CN109001455A - A kind of bronchoalveolar lavage fluid sample treatment solution and processing detection method - Google Patents

A kind of bronchoalveolar lavage fluid sample treatment solution and processing detection method Download PDF

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CN109001455A
CN109001455A CN201810622529.5A CN201810622529A CN109001455A CN 109001455 A CN109001455 A CN 109001455A CN 201810622529 A CN201810622529 A CN 201810622529A CN 109001455 A CN109001455 A CN 109001455A
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bronchoalveolar lavage
fluid
lavage fluid
treatment solution
sample
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CN109001455B (en
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张文倩
许可
马炳印
何永胜
苑庆华
黄炎彬
王兴
李世林
曹佳利
崔跃
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Beihai Xinglong Biopharmaceutical Co Ltd
Jinshanchuan Science & Tech Development Co Ltd Beijing
TIANJIN XINUO BIOLOGICAL PHARMACEUTICAL Co Ltd
Tianjin One Rui Biological Polytron Technologies Inc
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Beihai Xinglong Biopharmaceutical Co Ltd
Jinshanchuan Science & Tech Development Co Ltd Beijing
TIANJIN XINUO BIOLOGICAL PHARMACEUTICAL Co Ltd
Tianjin One Rui Biological Polytron Technologies Inc
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
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Abstract

The invention discloses a kind of bronchoalveolar lavage fluid sample treatment solution and processing detection methods, are made of inorganic salts and surfactant, which can reduce other substances in bronchoalveolar lavage fluid and interfere fungi (1-3)-callose detection.The present invention is handled bronchoalveolar lavage fluid sample, for fungi (1-3)-callose content in vitro detection invasion Pulmonary Fungal Infections patient's bronchoalveolar lavage fluid, compared with the method for traditional serum detection, its detection sensitivity is higher, and is able to maintain higher specificity and accuracy.

Description

A kind of bronchoalveolar lavage fluid sample treatment solution and processing detection method
Technical field
The invention belongs to fungi (1-3)-callose vitro detection fields, fill more particularly, to a kind of alveolar Washing lotion sample treatment solution and processing detection method.
Background technique
The present invention is used for auxiliary diagnosis clinically aggressive deep fungal infection.With cortin, immunosuppressor, Largely using for various wide spectrum class antibiotic and continually developing for the clinical technologies such as organ transplant, for some hypoimmunities Patient, the probability of invasive infections with fungi can generally increase.(1-3)-β-D glucan is medically most of important fungi The cell wall constituent of (including candida albicans and Aspergillus), human body phagocyte swallow after fungi can the sustained release substance, Increase its concentration in the human body fluids such as blood, bronchoalveolar lavage fluid, cerebrospinal fluid, therefore (1-3)-β-D glucan is detected as One critical index.Currently, G testing inspection sample is mostly serum, and in comparison, aggressive Pulmonary Fungal Infections Patient, only portion of dextran enter blood, and content is far below the content in bronchoalveolar lavage fluid, so for aggressive Fungal infection of the lung Infected patient, detects bronchoalveolar lavage fluid, and recall rate is higher.
G test alkali process method due to it detects that (1-3)-β-D glucan high sensitivity, specificity are high, detection time is short by Hospital uses.Hospital mostly uses heating dilution method to carry out pre-treatment to sample before, but the method is difficult to make in sample (1-3)-β- D glucan form (single stranded form, bifilar helix or triple helix form) homogenization, to influence the inspection of (1-3)-β-D glucan Specificity is surveyed, foreign scholar is studies have shown that (1-3)-β-D glucan can be changed into triple helix after Overheating Treatment, and three Stock helical structure can be hydrolyzed to single-stranded structure through alkali process.Therefore this invention test using G test alkali process method and be ground Study carefully.
