title: [Comparison of a rapid antigen test and cultures for diagnosis of meningitis in children].
abstract: Fourteen pediatric patients diagnosed as bacterial meningitis between August 1997 and April 2002 were enrolled in this study. Both rapid antigen detection test, Slidex Meningite 5 Kit (Biomerieux) and culture were performed using cerebrospinal fluids (CSF). H. influenzae was isolated from 11 samples and was the most frequently isolated bacteria, followed by S. pneumoniae from 4 samples and enteric bacteriae from 2 samples. Five out of six samples with positive result by culture were also positive by the rapid antigen test. Gram-negative rod was identified in smear specimens of CSF from all these 5 samples. Significance of the rapid antigen test should be recognized under drug resistance of those bacteriae are increasing.
authors.affiliation: Department of Central Clinical Laboratory, Saitama Medicine School Hospital, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350 0495, Japan.
authors.forename: Giichi
authors.initials: G
authors.lastname: Hashikita
authors.forename: Etsuko
authors.initials: E
authors.lastname: Kishi
authors.forename: Shun
authors.initials: S
authors.lastname: Takahashi
authors.forename: Toru
authors.initials: T
authors.lastname: Kawamura
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Tachi
authors.forename: Sachie
authors.initials: S
authors.lastname: Koyama
authors.forename: Yukie
authors.initials: Y
authors.lastname: Suto
authors.forename: Akira
authors.initials: A
authors.lastname: Itabashi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Yamazaki
authors.forename: Hiroko
authors.initials: H
authors.lastname: Harashima
authors.forename: Suzuko
authors.initials: S
authors.lastname: Uehara
authors.forename: Nozomu
authors.initials: N
authors.lastname: Sasaki
authors.forename: Sigefumi
authors.initials: S
authors.lastname: Maesaki
mesh_terms: D000328:Adult; D000942:Antigens, Bacterial / Q000032:analysis*; D002555:Cerebrospinal Fluid / Q000382:microbiology*; D002648:Child; D006801:Humans; D007158:Immunologic Techniques; D007159:Immunologic Tests; D016920:Meningitis, Bacterial / Q000175:diagnosis*; D011933:Reagent Kits, Diagnostic / Q000592:standards
chemical_list: D000942:Antigens, Bacterial; D011933:Reagent Kits, Diagnostic