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1.
Proc Biol Sci ; 291(2023): 20232207, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38772423

RESUMO

Population and species persistence in a rapidly warming world will be determined by an organism's ability to acclimate to warmer conditions, especially across generations. There is potential for transgenerational acclimation but the importance of ontogenetic timing in the transmission of environmentally induced parental effects remains mostly unknown. We aimed to disentangle the effects of two critical ontogenetic stages (juvenile development and reproduction) to the new-generation acclimation potential, by exposing the spiny chromis damselfish Acanthochromis polyacanthus to simulated ocean warming across two generations. By using hepatic transcriptomics, we discovered that the post-hatching developmental environment of the offspring themselves had little effect on their acclimation potential at 2.5 months of life. Instead, the developmental experience of parents increased regulatory RNA production and protein synthesis, which could improve the offspring's response to warming. Conversely, parental reproduction and offspring embryogenesis in warmer water elicited stress response mechanisms in the offspring, with suppression of translation and mitochondrial respiration. Mismatches between parental developmental and reproductive temperatures deeply affected offspring gene expression profiles, and detrimental effects were evident when warming occurred both during parents' development and reproduction. This study reveals that the previous generation's developmental temperature contributes substantially to thermal acclimation potential during early life; however, exposure at reproduction as well as prolonged heat stress will likely have adverse effects on the species' persistence.


Assuntos
Aclimatação , Recifes de Corais , Animais , Reprodução , Aquecimento Global , Perciformes/fisiologia , Transcriptoma , Oceanos e Mares , Peixes/fisiologia , Temperatura
2.
Mol Ecol ; : e17328, 2024 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-38520127

RESUMO

The environment experienced by one generation has the potential to affect the subsequent one through non-genetic inheritance of parental effects. Since both mothers and fathers can influence their offspring, questions arise regarding how the maternal, paternal and offspring experiences integrate into the resulting phenotype. We aimed to disentangle the maternal and paternal contributions to transgenerational thermal acclimation in a reef fish, Acanthochromis polyacanthus, by exposing two generations to elevated temperature (+1.5°C) in a fully factorial design and analysing the F2 hepatic gene expression. Paternal and maternal effects showed not only common but also parent-specific components, with the father having the largest influence in shaping the offspring's transcriptomic profile. Fathers contributed to transcriptional transgenerational response to warming through transfer of epigenetically controlled stress-response mechanisms while mothers influenced increased gene expression associated with lipid metabolism regulation. However, the key to acclimation potential was matching thermal experiences of the parents. When both parents were exposed to the same condition, offspring showed increased expression of genes related to structural RNA production and transcriptional regulation, whereas environmental mismatch in parents resulted in maladaptive parental condition transfer, revealed by translation suppression and endoplasmic reticulum stress. Interestingly, the offspring's own environmental experience had the smallest influence on their hepatic transcription profiles. Taken together, our results show the complex nature of the interplay among paternal, maternal and offspring cue integration, and reveal that acclimation potential to ocean warming might depend not only on maternal and paternal contributions but importantly on congruent parental thermal experiences.

3.
Proc Biol Sci ; 288(1946): 20202754, 2021 03 10.
Artigo em Inglês | MEDLINE | ID: mdl-33653144

RESUMO

Humans are rapidly changing the marine environment through a multitude of effects, including increased greenhouse gas emissions resulting in warmer and acidified oceans. Elevated CO2 conditions can cause sensory deficits and altered behaviours in marine organisms, either directly by affecting end organ sensitivity or due to likely alterations in brain chemistry. Previous studies show that auditory-associated behaviours of larval and juvenile fishes can be affected by elevated CO2 (1000 µatm). Here, using auditory evoked potentials (AEP) and micro-computer tomography (microCT) we show that raising juvenile snapper, Chrysophyrs auratus, under predicted future CO2 conditions resulted in significant changes to their hearing ability. Specifically, snapper raised under elevated CO2 conditions had a significant decrease in low frequency (less than 200 Hz) hearing sensitivity. MicroCT demonstrated that these elevated CO2 snapper had sacculus otolith's that were significantly larger and had fluctuating asymmetry, which likely explains the difference in hearing sensitivity. We suggest that elevated CO2 conditions have a dual effect on hearing, directly effecting the sensitivity of the hearing end organs and altering previously described hearing induced behaviours. This is the first time that predicted future CO2 conditions have been empirically linked through modification of auditory anatomy to changes in fish hearing ability. Given the widespread and well-documented impact of elevated CO2 on fish auditory anatomy, predictions of how fish life-history functions dependent on hearing may respond to climate change may need to be reassessed.


