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首页> 美国卫生研究院文献>Canadian Medical Association Journal >Evaluation of a kit for rapid detection of group A streptococci in a pediatric emergency department.
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Evaluation of a kit for rapid detection of group A streptococci in a pediatric emergency department.

机译：在小儿急诊科评估可快速检测A组链球菌的试剂盒。

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摘要

We evaluated a kit for the rapid detection of group A streptococci from throat swabs (Culturette Brand 10-Minute Group A Strep ID, Marion Scientific, Division of Marion Laboratories, Inc., Kansas City, Missouri) in the laboratory and in a busy pediatric emergency department. The sensitivity of the kit in the laboratory was 80% for all specimens and 94% for specimens with more than 10 colony-forming units of group A streptococci; the specificity was 99%. After initial training, emergency department pediatricians and nurses achieved sensitivities of 72% and 69% respectively. The specificity achieved by the pediatricians was 76% initially but 96% after further training. Untrained residents achieved a sensitivity of 58%. We conclude that this kit is potentially useful in the hands of adequately trained personnel, but without training the accuracy of the results is unacceptable. We recommend that the kit be used by designated staff trained and monitored by laboratory personnel.
机译：我们评估了一种试剂盒，用于在实验室和繁忙的儿科患者中从咽拭子中快速检测A组链球菌（文化品牌10分钟A组链球菌ID，Marion Scientific，Marion实验室有限公司，密苏里州，堪萨斯城）。急诊科。该试剂盒在实验室中对所有标本的敏感性为80％，对于A组链球菌有10个以上菌落形成单位的标本，敏感性为94％。特异性为99％。经过初步培训后，急诊科儿科医生和护士的敏感度分别达到72％和69％。儿科医生最初达到的特异性为76％，但经过进一步培训后达到了96％。未经培训的居民的敏感度为58％。我们得出的结论是，该套件可能在经过适当培训的人员手中有用，但如果不进行培训，则结果的准确性是无法接受的。我们建议由经过实验室人员培训和监控的指定人员使用该套件。

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