Serodiagnosis model establishing method for active tuberculosis disease

A diagnostic model and technology for pulmonary tuberculosis, applied in the field of protein profiling, can solve the problems of low positive rate of Roche culture, only 20-30% positive rate, low detection rate of pulmonary tuberculosis patients, etc. easy effect

Inactive Publication Date: 2009-05-06
中国人民解放军总医院第二附属医院 +1
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Problems solved by technology

Among the diagnostic methods routinely used in clinical practice at present, the sensitivity of clinical specimen smear detection is low, and the positive rate is only 20-30%; the positive rate of traditional Roche culture is low, only about 30%, and it takes 4-8 weeks; Drug susceptibility testing and strain identification are cumbersome and time-consuming, taking 1 to 2 months; the sensitivity and specificity of serum tuberculosis antibody detection are not ideal; PPD contains many common antigens of mycobacteria, and the specificity of diagnosis is poor, making 4.51 million activities nationwide Among patients with chronic pulmonary tuberculosis, 1.5 million smear-positive pulmonary tuberculosis p...

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  • Serodiagnosis model establishing method for active tuberculosis disease
  • Serodiagnosis model establishing method for active tuberculosis disease
  • Serodiagnosis model establishing method for active tuberculosis disease

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Embodiment 1

[0039] A method for establishing a serodiagnostic model of active pulmonary tuberculosis, the steps are as follows:

[0040] 1. Serum source and preparation: The serum of 129 cases of active pulmonary tuberculosis was obtained from the inpatients diagnosed by the Army Tuberculosis Research Institute of the Second Affiliated Hospital of the PLA General Hospital from February to May 2007. The average age was 41.31±20.63 years old, and 85 cases were male. 44 female cases, 58 positive cases and 71 negative cases of Mycobacterium tuberculosis smear or culture; 69 cases of non-tuberculosis respiratory disease serum were obtained from inpatients diagnosed in Department of Respiratory and Oncology, Second Affiliated Hospital of PLA General Hospital from February to May 2007 ( Including 18 cases of lung cancer, 23 cases of pneumonia, 15 cases of chronic bronchitis and emphysema, 4 cases of asthma, 4 cases of upper respiratory tract infection, and 5 cases of others), with an average age ...

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Abstract

The invention relates to an establishing method of a serum diagnosing model of active tuberculosis, which has the following steps: step 1 is a serum source taking and preparing step which comprises an experiment group and a control group, the venous blood of a checked person is collected, serum and the rest are separately stored after serum separation at the temperature of -80 DEG C in a refrigerator for spare use; step 2 is the step of the mass spectrometric analysis of the serum and comprises sample treatment, protein plate check, spectrometric analysis and data acquisition; step 3 is the step of statistic analysis and the difference protein screening; step 4 is the step of establishing the diagnosing model, and Biomarker Pattern 5.0 software is used for establishing the model of diagnosing active tuberculosis. When the model is used for identifying the active tuberculosis and the control group, the sensitivity is 96.9 percent, the specificity is 97.8 percent, the positive predicating value and the negative predicating value are 97.7 percent and 97.1 percent, and the total accurate rate is 97.3 percent.

Description

technical field [0001] The invention relates to a method for establishing a serum diagnostic model of active pulmonary tuberculosis, in particular to a method for establishing a serum diagnostic model of active pulmonary tuberculosis using protein spectrum technology, and belongs to the technical field of protein spectrum application. Background technique [0002] The tuberculosis epidemic in my country is quite serious, and the number of tuberculosis patients ranks second in the world, second only to India. Early diagnosis, detection of patients, and selection of sensitive anti-tuberculosis drugs for effective treatment are the keys to control tuberculosis. Among the diagnostic methods routinely used in clinical practice at present, the sensitivity of clinical specimen smear detection is low, and the positive rate is only 20-30%; the positive rate of traditional Roche culture is low, only about 30%, and it takes 4-8 weeks; Drug susceptibility testing and strain identificat...

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Application Information

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IPC IPC(8): G01N27/64
Inventor 吴雪琼张俊仙梁艳阳幼荣董梅易宾马瑞娟卫华梁建琴陈红兵张翠英何菊芳武红李仲兴刘又宁
Owner 中国人民解放军总医院第二附属医院
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