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Journal of Clinical Microbiology, 11 1997, 2728-2732, Vol 35, No. 11
A Svahn, M Magnusson, L Jagdahl, L Schloss, G Kahlmeter and A Linde
Three commercially available enzyme-linked immunosorbent assays (ELISAs)
from Gull, Biotest, and Behring (Enzygnost) and two latex agglutination
tests for heterophile antibodies (Monolatex [Biotest] and Mono-Lex [Trinity
Laboratories]) were evaluated for the diagnosis of primary Epstein-Barr
virus (EBV) infection and EBV seropositivity. Two hundred fourteen
consecutive samples from 197 patients with symptoms of primary EBV
infection were analyzed by the five assays at a clinical microbiology
laboratory. The samples were also analyzed independently by
immunofluorescence methods at a reference laboratory. According to the
reference methods, 37 patients (40 serum samples) had primary EBV
infections, 120 patients (127 serum samples) had had past EBV infections,
33 patients (36 serum samples) were seronegative, and 7 patients (11 serum
samples) exhibited atypical reactions. The respective sensitivities and
specificities for the diagnosis of primary EBV infection were 95 and 100%
for the Gull assays, 100 and 94% for the Biotest assays, and 100 and 89%,
for the Enzygnost assays. The Monolatex and Mono-Lex methods showed similar
sensitivities and specificities (78 to 85% and 100 to 99%, respectively)
for the diagnosis of primary EBV infection. This study demonstrates the
usefulness of commercially available assays for the rapid diagnosis of
primary EBV infection, but also the importance of large-scale testing of
routine samples before choosing an assay.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Evaluation of three commercial enzyme-linked immunosorbent assays and two latex agglutination assays for diagnosis of primary Epstein-Barr virus infection [In Process Citation]
Clinical Microbiological Laboratory, Central Hospital, Vaxjo, Sweden. anita.svahn@swipnet.se
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