title: [Rapid identification of pneumococcal antigenes in urines by the Now Streptococcus pneumoniae Binax  test].
abstract: Streptococcus pneumoniae is responsible for many infectious conditions but probably with an underestimated incidence especially because of the fragility of the bacteria. The present study has evaluated a new test which detects a pneumococcal antigen in urine (Now S.p Binax). Urine samples from 181 children and 40 adults have been tested. All the patients presented with typical clinical signs of pneumococcal infection. Sensitivity = 91.7 %; specificity = 54.2 %; positive predictive value = 50 %; and negative predictive value = 92.9 % have been observed. Although the sensitivity and specificity were lower than those announced by the manufacturer, the test is easy to handle and provides a rapid argument for the diagnosis of pneumococcal infection, especially in the case of invasive infections like meningitis and bacteraemia.
authors.affiliation: Laboratoire de microbiologie, hôpital Saint Philibert, 115 rue du Grand But, 59462 Lomme cedex.
authors.forename: H
authors.initials: H
authors.lastname: Magentie
authors.forename: A
authors.initials: A
authors.lastname: Decoster
authors.forename: R
authors.initials: R
authors.lastname: Bongo
authors.forename: E
authors.initials: E
authors.lastname: Dehecq
authors.forename: N
authors.initials: N
authors.lastname: Kalach
authors.forename: O
authors.initials: O
authors.lastname: Kremp
authors.forename: A
authors.initials: A
authors.lastname: Darras
authors.forename: P
authors.initials: P
authors.lastname: Mulliez
authors.forename: F
authors.initials: F
authors.lastname: Saint Georges
mesh_terms: D000942:Antigens, Bacterial / Q000652:urine*; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000652:urine*; D015203:Reproducibility of Results; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*
chemical_list: D000942:Antigens, Bacterial