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Comparison of the Euroimmun Borrelia ‘antibody index’ with Virotech immunoblot-based detection of intrathecal Borrelia antibody production for the diagnosis of Lyme neuroborreliosis
European Journal of Clinical Microbiology & Infectious Diseases ( IF 3.7 ) Pub Date : 2021-09-13 , DOI: 10.1007/s10096-021-04343-x
Erika De Bont 1 , Katrien Lagrou 1, 2 , Melissa Depypere 1, 2
Affiliation  

For diagnosis of neuroborreliosis, calculation of the antibody index, based on Euroimmun Anti-Borrelia plus VlsE ELISA was compared to Virotech Borrelia Europe plus TpN17 immunoblot-based detection of Borrelia-specific intrathecal antibody production. CXCL13 results in cerebrospinal fluid were used to evaluate discordant results. A total of 64 serum/CSF pairs were analysed. Patients were classified according to European Federation of Neurological Societies criteria incorporating Virotech results. For the Euroimmun assay, a sensitivity of 100% and specificity of 94% was found. Agreement between the both tests was almost perfect (κ 0.81). Both methods are appropriate for the detection of Borrelia-specific intrathecal antibody production.



中文翻译:

Euroimmun 疏螺旋体“抗体指数”与基于 Virotech 免疫印迹检测鞘内疏螺旋体抗体产生的比较,用于诊断莱姆神经疏螺旋体病

对于神经疏螺旋体病的诊断,将基于 Euroimmun Anti-Borrelia 加 VlsE ELISA 的抗体指数计算与 Virotech Borrelia Europe 加 TpN17 基于免疫印迹的疏螺旋体特异性鞘内抗体产生的检测进行比较。脑脊液中的 CXCL13 结果用于评估不一致的结果。分析了总共 64 对血清/CSF。根据纳入 Virotech 结果的欧洲神经学会标准对患者进行分类。对于 Euroimmun 测定,发现灵敏度为 100%,特异性为 94%。两个测试之间的一致性几乎是完美的(κ 0.81)。两种方法都适用于检测疏螺旋体特异性鞘内抗体的产生。

更新日期:2021-09-14
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