The application of an enzyme-linked immunosorbent assay or an immunofluorescent assay test leads to different estimates of seroprevalence of Coxiella burnetii in the population

The application of an enzyme-linked immunosorbent assay or an immunofluorescent assay test leads to different estimates of seroprevalence of Coxiella burnetii in the population
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DOI:
10.1017/s0950268811000021
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发表时间:
2012-01-01
影响因子:
4.2
通讯作者:
Schneeberger, P. M.
Schneeberger, P. M.
中科院分区:
医学4区
文献类型:
--
作者:
Blaauw, G. J.;Notermans, D. W.;Schneeberger, P. M.

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Q热的诊断和流行病学研究依赖于血清学。所采用的主要方法有酶联免疫吸附试验(ELISA)和免疫荧光试验(IFAT)。我们发现,两种商业检测代表两种方法,两种不同的截止滴度可以导致显着差异的诊断和血清阳性率估计。这反过来又强调了需要一个标准化的黄金方法来比较各种测定;无论这个标准是“内部”或商业获得。
The diagnosis and epidemiological studies of Q fever depend on serology. Among the main methods employed are the enzyme-linked immunosorbent assay (ELISA) and the immunofluorescent assay test (IFAT). We show that two commercial assays representing the two methods with two different cut-off titres can lead to significant differences in diagnostic and seroprevalence estimates. This in turn emphasizes the need for a standardized gold method to compare the various assays; whether this standard is 'in-house' or commercially obtained.