項目名稱, Streptococcus pneumoniae Ur.Ag, 中文名稱, 尿液中的肺炎雙球菌抗原試驗. 檢驗代號, L72-767, 檢驗方法, 快速免疫色層分析法. 檢體別, U, Test Method ...返回首頁檢驗手冊首頁檢驗項目查詢各組作業時間檢驗作業流程主動通知採檢注意事項血庫作業檢體縮寫對照檢驗報告查詢常見諮詢問題異動事項公告檢體委託院外檢驗StreptococcuspneumoniaeUr.Ag  項目名稱StreptococcuspneumoniaeUr.Ag中文名稱尿液中的肺炎雙球菌抗原試驗檢驗代號L72-767檢驗方法快速免疫色層分析法檢體別UTestMethodRapidimmunochromatographic(ICT)assay採檢容器紅蓋尖底試管檢體量3-10mL參考值Negative收檢時段24小時收檢單位操作時段每天健保編號12172B報告時效急件:收件後1小時內支付點數320採檢/送檢注意事項1.可與L72-158LegionellapneumophilaAg共管。

2.儘快在2小時內送檢。

組別血液血庫組備註聯絡電話405-2261建檔日期2021/2/25臨床意義1.陰性反應:表示不含有足夠可偵測量之S.pneumoniae抗原或抗原濃度低於可偵測分析範圍。

2.未經適當診斷及治療，可能導致菌血症、腦膜炎、心包膜炎、心內膜炎、膿胸、惡性紅斑症及關節炎等，為正確使用抗生素避免產生抗生素抗藥性，早期診斷非常重要。

3.肺炎雙球菌所引發的肺炎依年齡、菌血症、潛在性疾病等因素，使致死率高達30%；最常見於未滿5歲兒童、老年人，極年輕或極年老死亡率高。

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由肺炎鏈球菌（Streptococcus pneumoniae）引起之侵襲性疾病，如：敗血症、. 肺炎、腦膜炎、關節炎、骨髓炎、心包膜炎、腹膜炎...等。

二、 檢驗條件.附件1-侵襲性肺炎鏈球菌感染症病例定義.pdf附件1-侵襲性肺炎鏈球菌感染症病例定義.pdf下載

Streptococcus pneumoniae, or pneumococcus, is a Gram-positive, spherical bacteria, alpha-hemolytic (under aerobic conditions) or beta-hemolytic (under ...StreptococcuspneumoniaeFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchSpeciesofbacteriumStreptococcuspneumoniaeS.pneumoniaeinspinalfluid.FAstain(digitallycolored).ScientificclassificationDomain:BacteriaPhylum:FirmicutesClass:BacilliOrder:LactobacillalesFamily:StreptococcaceaeGenus:StreptococcusSpecies:S. pneumoniaeBinomialnameStreptococcuspneumoniae(Klein1884)Chester1901Streptococcuspneumoniae,orpneumococcus,isaGram-positive,sphericalbacteria,alpha-hemolytic(underaerobicconditions)orbeta-hemolytic(underanaerobicconditions),facultativeanaerobicmemberofthegenusStreptococcus.[1]Theyareusuallyfoundinpairs(diplococci)anddonotformsporesandarenonmotile.[2]AsasignificanthumanpathogenicbacteriumS.pneumoniaewasrecognizedasamajorcauseofpneumoniainthelate19thcentury,andisthesubjectofmanyhumoralimmunitystudies.Streptococcuspneumoniaeresidesasymptomaticallyinhealthycarrierstypicallycolonizingtherespiratorytract,sinuses,andnasalcavity.However,insusceptibleindividualswithweakerimmunesystems,suchastheelderlyandyoungchildren,thebacteriummaybecomepathogenicandspreadtootherlocationstocausedisease.Itspreadsbydirectperson-to-personcontactviarespiratorydropletsandbyautoinoculationinpersonscarryingthebacteriaintheirupperrespiratorytracts.[3]Itcanbeacauseofneonatalinfections.[4]Streptococcuspneumoniaeisthemaincauseofcommunityacquiredpneumoniaandmeningitisinchildrenandtheelderly,[5]andofsepsisinthoseinfectedwithHIV.Theorganismalsocausesmanytypesofpneumococcalinfectionsotherthanpneumonia.Theseinvasivepneumococcaldiseasesincludebronchitis,rhinitis,acutesinusitis,otitismedia,conjunctivitis,meningitis,sepsis,osteomyelitis,septicarthritis,endocarditis,peritonitis,pericarditis,cellulitis,andbrainabscess.[6]Streptococcuspneumoniaecanbedifferentiatedfromtheviridansstreptococci,someofwhicharealsoalpha-hemolytic,usinganoptochintest,asS.

