simplex tests和试剂盒的区别...

simplex tests和试剂盒的区别

simplex tests是一种试剂瓶，分为广口瓶和细口瓶，和试剂盒是不一样的。
一、广口瓶。
广口瓶是用于盛放固体试剂的玻璃容器，有透明和棕色两种，棕色瓶用于盛放需避光保存的试剂（例如硝酸银等大部分硝酸盐）。广口瓶一般用于存放试剂，瓶口内部磨砂，用于与瓶塞配合使用。
取用试剂时，瓶塞要倒放在桌上，用后将塞塞紧，必要时密封。由于瓶口内侧磨砂，一般跟玻璃磨砂塞配套，因而玻璃塞的广口瓶不能盛放强碱性试剂。如果盛放碱性试剂，要改用橡皮塞，因为强碱与玻璃中的二氧化硅反应，生成硅酸盐，使口与塞粘连。
二、细口瓶。
一种用于存放液体试剂的玻璃容器，细口方便液体倾倒，并且能够避免试剂挥发，因此口比较小。有透明和棕色两种，棕色瓶用于盛放需避光保存的试剂。
取用试剂时，瓶塞要倒放在桌上，用后将塞塞紧，必要时密封。由于瓶口内侧磨砂，一般跟玻璃磨砂塞配套，因而不能盛放强碱性试剂。如果盛放碱性试剂，要改用橡皮塞。

The prevalence of positive skin tests to Anisakis simplex is high compared with the low incidence of true gastroallergic Anisakiasis. There is little information about the prevalence of positive conjunctival tests in A. simplex-sensitized individuals. This study assesses the predictive value of conjunctival provocation test in two groups of A. simplex-sensitized subjects and negative controls.Group A consisted of 28 individuals with a clinical history strongly suggestive of gastroallergic anisakiasis and group B, of 32 individuals without such history. The 60 individuals had positive skin tests and in vitro specific IgE determinations to A. simplex. Skin and conjunctival provocation tests were performed with an extract of A. simplex at a concentration of 1 mg of lyophilized material per ml.Conjunctival provocation tests were positive in 21/28 (75%) of group A patients and in 10/32 (31%) of group B patients. This difference was statistically significant (p < 0.015); the odds ratio was 6.6 (2.11-20.5; p < 0.05). The diagnostic value of the conjunctival provocation test was expressed by the following statistical indicators: sensitivity 75% (55.8%-88.6%), false positive 25% (11.4%-45.2%), specificity 68.7% (49.9%-83.2%), false negative 31.2% (16.7%-50%), positive predictive value 67.7% (48.5%-82.7%), negative predictive value 75.9% (56.1%-89%), Yuden index 1.43. There were no statistical differences related to age, sex, or atopic status in patients with a positive or negative conjunctival challenge. Total and specific IgE levels to A. simplex were significantly greater (p < 0.05 and p < 0.001, respectively) in the group of patients with a positive challenge.The results demonstrate that positive conjunctival provocation tests and high specific and total IgE levels are more prevalent in patients with a clinical history strongly suggestive of gastroallergic anisakiasis. Despite the significant differences obtained in both groups, this test has a limited diagnostic value to clinically discriminate patients with a history consistent with gastroallergic anisakiasis.展开