Database : HANSEN
Search on : SENSIBILIDADE E ESPECIFICIDADE [Subject descriptor]
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Id:17565
Author:Patrocinio, Lucas Gomes; Goulart, Isabela Maria Bernardes; Goulart, Luiz Ricardo; Patrocinio, Jose Aantonio; Ferreira, Frederico Rogerio; Fleury, Raul Negrao
Title:Detection of Mycobacterium leprae in nasal mucosa biopsies by the polymerase chain reaction ..-
Source:s.l; s.n; 2005. 6 p. ilus, tab.
Abstract:Several discoveries about leprosy indicate that Mycobacterium leprae transmission mainly occurs by inhalation, and the nose is major port of entry and exit. The present study evaluated the clinical application of PCR for detection of M. leprae DNA in nasal mucosa biopsies in untreated leprosy patients (52) and their contacts (99) from the State Reference Center in Sanitary Dermatology and Leprosy, Uberlandia, MG, Brazil. PCR detection of a 372-base pair DNA fragment from M. leprae was accomplished in 36 (69.2%) patients, from which 34 (91.9%) of them were multibacillaries. Furthermore, PCR was positive in 3 (16.7%) of 18 slit-skin smear negative, 4 (25.0%) of 16 skin lesion BI negative, 8 (33.3%) of 24 nasal mucosa BI negative patients, and 10 of 99 contacts (10.1%). The presence of bacilli in 10.1% of the contacts may potentially reflect an occult leprosy, and these patients must be accompanied, followed by a chemoprophylaxy treatment. Considering all PCR results against clinical and BI classification of patients and controls, we have found a sensitivity of 69.2%, a specificity of 89.9%, and an accuracy of 82.8%. It has been demonstrated here through PCR of nasal biopsies that the bacillus invades the mucosa, passing through the nasal inferior turbinate to reach peripheral blood. Therefore, the molecular investigation of invasive nasal biopsies by PCR tests has proven to be useful in defining patients of higher risk of transmission and risk-group contacts, which is an important step to reach the World Health Organization objective towards the elimination of leprosy as a public health problem. (AU).
Descriptors:Biópsia
Brasil/EP
DNA Bacteriano/AN
Hanseníase/*DI/EP/MI
Mycobacterium leprae/GE/*IP
Mucosa Nasal/*MI/PA
Reação em Cadeia da Polimerase/*
Fatores de Risco
Sensibilidade e Especificidade
Limits:Estudo Comparativo
Humanos
Location:BR191.1; 09345/s


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Id:17564
Author:Kramme, Stefanie; Bretzel, Gisela; Panning, Marcus; Kawuma, Joseph; Drosten, Christian
Title:Detection and quantification of Mycobacterium leprae in tissue samples by real-time PCR ..-
Source:s.l; s.n; 2004. 5 p. tab, graf.
Abstract:Real-time PCR technology has improved molecular diagnostics of many pathogens, but no such test is available for Mycobacterium leprae. In this report we describe the establishment and the pre-clinical evaluation of such an assay. The test achieved a theoretical analytical sensitivity limit of 194 M. leprae cells per skin biopsy specimen and facilitated quantification of mycobacteria in tissue over a range of 54-54,000,000 cells per sample. In punch skin biopsies from 39 untreated Ugandan patients with newly diagnosed leprosy, the clinical diagnosis could be confirmed in 88.9% of multibacillary and 33.3% of paucibacillary (microscopically negative) patients. Real-time detection thus did not increase the clinical sensitivity of PCR as compared to conventional protocols, in spite of its evidently high analytical sensitivity. On the other hand, as still no culture system exists for M. leprae, the assay appears to be a robust tool for detection of the bacterium in selected clinical situations, as well as for quantitation in experimental settings. (AU).
Descriptors:Antígenos de Bactérias/GE
Proteínas de Bactérias/GE
Biópsia
DNA Bacteriano/CH/IP
Hanseníase/*DI/MI
Dados de Sequência Molecular
Mycobacterium leprae/GE/*IP
Reação em Cadeia da Polimerase/*MT
Sensibilidade e Especificidade
Alinhamento de Sequência
Análise de Sequência de DNA
Pele/MI
Uganda
Limits:Research Support, Non-U.S. Gov't
Humanos
Location:BR191.1; 09344/s


