RESUMO
The objective of the investigation was to evaluate the efficiency of the RT-PCR kit "AmplySens CHF" produced by InterlabService of the Central Research Institute of Epidemiology and that of the ELISA kits made by the D. I. Ivanovsky Research Institute of Virology for the specific diagnosis of Crimean hemorrhagic fever (CHF). Examination of sera from CHF patients from the Astrakhan Region showed that positive RT-PCR results were observed in 95.2 and 37.5% on days 4-8 and 9-13 after disease onset, respectively; but they were absent on days 13-17. Positive ELISA-IgM results were found in 93% on disease days 6 to 16. A high percentage (78.9%) of positive IgG samples was seen only on days 9-16. Thus, RT-PCR has a marked efficiency in diagnosing CHF until day 8 of illness while ELISA-IgM has it on day 8 or later. ELISA-IgG can be considered to be a confirming rather than compulsory test. The findings suggest that the RT-PCR kit "AmplySens CHF" produced by InterlabService of the Central Research Institute of Epidemiology and that of the ELISA kits made by the D. I. Ivanovsky Research Institute of Virology have a pronounced sensitivity and specificity and a high efficiency when concurrently used to verify CHF in patients.
Assuntos
Ensaio de Imunoadsorção Enzimática/métodos , Vírus da Febre Hemorrágica da Crimeia-Congo , Febre Hemorrágica da Crimeia/diagnóstico , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos , Vírus da Febre Hemorrágica da Crimeia-Congo/genética , Vírus da Febre Hemorrágica da Crimeia-Congo/imunologia , Vírus da Febre Hemorrágica da Crimeia-Congo/isolamento & purificação , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Federação Russa , Sensibilidade e EspecificidadeRESUMO
The extraction of acetone-dried bacteria by means of tris-glycine buffer has been found to yield the greatest number of antigens. Thus, up to 16 antigenic components with different electrophoretic mobility have been revealed in Y. enterocolitica. They include 4 thermostable proteins and 2 glycoproteins. Such antigens may be common and specific for each serovar. The presence of 1-3 surface antigens in common with the causative agent of plague has been revealed. Of these, the most active antigen has proteinaceous nature, and its mobility corresponds to that of rho-globulin. It is not identical with the surface Y. pestis antigen located in the albumin zone.