Evaluation of Rapid Urinary Antigen Test Kit for <I>Streptococcus pneumoniae</I> in Children with Pneumonia or Meningitis

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Other Title
  • 小児感染症患者における<I>Streptococcus pneumoniae</I>尿中抗原迅速検出キットの有用性の検討
  • 小児感染症患者におけるStreptococcus pneumoniae尿中抗原迅速検出キットの有用性の検討
  • ショウニ カンセンショウ カンジャ ニ オケル Streptococcus pneumoniae ニョウ チュウ コウゲン ジンソク ケンシュツ キット ノ ユウヨウセイ ノ ケントウ
  • Evaluation of Rapid Urinary Antigen Test Kit for Streptococcus pneumoniae in Children with Pneumonia or Meningitis

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Description

We evaluated rapid urinary antigen test kit for Streptococcus pneumoniae (Binax NOW S. pneumoniae) in 85 inpatients between February 2002 and November 2002. Diseases of patients were pneumonia in 82 and meningitis in 3. The age range of the patients was from 4 months to 14 years. We studied urinary antigen assay and culture of nasopharyngeal swab in all patients. Three infants with meningitis were measured liquor by the kit.<BR>Two infants with meningitis due to S. pneumoniae showed positive reactions in urine and liquor, but result of 1 infant with meningitis due to Haemophilus influenzae was negative. Of 82 patients with pneumonia, S. pneumoniae was isolated from 52 patients and the urinary antigen test was positive in 39. Thirty-eight patients were isolated S. pneumoniae in 39 positive patients and 14 children were isolated it in 44 negative patients. Sensitivity in this test kit was 73.1% and specificity was 96.8%. This test is useful for children as well as adults.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 77 (8), 606-610, 2003

    The Japanese Association for Infectious Diseases

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