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Id:17312
Author:Kalk, Andreas; Konig, Jurgen; Van Wijnen, Ary; Wiegandt, Axel
Title:Drug packaging: what can TB learn from leprosy control? ..-
Source:s.l; s.n; 2003. 1 p. .
Descriptors:Antituberculosos/*PD/TU
Controle de Doenças Transmissíveis/*
Sensibilidade e Especificidade
Tuberculose Pulmonar/DI/*DT
Limits:Estudo Comparativo
Embalagem de Medicamentos/*
Feminino
Humano
Masculino
Location:BR191.1; 01753/s


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Id:17303
Author:Queiroz, R. H. C; Pereira, R. C; Gotardo, M. A; Cordeiro, D. S; Melchior, E
Title:Determination of clofazimine in leprosy patients by high-performance liquid chromatography ..-
Source:s.l; s.n; 2003. 4 p. ilus, tab.
Abstract:An original, simple, specific, and rapid high-performance liquid chromatography assay for the determination of clofazimine in human plasma is presented. The procedure consists of extracting the drug and the internal standard (medazepam) from 0.5 mL plasma with dichloromethane/diisopropyl ether (1:1, v/v) at pH 3.0, after precipitating the proteins with methanol. The drugs were then quantitated on a reversed-phase C8 using a mobile phase consisting of a mixture of methanol/0.25 N sodium acetate buffer at pH 3.0 (74:26, v/v). The flow-rate and wavelength were set at 1 mL/min and 286 nm, respectively. The precision, linearity, and limit of quantitation of the method were within acceptable limits. The method was considered adequate and could be applied in studies involving blood level monitoring and pharmacokinetics in leprosy patients. (AU).
Descriptors:Cromatografia Líquida de Alta Pressão/*MT
Clofazimina/*PK/TU
Monitoramento de Medicamentos/*MT
Hansenostáticos/*PK/TU
Hanseníase/DT/*ME
Reprodutibilidade de Resultados
Sensibilidade e Especificidade
Limits:Feminino
Humano
Masculino
Location:BR191.1; 01158/s


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Id:17276
Author:Qinxue, Wu; Xinyu, Li; Wei, Hou; Tao, Li; Yaoping, Ying; Jinping, Zhang; Xiuling, Cai; Ganyun, Ye
Title:A study on PCR for detecting infection with M. leprae ..-
Source:s.l; s.n; 1999. 5 p. tab.
Abstract:OBJECTIVE: So far, it has not been established a satisfactory method for early diagnosis and studying on epidemiology for leprosy, we want to develop a molecular biological method for solving this point. MATERIALS AND METHODS: Based on the M. leprae gene coding groEL, 65 kD and 16S rRNA, three polymerase chain reactions were developed by using Plikaytis', Woods' and Pattyn's procedures. It was optimized that the experimental parameters for each PCR, and a comparative study on practivity among three PCRs was also conducted for practical purpose. RESULTS AND CONCLUSION: For detecting infection with M. leprae, all of PCRs established by us were highly sensitive and specific, but for practical purpose, the Woods' PCR optimized by us ought to be chosen firstly. (AU).
Descriptors:Estudo Comparativo
Primers do DNA
DNA Bacteriano/GE
Proteína GroEL/GE
Hanseníase/*DI/GE/MI
Mycobacterium leprae/*GE
Mycobacterium tuberculosis/GE
Reação em Cadeia da Polimerase/*MT
RNA Ribossômico 16S/GE
Sensibilidade e Especificidade
Limits:Humano
Location:BR191.1; 09175/s


