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Analytical and clinical evaluation of new automated chemiluminescent immunoassays for the detection of IgG and IgM anti-Bartonella henselae antibodies
Diagnostic Microbiology and Infectious Disease ( IF 2.9 ) Pub Date : 2020-09-04 , DOI: 10.1016/j.diagmicrobio.2020.115203
Jean-Louis Bayart 1 , Catherine Gusbin 1 , Benjamin Lardinois 1 , Anaïs Scohy 1 , Benoît Kabamba-Mukadi 2
Affiliation  

Serological diagnosis of Bartonella henselae infection mainly rely on microscopic immunofluorescence assays (IFA), which are however time-consuming and poorly standardized. The aim of the study was to assess the use of the new fully automated VirClia® chemiluminescent immunoassays for the detection of IgG and IgM anti-B. henselae antibodies. 81 patients with a well-defined B. henselae infection as well as 80 patients with an alternative disease were included. The VirClia® IgG antibody assay showed a sensitivity of 79.0% and a specificity of 93.8% for the diagnosis of B. henselae infection. For the VirClia® IgM assay, results were more conflicting with a sensitivity of 42.0% and a specificity of 98.2% to predict IFA IgM results. In 11 additional patients with uninterpretable IFA due to autoimmune antibodies, VirClia® assays were able to deliver valuable quantitave results. The VirClia® IgG assay shows good analytical and clinical performances and could be easily integrated in the diagnostic workflow of B. henselae infection.



中文翻译:

新型自动化学发光免疫测定法用于检测IgG和IgM抗汉赛巴尔通体抗体的分析和临床评估

汉赛巴尔通体感染的血清学诊断主要依靠显微免疫荧光测定法(IFA),但是这种方法费时且标准化程度很低。该研究的目的是评估使用新型全自动VirClia®化学发光免疫分析法检测IgG和IgM抗汉森芽孢杆菌抗体的能力。包括81例明确的汉逊氏杆菌感染患者和80例其他疾病患者。所述VirClia®IgG抗体测定显示79.0%的灵敏度和93.8%用于诊断特异性B.通体感染。对于VirClia®IgM分析,结果之间的矛盾更大,灵敏度为42.0%,预测IFA IgM结果的特异性为98.2%。在另外11位因自身免疫抗体导致IFA无法解释的患者中,VirClia®检测能够提供有价值的定量结果。VirClia®IgG测定法显示出良好的分析和临床表现,可轻松整合到亨氏芽孢杆菌感染的诊断工作流程中。

更新日期:2020-09-05
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