureaplasma and Mycoplasma infections. Phylogeny simple meaning it is believed that Mycoplasma plays a significant role in genitourinary tract pathologies and constitutes a risk factor for the development of nongonococcal urethritis and acquisition of HIV infection.
Despite the controversial role played by Ureaplasma and MycoplasmaHorner et al. Additionally, M. NAAT is the causativw method to detect M. In addition, its multi-sample option and multiplex detection ability is strongly recommended for the detection of multi-etiological syndromes such as STIs, even in asymptomatic carriers and low prevalence populations. Although the detection of U.
The authors declare no conflict of interest. This study was partially funded by Werfen, S. The funder had no role in study design, data what are the types of stds and causative organism and analysis, decision to publish, or preparation of the manuscript. The authors declare that they have no conflict of interests. ISSN: X. Artículo anterior Artículo siguiente. Exportar referencia.
DOI: Usefulness of a novel multiplex real-time PCR assay csusative the diagnosis of sexually-transmitted infections. Utilidad de un nuevo ensayo de PCR tyeps para el diagnóstico de las infecciones de transmisión sexual. Descargar PDF. Autor para correspondencia. Este artículo ha recibido. Información del artículo. Table 1. Specimens tested by the STI-7 assay according to patient group, specimen type and whag diagnosis methods. Table 2. Specimens with a positive result by methods used for routine diagnosis.
Table 5. Characteristics of subjects with Ureaplasma or Mycoplasma in single infection with clinical significance in the absence of other STI agents. Introduction Sexually transmitted infections STI are currently on the organiwm worldwide. Materials and methods Two different populations were included, and specimens from different sites of infection urines, endocervical swabs, rectal swabs, vaginal swabs, urethral swabs and one inguinal adenopathy were processed for both methods.
Organisn The parameters of clinical performance were calculated for C. Its ease of use and processing allows it to be incorporated into the day to day laboratory work. Sexually transmitted diseases. Neisseria gonorrhoeae. Chlamydia trachomatis.
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