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Id:13625
Author:Antunes, Abílio; Nina, Jaime; David, Suzana
Title:Serological screening for tuberculosis in the community: an evaluation of the Mycodot procedure in an African population with high HIV-2 prevalence (Republic of Guinea-Bissau) ..-
Source:s.l; s.n; 2002. 5 p. tab.
Abstract:The immuno-dot-blot assay MycoDot, which detects lipoarabinomannan (LAM) antibodies, was evaluated for the serological diagnosis of active pulmonary tuberculosis in patients in a rural community in the Republic of Guinea-Bissau. Sera from 269 adults (age > 15) and 33 children (age < 5) were assayed for antibodies in a blind manner and the results compared to the clinical status of tuberculosis. The assay had a specificity and a sensitivity of 92.4 per cent and 63.0 per cent respectively, when applied to the adult population. In HIV-2 infected individuals (27/269), the specificity and sensitivity of the assay were similar, 94.7 per cent and 62.5 per cent respectively. The assay did not provide high sensitivity for the diagnosis of tuberculosis in children. Sera from patients with leprosy cross-reacted with the antigen of the assay. It is concluded that this easily performed assay may be useful for the presumptive diagnosis of tuberculosis in adult populations in rural areas of developing countries where routine screening is not readily available. (AU).
Descriptors:ANTICORPOS ANTIBACTERIAS/sangue
GUINE BISSAU
INFECCOES POR HIV/compl
HIV-2
IMMUNOBLOTTING/métodos
LIPOPOLISSACARIDIOS/uso diag
POPULACAO RURAL
MYCOBACTERIUM TUBERCULOSIS/isol
SENSIBILIDADE E ESPECIFICIDADE
TUBERCULOSE/compl
TUBERCULOSE/diag
TUBERCULOSE/patol
TUBERCULOSE/virol
Limits:ESTUDO COMPARATIVO
HUMANO
PRÉ-ESCOLAR
CRIANÇA
ADULTO
SUPPORT, NON-U.S. GOV'T
ADOLESCENTE
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 09016/s


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Id:13214
Author:Srinivasan, H; Stumpe, B
Title:Leprosy diagnosis: a device for testing the thermal sensibility of skin lesions in the field ..-
Source:s.l; s.n; 1989. 7 p. ilus, tab, graf.
Abstract:A handy device for testing the thermal sensibility of skin lesions has been developed and field tested in various centres in Africa and India. The instrument performed satisfactorily and its use made testing for thermal sensibility in the field practicable and straightforward. Analysis of the results of testing 260 persons, most of whom exhibited a few lesions that were characteristic of early leprosy, showed that the rate of diagnosis of sensory impairment of such skin lesions, and hence the diagnosis of leprosy, would be about 15-25% more if thermal sensibility testing using this device were added to the other tests of sensibility routinely carried out in the field. Regular use of the device in the field would help to bring more leprosy patients under treatment than at present.(AU).
Descriptors:HANSENIASE/diag
HANSENIASE/fisiopatol
PROJETOS PILOTO
CALOR
AFRICA
SENSACAO
SENSIBILIDADE E ESPECIFICIDADE
PELE/inerv
Limits:HUMANO
SUPPORT, NON-U.S. GOV'T
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 02112/s


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Id:12293
Author:Boldsen, Jesper L
Title:Epidemiological approach to the paleopathological diagnosis of leprosy ..-
Source:s.l; s.n; 2001. 8 p. tab, mapa.
Descriptors:ANTROPOLOGIA FISICA
OSSO E OSSOS
FOSSEIS
HANSENIASE
HANSENIASE
PREVALENCIA
VALORES DE REFERENCIA
SENSIBILIDADE E ESPECIFICIDADE
Location:BR191.1; 08671/s


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Id:12248
Author:Williams, Diana L; Pittman, Tana L; Gillis, Thomas P; Matsuoka, Masanori; Kashiwabara, Yoshiko
Title:Simultaneous detection of mycobacterium leprae and its susceptibility to dapsone using DNA heteroduplex analysis ..-
Source:s.l; s.n; Jun. 2001. 6 p. ilus, tab.
Descriptors:SEQUENCIA DE BASES
DNA BACTERIANO
DNA BACTERIANO
DAPSONA
RESISTENCIA MICROBIANA A DROGAS
LEPROSTATICOS
HANSENIASE
DADOS DE SEQUENCIA MOLECULAR
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
SENSIBILIDADE E ESPECIFICIDADE
ANALISE DE SEQUENCIA DE DNA
Análise Heteroduplex/*MT
Location:BR191.1; 08678/s; BR191.1; 08430/s


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Id:12230
Author:Salotra, P; Sreenivas, G; Nasim, A. A; Subba Raju, B. V; Ramesh, V
Title:Evaluation of enzyme-linked immunosorbent assay for diagnosis of post-kala-azar dermal leishmaniasis with crude or recombinant k39 antigen ..-
Source:s.l; s.n; Mar. 2002. 4 p. tab, graf.
Descriptors:ANTICORPOS ANTIPROTOZOARIOS
ELISA
ESTUDOS DE AVALIAÇAO
LEISHMANIA DONOVANI
LEISHMANIA DONOVANI
LEISHMANIA DONOVANI
LEISHMANIOSE VISCERAL
LEISHMANIOSE VISCERAL
PROTEINAS DE PROTOZOARIOS
SENSIBILIDADE E ESPECIFICIDADE
Limits:ANIMAL
Location:BR191.1; 08713/s


