2020
DOI: 10.1128/jcm.00951-19
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Comparison of Different Commercially Available Enzyme-Linked Immunosorbent Assays with Immunofluorescence Test for Detection of Phase II IgG and IgM Antibodies to Coxiella burnetii

Abstract: Several commercially available enzyme-linked immunosorbent assays (ELISAs) for the detection of phase II IgG or IgM antibodies against Coxiella burnetii were compared. In addition, an indirect immunofluorescence test was used as a confirmation test. In all, 70 serum samples for IgG and 43 serum samples for IgM were tested. The ELISAs showed large differences in sensitivity and specificity, which led to a partially high ratio of false-negative determinations. The most convincing test was PanBio from Abbott, whi… Show more

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Cited by 5 publications
(13 citation statements)
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“…In the present study, the sensitivity for IgG phase II antibody detection by Euroimmun ELISA kits was 93%, higher than that reporter for other ELISA assays such as Virion/Serion, Mikrogen, IBL, and Biomed kits, which showed sensitivities of 68, 55, 68, 76, and 55%, respectively [19]. The specificity for Euroimmun ELISA IgG was 95%, lower than the 100% reported for Virion/Serion, Mikrogen, and IBL ELISAs [19]. The CLIA IgG assay presents lower sensitivity (81%) and lower specificity (90%) than the Euroimmun ELISA IgG assay.…”
Section: Discussioncontrasting
confidence: 63%
“…In the present study, the sensitivity for IgG phase II antibody detection by Euroimmun ELISA kits was 93%, higher than that reporter for other ELISA assays such as Virion/Serion, Mikrogen, IBL, and Biomed kits, which showed sensitivities of 68, 55, 68, 76, and 55%, respectively [19]. The specificity for Euroimmun ELISA IgG was 95%, lower than the 100% reported for Virion/Serion, Mikrogen, and IBL ELISAs [19]. The CLIA IgG assay presents lower sensitivity (81%) and lower specificity (90%) than the Euroimmun ELISA IgG assay.…”
Section: Discussioncontrasting
confidence: 63%
“…Although more studies are necessary to evaluate the true specificity and sensitivity of these epitopes, immunodominant epitope combinations can be used to improve the accuracy of serological diagnosis of C. burnetii. This strategy can be applied especially to commercial ELISA tests for C. burnetii, which have presented low sensitivity and specificity when compared to IFA [87,88]. Here, while the reactivity to a single peptide ranged from 23% to 65% of studied patients, the combination of epitopes increased sensitivity, allowing the detection of specific antibodies against at least one epitope of the same protein in~60-70% of C. burnetii-seroreactive individuals.…”
Section: Discussionmentioning
confidence: 99%
“…In July 2020, both shepherds (A and B) were tested for C. burnetii antibodies by a semi-quantitative Q fever immunofluorescence assay, IgG, (Focus Diagnostics, Cypress, CA, USA), as described elsewhere ( 47 ) per the treating physician's request. The following IgM and IgG titers were detected in shepherd A: IgM Ph I and Ph II negative, IgG Ph I and Ph II: 1:64; shepherd B: IgM Ph I 1:32, IgM Ph II <1:16, IgG Ph I 1:64, IgG Ph II: 1:4,096.…”
Section: Methodsmentioning
confidence: 99%
“…In July 2020, both shepherds (A and B) were tested for C. burnetii antibodies by a semi-quantitative Q fever immunofluorescence assay, IgG, (Focus Diagnostics, Cypress, CA, USA), as described elsewhere (47)…”
Section: Flock Description and Q Fever Historymentioning
confidence: 99%