Rapid Diagnosis of Chlamydial Conjunctivitis in Laboratory

Purpose:To evaluate the techniques of rapid and accurate diagnosis of chlamydial conjunctivitis.Methods:Total 100 conjunctivitis patients(200 eyes) were studied.Twenty-tw of 100 cases were diagnosed as chlamydial conjunctivitis.The infected epithelia were scraped from tarsal conjunctive of both eyes and stained separately with Giemsa(100 cases)and immunofluorescnce (anti-chlamydial antigen monoclonal antibody,100 cases)Result:In immunofluorescent staining,38 cases were seen positive staining and 62 were negative.In giemsa staining,29 were positive,and 71 were negative.In 22 cases with clinical diagnosis of chlamydial conjunctivitis,13 cases were confirmed,and 9 were excluded by immunofluorescent staining,Technically,immunofluorescent and Gemsa stain takes 45 and 40 minutes,respectively.Conclusion:Comparing to Giemsa stain,38 of 100 scraping specimens were positive (38%) by immunofluorescent stainign,29 of 100 per cent were psitive by Giemsa staining,Giemsa staining takes 5 minutes less than immunofluorescent stainign (40 versus 45 minutes),however,the positive staining in immunofluorescent staining is much easier to be recognized than Giemsa staining.