Estadísticas

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      "titulo" => "Diagnóstico de laboratorio de la enfermedad de Chagas importada"
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        "resumen" => "El virus de la hepatitis B &#40;VHB&#41; representa un problema de salud p&#250;blica mundial&#44; a pesar de su mejor conocimiento y de los avances producidos en el diagn&#243;stico&#44; el tratamiento y la prevenci&#243;n&#46; Los marcadores serol&#243;gicos del VHB constituyen una parte importante de las determinaciones realizadas en el Servicio de Microbiolog&#237;a&#44; debido a su utilidad para efectuar el diagn&#243;stico&#44; conocer la evoluci&#243;n&#44; establecer el pron&#243;stico y realizar los estudios epidemiol&#243;gicos&#46; En algunas ocasiones&#44; los resultados obtenidos en las pruebas serol&#243;gicas son dif&#237;ciles de interpretar&#46; En estas situaciones&#44; las actitudes deben encaminarse a diferenciar las reactividades inespec&#237;ficas de las aut&#233;nticas&#44; verificando la especificidad de los ensayos o comprobando la sensibilidad de la prueba utilizada&#44; repitiendo el ensayo por t&#233;cnicas o m&#233;todos diferentes&#46; En ocasiones&#44; ser&#225; necesario obtener otra muestra lo antes posible&#44; para analizarla junto con la que presenta el problema o plantearse un seguimiento microbiol&#243;gico y cl&#237;nico del paciente&#46; Finalmente&#44; la interpretaci&#243;n de los resultados obtenidos siempre deber&#225; efectuarse junto con la historia cl&#237;nica del paciente&#46; El objetivo de esta revisi&#243;n es comentar algunos de los perfiles serol&#243;gicos infrecuentes o &#191;an&#243;malos&#191; y su posible interpretaci&#243;n seg&#250;n el contexto cl&#237;nico&#46;"
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        "resumen" => "Despite advances in the diagnosis&#44; treatment and prevention of hepatitis B virus &#40;HBV&#41; infection&#44; this disease remains a public health threat worldwide&#46; Consequently&#44; serological markers of HBV constitute a substantial proportion of the total workload performed in microbiology laboratories&#44; because of their utility as tools for diagnosis&#44; monitoring and prognosis and for epidemiological studies&#46; Sometimes&#44; serological test results are difficult to interpret&#46; In these cases&#44; nonspecific reactivities should be clearly differentiated from true test results to assess the specificity and&#47;or the sensitivity of the assays&#44; either by repeating the tests or by using different techniques or methods&#46; In some instances&#44; drawing a new blood sample as soon as possible can be required&#46; The second sample should be analyzed in parallel with the first specimen to clarify a doubtful initial result or to plan the patient&#191;s microbiological and clinical follow-up&#46; Finally&#44; interpretation of the results obtained should always be performed together with evaluation of the patient&#191;s clinical history&#46; The present review aims to discuss some infrequent or &#191;anomalous&#191; serological patterns and their possible interpretation according to the clinical context&#46;"
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