1998
DOI: 10.1128/cdli.5.2.130-134.1998
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Evaluation of an Immunoglobulin G Enzyme-Linked Immunosorbent Assay for Pertussis Toxin and Filamentous Hemagglutinin in Diagnosis of Pertussis in Senegal

Abstract: The enzyme-linked immunosorbent assay is widely employed for the serological diagnosis of pertussis. It is generally concluded that a significant increase in specific immunoglobulin G (IgG) or IgA against the pertussis toxin (PT) or against filamentous hemagglutinin (FHA) in paired sera correlates with Bordetella pertussis infection. However, this type of diagnosis of pertussis has mainly been applied to unvaccinated children, with timely sampling of acute- and convalescent-phase sera. In current practice and … Show more

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Cited by 42 publications
(6 citation statements)
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“…Dual-sample serology based on ≥100% increase in antibody concentration or on ≥50% decrease in antibody concentration is a sensitive and specific method for serological diagnosis [ 1 , 4 ]. However, even in paired sera, no antibody increase may be seen after infection due to the secondary immune response, and the diagnosis may also be based on a decrease of antibodies, which may be too slow to reach 50% between the acute and convalescent sample.…”
Section: Interpretation Of Serological Resultsmentioning
confidence: 99%
“…Dual-sample serology based on ≥100% increase in antibody concentration or on ≥50% decrease in antibody concentration is a sensitive and specific method for serological diagnosis [ 1 , 4 ]. However, even in paired sera, no antibody increase may be seen after infection due to the secondary immune response, and the diagnosis may also be based on a decrease of antibodies, which may be too slow to reach 50% between the acute and convalescent sample.…”
Section: Interpretation Of Serological Resultsmentioning
confidence: 99%
“…In France, serologic testing is performed for epidemiologic studies and surveillance. Serology consists of measurement of IgG anti-PT antibody titers using the reference ELISA and purified PT provided by the manufacturers [68]. A positive case is defined by either a twofold change in the titers between two serum samples obtained at a 1-month interval or a titer >100 EU/ml in a single serum sample, only if the serum is collected after more than 3 weeks of cough and 3 years after a vaccine booster.…”
Section: Serodiagnosis Of B Pertussis In Different Countriesmentioning
confidence: 99%
“…With respect to the goals of the meeting, the importance of assays to measure serum PT IgG was emphasized because PT IgG is the only reliable assay for serologic diagnosis of pertussis after the acute phase of pertussis has passed [67,68], and because the concentration of vaccine-induced IgG anti-PT correlated with the efficacy of monocomponent PTox [82]. The correlation indicates that the level of IgG anti-PT may predict the efficacy of aP vaccines [82].…”
Section: The Composition Of B Pertussis Vaccine With Considerations mentioning
confidence: 99%
“…The best time to perform serologic tests starts 2 weeks after the onset of symptoms, when antibodies rise in the serum. Diagnosis may be established by a single test with a high IgG anti-PT titre greater than or equal to 100-125 EU/ml or a minimum fourfold rise in antibody titres when the test is performed twice – in the acute phase and the convalescent phase [ 20 ]. To interpret the results of the serologic tests correctly, the history of pertussis vaccinations should be known, as it may cause elevated levels of IgG and IgM antibodies.…”
Section: Discussionmentioning
confidence: 99%