THE POSITIVE PREDICTIVE VALUE OF LYME ELISA FOR THE DIAGNOSIS OF LYME DISEASE IN CHILDREN

被引:11
|
作者
Lipsett, Susan C. [1 ]
Pollock, Nira R. [2 ,3 ]
Branda, John A. [4 ]
Gordon, Caroline D. [1 ]
Gordon, Catherine R. [1 ]
Lantos, Paul M. [5 ,6 ]
Nigrovic, Lise E. [1 ]
机构
[1] Boston Childrens Hosp, Div Emergency Med, Boston, MA 02115 USA
[2] Boston Childrens Hosp, Infect Dis Diagnost Lab, Boston, MA 02115 USA
[3] Beth Israel Deaconess Med Ctr, Div Infect Dis, Boston, MA 02215 USA
[4] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
[5] Duke Univ, Sch Med, Div Pediat Infect Dis, Durham, NC USA
[6] Duke Univ, Sch Med, Div Pediat Infect Dis, Durham, NC USA
基金
美国国家卫生研究院;
关键词
Lyme disease; Lyme ELISA; predictive value; pediatrics; KNEE MONOARTHRITIS; MENINGITIS; VALIDATION; MODEL;
D O I
10.1097/INF.0000000000000858
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
By using a Lyme enzyme-linked immunosorbent assay (ELISA), we demonstrated that high ELISA index values are strongly predictive of Lyme disease. In children with clinical presentations consistent with Lyme disease, ELISA index values 3.0 had a positive predictive value of 99.4% (95% confidence interval: 98.1-99.8%) for Lyme disease, making a supplemental Western immunoblot potentially unnecessary.
引用
收藏
页码:1260 / 1262
页数:3
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