The ingredient of bronchoalveolar lavage fluid includes cell, pulmonary surfactant (pulmonary surfactant, PS), inflammation Disease medium, growth factor, each hatching egg matter, enzyme, lipid etc..In bronchoalveolar lavage fluid sample component there are certain interference because Son can seriously affect the measurement result of (1-3)-β-D glucan, reduce the specificity and accuracy of measurement.So-called reaction is dry Disturbing the factor refers to the response factor unrelated with fixed biochemical reaction (the false positive factor) either in the either phase of reaction There is the factor (the false negative factor) of interference effect to the reaction.It reacts and contains such factor in sample, that is, bronchoalveolar lavage fluid.Such as Xa factor shows the effect similar with the coagulating enzyme in lysate, therefore becomes the false positive factor.Alpha1-antitrypsin There is very strong interference effect to reaction, therefore becomes the false negative factor.
The effect of alkali metal hydroxide is to make to react interference factor denaturation.Highly basic is broken the hydrogen bond of protein, Also can also there are the fracture and generation of chemical bond in change procedure with the forming salts such as free amino simultaneously.Interference after denaturation because Son is still existed in solution with the state of dissolution.And heating is diluted only by simple physical change, so that albuminous degeneration is heavy It forms sediment, the albumen precipitation after denaturation is possible to and can carry out the interference on turbidity to reaction zone.KCl is to glucan to blood constituent It adsorbs inhibited.The addition of alkali halide, prevents glucan to be adsorbed on blood constituent, so that G-factor grade Connection reaction is smoothly activated by glucan, so that reaction system stabilizes, has the function of improving reproducibility.But simple use Treatment fluid used in traditional serum detection is not sufficient to completely remove the interference factor in sample, testing result accuracy Also to be improved, therefore, the interference problem solved in bronchoalveolar lavage fluid detection is particularly important, it avoids patient's later period need not The clinical examination and unreasonable treatment wanted.
Summary of the invention
To solve to detect interference problem, the present invention provides a kind of bronchoalveolar lavage fluid sample treatment solution and processing detection sides Method, using G test alkali process method, eliminate or reduce alveolar sample in influence fungi (1-3)-β-D glucan detection interference because Element, to achieve the purpose that improve fungi (1-3)-β-D glucan detection sensitivity and specificity.
The technical solution adopted by the present invention is that: a kind of bronchoalveolar lavage fluid sample treatment solution, it is characterised in that: including processing Liquid A and treatment fluid B, wherein treatment fluid A includes alkali metal hydroxide and surfactant, and treatment fluid B includes alkali metal halogenation Object.
Preferably, alkali metal hydroxide is one of hydrogen LiOH, NaOH, KOH.
Preferably, alkali halide KCl, MgCl2、CaCl2、SrCl2One of.
Preferably, surfactant is Triton series or one of Tween series, preferably Triton X-100 or Tween 20。
Preferably, treatment fluid A specifically includes KCl 0.05-0.5M, Triton X-1000.01-1% or Tween 20 0.50-1.50%, treatment fluid B specifically include KOH 0.05-0.5M.
Preferably, treatment fluid A includes KCl 0.5M, and Triton X-100 0.10%, treatment fluid B include KOH 0.25M.
A method of fungi is detected using sample treatment solution pretreatment bronchoalveolar lavage fluid, the specific steps are as follows:
Step 1: configuration treatment fluid A, including KCl 0.05-0.5M, Triton X-100 0.01-1%, configuration processing Liquid B, is KOH 0.05-0.5M, and treatment fluid A is mixed in equal volume with treatment fluid B Ji Wei sample treatment solution;
Step 2: sample treatment solution is added into bronchoalveolar lavage fluid sample, is incubated for after mixing;
Step 3: the reaction main agent for detecting (1-3)-β-D glucan being added into the mixed liquor after incubation, concussion It is detected after mixing and calculates (1-3)-β-D beta-dextran content.
Preferably, sample treatment solution specifically includes KCl 0.5M, KOH 0.25M, Triton X-100 0.10%.
Preferably, bronchoalveolar lavage fluid sample and sample treatment solution volume ratio are 1:3-5, preferably 1:4 in step 2.
Preferably, incubation temperature is 37 DEG C in step 2, incubation time 10-15min.
Preferably, the reaction main agent used in step 3 includes G-factor, coagulase source and coagulated protein source, alveolar wass Liquid and reaction main agent volume ratio are 1:15-25, preferably 1:20.