Assuntos
Dióxido de Carbono , Água do Mar , Animais , Peixes , Audição , Humanos , Concentração de Íons de Hidrogênio , Oceanos e Mares
4.
Oecologia ; 174(4): 1187-95, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24343842

RESUMO

Although mutualisms are ubiquitous in nature, our understanding of the potential impacts of climate change on these important ecological interactions is deficient. Here, we report on a thermal stress-related shift from cooperation to antagonism between members of a mutualistic coral-dwelling community. Increased mortality of coral-defending crustacean symbionts Trapezia cymodoce (coral crab) and Alpheus lottini (snapping shrimp) was observed in response to experimentally elevated temperatures and reduced coral-host (Pocillopora damicornis) condition. However, strong differential numerical effects occurred among crustaceans as a function of species and sex, with shrimp (75%), and female crabs (55%), exhibiting the fastest and greatest declines in numbers. These declines were due to forceful eviction from the coral-host by male crabs. Furthermore, surviving female crabs were impacted by a dramatic decline (85%) in egg production, which could have deleterious consequences for population sustainability. Our results suggest that elevated temperature switches the fundamental nature of this interaction from cooperation to competition, leading to asymmetrical effects on species and/or sexes. Our study illustrates the importance of evaluating not only individual responses to climate change, but also potentially fragile interactions within and among susceptible species.


Assuntos
Antozoários/fisiologia , Decápodes/fisiologia , Simbiose/fisiologia , Temperatura , Animais , Austrália , Mudança Climática , Feminino , Fertilidade , Masculino , Dinâmica Populacional , Estresse Fisiológico
5.
Artigo em Inglês | MEDLINE | ID: mdl-24862962

RESUMO

Tropical regions are expected to be some of the most affected by rising sea surface temperatures (SSTs) because seasonal temperature variations are minimal. As temperatures rise, less oxygen dissolves in water, but metabolic requirements of fish and thus, the demand for effective oxygen uptake, increase. Gill remodelling is an acclimation strategy well documented in freshwater cyprinids experiencing large seasonal variations in temperature and oxygen as well as an amphibious killifish upon air exposure. However, no study has investigated whether tropical reef fishes remodel their gills to allow for increased oxygen demands at elevated temperatures. We tested for gill remodelling in five coral reef species (Acanthochromis polyacanthus, Chromis atripectoralis, Pomacentrus moluccensis, Dascyllus melanurus and Cheilodipterus quinquelineatus) from populations in northern Papua New Guinea (2° 35.765' S; 150° 46.193' E). Fishes were acclimated for 12-14 days to 29 and 31°C (representing their seasonal range) and 33 and 34°C to account for end-of-century predicted temperatures. We measured lamellar perimeter, cross-sectional area, base thickness, and length for five filaments on the 2nd gill arches and qualitatively assessed 3rd gill arches via scanning electron microscopy (SEM). All species exhibited significant differences in the quantitative measurements made on the lamellae, but no consistent trends with temperature were observed. SEM only revealed alterations in gill morphology in P. moluccensis. The overall lack of changes in gill morphology with increasing temperature suggests that these near-equatorial reef fishes may fail to maintain adequate O2 uptake under future climate scenarios unless other adaptive mechanisms are employed.


Assuntos
Peixes/fisiologia , Brânquias/anatomia & histologia , Temperatura , Aclimatação , Animais , Mudança Climática , Recifes de Corais , Brânquias/patologia
6.
HIV Med ; 13(10): 617-22, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22726318

