Comparative sensitivity and specificity of Typhidot and Typhidot-M tests in the diagnosis of Enteric fever in Malaysian children

Choo, K.E. and Davis, T.M.E. and Ismail, A. and Tuan Ismail, T.A. and Ghazali, W.N.W. (1998) Comparative sensitivity and specificity of Typhidot and Typhidot-M tests in the diagnosis of Enteric fever in Malaysian children. Medical Journal of Indonesia, 7 (20). pp. 284-285. ISSN 2252-8083

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Abstract

Suntu penelitian untuk mengetahui sensitivitas dan spesifisitas uji Typhidot dan Typhidot-M daLam mendiagnosis demam enterik pada anak-anak Malaysia telah dilakukan. Pasien dibagi dalam dua kelompok: (i) pasien dengan biakan darah dan-/ ataufeses positif S. typhi dan/atau dengan gambaran klinis yang jelas untuk demam enterik; (ii) pasien dengan kedua biakan negatif dan dengan gambaran klinis atau bukti lain adanya demam oleh sebab lain. Hasilnya menunjukkan bahwa Typhidot maupun TyphidorM sama sensitifnya dengan uji Widal. Uji Typhidot-M memiliki spesifisins yang sedikit Lebih tinggi daripada uji Typhido4 keduanya memiliki spesifisitas sekitar l0% Iebih baik daripada uji Widal. Data juga menunjukkan bahwa uji Typhidot-M mungkin dapat meningkntkan ketepatan diagnosis demam oleh sebab lain pada anak-anak, yang dibuktikan dengan perbaikan spesifitas. Baik uji Typhidot maupun Typhidot-M adalah alat bantu diagnosis yang cepat dan dapat diandalkan dalam penatalaksanaan demam enterik. Uji Typhidot-M mungkin lebih disukai daripada uji Typhidot dalam mengidentifikasi pasien yang menderita demam oleh sebab lain sementara ia daLam masa penyembuhan demam enterik. A study was carcied out to compare the sensitivity and specificity of Typhidot and Typhidot-M tests in the diagnosis of enteric fever in Malaysian children. The patients were divided into two groups: (i) those who were bLood and /or stool culture positive for S. typhi and/or who had clinical features strongly suggestive of enteric fever; (ii) those who were both culture - negative and had clinical or other evidence of another febrile illness. The results showed both Typhidot and Typhidot-M tests.were as sensitive as WidaL test. The Typhidot-M test hnd slightly greater specificity than the Typhidot test; both had around l07a better specificity than the Widal test. The data aLso suggest that the Typhidot-M test may, as evidenced by improved specificity, increase diagnostic accuracy for other febrile iLlnesses in children. The Typhidot and Typhidot-M are both prompt and reliable diagnostic aids in the management of enteric fever The typhidot-M test may be more preferable to the orginal Typhidot test in identifiing patients who develop other febrile illnesses whilst recovering from enteric fever.

Item Type:	Article
Subjects:	Q Science > QR Microbiology > QR1-502 Microbiology
Divisions:	Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Article
Depositing User:	Mr Noorazilan Noordin
Date Deposited:	23 Jan 2018 01:11
Last Modified:	23 Jan 2018 01:11
URI:	http://eprints.usm.my/id/eprint/38470

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