The advantages and positive effects of the present invention are:
1 this programme is for detecting alveolar cleaning solution, (1-3)-for aggressive Pulmonary Fungal Infections patient, in serum β-D beta-dextran content will detect bronchoalveolar lavage fluid, recall rate is higher, can judge to invade earlier well below bronchoalveolar lavage fluid Attacking property Pulmonary Fungal Infections patient;
2 bronchoalveolar lavage fluid samples are contained more interference factors, are related to using this programme compared with serum sample Sample treatment solution can effectively remove these interference factors, keep testing result more accurate, improve the specificity of measurement And accuracy;
The surfactant of 3 low concentrations can help decomposition of protein enzyme, reduce the interference factor of bronchoalveolar lavage fluid to detection Influence, with alkali metal hydroxide and alkali halide cooperation can be improved detection specificity;
4 detection schemes are easy to operate, and detection rates are high, can be quickly obtained testing result.
Specific embodiment
It explains below to the embodiment of the present invention.
The present invention relates to a kind of bronchoalveolar lavage fluid sample treatment solution, sample treatment solution includes at least following components: alkali metal Hydroxide, alkali halide and surfactant.Alkali metal hydroxide has the hydroxide of the alkali metal such as lithium, sodium, potassium Object, specifically lithium hydroxide (LiOH), sodium hydroxide (NaOH), potassium hydroxide (KOH).Treatment fluid usually uses one The aqueous solution of kind or a variety of alkali metal hydroxides, compares through overtesting, uses its detection effect of NaOH or KOH and economic effect Benefit is higher.Alkali halide has potassium chloride, magnesium chloride, calcium chloride, strontium chloride etc., but due to magnesium, calcium plasma easily with hydrogen Oxygen root knot, which is closed, generates precipitating, and it is advantageous to potassium chloride as treatment fluid.Nonionic surfactant select Triton series or Tween series.
Treatment fluid of the invention can be divided into two kinds of solution and save, and when in use again mix these solution.It is false As alkali metal oxide and alkali metal hydroxide or nonionic surface active agent are mixed and long-term preservation, just The improper situations such as precipitating can be generated, therefore their separated preservations need to be mixed again when will carry out pre-treatment It closes.So it includes alkali halide and nonionic surfactant, place that bronchoalveolar lavage fluid sample treatment solution, which is divided into treatment fluid A, Managing liquid B includes alkali metal hydroxide.
A kind of bronchoalveolar lavage fluid sample treatment solution, including treatment fluid A and treatment fluid B, wherein treatment fluid A includes KCl and table Face activating agent, wherein treatment fluid includes KCl 0.05-0.5M, surfactant 0.01-1%;Treatment fluid B is KOH solution, tool Body is KOH 0.05-0.5M.Triton X-100 or Tween20 can be used in surfactant.
It is found by a large amount of comparative tests, treatment fluid A is KCl 0.5M, and Triton X-100 0.10%, treatment fluid B are When KOH 0.25M, treatment effect is best.
A method of fungi is detected using sample treatment solution pretreatment bronchoalveolar lavage fluid, the specific steps are as follows:
Step 1: configuration treatment fluid A, including KCl 0.05-0.5M, Triton X-100/Tween20 0.01-1%, Treatment fluid B is configured, is KOH 0.05-0.5M, treatment fluid A is mixed in equal volume with treatment fluid B Ji Wei sample treatment solution;
Step 2: sample treatment solution is added into bronchoalveolar lavage fluid sample, addition volume ratio is 1:3-5,37 after mixing DEG C be incubated for 10-15min;
Step 3: the reaction main agent for detecting (1-3)-β-D glucan, alveolar are added into the mixed liquor after incubation Irrigating solution and reaction main agent volume ratio are 1:15-25, and concussion detects after mixing and calculates (1-3)-β-D beta-dextran content.
When bronchoalveolar lavage fluid sample and sample treatment solution volume ratio are 1:4, bronchoalveolar lavage fluid sample and reaction main agent volume When than for 1:20, test efficiency is higher.