RESUMO

OBJECTIVES: The aim of the paper was to describe the association of religion with HIV outcomes in newly diagnosed Africans living in London. METHODS: A survey of newly diagnosed HIV-positive Africans attending 15 HIV treatment centres across London was carried out between April 2004 and February 2006. Confidential self-completed questionnaires were used, linked to clinical records. Bivariate analyses were conducted to ascertain whether religious beliefs were associated with late diagnosis, antiretroviral therapy, and immunological and virological outcome 6 months post diagnosis. RESULTS: A total of 246 Black Africans were eligible and included in the analysis: 62.6% were women, and the median age was 34 years. The median CD4 count at diagnosis was 194 cells/µL (range 0-1334 cells/µL) and 75.6% presented late, as defined as a CD4 count < 350 cells/µL. Most participants were religious: non-Roman Catholic Christians (55.7%), Roman Catholics (35.2%) and Muslims (6.1%). Only 1.2% stated that they did not have a religion. Participants who attended religious services at least monthly were more likely to believe that 'faith alone can cure HIV' than those who attended less frequently (37.7% vs. 15.0%; P = 0.002). A small proportion (5.2%) believed that taking antiretroviral therapy implied a lack of faith in God. Bivariate analysis found no relationship between religiousness (as measured using frequency of attendance at religious services and religious attitudes or beliefs) and late diagnosis, changes in CD4 count/viral load 6 months post diagnosis, or initiation of antiretroviral therapy. CONCLUSIONS: Strong religious beliefs about faith and healing are unlikely to act as a barrier to accessing HIV testing or antiretroviral treatment for Black Africans living in London.


Assuntos
População Negra/estatística & dados numéricos , Cura pela Fé/estatística & dados numéricos , Soropositividade para HIV/diagnóstico , Soropositividade para HIV/etnologia , HIV-1 , Adolescente , Adulto , Contagem de Linfócito CD4 , Feminino , Soropositividade para HIV/epidemiologia , HIV-1/imunologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Modelos Logísticos , Londres/epidemiologia , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Religião , Inquéritos e Questionários , Carga Viral , Adulto Jovem
7.
J Exp Biol ; 213(6): 894-900, 2010 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-20190114

RESUMO

Expert opinion was canvassed to identify crucial knowledge gaps in current understanding of climate change impacts on coral reef fishes. Scientists that had published three or more papers on the effects of climate and environmental factors on reef fishes were invited to submit five questions that, if addressed, would improve our understanding of climate change effects on coral reef fishes. Thirty-three scientists provided 155 questions, and 32 scientists scored these questions in terms of: (i) identifying a knowledge gap, (ii) achievability, (iii) applicability to a broad spectrum of species and reef habitats, and (iv) priority. Forty-two per cent of the questions related to habitat associations and community dynamics of fish, reflecting the established effects and immediate concern relating to climate-induced coral loss and habitat degradation. However, there were also questions on fish demographics, physiology, behaviour and management, all of which could be potentially affected by climate change. Irrespective of their individual expertise and background, scientists scored questions from different topics similarly, suggesting limited bias and recognition of a need for greater interdisciplinary and collaborative research. Presented here are the 53 highest-scoring unique questions. These questions should act as a guide for future research, providing a basis for better assessment and management of climate change impacts on coral reefs and associated fish communities.


Assuntos
Antozoários/fisiologia , Mudança Climática , Peixes/fisiologia , Água do Mar , Animais , Comportamento Animal/fisiologia , Biodiversidade , Ecossistema , Doenças dos Peixes , Humanos , Dinâmica Populacional , Inquéritos e Questionários
8.
J Fish Biol ; 76(10): 2578-83, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20557610

RESUMO

Evidence of facultative corallivory is documented in three species of obligate coral-dwelling gobies (genus Gobiodon) based on the presence of spirocysts in gut contents. Coral-dwelling gobies also consumed a broad range of other items with gut contents dominated by algae, invertebrates and amorphous material. Dietary similarities between species suggest corallivory may be widespread in this genus.


Assuntos
Antozoários , Dieta , Comportamento Alimentar , Perciformes/fisiologia , Animais , Austrália , Conteúdo Gastrointestinal
9.
Int J STD AIDS ; 20(10): 712-8, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19759049