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Id:11936
Author:Mujagic, Hamza; Chabner, Bruce A; Mujagic, Zlata
Title:Mechanisms of action and potential therapeutic uses of thalidomide ..-
Source:s.l; s.n; 2002. 12 p. tab.
Descriptors:MIELOMA MULTIPLO
MIELOMA MULTIPLO
NEOPLASIAS
NEOPLASIAS
DEFEITOS DO TUBO NEURAL
DEFEITOS DO TUBO NEURAL
SENSIBILIDADE E ESPECIFICIDADE
RELAÇAO ESTRUTURA-ATIVIDADE
TALIDOMIDA
TALIDOMIDA
TALIDOMIDA
RESULTADO DE TRATAMENTO
Location:BR191.1; 08595/s


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Id:11824
Author:Mujagic, Hamza; Chabner, Bruce A; Mujagic, Zlata
Title:Mechanisms of action and potential therapeutic uses of thalidomide ..-
Source:s.l; s.n; 2002. 12 p. ilus, tab.
Descriptors:ENSAIOS CLINICOS
MIELOMA MULTIPLO
MIELOMA MULTIPLO
NEOPLASIAS
NEOPLASIAS
SENSIBILIDADE E ESPECIFICIDADE
TALIDOMIDA
TALIDOMIDA
TALIDOMIDA
Location:BR191.1; 08562/s


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Id:11729
Author:Nishimura, Masayuki; Kwon, Kyung Sool; Shibuta, Kenji; Yoshikawa, Yasuji; Oh, Chang-Keun; Suzuki, Tomokazu; Chung, Tae-Ahn; Hori, Yoshiaki
Title:An improved method for DNA diagnosis of leprosy using formaldehyde-fixed, paraffin-embedded skin biopsies ..-
Source:s.l; s.n; 1994. 4 p. ilus, tab.
Descriptors:HANSENIASE
HANSENIASE
MYCOBACTERIUM LEPRAE
SEQUENCIA DE BASES
DNA BACTERIANO
ELETROFORESE EM GEL DE AGAR
FORMALDEIDO
DADOS DE SEQUENCIA MOLECULAR
INCLUSAO EM PARAFINA
REAÇAO EM CADEIA POR POLIMERASE
SEQUENCIAS REGULADORAS DE ACIDO NUCLÉICO
SENSIBILIDADE E ESPECIFICIDADE
PELE
FIXAÇAO DE TECIDOS
Location:BR191.1; 07218/s


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Id:11723
Author:Boldsen, Jesper L
Title:Epidemiological approach to the paleopathological diagnosis of leprosy ..-
Source:s.l; s.n; 2001. 8 p. tab, mapas.
Descriptors:HANSENIASE
HANSENIASE
ANTROPOLOGIA FISICA
OSSO E OSSOS
FOSSEIS
PREVALENCIA
VALORES DE REFERENCIA
SENSIBILIDADE E ESPECIFICIDADE
ESTUDOS EPIDEMIOLOGICOS
Limits:HUMANO
ADULTO
FEMININO
Location:BR191.1; 07356/s


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Id:11645
Author:Hailu, Asrat
Title:The use of direct agglutination test (DAT) in serological diagnosis of Ethiopian cutaneous leishmaniasis ..-
Source:s.l; s.n; 2002. 6 p. tab, graf.
Descriptors:LEISHMANIA
LEISHMANIOSE CUTANEA
LEISHMANIOSE CUTANEA
LEISHMANIOSE CUTANEA
TESTES DE AGLUTINAÇAO
ANTICORPOS ANTIPROTOZOARIOS
BIOPSIA
HISTOCITOQUIMICA
SENSIBILIDADE E ESPECIFICIDADE
PELE
PELE
Location:BR191.1; 08506/s