Streptococcus pneumoniae (pneumococcus) is a Gram-positive bacterium that is responsible for the majority of community-acquired ...Weusecookiestoenhanceyourexperience.Bycontinuingtobrowsethissiteyouagreetoouruseofcookies.Moreinfo.AcceptCookieSettingsStreptococcuspneumoniae(pneumococcus):OverviewDownloadPDFCopyByOliverFleck,M.Sc.ReviewedbySushaCheriyedath,M.Sc.OverviewStreptococcuspneumoniae(pneumococcus)isaGram-positivebacteriumthatisresponsibleforthemajorityofcommunity-acquiredpneumonia.Itisacommensalorganisminthehumanrespiratorytract,meaningthatitbenefitsfromthehumanbody,withoutharmingit.However,infectionbypneumococcusmaybedangerous,causingnotonlypneumonia,butalsobronchitis,otitismedia,septicemia,andmeningitis.3Dillustration.Streptococcuspneumoniae,orpneumococcus,isagram-positivebacteriaresponsibleformanytypesofpneumococcalinfections.ImageCopyright:ktsdesign/ShutterstockS.pneumoniaeisalpha-hemolytic,meaningthatitcanbreakdownredbloodcellsthroughtheproductionofhydrogenperoxide(H2O2).TheproductionofH2O2bythebacterialinfectioncanalsocausedamagetoDNA,andkillcellswithinthelungs.Pneumococcalpneumoniacausesfeverandchills,coughs,difficultybreathing,andchestpain.Iftheinfectionspreadstothebrainandspinalcord,itcancausepneumococcalmeningitis,characterisedbyastiffneck,fever,confusion,andheadaches.RelatedStoriesNewcapsulesarecriticalforaddressingtherapidlychangingbacteria,saysexpertStudyprovidesvaluableinteractionaboutanimalhostandpathogenduringpneumococcalinfectionsCOVID-19patientsatriskoffatalco-infectionduringICUstaysPneumococcalinfectionisresponsiblefor1-2millioninfantdeathsworldwide,everyyear.Duringinfluenzaepidemics,S.pneumoniaeisassociatedwithhighermortalityinpatientsinfectedwithbothmicroorganisms.ItisthoughtthatS.pneumoniaeandHaemophiliusinfluenzaehaveasynergisticeffectononeanother,wheninfectingthesamehost.RiskFactorsTheprimaryriskfactorsforinfectionare:Age.Peopleyoungerthan2orolderthan65yearsoldareathighestriskofinfectionAbsenceofnormalspleenfunction(asplenia/hypospleni

