Uji Diagnosis NS1, IgG dan IgM Dengue Metode Immunokromatografi dan Elisa

S. Kesuma
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Abstract

Dengue fever is a disease caused by the dengue virus (DENV). Detection of NS1 antigen can be useful for early confirmation of DENV infection. NS1 antigen can be detected from the first day of illness and lasts up to 9-10 days. Other supporting examinations are dengue virus IgG and IgM examinations. The purpose of this study was to review the sensitivity and specificity of the dengue virus NS1, IgG, and IgM tests through literature testing. This type of research is descriptive. The literature used is scientific journals which are the top journals searched using the google search engine and contains complete information and data related to the sensitivity and specificity of NS1, IgG, and IgM Dengue Virus examinations. Based on the review, it was found that the sensitivity of the NS1 antigen in the Rapid Immunochromatographic method was in the range of 48%-92% and specificity was 73%-100%, in the ELISA method the sensitivity range was 42%-84% and specificity was 89%-99%. In the examination of IgG and IgM antibodies using the Rapid Immunochromatography method, the sensitivity ranges from 6%-73% and specificity 36%-100%. Examination of IgG and IgM antibodies using the ELISA method obtained sensitivity in the range of 6%-58% and specificity 56%-100%. The results of the review conducted showed that the sensitivity of the NS1, IgG, and IgM tests for Dengue Virus with the Rapid Immunochromatography method was better than the ELISA method, but the specificity for the NS1, IgG, and IgM tests for Dengue Virus ELISA method was better than the Rapid Immunochromatography method. In addition, the Rapid Immunochromatography method of NS1 antigen examination showed higher accuracy than IgG and IgM antibodies in screening for dengue virus infection.
NS1、IgG和IgM登革热免疫色谱法和Elisa的诊断测试
登革热是由登革热病毒(DENV)引起的疾病。检测NS1抗原可用于DENV感染的早期确诊。NS1抗原可在发病第一天检测到,并可持续9-10天。其他辅助检查是登革热病毒IgG和IgM检查。本研究的目的是通过文献检验来回顾登革热病毒NS1、IgG和IgM检测的敏感性和特异性。这种类型的研究是描述性的。使用的文献为科学期刊,均为谷歌搜索引擎检索到的顶级期刊,包含NS1、IgG和IgM登革病毒检测的敏感性和特异性相关的完整信息和数据。回顾发现,快速免疫层析法对NS1抗原的敏感性为48% ~ 92%,特异性为73% ~ 100%;ELISA法对NS1抗原的敏感性为42% ~ 84%,特异性为89% ~ 99%。快速免疫层析法检测IgG和IgM抗体,灵敏度为6% ~ 73%,特异性为36% ~ 100%。ELISA法检测IgG和IgM抗体的灵敏度为6% ~ 58%,特异性为56% ~ 100%。结果表明,快速免疫层析法检测登革病毒NS1、IgG和IgM的敏感性优于ELISA法,但特异性优于ELISA法检测登革病毒NS1、IgG和IgM的特异性。此外,快速免疫层析法检测NS1抗原的准确性高于IgG和IgM抗体对登革热病毒感染的筛查。
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