RESUMO

An analysis was undertaken of data pertaining to over 100 women with lower abdominal pain who were laparoscoped. Prior to laparoscopy, 11 of the women were considered to almost certainly have salpingitis, of whom six (55%) had salpingitis at laparoscopy; 17 to probably have salpingitis, of whom six (35%) did; 28 to possibly have salpingitis, of whom five (18%) did; and 56 to be very unlikely to have salpingitis, of whom five (9%) did. Of the 22 women who had salpingitis at laparoscopy, 14 (64%) had a Chlamydia trachomatis IgG antibody titre of >or=1:128 and might reasonably be regarded as having chlamydial disease on this basis; six without such a titre probably did not have chlamydial disease as C. trachomatis could not be detected at any genital site. At laparoscopy, 18 women had adhesions without obvious tubal inflammation; clinically, 15 of them had been regarded as possibly having salpingitis or unlikely to have it, with 12 having chronic pelvic pain. Twelve (67%) of the 18 women had a chlamydial IgG antibody titre of >or=1:128. IgM antibody was also detected most often in the 'salpingitis' group. Of 49 women without any abnormality detected at laparoscopy, nine (18%) had a high chlamydial IgG antibody titre. Overall, a woman who had a high titre of chlamydial IgG antibody and acute pelvic pain, together with a clinical picture of pelvic inflammation, was more likely to have salpingitis than adhesions alone. Likewise, a woman who had a high titre of chlamydial IgG antibody and chronic pelvic pain, together with a clinical picture suggesting that salpingitis was unlikely, was more likely to have adhesions alone than acute chlamydial salpingitis. However, while antibody measurement and seeking cervical C. trachomatis may help in formulating a diagnosis, there seems no simple way of detecting the small proportion of women who are infected by C. trachomatis in the upper genital tract but whose laparoscopic findings indicate normality. So far as patient care is concerned, the only way of preventing damage to the upper genital tract is to treat early on the basis of suspicion.


Assuntos
Infecções por Chlamydia/diagnóstico , Chlamydia trachomatis/isolamento & purificação , Doença Inflamatória Pélvica/diagnóstico , Anticorpos Antibacterianos/sangue , Infecções por Chlamydia/sangue , Estudos de Coortes , Diagnóstico Diferencial , Feminino , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Laparoscopia , Doença Inflamatória Pélvica/sangue , Doença Inflamatória Pélvica/microbiologia , Estudos Retrospectivos , Salpingite/sangue , Salpingite/diagnóstico , Sensibilidade e Especificidade
10.
J Fish Biol ; 75(3): 685-92, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20738565

RESUMO

The relationship between whole-body concentrations of 11-ketotestosterone (11-KT) and sexual function was examined in the coral goby Gobiodon erythrospilus, a bi-directional sex-changing fish. 11-KT occurred in both female and male G. erythrospilus, but levels were not always higher in males than in females within heterosexual pairs, and were not related to the stage of gonadal development of individual fish. These results suggest that comparable 11-KT levels in both sexes may allow serial adult sex change to take place in bi-directional sex-changing species, such as Gobiodon spp.


Assuntos
Organismos Hermafroditas/química , Organismos Hermafroditas/fisiologia , Perciformes/fisiologia , Testosterona/análogos & derivados , Animais , Feminino , Gônadas/anatomia & histologia , Gônadas/crescimento & desenvolvimento , Masculino , Perciformes/crescimento & desenvolvimento , Processos de Determinação Sexual/fisiologia , Testosterona/análise
11.
Tissue Cell ; 39(5): 335-42, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17707448

RESUMO

We examined the peripheral olfactory organ in newly metamorphosed coral-dwelling gobies, Paragobiodon xanthosomus (SL=5.8mm+/-0.8mm, N=15), by the aid of electron microscopy (scanning and transmission) and light microscopy. Two bilateral olfactory placodes were present in each fish. They were oval-shaped and located medio-ventrally, one in each of the olfactory chambers. Each placode had a continuous cover of cilia. The placode epithelium contained three different types of olfactory receptor neurons: ciliated, microvillous and crypt cells. The latter type was rare. Following a pelagic larval phase, P. xanthosomus settle to the reef and form an obligate association with one species of coral, Seriatopora hystrix. Their well-developed olfactory organs likely enable larvae of P. xanthosomus to detect chemical cues that assist in navigating towards and selecting appropriate coral habitat at settlement. Our findings support past studies showing that the peripheral olfactory organ develops early in coral reef fishes.


