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BProbeTec ET Legionella pneumophila (LP) Amplified DNA ... - BD

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Tabel 5: <strong>BD</strong> ProbeTec <strong>ET</strong> <strong>LP</strong> analyse - Stoffer screenet for interferens<br />

Præparater fra nedre luftveje<br />

Testede stoffer Koncentration<br />

Fuldblod (heparin) 2,65%<br />

Lidokain 2 % 0,21%<br />

Spyt induktionopløsning (3 % NaCl) 0,32%<br />

Azithromycin 0,42 µg/mL<br />

Penicillin G 17 µg/mL<br />

Tetracyclin 2,3 µg/mL<br />

Doxycyclin 26,5 µg/mL<br />

Ciprofloxacin 4,88 µg/mL<br />

Mycoplasma pneumoniae 5 x 106 cells/mL<br />

Chlamydophila pneumoniae 1,06 x 107 EBs/mL<br />

Mycoplasma pneumoniae og Chlamydophila<br />

pneumoniae<br />

Hhv 1,06 x 107 celler/mL og 1,06 x 107 EB'er/mL<br />

Reproducerbarhed<br />

Reproducerbarheden hos <strong>BD</strong> ProbeTec <strong>ET</strong> <strong>LP</strong> analysen blev vurderet ved tre laboratorier ved at teste et panel<br />

bestående af 24 prøver, der blev spiket i PBS/BSA Panelet omfattede 12 prøver, der var negative for L <strong>pneumophila</strong>;<br />

tre lave (300 CFU/reaktion) og tre høje (500 CFU/reaktion) positive prøver af L <strong>pneumophila</strong>; og tre lave (hhv 30<br />

elementærlegemer (Elementary Bodies, EB)/reaktion, 300 CFU/reaktion, 900 celler/reaktion) og tre høje (hhv 50<br />

EB/reaktion, 500 CFU/reaktion, 1500 celler/reaktion) positive prøver hver indeholdende Chlamydophila pneumoniae<br />

(CP), L <strong>pneumophila</strong> (<strong>LP</strong>), og Mycoplasma pneumoniae (MP) En operatør pr sted testede panelerne en gang om<br />

dagen i tre dage Resultaterne er sammenfattet i Tabel 6<br />

Tabel 6: Reproducerbarhedsestimater efter prøveniveau af præparater fra de nedre luftveje<br />

Mellem dagInden<br />

for stedet Mellem stedet<br />

Panelmedlem N % korrekt Middel PAT SD % CV SD % CV<br />

<strong>LP</strong>-HIGH 27 100,0% 47,2 0,94 2,00 1,42 3,02<br />

<strong>LP</strong>-LOW 27 100,0% 44,8 0,44 0,98 2,06 4,59<br />

CP/<strong>LP</strong>/MP-HIGH 27 100,0% 46,2 1,13 2,45 1,79 3,88<br />

CP/<strong>LP</strong>/MP-LOW 26<br />

a En prøve ekskluderet fra analysen på grund af en procedurerelateret fejl<br />

BESTILLING<br />

De følgende <strong>BD</strong> ProbeTec <strong>ET</strong> produkter er disponible:<br />

Kat nr Beskrivelse<br />

440728 <strong>BD</strong> ProbeTec <strong>ET</strong> <strong>Legionella</strong> <strong>pneumophila</strong> (<strong>LP</strong>) <strong>Amplified</strong> <strong>DNA</strong> Assay<br />

440731 <strong>BD</strong> ProbeTec <strong>ET</strong> Respiratory and Media Diluent and Control Kit<br />

440457 <strong>BD</strong> ProbeTec <strong>ET</strong> Accessories Kit (10 primerlåg, 16 amplifikationsforseglere ½ og 8 engangsposer)<br />

440458 <strong>BD</strong> ProbeTec <strong>ET</strong> Pipette Tips 6 x 120<br />

440661 <strong>BD</strong> ProbeTec <strong>ET</strong> 2 mL Sample Tubes and Caps, 200 af hver<br />

440679 <strong>BD</strong> ProbeTec <strong>ET</strong> 2 mL Caps, 100<br />

440477 <strong>BD</strong> ProbeTec <strong>ET</strong> Instrument, uden for USA<br />

440478 <strong>BD</strong> ProbeTec <strong>ET</strong> Instrument, USA og Canada<br />

440479 <strong>BD</strong> ProbeTec <strong>ET</strong> Priming and Warming Heater, 220V<br />

440480 <strong>BD</strong> ProbeTec <strong>ET</strong> Priming and Warming Heater, 120V<br />

440487 <strong>BD</strong> ProbeTec <strong>ET</strong> Pipettor<br />

440502<br />

LITTERATUR<br />

<strong>BD</strong> ProbeTec <strong>ET</strong> Lysing Rack<br />

1 Cloud JL, Carroll KC, Pixton P, Erall M, Hillyard DR (2000) Detection of <strong>Legionella</strong> species in respiratory<br />

specimens using PCR with sequencing confirmation J Clin Micro 38:1709-1712<br />

2 Stout, JE, Yu, VL 2000 Legionellosis N Engl J Med 337: 682-687<br />

3 Bartlett, JG, Dowell, SF, Mandell, LA, File, TM, Musher, DM, Fine, MJ 2000 Guidelines from the Infectious<br />

Diseases Society of America - Practice guidelines for the management of community-acquired pneumonia in<br />

adults ClinInfect Dis 31:347-82<br />

4 National Committee for Clinical Laboratory Standards 2001 Approved Guideline M29-A2 Protection of<br />

laboratory workers from occupationally acquired infections, 2nd ed NCCLS, Wayne, Pa<br />

5 Garner JS 1996 Hospital Infection Control Practices Advisory Committee, US Department of Health and<br />

Human Services, Centers for Disease Control and Prevention Guideline for isolation precautions in hospitals<br />

Infect Control Hospital Epidemiol 17: 53-80<br />

a 100,0% 43,0 0,00 0,00 2,59 6,01<br />

Negativ 108 100,0% 0,0 – – – –<br />

IAC med <strong>LP</strong>-negative prøver 108 100,0% 47,8 0,43 0,91 0,34 0,70<br />

12

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