Wherein, the preparation step of reaction main agent is as follows
1 separation and Extraction east limulus blood cell lysate, sterile working take about 20g haemocyte, and blood is added according to 1-5 ratio Cell pyrolysis liquid, and 200000rpm/min is carried out with high speed pulp grinder, 5-10 minutes damaged cells are thin by the tissue after breakage Cytosol is put into be rapidly frozen in -30 DEG C of refrigerators and save 10 hours, later takes out frozen cell liquid, is slowly dissolved at room temperature, 200000rpm/min is carried out after all dissolutions, then with the equal pulp grinder of high-speed organization, 5-10 minutes damaged cells then will be damaged Histocyte liquid afterwards is placed again into be rapidly frozen in -30 DEG C of refrigerators and save 10 hours, repeats last time process 2 times.
2 will carry out 3000rpm/min after the taking-up of above-mentioned haemocyte lysate, are centrifuged within 5-8 minutes, take supernatant, according to 1: Chloroform is added in 2 ratios, and acutely concussion 10 minutes, are then transferred in apyrogeneity centrifugal precipition tube and carry out at 4 DEG C It separates within 10000rpm/min, 5-10 minutes, it is spare carefully to take out supernatant.
The supernatant of the 3 east limulus blood cells for taking extracting and developing good is added to molten containing 1.0M magnesium chloride 0.5M calcium chloride In liquid, packing is freeze-dried into cillin bottle or ampoule bottle as reaction main agent.
The reaction main agent that this programme uses can also directly adopt in commercially available (1-3)-β-D glucan serum detection kit Reaction main agent, for example, by using fungi (1-3)-β-D glucan detection kit of Tianjin Xi Nuo biological medicine Co., Ltd Reaction main agent in (development process).
Detection liquid after mixing in step 3 can pass through microorganism quick dynamic detection system (MB-80A, MB-80M, MB- 80S, MB-80X), fungi/dynamic of bacteria detector (MB-80A, MB-80X, MB-80M) or full-automatic fungi/dynamic of bacteria Detector (IGL-800) is detected, and following embodiment is detected by the comparison of detection data and detectable substance cultivation results The specificity and accuracy of scheme.
Doing the optional concentration range of sample treatment solution for treatment fluid B, KOH is 0.05-0.5M, in order to further determine KOH Optimum concentration only includes KOH with treatment fluid, and 100pg/mL fungi standard items are added into alveolar sample, detects various concentration KOH, the influence to the sample addition mark product test rate of recovery, testing result are as shown in table 1.
Table 1
It can be seen that by test result, only with sterile water process sample, inspection does not measure beta-dextran content, as KOH concentration increases Add, the rate of recovery gradually increases, and for KOH concentration in 0.05-0.40M, the rate of recovery shows testing result within 50%-150% It is significant.In conjunction with sample cultivation results, KOH concentration testing result in 0.15-0.50M is feminine gender, therefore KOH concentration is in 0.15- It is more suitable for handling bronchoalveolar lavage fluid sample when 0.40M.Table 1 statistics indicate that, when treatment fluid only has KOH, the rate of recovery is not Height illustrates to interfere there are still certain, adds alkali halide and nonionic surfactant that can improve rate of recovery drop in treatment fluid Low interference.The concentration that KOH is fixed in later detection selects an intermediate concentration 0.25M, carries out to other compositions effect Analysis.
Embodiment 1
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.12M, Triton X- 100 0.01%), treatment fluid B (KOH 0.25M).
Use the method for sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi, the specific steps are as follows:
Step 1: treatment fluid A is respectively configured and configures treatment fluid B, treatment fluid A is mixed in equal volume with treatment fluid B Ji Wei sample Present treatment liquid;
Step 2: 40 μ L of sample treatment solution being added into 10 μ L bronchoalveolar lavage fluid samples, is incubated for after mixing at 37 DEG C 10min;
Step 3: 200 μ L reaction main agents being added into the mixed liquor after incubation, and concussion detects after mixing and calculates (1- 3)-β-D beta-dextran content.
Embodiment 2
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.12M, Triton X- 100 0.10%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 3
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.12M, Triton X- 100 0.50%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 4
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.12M, Triton X- 100 1.00%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 5
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.06M, Triton X- 100 0.10%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 6
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.12M, Triton X- 100 0.10%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 7
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Triton X- 100 0.10%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 8
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Triton X- 100 0.10%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 9
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M), treatment fluid B (KOH 0.25M)。
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 10
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (Triton X-100 0.10%), Treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 11
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Triton X- 100 0.05%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 12Tween20 detects bronchoalveolar lavage fluid as treatment fluid as surfactant
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Tween20 0.10%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 13
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Tween20 0.50%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 14
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Tween20 1.00%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 15
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Tween20 1.50%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 16
A kind of bronchoalveolar lavage fluid sample treatment solution, including following raw material: treatment fluid A (KCl 0.50M, Tween20 2.00%), treatment fluid B (KOH 0.25M).