Assuntos
Mucosa Olfatória/crescimento & desenvolvimento , Mucosa Olfatória/ultraestrutura , Perciformes/anatomia & histologia , Perciformes/crescimento & desenvolvimento , Olfato/fisiologia , Animais , Antozoários/química , Antozoários/fisiologia , Comportamento Animal/fisiologia , Células Quimiorreceptoras/fisiologia , Células Quimiorreceptoras/ultraestrutura , Cílios/fisiologia , Cílios/ultraestrutura , Ecossistema , Metamorfose Biológica/fisiologia , Microscopia Eletrônica de Varredura , Microscopia Eletrônica de Transmissão , Microvilosidades/fisiologia , Microvilosidades/ultraestrutura
13.
Sci Rep ; 6: 33216, 2016 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-27620837

RESUMO

Neurosensory and behavioural disruptions are some of the most consistently reported responses upon exposure to ocean acidification-relevant CO2 levels, especially in coral reef fishes. The underlying cause of these disruptions is thought to be altered current across the GABAA receptor in neuronal cells due to changes in ion gradients (HCO3(-) and/or Cl(-)) that occur in the body following compensation for elevated ambient CO2. Despite these widely-documented behavioural disruptions, the present study is the first to pair a behavioural assay with measurements of relevant intracellular and extracellular acid-base parameters in a coral reef fish exposed to elevated CO2. Spiny damselfish (Acanthochromis polyacanthus) exposed to 1900 µatm CO2 for 4 days exhibited significantly increased intracellular and extracellular HCO3(-) concentrations and elevated brain pHi compared to control fish, providing evidence of CO2 compensation. As expected, high CO2 exposed damselfish spent significantly more time in a chemical alarm cue (CAC) than control fish, supporting a potential link between behavioural disruption and CO2 compensation. Using HCO3(-) measurements from the damselfish, the reversal potential for GABAA (EGABA) was calculated, illustrating that biophysical properties of the brain during CO2 compensation could change GABAA receptor function and account for the behavioural disturbances noted during exposure to elevated CO2.


Assuntos
Comportamento Animal/fisiologia , Encéfalo/metabolismo , Dióxido de Carbono/metabolismo , Recifes de Corais , Peixes/fisiologia , Equilíbrio Ácido-Base/fisiologia , Animais , Austrália , Bicarbonatos/metabolismo , Peixes/metabolismo , Geografia , Receptores de GABA-A/metabolismo
14.
Int J STD AIDS ; 16(4): 281-3, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15899078

RESUMO

We allocated 278 patients, who said they were asymptomatic and agreed to be randomized to a nurse or doctor clinic, to appointments using a random number system. In all, 35 patients did not attend and 16 were excluded because they did not meet the entry criteria. We used a screening protocol which excluded microscopy from the immediate assessment of patients. The outcome measures were completeness of documentation, proportion of patients accepting HIV tests, infections detected and patient satisfaction. Overall, 3% of items were not completed by doctors and 6% by nurses. HIV tests were carried out on 65% of patients who saw a doctor and 52% who saw a nurse. Thirteen infections were detected by doctors and 27 by nurses. No new cases of gonorrhoea, syphilis or HIV infection were identified. Eighty-eight patients completed a questionnaire after their attendance. Almost all patients were very satisfied with the service and most were prepared to see a nurse on a subsequent visit. We concluded that there are few differences between the performance of doctors and nurses in routine screening of asymptomatic patients.


Assuntos
Instituições de Assistência Ambulatorial , Programas de Rastreamento/estatística & dados numéricos , Papel do Profissional de Enfermagem , Infecções Sexualmente Transmissíveis/diagnóstico , Feminino , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde , Satisfação do Paciente/estatística & dados numéricos , Papel do Médico , Infecções Sexualmente Transmissíveis/epidemiologia , Inquéritos e Questionários , Reino Unido/epidemiologia
16.
AIDS ; 3(6): 379-82, 1989 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2546572

RESUMO

Eighteen out of 19 women who were clinically well but infected by HIV showed abnormalities of the lower genital tract. Seven patients had intraepithelial neoplasia, histologically verified in five, involving the cervix in four, the vulva in three and the perineum in one. Lesions (clinical and/or subclinical) compatible with human papillomavirus (HPV) infection were identified in these women, as well as in 10 out of the other 11 women infected with HIV. Disease at more than one site was detected in half of the patients and would have remained covert in more than half, had colposcopy not been undertaken. Women with HIV infection are at high risk of harbouring HPV and of developing lower genital tract neoplasia.


