Beruflich Dokumente
Kultur Dokumente
1. WHAT ARE
THE OPTIMUM SAMPLES AND APPLICABLE DIAGNOSTIC TEST FOR THE FOLLOWING DISEASE? WRITE THE SIGNIIFICANCE AND LIMITATIONS OF
EACH DIAGNOSTIC TEST. TABULATE YOUR ANSWER.
Infection specimen Diagnostic test Advantage disadvantage
Gonorrhoea Genital, rectal, Microscopy Sensitive and specific in
oropharygeal, symptomatic with male urethral
conjunctival swab, discharge, low cost
genital discharge
Culture Sensitive and highly specific in Strict sample collection,
optimized circumstances, transportation and storage
inexpensive and allows are crucial in maintaining
antimicrobial susceptibility viability
testing, the only method that
allows anti-microbial
susceptibilty
Genetic
congenital syphilis
and also neurosyphilis
antigen is not stabilized and a
suspension must be freshly
prepared on the day of use.
VDRL remains the test of choice
Venereal Disease for the detection of reagin in
Research Laboratory cerebrospinal fluid (CSF), patients
(VDRL) with suspected
Test neurosyphilis.
good quality
Fluorescent Treponemal
fluorescence microscope,
Antibody
experience in reading, quality
Absorption (FTA-Abs) test
reagents, and an appropriate
dilution of the conjugate
are all critical to the reliability of
the test
Enzyme immunoassay Sensitivity and specificity of 85% Could produce false positive
(Chlamydiazyme) and 97% results
Useful for high volume screening
Smear tissue section, Direct Inexpensive, Rapid (4 hours Fresh vesicle, suboptimal
smear from base of immunofluorescence possible) sensitivity, time consuming,
vesicle Typing possible, high sensitivity labour intensive, not
standardized
Swab of exudate from Immune peroxidase High specificity >90%, Reagent Fresh vesicle, suboptimal
the base of vesicle staining cost, rapid, does not require sensitivity
integrity of the specimen, typing
possible
Swab, skin lesions, HSV isolation Gold standard, simplicity of Less sensitive than PCR,
vesicular fluid and susceptible cells (virus sampling, virus typing, resistance storage and transport is
exudate, mucosal culture) phenotype testing crucial before testing, labor
sample, biopsies, intensive, needs specialized
conjunctival corneal, laboratories, 2-7 days result
neonates
HIV Serum, plasma, whole Enzyme Sensitive and specific in detecting Do not detect very early Ab
blood Immunoassays HIV Ab responses in the form of IgM
HIV Rapid Tests Take up to 2-4 hours, the devices Requires the use of a high
are optimized to accelerate concentration of antigen and
antigen antibody interaction detection of antigen
Used in setting with low volumes antibody complexes with
of specimens to provide more sensitive colour reagents
cost effective care
Confirmatory assays