Streptococcus pneumoniae is a gram-positive, lancet-shaped bacterium and a cause of community-acquired pneumonia. Pneumococcal ...NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutNCBIBookshelf.AserviceoftheNationalLibraryofMedicine,NationalInstitutesofHealth.StatPearls[Internet].TreasureIsland(FL):StatPearlsPublishing;2021Jan-.StatPearls[Internet].ShowdetailsTreasureIsland(FL):StatPearlsPublishing;2021Jan-.SearchtermStreptococcusPneumoniaeChristopherF.Dion;JohnV.Ashurst.AuthorInformationAuthorsChristopherF.Dion1;JohnV.Ashurst2.Affiliations1MidwesternUniversity2KingmanRegionalMedicalCenterLastUpdate:August10,2020.ContinuingEducationActivityStreptococcuspneumoniaeisagram-positive,lancet-shapedbacteriumandacauseofcommunity-acquiredpneumonia.Pneumococcalinfectionsarepresentthroughouttheworldandaremostprevalentduringthewinterandearlyspringmonths.ThisactivityoutlinestheevaluationandtreatmentofStreptococcuspneumoniainfectionsandreviewstheroleofinterprofessionalteammembersinimprovingcareforthosewiththiscondition.Objectives:Describethepathophysiologyofstreptococcuspneumonia.Reviewthehistoryandphysicalexamofapatientwithstreptococcalpneumonia.Summarizethetreatmentoptionsforstreptococcalpneumonia.Explaintheimportanceofcooperationamongtheinterprofessionalteamineducatingpatientsontheadvantagesanddisadvantagesofbloodcultures,andcompliancewithantibioticstoenhancethedeliveryofcareofthosewithStreptococcuspneumoniae.Earncontinuingeducationcredits(CME/CE)onthistopic.IntroductionCommunity-acquiredpneumonia(CAP)istheseventhleadingcauseofdeathintheUnitedStates,andthecostofthesehospitalizationsisestimatedtocostupto$9billionintheUnitedStates(US)dollarseachyear.Thirty-dayhospitalmortalityassociatedwithCAPhasbeenestimatedtobeashighas22%andistheleadingcauseofdeathamongstallinfectiousdiseases.StreptococcuspneumoniaeisthebacteriumthathashistoricallybeenthemostcommonpathogentocauseCAPworldwide.Intheerabeforeantibiotics,S.pneumoniaewasestimatedtobethec

Streptococcus pneumoniae are lancet-shaped, gram-positive, facultative anaerobic bacteria with 100 known serotypes. Most S. pneumoniae serotypes can ...SkipdirectlytositecontentSkipdirectlytopageoptionsSkipdirectlytoA-ZlinkPneumococcalDiseaseSectionNavigationCDCHomeFacebookTwitterLinkedInSyndicateStreptococcuspneumoniaeMinusRelatedPagesThereare100knownserotypesofStreptococcuspneumoniae,thebacteriathatcausepneumococcaldisease.Streptococcuspneumoniaearelancet-shaped,gram-positive,facultativeanaerobicbacteriawith100knownserotypes.MostS.pneumoniaeserotypescancausedisease,butonlyaminorityofserotypesproducethemajorityofpneumococcalinfections.Pneumococciarecommoninhabitantsoftherespiratorytract.Thebacteriamaybeisolatedfromthenasopharynxof5–90%ofhealthypersons,dependingonthepopulationandsetting:5–10%ofadultswithoutchildrenarecarriers20–60%ofschool-agedchildrenmaybecarriers50–60%ofservicepersonnelonmilitaryinstallationsmaybecarriersThedurationofcarriagevariesandisgenerallylongerinchildrenthanadults.Inaddition,researchersdonotclearlyunderstandtherelationshipofcarriagetothedevelopmentofnaturalimmunity.RelatedPagePinkBook’sChapteronPneumococcalDiseaseEpidemiologyandPreventionofVaccine-PreventableDiseasestextbookPagelastreviewed:September1,2020Contentsource:NationalCenterforImmunizationandRespiratoryDiseases,DivisionofBacterialDiseaseshomePneumococcalHomeAboutPneumococcalplusiconTypesofInfectionRiskFactors&TransmissionSymptoms&ComplicationsDiagnosis&TreatmentPreventionPhotosFastFactsPneumococcalVaccinationForCliniciansplusiconStreptococcuspneumoniaeTransmissionClinicalFeaturesRiskFactorsDiagnosis&ManagementPreventionForLaboratoriansDrugResistanceSurveillance&ReportingGlobalPneumococcalDiseaseandVaccineResourcesplusiconMaterialsPublicationsRelatedLinksGlobalPneumococcalVaccinationWorldHealthOrganizationExternalfile_externalNationalFoundationforInfectiousDiseasesExternalfile_externalSepsisFacebookTwitterLinkedInSASstatsExitNotification/DisclaimerPolicyCloseLinkswiththisiconindicat