Assuntos
Neoplasias dos Genitais Femininos/epidemiologia , Soropositividade para HIV/epidemiologia , Infecções Tumorais por Vírus/epidemiologia , Adulto , Estudos de Coortes , Feminino , Neoplasias dos Genitais Femininos/complicações , Soropositividade para HIV/complicações , Humanos , Pessoa de Meia-Idade , Papillomaviridae , Fatores de Risco , Infecções Tumorais por Vírus/complicações
17.
J Clin Pathol ; 34(8): 921-3, 1981 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7024318

RESUMO

Matched perianal swabs, rectal swabs, and faecal samples from a group of male homosexual patients attending a clinic for sexually transmitted disease were examined for the presence of group B streptococci (GBS). GBS recovery rates were as follows: perianal skin 31/115 (27%), rectal mucosa 18/72 (25%) and faeces 7/115 (6%). The recovery of GBS from faeces was similar to that obtained from faecal samples sent to the laboratory for routine investigation (5%). Although there was no difference in GBS recovery rates from rectal and perianal swabs, the latter did show heavier colonisation. These results suggest that gastrointestinal GBS carriage is mainly limited to the rectum and anal canal and that this may represent contamination from perianal skin.


Assuntos
Canal Anal/microbiologia , Fezes/microbiologia , Reto/microbiologia , Streptococcus agalactiae/isolamento & purificação , Homossexualidade , Humanos , Masculino
18.
J Clin Pathol ; 33(2): 177-9, 1980 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-6988463

RESUMO

In a clinical study of 190 men with non-gonococcal urethritis, Chlamydia trachomatis inclusions were sought in cycloheximide-treated McCoy cells by an indirect immunofluorescent antibody technique. The method was consistently reliable over a period of two years, and the results were obtained within 24 hours of a patient's attendance. The results correlated with those obtained by Giemsa staining in 91.6% of patients, and the new method was at least as sensitive as the established Giemsa-staining method.


Assuntos
Corantes Azur , Chlamydia trachomatis/isolamento & purificação , Imunofluorescência , Fenotiazinas , Linhagem Celular , Infecções por Chlamydia/diagnóstico , Cicloeximida/farmacologia , Humanos , Masculino , Uretrite/diagnóstico
19.
J Clin Pathol ; 38(10): 1142-5, 1985 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3932488

RESUMO

A new direct immunofluorescence reagent (Syva and Genetic Systems Inc) was evaluated for its ability to detect Neisseria gonorrhoeae in specimens from populations with a high prevalence of the infection. Gonorrhoea was diagnosed by culture in 45 of 105 (43%) urethral specimens from men and 17 of 90 (28%) urethral and 25 of 60 (42%) cervical specimens from women. In men the immunofluorescence test had a sensitivity of 84.4% and a specificity of 100%; Gram staining gave values of 94% and 100%, respectively. The sensitivity of the immunofluorescence test could be increased to 89% by testing duplicate smears. In women the immunofluorescence test had a sensitivity of 65% and a specificity of 98% for urethral samples and values of 72% and 94%, respectively for cervical samples. At both sites the sensitivity of the Gram stain was 40% and the specificity 100%. The testing of duplicate immunofluorescence smears increased the sensitivity to 76% for urethral and 88% for cervical samples.


Assuntos
Imunofluorescência , Gonorreia/diagnóstico , Colo do Útero/microbiologia , Feminino , Gonorreia/microbiologia , Humanos , Masculino , Neisseria gonorrhoeae/isolamento & purificação , Uretra/microbiologia
20.
J Clin Pathol ; 38(4): 399-402, 1985 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-2580863

RESUMO

Forty five (37%) of 121 female contacts of men with non-gonococcal urethritis or gonorrhoea were chlamydia positive, as judged by isolation or by detecting elementary bodies in smears with a fluorescein labelled chlamydial monoclonal antibody. Only six (13%) of these, however, had Papanicolaou stained smears in which there were inclusion like changes suggestive of chlamydial infection. Furthermore, of 15 patients who had such cytological changes, chlamydiae were detected in only six and the abnormalities were found also in Papanicolaou stained smears from 10 (13%) of the 76 chlamydia negative patients. Modifying the Papanicolaou stained smears by including endocervical material did not increase sensitivity. In addition, destaining and restaining them with the monoclonal antibody was time consuming and the results were unreliable. The staining of cervical smears with Papanicolaou reagent is a technique of low sensitivity and specificity for diagnosing or screening for chlamydial cervical infection and cannot be recommended.


Assuntos
Infecções por Chlamydia/diagnóstico , Teste de Papanicolaou , Doenças do Colo do Útero/diagnóstico , Esfregaço Vaginal , Muco do Colo Uterino/microbiologia , Chlamydia trachomatis/isolamento & purificação , Feminino , Humanos , Coloração e Rotulagem
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