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Id:11644
Author:Mujagic, Hamza; Chabner, Bruce A; Mujagic, Zlata
Title:Mechanisms of action and potential therapeutic uses of thalidomide ..-
Source:s.l; s.n; 2002. 12 p. tab.
Descriptors:TALIDOMIDA
TALIDOMIDA
TALIDOMIDA
ENSAIOS CLINICOS
MIELOMA MULTIPLO
MIELOMA MULTIPLO
NEOPLASIAS
NEOPLASIAS
DEFEITOS DO TUBO NEURAL
DEFEITOS DO TUBO NEURAL
SENSIBILIDADE E ESPECIFICIDADE
RELAÇAO ESTRUTURA-ATIVIDADE
RESULTADO DE TRATAMENTO
Location:BR191.1; 08505/s


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Id:11607
Author:Williams, Diana L; Pittman, Tana L; Gillis, Thomas P; Matsuoka, Masanori; Kashiwabara, Yoshiko
Title:Simultaneous detection of mycobacterium leprae and its susceptibility to dapsone using DNA heteroduplex analysis ..-
Source:s.l; s.n; 2001. 6 p. tab, graf.
Descriptors:SEQUENCIA DE BASES
DNA BACTERIANO
DNA BACTERIANO
DAPSONA
RESISTENCIA MICROBIANA A DROGAS
LEPROSTATICOS
HANSENIASE
DADOS DE SEQUENCIA MOLECULAR
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
SENSIBILIDADE E ESPECIFICIDADE
ANALISE DE SEQUENCIA DE DNA
ANALISE HETERODUPLEX/*MT
Location:BR191.1; 08430/s


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Id:11334
Author:Kirsztajn, G. M; Nishida, S. K; Silva, M. S; Lombardi, C; Ajzen, H; Pereira, A. B
Title:Specific and nonspecific aspects of humoral immune response in leprosy ..-
Source:s.l; s.n; 1994. 12 p. graf.
Descriptors:ADOLESCENCIA
ANTICORPOS ANTINUCLEARES
ANTICORPOS ANTIBACTÉRIAS
PROTEINA C-REATIVA
CRIANÇA
RELAÇOES HOSPEDEIRO-PARASITA
HANSENIASE
HANSENIASE
HANSENIASE LEPROMATOSA
HANSENIASE LEPROMATOSA
MYCOBACTERIUM LEPRAE
FATOR REUMATOIDE
SENSIBILIDADE E ESPECIFICIDADE
Location:BR191.1; 06946/s


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Id:11318
Author:Rastogi, Nalin; Goh, Khye Seng; Berchel, Mylene
Title:Species-specific identification of mycobacterium leprae by PCR-restriction fragment length polymorphism analysis of the hsp65 gene ..-
Source:s.l; s.n; 1999. 4 p. ilus, tab, graf.
Descriptors:ALGORITMOS
ANTIGENOS DE BACTÉRIAS
TATUS
CHAPERONINAS
GENES ESTRUTURAIS BACTERIANOS
HANSENIASE
FIGADO
GANGLIOS LINFATICOS
CAMUNDONGOS
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM TUBERCULOSIS
MYCOBACTERIUM TUBERCULOSIS
REAÇAO EM CADEIA POR POLIMERASE
POLIMORFISMO DE FRAGMENTO DE RESTRIÇAO
SENSIBILIDADE E ESPECIFICIDADE
ESPECIFICIDADE DE ESPÉCIES
BAÇO
Location:BR191.1; 07257/s


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Id:11304
Author:Kampirapap, Kowit
Title:Mycobacterium leprae particle agglutination in diagnosis and monitoring of treatment of leprosy ..-
Source:s.l; s.n; 1999. 5 p. tab, graf.
Descriptors:ADOLESCENCIA
TESTES DE AGLUTINAÇAO
TESTES DE AGLUTINAÇAO
ANALISE DE VARIANCIA
ANTICORPOS ANTIBACTÉRIAS
ANTIGENOS DE BACTÉRIAS
CRIANÇA
PRÉ-ESCOLAR
MONITORAMENTO DE MEDICAMENTOS
MONITORAMENTO DE MEDICAMENTOS
GLICOLIPIDIOS
LEPROSTATICOS
HANSENIASE
HANSENIASE
MYCOBACTERIUM LEPRAE
SENSIBILIDADE E ESPECIFICIDADE
Location:BR191.1; 07243/s



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