Neisseria gonorrhoeae, nuklein kislota amplifikatsiya testi (NAA)
Kod:18035|CPT:87591|LOINC:43305-2
| Kabi | Neisseria gonorrhoeae, NAA |
|---|
Tahlil ma'lumotlari
Tadqiqot usuli
- Nuklein kislotalarni amplifikatsiyalash testi (NAAT)
- Real vaqt polimeraza zanjir reaktsiyasi (RT-PCR)
Kutilayotgan natija topshirish vaqti
1–2 kun
Maxsus tayyorlik
- For oropharyngeal swabs, avoid eating, drinking, toothbrushing, mouth or throat rinses, chewing gum, and smoking for 3–4 hours before collection; when feasible, collect in the morning after an overnight fast.
- Whenever possible, obtain specimens before initiating antimicrobial therapy.
- Women: schedule endocervical or vaginal swab, or urine collection, before menses or 2–3 days after it ends.
- Men: do not urinate for 3 hours prior to urethral swab collection.
- Men: avoid urination and genital cleansing for 6 hours before providing a urine sample.
Qanday foydalanish
Neisseria gonorrhoeae, NAA (gonokokk DNK PZR) gonokokk infeksiyasini tashxislash uchun Neisseria gonorrhoeae ni aniqlashda va, klinik ko‘rsatma bo‘lsa, davolashdan keyingi javobni baholashda qo‘llanadi. Test muassasa siyosatlariga muvofiq, shu jumladan belgilangan kasbiy guruhlarni o‘z ichiga olgan aniqlangan populyatsiyalarda profilaktik skrining maqsadida ham joriy etilishi mumkin. Keng qo‘llaniladigan sinonimlar: Neisseria gonorrhoeae DNK testi va gonokokk uchun PZR; bu atamalar patogen nuklein kislotasining molekulyar aniqlanishini anglatadi.
Cheklovlar
Neisseria gonorrhoeae — jinsiy yo‘l bilan yuqadigan infeksiya bo‘lgan gonoreyani keltirib chiqaruvchi gram-manfiy diplokokk. Klinik ko‘rinish jinsga qarab farq qiladi: ayollarda ko‘plab infeksiyalar asoratlar rivojlanmaguncha jim (asymptomatik) kechadi, erkaklarda esa qisqa inkubatsiya davridan so‘ng odatda uretrit kuzatiladi. Davolanmasa, infeksiya yuqoriga ko‘tarilib, pelvik yallig‘lanish kasalligiga yoki epididimo-orxitga olib kelishi mumkin, shuningdek bo‘g‘imlar yoki kon’yunktivaning dissemine zararlanishi yuz berishi mumkin. Diagnostik variantlarga mikrobiologik kultura, serologik usullar va molekulyar testlar kiradi. Nuklein kislota amplifikatsiya testlari organizm DNK sini aniqlaydi va, odatda, kulturaga nisbatan yuqoriroq sezgirlik va spetsifiklikni ta’minlaydi. Gonoreya, odatda, amaldagi ko‘rsatmalarga muvofiq qo‘llanadigan mos antibiotik terapiyasiga javob beradi.
| O'lchov birligi | qualitative |
|---|---|
| Referens oraliq | — |
| Ko'rsatmalar | Men with urethritis presenting with purulent urethral discharge, dysuria, and erythema or edema of the meatus, Symptoms of proctitis in individuals with risk factors, Women with cervicitis accompanied by yellow or yellow‑white vaginal discharge, dysuria, intermenstrual bleeding, or postcoital bleeding, Annual asymptomatic screening of sexually active women younger than 25 years, Screening during pregnancy or in the preconception period, Yearly screening of sexually active men |
Namunangiz talablari
| Namunangiz | Urina |
|---|---|
| Container | Siydik yig'ish probirkasi (PCR) |
| Hajm | 2 mL (min 2 mL) |
| Saqlash tayyorlik | Xona harorati |