Mycoplasma genitalium, nuklein kislota amplifikatsiyasi (NAA), surtma
Kod:18011|CPT:87563|LOINC:69935-5, 11502-2
| Kabi | Mycoplasma genitalium, nuklein kislota amplifikatsiyasi (NAA) PDF |
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Tahlil ma'lumotlari
Tadqiqot usuli
- Nuklein kislotalarni amplifikatsiyalash (NAA)
- Real vaqt polimeraza zanjir reaktsiyasi (RT-PCR)
Kutilayotgan natija topshirish vaqti
1–2 kun
Maxsus tayyorlik
- Obtain the specimen before initiating antibiotic therapy.
- Women: provide a urogenital swab or urine sample before menstruation or 2–3 days after it has ended.
- Men: avoid urination for 3 hours prior to urethral swab collection.
- Men: avoid urination and genital cleansing for 6 hours before providing a urine specimen.
Qanday foydalanish
Mycoplasma genitalium, NAA, surtma (M. genitalium DNK uchun real-vaqtli PZR) urogenital namunalarida surunkali yoki subakut genitourinar yallig'lanish etiologiyasini aniqlash uchun qo'llaniladi. Xlamidioz, gonoreya va Ureaplasma bo'yicha testlar bilan birga qo'llanganda, jinsiy yo'l bilan yuqadigan infeksiyalarni differensiallashga yordam beradi. Ushbu usul antibiotik davolashdan so'ng mikrobiologik javob yoki eradikatsiyani baholash uchun qo'llanishi mumkin va belgilangan klinik sharoitlarda selektiv skrining uchun qo'llanilishi mumkin.
Cheklovlar
Mycoplasma genitalium urogenital traktning eng patogen mikoplazmasi sifatida qaraladi. Mikroorganizmlar spermatozoidlarga va urogenital epiteliy hujayralariga yopishadi. Yuqish asosan jinsiy yo'l bilan bo'ladi, homiladorlik yoki tug'ruq paytida vertikal yuqish ehtimoli mavjud. Inkubatsiya davri taxminan 3–5 hafta, va ko'plab infeksiyalar simptomsiz kechadi. Klinik belgilar bo'lganda, erkaklarda odatda gonokokksiz uretrit kuzatiladi. Ayollarda qayd etilgan sindromlar qatoriga uretrit, bartholinit, vulvovaginit, adneksit va endometrit kiradi. Tavsiflangan noxush homiladorlik hodisalari: tushish, bachadon ichi infeksiya, homilada xromosomal anomaliyalar va peripartum qon ketishi. Trichomonas vaginalis, Ureaplasma spp., Neisseria gonorrhoeae, HIV va boshqa opportunistik mikroorganizmlar bilan koinfeksiya tez-tez uchraydi. Laborator tashxis klinik namunalarida M. genitalium DNKsini aniqlovchi nuklein kislota amplifikatsiyasi usullariga tayanadi.
| O'lchov birligi | qualitative |
|---|---|
| Referens oraliq | — |
| Ko'rsatmalar | Evaluation after unprotected intercourse or with persistent low-grade genitourinary symptoms when Mycoplasma genitalium is a concern, Preconception assessment for both partners in a couple, Workup of infertility or recurrent miscarriage, Assessment in the context of ectopic pregnancy, Test-of-cure approximately one month after completing antibiotic therapy, Individuals with HIV infection |
Natija og'ishlarining mumkin sabablari
Pasaygan daraja
- antibiotic therapy
Namunangiz talablari
| Namunangiz | Urina |
|---|---|
| Container | Siydik yig'ish probirkasi (PCR) |
| Saqlash tayyorlik | Xona harorati, Sovutilgan |
References
Kenny GE. Genital Mycoplasmas: Mycoplasma genitalium, Mycoplasma hominis, and Ureaplasma Species. In: Principles and Practice of Infectious Diseases. 6th ed. Mandell GL, Bennett JE, Dolin R, editors. Philadelphia: Churchill Livingstone; 2005. 2701 p.
Non-chlamydial non-specific genital infection. In: Oxford Handbook of Genitourinary Medicine, HIV, and AIDS. 1st ed. Pattman R, et al., editors. Oxford University Press; 2005. 580 p.
Gomberg MA, Solovyev AM, Aniskova IN. Treatment of urethritis caused by Mycoplasma genitalium. Lechaschy Vrach. 2007;(7):12-15.
Khryanin AA, Reshetnikov OV. Current concepts of Mycoplasma genitalium. Russian Medical Journal. 2008;16(19):1236-1239.