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Ukioqatigiit

Læknablaðið - 15.12.1991, Qupperneq 13

Læknablaðið - 15.12.1991, Qupperneq 13
LÆKNABLAÐIÐ 377 SUMMARY A study was conducted by comparing the results from 5568 patients from the years 1987 and 1990, which had Chlamydia culture and Chlamydiazyme@-tests done at the same time, to assess the feasibility of using different breakpoints in the Chlamydiazyme®-test for males and females, or reporting out grey-zones. Confirmatory tests were done on 247 positive specimens and calculations were done to assess the feasibility of doing confirmatory tests on samples with high but negative values. If the breakpoint can be lowered by 40 to 50% to 0.060 without significantly decreasing the specificity, the sensitivity in males will increase to 84% from just over 70%. Based on this, a decision has been reached to do confirmatory tests on all specimens with Chlamydiazyme-values 0.060 or higher. Results with values above the official cutoff will be reported as positive if the confirmatory test is positive. Negative results with values above 0.060 will be reported as suspicious if the Confirmatory test is positive. HEIMILDIR 1. Steingrímsson Ó, Þórarinsson H, Sigfúsdóttir A, Kolbeinsson A. Könnun á tíðni sýkinga af völdum C. trachomatis á íslandi í samanburði við tíðni lekanda. Rannsóknir á sjúklingum er leituðu til húð- og kynsjúkdómadeildar Heilsuvemdarstöðvar Reykjavíkur árið 1982. Læknablaðið 1983: 69: 289- 93. 2. Magnusson SS, Sveinsson B, Oskarsson Th, Geirsson RT, Steingrímsson Ó. A microbiological study of sexually transmitted disease in women with salpingitis. Am J Obst Gynecol 1986; 155: 602. 3. Steingrímsson Ó, Jónsson Ó. Tíðni sýkinga af völdum ChUimydia trachomatis í Sauðárkrókshéraði. Læknablaðið 1986; 72: 164-6. 4. Guðmundsson S, Geirsson RT, Steingrímsson Ó. Klamydíu- og lekandasýkingar á fyrri helmingi meðgöngu. Læknablaðið 1987; 73: 121-5. 5. Heilbrigðisskýrslur 1984-1985. Reykjavík: Landlæknisembættið, 1989. 6. Óskarsson T, Steingrímsson Ó, Geirsson RT, Thórarinsson H. The Prevalence of Lower Genital Tract Infection with Neisseria gonorrhoeae and Chlamydia trachomatis in Women requesting induced Abortion and in their Sexual Partners. Acta Obstet Gynecol Scand 1990; 69: 635-40. 7. Schacter J. Chlamydial infections. N Engl J Med 1978; 298: 428-35, 490-5, 540-9. 8. Tómasson J. Betur má ef duga skal. Fréttabréf lækna 1990; 8(3): 2. 9. Ryan RW, Kwasnik I, Steingrímsson Ó, Gudmundsson J, Thorarinsson H, Tilton RC. Rapid Detection of Chlamydia trachomatis by an Enzyme Immunoassay Method. Diagn Microbiol Infect Dis 1986; 5: 225. 10. Guðmundsson J, Ryan RW, Þórarinsson H, Tilton RC, Magnússon SS, Kwasnik I, Steingrímsson Ó. Greining klamydíusýkinga með ensímmótefnaaðferð (Chlamydiazyme). Læknablaðið 1986; 72: 157-63. 11. Moncada J, Schachter J, Bolan G, et al. Confirmatory Assay Increases Specificity of the Chlamydiazyme Test for Chlamydia trachomatis Infection of the Cervix. J Clin Microbio! 1990; 28: 1770-3. 12. Hrafn Tulinius. Faraldsfræði og heilsuvemd. Reykjavík: Háskólaútgáfan, 1989. 13. Nettleman MD, Jones RB. Cost-effectiveness of screening Women at Moderate Risk for Genital Infections Caused by Chlamydia trachomatis. JAMA 1988; 260: 207-13. 14. Schwebke JR, Stamm WE, Handslield HH. Use of Sequential Enzyme Immunoassay and Direct Fluorescent Antibody Tests for Detection of Chlamydia trachomatis Infections in Women. J Clin Microbiol 1990; 28: 2473-6.

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