scholarly journals Qualitative Variation among Commercial Immunoassays for Detection of Measles-Specific IgG

2020 ◽  
Vol 58 (6) ◽  
Author(s):  
Donald R. Latner ◽  
Sun B. Sowers ◽  
Kiana Anthony ◽  
Heather Colley ◽  
Christine Badeau ◽  
...  

ABSTRACT Measurement of measles virus-specific IgG is used to assess presumptive evidence of immunity among immunocompetent individuals with uncertain immune or vaccination status. False-negative test results may lead to unnecessary quarantine and exclusion from activities such as employment, education, and travel or result in unnecessary revaccination. In contrast, false-positive results may fail to identify susceptible individuals and promote spread of disease by those who are exposed and unprotected. To better understand the performance characteristics of tests to detect measles IgG, we compared five widely used, commercially available measles IgG test platforms using a set of 223 well-characterized serum samples. Measles virus neutralizing antibodies were also measured by in vitro plaque reduction neutralization, the gold standard method, and compared to IgG test results. Discrepant results were observed for samples in the low-positive ranges of the most sensitive tests, but there was good agreement across platforms for IgG-negative sera and for samples with intermediate to high levels of IgG. False-negative test results occurred in approximately 11% of sera, which had low levels of neutralizing antibody.

1989 ◽  
Vol 52 (2) ◽  
pp. 88-91 ◽  
Author(s):  
H. S. LILLARD

This study was undertaken to determine whether bacteria are already attached to poultry skin when birds arrive at the processing plant. Multiple rinses were performed on breast skin and whole carcasses taken from five processing points in a commercial plant: Before scalding, after scalding, after picking, after the final washer, and from the exit end of the chiller. Aerobic bacteria and Enterobacteriaceae were recovered from carcasses in up to 40 consecutive whole carcass rinses with a difference of only about one log for Enterobacteriaceae, and 1 to 2 logs for aerobes from the first to the last rinse of carcasses taken from the beginning and the end of the processing line. Data from rinses prior to scalding indicated that bacteria were firmly attached to poultry carcasses when they first arrived in the plant. Not all bacteria were removed during processing; however, there were fewer aerobes and Enterobacteriaceae at progressive sampling points. Attached salmonellae were not always recovered in the first whole carcass rinse, but were sometimes recovered in 3rd, 5th, and 10th rinses. These data show that a single whole carcass rinse can result in false negative test results for salmonellae. Because of the small number of positive samples in this study, the probability of recovering salmonellae with a single whole carcass rinse could not be estimated accurately.


1982 ◽  
Vol 58 (4) ◽  
pp. 275-276
Author(s):  
E de Klerk ◽  
C A Sharp ◽  
C Geffen ◽  
R Anderson

2013 ◽  
Vol 133 (10) ◽  
pp. 2408-2414 ◽  
Author(s):  
Inge Stegeman ◽  
Thomas R. de Wijkerslooth ◽  
Esther M. Stoop ◽  
Monique van Leerdam ◽  
M. van Ballegooijen ◽  
...  

2011 ◽  
Vol 85 (2) ◽  
pp. 214-218 ◽  
Author(s):  
Ida J. Korfage ◽  
Marjolein van Ballegooijen ◽  
Brendy Wauben ◽  
J. Dik F. Habbema ◽  
Marie-Louise Essink-Bot

1991 ◽  
Vol 133 (3) ◽  
pp. 321-321 ◽  
Author(s):  
Margaret A. Thorburn ◽  
John J. McDermott ◽  
S. Wayne Martin

Author(s):  
Emily Hu

Reliable methods to confirm the diagnosis of COVID-19 are essential to the successful management and containment of the virus. Current diagnostic options are limited in type, supply, and reliability. This article explores the controversial unreliability of existing diagnostic methods and maintains that more reliable diagnostic methods, combinations, and sequencing are necessary to effectively assist in reducing the occurrence of discharge of the patient on false negative test results. This reduction would in effect reduce transmission of the disease.


2001 ◽  
Vol 37 (7) ◽  
pp. 912-917 ◽  
Author(s):  
F. Loeve ◽  
R. Boer ◽  
G.J. van Oortmarssen ◽  
M. van Ballegooijen ◽  
J.D.F. Habbema

Author(s):  
Erica L. MacKenzie ◽  
Dariusz A. Hareza ◽  
Maggie W. Collison ◽  
Anna E. Czapar ◽  
Antigone K. Kraft ◽  
...  

Abstract Objective: To determine clinical characteristics associated with false-negative severe acute respiratory coronavirus virus 2 (SARS-CoV-2) test results to help inform coronavirus disease 2019 (COVID-19) testing practices in the inpatient setting. Design: A retrospective observational cohort study. Setting: Tertiary-care facility. Patients: All patients 2 years of age and older tested for SARS-CoV-2 between March 14, 2020, and April 30, 2020, who had at least 2 SARS-CoV-2 reverse-transcriptase polymerase chain reaction tests within 7 days. Methods: The primary outcome measure was a false-negative testing episode, which we defined as an initial negative test followed by a positive test within the subsequent 7 days. Data collected included symptoms, demographics, comorbidities, vital signs, labs, and imaging studies. Logistic regression was used to model associations between clinical variables and false-negative SARS-CoV-2 test results. Results: Of the 1,009 SARS-CoV-2 test results included in the analysis, 4.0% were false-negative results. In multivariable regression analysis, compared with true-negative test results, false-negative test results were associated with anosmia or ageusia (adjusted odds ratio [aOR], 8.4; 95% confidence interval [CI], 1.4–50.5; P = .02), having had a COVID-19–positive contact (aOR, 10.5; 95% CI, 4.3–25.4; P < .0001), and having an elevated lactate dehydrogenase level (aOR, 3.3; 95% CI, 1.2–9.3; P = .03). Demographics, symptom duration, other laboratory values, and abnormal chest imaging were not significantly associated with false-negative test results in our multivariable analysis. Conclusions: Clinical features can help predict which patients are more likely to have false-negative SARS-CoV-2 test results.


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