Chlamydia includes three species of C. trachomatis, C. psittaci, and C. pneumonia. Chlamydia trachomatis is divided into trachoma, lymphogranulomavenereum (LGV) and three biological variants of murine biological variants. Chlamydia trachomatis biological variants have A ~ K18 serotypes, of which A, B, Ba, C cause trachoma, D ~ K type causes genitourinary tract infections, such as inclusion body conjunctivitis, non-gonococcal urethritis, cervicitis, salpingitis , epididymitis, proctitis, neonatal pneumonia and otitis media. Chlamydia genitourinary tract inflammation is one of the most sexually transmitted diseases in the world. Sexually transmitted lymphogranulomatous variants have L1, L2, L2a, and L34 serotypes, which can cause lymphogranuloma of sexually transmitted diseases. Mouse biological variants do not cause human disease. Chlamydia psittaci and Chlamydia pneumoniae cause respiratory infections, especially pneumonia.Basic Information
Specialist classification: Infectious disease inspection and classification: pathogenic microorganism inspection
Applicable gender: whether men and women apply fasting: fastingAnalysis results:
Positive symptoms of lymphogranuloma, trachoma, adult inclusion body conjunctivitis, non-gonococcal urethritis, neonatal conjunctivitis, epididymitis, proctitis, prostatitis, cervicitis, salpingitis, endometritis and other diseases.
1:8 (complement binding assay CF).
<1:32 (indirect fluorescent antibody method IFA).
Negative (polymerase chain reaction PCR, enzyme-linked immunosorbent assay ELISA, immunofluorescence assay).Clinical significance
(1) CF method 1: 128 ~ 256, sexually transmitted diseases, lymphogranuloma.
(2) IFA method 1:64, genital diseases caused by Chlamydia trachomatis. > 1:4000, sexually transmitted diseases, lymphogranuloma.
(3) positive pathological lymphogranuloma, trachoma, adult inclusion body conjunctivitis, non-gonococcal urethritis, neonatal conjunctivitis, epididymitis, proctitis, prostatitis, cervicitis, salpingitis, endometritis.Positive results may be diseases: Chlamydia urinary tract infection, Chlamydia trachomatis pneumonia, Chlamydia lymphogranuloma, Chlamydia infection, trachoma precautions
This test operation is complicated and the general laboratory is not willing to do it.Inspection process
(1) Titration of complement and hemolysin.
1 Take 1ml of complement, add 9ml of BBS, and then dilute to 1:20, 1:30, 1:40, 1:50, 1:60, 1:80, 1:100, 1:200, 1:400, and take 50 0.2 ml of hemolysin, add 9.8 ml of BBS, which is 1:100 hemolysin, and then continue to dilute to 1:800, 1:1600, 1:3200, 1:6400.
2 Take the square array of test tubes, longitudinally add 0.1ml of different concentrations of complement, and add 0.1ml of hemolysin in each row (all should be added from the highest dilution), then add BBS0.2ml, complement and The hemolysin control tubes were each added with BBS 0.3 ml, and finally 2% sheep red blood cells were added to each tube. The total amount of each tube was 0.5 ml, shaken, placed in a 37 ° C water tank for 30 min, and the results were observed.
The highest dilution of complete hemolyzed complement and hemolysin is the respective unit. Hemolysin 1:3200 is a hemolysin unit, and complement 1:80 is a complement unit. In practical applications, the hemolysin is 2u (3200÷2=1600) and the complement is 2.5u (80÷2.5=32).
(2) Formal test:
1 Operate with a V-type microplate, each specimen was made into one test well and one serum control well. BBS0.025ml was added to each well.
2 Dip serum (0.025 ml) with a dilution stick to the first well, rotate and transfer to the second well for a total of eight wells, thus obtaining a 1:2 to 1:256 dilution.
3 Add each reagent:
(3) Judgment of results: The results of each tube of the control group should meet the following conditions, otherwise it should be redone.
Complement control tube: 2.5u = 0, 1u = 0 ~ ±, 0.5u = 3 ~ 4. Sheep red blood cell control tube: 4. Antibody control tube: 0. Negative control tube; 1:2 to 1:256=0. Positive control tube: the same positive serum, the results should be consistent.
When the reaction tube of each measuring tube is the strongest, one tube is still ± report suspicious, and 1 to 4 reports positive. If both the measuring tube and the serum control tube are anti-complement, all the measuring tubes are 0, and the report is negative.
The method of examining the antibody is the same as the method of examining the antigen, except that four units of known antigen are used instead to determine the serum to be tested.Not suitable for the crowd
Those who do not have an indication for examination should not do this check.Adverse reactions and risks
Generally no complications and harm.