Use the method such as embodiment 1 of sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi.
Embodiment 1-4 is wherein compared, the results are shown in Table 2.
Table 2
In embodiment 1-4, treatment fluid B component is constant, and KCl concentration is constant in treatment fluid A, wherein Triton X-100 concentration It gradually rises, for Triton X-100 in 0.1%-1.0% change procedure, pattern detection concentration is first to reduce to increase afterwards, can be bright It is aobvious to find out that for Triton X-100 concentration at 0.1%, testing result is closest with cultivation results in embodiment 2, remove alveolar The dynamics of interference factor is maximum in irrigating solution, and effect is best.
Embodiment 5-7 is compared, the results are shown in Table 3.
Table 3
In embodiment 5-7, treatment fluid B component is constant, and Triton X-100 concentration is constant in treatment fluid A, KCl concentration by Edge up height, it can be seen that prescription for the treatment of liquid detects several sample results and is consistent with cultivation results in embodiment 7, removes alveolar The dynamics of interference factor is maximum in irrigating solution, and effect is best, so when KCl concentration is selected as 0.50M in treatment fluid A, detection spirit Sensitivity is best.
Embodiment 8-10 is compared, the results are shown in Table 4.
Table 4
In embodiment 8-10, treatment fluid B component is constant, be respectively set as in treatment fluid A comprising Triton X-100 and KCl, only KCl, only Triton X-100, compare its accuracy in detection, can be found out embodiment 8 according to test result Middle KCl and Triton X-100 are existed simultaneously when detecting in treatment fluid A, and testing result more meets with cultivation results, and The only testing result of the treatment fluid A including KCl or Triton X-100, error rate is higher, thus proves, fills for alveolar For washing lotion as detection sample, KCl and Triton X-100 are indispensable.The solution that KCl is only added is low molecule decentralized system, Main dispersed phase is molecule, ion, but for other macromolecular substances in bronchoalveolar lavage fluid, does not have peptizaiton;Surface Activating agent be dissolved in water energy enough and significantly reduce water surface can, when low concentration, also can significantly reduce surface tension, be able to solve sample The problem of middle macromolecular substances are reunited, and verified and found by a large number of experiments, the addition of nonionic surfactant is formed Steric hindrance reduces the generation of reunion, good space barrier is not easy dextran molecule so that three-dimensional system is stablized In other big molecular impurities occur coagulation phenomena such as, therefore only both synergistic effect just can guarantee testing result with compared with High-accuracy.
Embodiment 8 and embodiment 11 are compared, the results are shown in Table 5.
Table 5
Embodiment 8 and embodiment 11 have used the Triton X- of 0.10% Triton X-100 and 0.05% respectively 100, it is compared by the test result, the obvious accuracy rate of embodiment 8 is higher, occurs some false positive results in embodiment 11, real Apply 8 treatment fluid A ingredient of example be 0.5M KCl, 0.05% Triton X-100 when, this formula treatment fluid reduces interference, survey Test result is more matched with cultivation results.
Embodiment 8 and embodiment 12-16 are compared, the results are shown in Table 6.
Table 6
Upper table statistics indicate that, in 0.50-1.50%, testing result is consistent Tween20 concentration with example 8 (control), and Matched with cultivation results, illustrate Tween20 can effectively be removed as one for the treatment of fluid ingredient interfered in bronchoalveolar lavage fluid because Son improves the sensitivity and specificity of bronchoalveolar lavage fluid testing result.
The detection of 17 sensitivity and specificity of embodiment
Prescription for the treatment of liquid in selection example 8 is after control test is handled using treatment fluid using happiness promise with cultivation results The sensitivity and specificity (selection 100 has the BALF sample of culture information to be tested) of G test kit detection,
Like the judgement of promise G test kit testing result:
It is negative ≤60pg/mL
Gray area 60-100pg/mL
It is positive ≥100pg/mL
Sensitivity and specificity calculation method such as table 7:
Table 7
Sensitivity: (A+C)/(A+C+E) * 100%
Specificity: (D+F)/(B+D+F) * 100%
Test result such as table 8.
