Abstract
The performance of Magic Lite (CIBA-Corning), a chemiluminescent immunoassay (CIA), was compared with that of culture for the diagnosis of neonatal chlamydial conjunctivitis and respiratory infection. We performed a retrospective evaluation of 51 ocular and 96 nasopharyngeal specimens previously collected for culture testing with the CIA. The sensitivities for the ocular and the nasopharyngeal specimens were 91 and 91.7%, respectively. The specificities for both sites were 100%. A subsequent prospective study evaluating 71 ocular and 38 nasopharyngeal specimens revealed sensitivities of 83.3 and 20%, respectively. The specificities for both sites were 100%. The CIA performed favorably, compared with culture, for the diagnosis of chlamydial conjunctivitis; however, the CIA appeared less sensitive for the diagnosis of respiratory infection, including pneumonia.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bland J. M., Altman D. G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 Feb 8;1(8476):307–310. [PubMed] [Google Scholar]
- Feinstein A. R. Clinical biostatistics XXXI. On the sensitivity, specificity, and discrimination of diagnostic tests. Clin Pharmacol Ther. 1975 Jan;17(1):104–116. doi: 10.1002/cpt1975171104. [DOI] [PubMed] [Google Scholar]
- Hammerschlag M. R. Chlamydial infections. J Pediatr. 1989 May;114(5):727–734. doi: 10.1016/s0022-3476(89)80128-3. [DOI] [PubMed] [Google Scholar]
- Hammerschlag M. R., Gelling M., Dumornay W., Roblin P., Worku M. Office diagnosis of neonatal chlamydial conjunctivitis. Pediatr Infect Dis J. 1991 Jul;10(7):540–541. doi: 10.1097/00006454-199107000-00012. [DOI] [PubMed] [Google Scholar]
- Hammerschlag M. R., Roblin P. M., Cummings C., Williams T. H., Worku M., Howard L. V. Comparison of enzyme immunoassay and culture for diagnosis of chlamydial conjunctivitis and respiratory infections in infants. J Clin Microbiol. 1987 Dec;25(12):2306–2308. doi: 10.1128/jcm.25.12.2306-2308.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hammerschlag M. R., Roblin P. M., Gelling M., Worku M. Comparison of two enzyme immunoassays to culture for the diagnosis of chlamydial conjunctivitis and respiratory infections in infants. J Clin Microbiol. 1990 Aug;28(8):1725–1727. doi: 10.1128/jcm.28.8.1725-1727.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rapoza P. A., Quinn T. C., Kiessling L. A., Green W. R., Taylor H. R. Assessment of neonatal conjunctivitis with a direct immunofluorescent monoclonal antibody stain for Chlamydia. JAMA. 1986 Jun 27;255(24):3369–3373. [PubMed] [Google Scholar]
- Roblin P. M., Hammerschlag M. R., Cummings C., Williams T. H., Worku M. Comparison of two rapid microscopic methods and culture for detection of Chlamydia trachomatis in ocular and nasopharyngeal specimens from infants. J Clin Microbiol. 1989 May;27(5):968–970. doi: 10.1128/jcm.27.5.968-970.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stamm W. E., Tam M., Koester M., Cles L. Detection of Chlamydia trachomatis inclusions in Mccoy cell cultures with fluorescein-conjugated monoclonal antibodies. J Clin Microbiol. 1983 Apr;17(4):666–668. doi: 10.1128/jcm.17.4.666-668.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]