Previous Article | Next Article ![]()
Journal of Clinical Microbiology, October 1999, p. 3245-3248, Vol. 37, No. 10
Administración Nacional de Laboratorios
e Institutos de Salud Dr. C. G. Malbrán,
Received 17 May 1999/Returned for modification 30 June
1999/Accepted 14 July 1999
The methods commonly used for human brucellosis serological testing
are agglutination tests and the complement fixation test (CFT). Among
the newer serological tests, primary binding assays were developed to
improve sensitivity and specificity. The competitive enzyme immunoassay
(CELISA) for the detection of serum antibody to Brucella is
a multispecies assay which appears to be capable of differentiating
vaccinal and cross-reacting antibodies from antibodies elicited by
field infection in cattle. The competing monoclonal antibody used in
this assay is specific for a common epitope of smooth
lipopolysaccharide (S-LPS). In this study, we compared the CELISA to
the classical tests for the diagnosis of human brucellosis. The CELISA
cutoff value was determined to calculate its diagnostic specificity and
sensitivity. A survey was performed with 911 sera. Of the sera, 341 were from an asymptomatic population that tested negative with
conventional serological tests (screening and confirmatory). Based on
these samples, the CELISA specificities were determined to be 99.7 and
100% with cutoff values of 28 and 30% inhibition (%I), respectively.
In a further study with 393 additional sera from an asymptomatic
population found negative by the conventional screening tests, the
CELISA specificities were calculated to be 96.5 and 98.8% with cutoff
values of 28 and 30%I. The CELISA sensitivities were determined to be
98.3 and 94.8% with cutoff values of 28 and 30%I, respectively, for sera from 116 individuals found positive by the classical tests. For
the 51 culture-positive patients, CELISA was positive for 100%, the
CFT was positive for 92%, and the standard tube agglutination test
(TAT) was positive for 100%. The CELISA specificity was 100% for 31 sera from patients found negative by conventional serological tests but
with brucellosis-like symptoms. The CELISA is fairly rapid to perform,
somewhat faster than TAT, and cross-reacts less with other antigens (or
antibodies) than the conventional tests. Further, the CELISA is simpler
to perform that the CFT and may readily be standardized by the use of
purified S-LPS antigen and monoclonal antibody for competition.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Competitive Enzyme Immunoassay for Diagnosis of Human
Brucellosis
*
Corresponding author. Mailing address:
Administración Nacional de Laboratorios e Institutos de Salud Dr.
C. G. Malbrán, Avda. Velez Sarsfield 563, 1281 Buenos Aires,
Argentina. Phone and fax: 54 11 4303 2382. E-mail:
nidia{at}impsat1.com.ar.
Journal of Clinical Microbiology, October 1999, p. 3245-3248, Vol. 37, No. 10
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
| Antimicrob. Agents Chemother. | Clin. Microbiol. Rev. |
|---|---|
| Clin. Vaccine Immunol. | ALL ASM JOURNALS |
|---|