Table 8
Interpretation of result such as table 9
Table 9
It can be seen that by data, treatment fluid composition test alveolar sample results and cultivation results matching degree are high in embodiment 8, The sensitivity and specificity of the data measured using happiness promise G test kit are up to 90.0% and 92.5%, hence it is evident that improve Detection accuracy of the kit to bronchoalveolar lavage fluid sample.
Embodiment 18 passes through Detection accuracy after fungi (1-3)-β-D dextran standard rate of recovery verification processing
Prescription for the treatment of liquid in selection example 8, test fungi (1-3)-β-D dextran standard are added to alveolar wass The rate of recovery in liquid sample, judges Clinical significance of detecting:
Rate of recovery calculation method:
Table 10
As shown in table 10, the measuring rate of recovery of 5 samples illustrates this as a result between 50%-150% The testing result interference that treatment fluid processing bronchoalveolar lavage fluid obtains is small, and data are credible.
Several embodiments of the present invention are described in detail above, but the content is only preferable reality of the invention Example is applied, should not be considered as limiting the scope of the invention.It is all according to equivalent change made by the present patent application range with change Into etc., it should still be within the scope of the patent of the present invention.

Claims (10)

1. a kind of bronchoalveolar lavage fluid sample treatment solution, it is characterised in that: including treatment fluid A and treatment fluid B, wherein treatment fluid A packet Alkali metal hydroxide and surfactant are included, treatment fluid B includes alkali halide.
2. bronchoalveolar lavage fluid sample treatment solution according to claim 1, it is characterised in that: the alkali metal hydroxide is One of LiOH, NaOH, KOH.
3. bronchoalveolar lavage fluid sample treatment solution according to claim 1, it is characterised in that: the alkali halide is KCl、MgCl2、CaCl2、SrCl2One of.
4. bronchoalveolar lavage fluid sample treatment solution according to claim 1, it is characterised in that: the surfactant is One of Triton series or Tween series, preferably Triton X-100 or Tween 20.
5. bronchoalveolar lavage fluid sample treatment solution according to claim 1, it is characterised in that: treatment fluid A specifically includes KCl 0.05-0.5M, Triton X-1000.01-1% or Tween 20 0.50-1.50%, treatment fluid B specifically include KOH 0.05- 0.5M。
6. bronchoalveolar lavage fluid sample treatment solution according to claim 5, it is characterised in that: treatment fluid A includes KCl 0.5M, Triton X-100 0.10%, treatment fluid B include KOH 0.25M.
7. a kind of method using sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi, it is characterised in that: specific steps are such as Under:
Step 1: configuration treatment fluid A, including KCl 0.05-0.5M, Triton X-100 0.01-1% configure treatment fluid B, are KOH 0.05-0.5M, treatment fluid A are mixed in equal volume with treatment fluid B Ji Wei sample treatment solution;
Step 2: sample treatment solution is added into bronchoalveolar lavage fluid sample, is incubated for after mixing;
Step 3: the reaction main agent for detecting (1-3)-β-D glucan is added into the mixed liquor after incubation, after concussion mixes It detects and calculates (1-3)-β-D beta-dextran content;
Preferably sample treatment solution specifically includes KCl 0.5M, KOH 0.25M, Triton X-100 0.10%.
8. the method according to claim 7 using sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi, feature Be: bronchoalveolar lavage fluid sample and sample treatment solution volume ratio are 1:3-5, preferably 1:4 in the step 2.
9. the method according to claim 7 or 8 using sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi, special Sign is: incubation temperature is 37 DEG C in the step 2, incubation time 10-15min.
10. the method according to claim 7 using sample treatment solution pretreatment bronchoalveolar lavage fluid detection fungi, feature Be: the reaction main agent used in the step 3 includes G-factor, coagulase source and coagulated protein source, the bronchoalveolar lavage fluid It is 1:15-25, preferably 1:20 with the reaction main agent volume ratio.
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