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Chlamydial infections

   

Laboratory diagnostics; treatment: Index.

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Diagnostic theory
  Introduction
 
Determination of end point
 
Some worked examples (maths)
 
Discrepant analysis
   Pooling samples

Classic diagnostics
  Sample collection
  Cell culture
  Immunofluorescence
   Enzyme immunoassay
  Rapid Point of care testing
   Serology: MIF & EIA
  Serology: Do we need serodiagnosis?

Molecular diagnostics
  
Hybridisation
  Nucleic acid amplification: Introduction
     PCR 
    
LCR
     Molecular Beacons
     SDA
     TMA (1st generation)
     TMA (2nd generation)
     NASBA

  Non-invasive sampling
  With cervical cytology screening
  
Automated testing
  Diagnostics - Conclusion
  CDC 2002 Screening recommendations

Research Methods
Quantitative PCR  
In situ hybridisation  

Treatment
  Tetracyclines
 
Macrolides
 
Quinolones
  Rifamycins
  Penicillins & Cephalosporins
 
Antibiotic resistance Part 1
  Antibiotic resistance Part 2
  IUSTI Europe recommendations
  CDC 2002 recommendations
  Treatment by chlamydial syndrome
  Treatment index

Other
  Infections index
  Main index


General introduction
The importance of the clinical endpoint
Truth table. Sensitivity, specificity, prevalence & predictive value
Problems with defining test performance
The effectiveness of sample pooling where prevalence is low


Sampling
Tissue culture growth of C. trachomatis and C. pneumoniae
Direct detection in clinical material
Antigen detection immunoassay
Chlamydia Rapid Test and others
Micro IF and EIA for chlamydial antibody testing
When do we need serodiagnosis rather than direct detection?


Hybridisation with signal amplification: Gen-Probe Pace 2 
Introduction to nucleic acid or primer amplification
Roche Amplicore ® CT/NG Cobas Amplicore ®
Abbott LCx ® ligase chain reaction. Now withdrawn.
Real time PCR-based replacement for the Abbott LCx but you have to wait

Strand displacement amplification: BD ProbeTecET ®
First generation Transcription Mediated Amplification: Gen-Probe AMP CT®
Second generation TMA: Gen-Probe Aptima Combo 2®
Teknika Organon NucliSens ®

Self collected or non invasive samples
Use of NAA tests for chlamydia DNA at cervical cancer screen
Adaptation of laboratory robotics equipment, Jim Guthrie, Glasgow
Future trends. Microarrays. 
C. trachomatis and N. gonorrhoeae,  Oct 2002.

Today's research is tomorrow's routine
Reviewed by Tina Mygind
Presentation by Matthias Horn


Doxycycline therapy
Erythromycin and other macrolides. Azalide. Ketolide
The quinolones
Rifampin, ansamycins, Rifalazil
Beta lactam antibiotics
Antibiotic resistance in C. trachomatis and C. suis
Presentation by Dr Geoffrey Ridgway
Courtesy of Dr Angelika Stary
CDC STI treatment recommendations. May 2002
Linking to treatment sections of infections and syndromes
Main treatment index


Chlamydial infections by syndrome
Index to the professional site


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