臨床意義/. 實驗室解釋. 1.Streptococcus pneumoniae 感染的病人尿液中會帶有Streptococcus pneumoniae Antigen，使用尿液肺炎鏈球菌快速抗原檢驗，可 ...跳到主要內容區塊最新消息中心簡介中心簡介組織架構實驗室分佈圖衛教專區服務項目表依科別排序ABCDEFGHIJKLMNOPQRSTUVWXYZ其他活動花絮公開資訊接受委託項目及傳送條件常用連結分享中榮首頁單位首頁選擇分院埔里分院嘉義分院灣橋分院臺中榮民總醫院×:::快捷選單網路掛號看診進度即時動態衛教專區服務諮詢交通指南健康檢查常見問答該看哪一科UrineStreptococcusAg引用(9)2020/12/1514:30:355038 檢驗項目(中文)尿液肺炎鏈球菌快速抗原檢驗檢驗健保碼12172B檢驗計價碼91211166檢驗項目(英文)UrineStreptococcusAg可自費 自費價格 參加認證否完成檢驗申請的說明由EHIS進行醫囑建立委託其他實驗室代檢無接受代檢否檢體種類Urine、CSF檢體容器檢體量使用S-Y紅蓋尖底塑膠尿管,量約5-10ml,(請採集中段尿)；若是CSF檢體請用無菌玻璃試管0.5mlS-Y紅蓋尖底塑膠尿管(編號:47)無菌螺旋帽玻璃管(編號:50)檢體件數之限制CSF：每日一次採檢部位靜脈或腦脊髓液病人準備說明勿須任何準備病人自行採檢說明不接受病人自行採檢之檢體最適採檢時間無特殊要求檢體接收與退件條件退件:檢體量不足生物參考區間無實驗室檢體儲存條件2～8℃冷藏，期限為1天室溫保存，期限為1天臨床決策值Streptococcuspneumoniae尿液檢體：Sensitivity：86%Specificity：94%CSF檢體：Sensitivity：97%Specificity：99%實驗室檢體可加作/複驗之儲存時限無加作效期，無複驗效期(重新送檢)方法學 檢體運送條件與時限尿液：室溫保存，收集後請於1小時內送檢；CSF：檢體收集後置入標本袋中，檢驗單釘於標本袋外，檢體以室溫立即送至醫學檢驗部檢體收集站執行單位(地點)門診後棟1樓感染科實驗室受理時間每天早上10點以前收檢地點收檢單位一覽表諮詢聯絡方式04-23592525轉3100報告完成時間1天注意/限制事項1.在接種肺炎鏈球菌疫苗後的48小時內，可能會使AlereBinaxNOW®肺炎鏈球菌檢測卡產生偽陽性結果。

2.建議在接種肺炎鏈球菌疫苗後的5天內，不建議使用AlereBinaxNOW®肺炎鏈球菌檢測卡。

臨床意義/實驗室解釋1.Streptococcuspneumoniae感染的病人尿液中會帶有StreptococcuspneumoniaeAntigen，使用尿液肺炎鏈球菌快速抗原檢驗，可在未培養出細菌前早期偵測Streptococcuspneumoniae造成的肺炎及腦膜炎。

2.StreptococcuspneumoniaeAg陽性反應，建議加作細菌培養。

更新日期2019/12/23資料來源 回上一頁展開