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R Nosoohian, M Yavari, A Ajami, M Sadegh,
Volume 1, Issue 1 (Spring - Summer 2007 [PERSIAN] 2007)
Abstract

Abstract Background and objectives :Epidemic dysentery, which can be caused by different organisms, is a major problem in developing countries. The cause variability and drug resistance make the treatment difficult. This study was carried out to determine the prevalence and antimicrobial susceptibility patterns of Shigella in Isfahan reference laboratory. Materials and Methods: In this descriptive study,200 stool samples referred to Isfahan Reference Laboratory were examined to detect possible microorganisms and their antibiotic sensitivity. Results:The Shigella and Salmonella infections rates were 17% and 0.5%. Shigella which is the most frequent cultured organism(97% of bacterial samples) includes: 79% Sd1, 15% Shigella Flexneri and 5% Shigella Sunnei. None of the samples was infected by Ecoli O157H7 or Entamoeba histolitica. The most effective ntibioticwas Ciprofloxacin (no resistance was seen to this antibiotic). Conclusion: The most important cause of bacterial dysentery in this study was shigellosis (sd1). Antibiotic resistance to ampicillin, Amoxiclav and Cotrimoxasole was quite high. This necessitates avoiding to empirical treatment of dysentery. Keywords: Dysentery, Antibiotic resistance, Salmonella, Shigella, Ecoli


Mohammadreza Sheikh Sajjadieh , Ali Ajami , Leila Haghshenas ,
Volume 18, Issue 4 (Jul-Aug 2024)
Abstract

Background: Immunofluorescence and serology analysis are the most common laboratory methods for diagnosing antinuclear antibodies in autoimmune diseases and are paramount for screening and therapeutic purposes. This study aims to estimate the sensitivity and specificity of antinuclear antibodies measured by automated indirect immunofluorescence and enzyme-linked immunoassay in patients at risk for autoimmune diseases.
Methods: Serum antinuclear antibodies in 3020 patients suspected of autoimmune diseases at Nobel Medical Laboratory, Esfahan, IRAN, were measured from 2017 until 2020 with automated indirect immunofluorescence and enzyme-linked immune assay methods. The sensitivity, specificity, prevalence, positive and negative predictive value, and likelihood ratio were calculated for each technique. In addition, the receiver operating characteristic curve (ROC) was analysed as a statistical method for assessing the diagnostic accuracy of these tests.
Results: The immunofluorescence method demonstrated low sensitivity and high specificity compared with the enzyme-linked immunoassay. For the automated indirect immunofluorescence method, sensitivity and specificity were 88% and 62%, respectively, whereas this number for the ELISA method was determined as 89.6% and 28.5 %, respectively.
Conclusion: It is crucial to choose a suitable method for detecting autoantibodies for diagnostic purposes. ANA analysis by a sensitive test, such as an enzyme-linked immunoassay, should be used for screening. In contrast, a highly specific test, such as an indirect immunofluorescence assay, should be used to confirm the result and monitor dynamic treatment.

 


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