摘要侵袭性念珠菌病缺乏特异性临床症状和体征,传统的培养方法诊断敏感度低,且检验周期长。近年来,念珠菌非培养法因其快速、灵敏的特点而得到广泛应用,主要包括检测念珠菌的碳水化合物(1,3-β-D-葡聚糖、甘露聚糖及其抗体)、蛋白质、核酸(PCR、T2candida)。本文阐述了这些方法在诊断念珠菌病中的临床应用价值及局限性,旨在为临床早期、快速诊断侵袭性念珠菌病提供参考。
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abstractsInvasive candidiasis (IC) is lack of specific clinical symptoms and signs. Conventional microbiological culture for IC diagnosis presents poor sensitivity and time-consuming. Non-culture-based methods include the detection of candida carbohydrates (1, 3-β-D-glucan, mannan/anti-mannan), candida protein and candida nucleic (PCR, T2Candida). Because they are sensitive and less time-consumming, the method have been widely used for IC diagnosis. This article describes the clinical application and limitations of these non-culture methods in the diagnosis of candida diseases, to provide reference for the clinical use.
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