目的:探讨尿肺炎链球菌检测对儿童下呼吸道感染快速诊断的临床意义。方法收集2014年9~10月在江苏省妇幼保健院的住院患儿66例,采集尿液标本用于检测尿中肺炎链球菌抗原,同时进行血液分析和C反应蛋白(CRP)检测。结果66例患儿中,尿肺炎链球菌检测、白细胞计数(WBC )和 CRP 的阳性率分别为4.55%、25.76%和54.55%;而对于明确的肺炎链球菌感染者,三者的阳性率类似,均达75.00%以上。结论尿肺炎链球菌快速检测技术联合WBC和CRP检测,有助于临床医生辅助快速诊断链球菌感染。%Objective To study the clinical significance of urinary Streptococcus pneumoniae(SP) detection for the rapid diagnosis of child lower respiratory tract infection .Methods 66 children inpatients in the Jiangsu Provincial Maternal and Child Health Care Hospital from September to October 2014 were collected .The urine samples were collected for conducting the detection of SP antigen C‐polysaccharide .At the same time the blood analysis and C‐reac‐tive protein(CRP) detection were performed .Results Among 66 children inpatients ,the positive rates of urinary SP antigen test ,WBC count and CRP were 4 .55% ,25 .76% and 54 .55% ,respectively .In children patients with definite SP infection ,the positive rates of the 3 indexes were similar ,up to 75 .00% .Conclusion Urinary SP rapid detection technique combined with WBC count and CRP detection conduces to the clinicians to diagnose the SP infection quickly .
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