Analytical validation of anti-toxoplasma IgG immunoassays

There are often discrepancies when using different methods to measure anti-Toxoplasma gondii IgG levels in patient samples. The diagnostic performance of a chemiluminescent immunoassay (CLIA) and an enzyme-linked fluorescent assay (ELFA) used as confirmatory tests for samples identified as positive...

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Main Authors: Guenael Freire de Souza, Darlene Carvalho, William Pedrosa, Jacqueline Franck, Renaud Piarroux
Format: Article
Language:English
Published: Elsevier 2012-12-01
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000600012
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author Guenael Freire de Souza
Darlene Carvalho
William Pedrosa
Jacqueline Franck
Renaud Piarroux
author_facet Guenael Freire de Souza
Darlene Carvalho
William Pedrosa
Jacqueline Franck
Renaud Piarroux
author_sort Guenael Freire de Souza
collection DOAJ
description There are often discrepancies when using different methods to measure anti-Toxoplasma gondii IgG levels in patient samples. The diagnostic performance of a chemiluminescent immunoassay (CLIA) and an enzyme-linked fluorescent assay (ELFA) used as confirmatory tests for samples identified as positive or equivocal by an electrochemiluminescent immunoassay (ECLIA) were examined. Cut-off values were those stated by the manufacturer, and Western blot was used to confirm the results of all methods. All samples identified as positive by ECLIA (n = 93) were confirmed as positive by Western blot, as were 14 of the 28 samples identified as equivocal. When these 121 samples were retested, the sensitivities of CLIA and ELFA were 64.4% and 73.8%, respectively. Both methods exhibited a specificity of 100%. This study confirms that the results obtained from the different immunoassays are not comparable, and neither CLIA nor ELFA should be used to confirm ECLIA results, which should instead be confirmed by methods such as Western blot or Sabin-Feldman dye test.
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spelling doaj.art-39e0b2e328c641138ef58c9d21cb73812022-12-21T17:31:59ZengElsevierBrazilian Journal of Infectious Diseases1413-86701678-43912012-12-0116657457610.1590/S1413-86702012000600012Analytical validation of anti-toxoplasma IgG immunoassaysGuenael Freire de SouzaDarlene CarvalhoWilliam PedrosaJacqueline FranckRenaud PiarrouxThere are often discrepancies when using different methods to measure anti-Toxoplasma gondii IgG levels in patient samples. The diagnostic performance of a chemiluminescent immunoassay (CLIA) and an enzyme-linked fluorescent assay (ELFA) used as confirmatory tests for samples identified as positive or equivocal by an electrochemiluminescent immunoassay (ECLIA) were examined. Cut-off values were those stated by the manufacturer, and Western blot was used to confirm the results of all methods. All samples identified as positive by ECLIA (n = 93) were confirmed as positive by Western blot, as were 14 of the 28 samples identified as equivocal. When these 121 samples were retested, the sensitivities of CLIA and ELFA were 64.4% and 73.8%, respectively. Both methods exhibited a specificity of 100%. This study confirms that the results obtained from the different immunoassays are not comparable, and neither CLIA nor ELFA should be used to confirm ECLIA results, which should instead be confirmed by methods such as Western blot or Sabin-Feldman dye test.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000600012ToxoplasmaImmunoassayECLIAELFA
spellingShingle Guenael Freire de Souza
Darlene Carvalho
William Pedrosa
Jacqueline Franck
Renaud Piarroux
Analytical validation of anti-toxoplasma IgG immunoassays
Brazilian Journal of Infectious Diseases
Toxoplasma
Immunoassay
ECLIA
ELFA
title Analytical validation of anti-toxoplasma IgG immunoassays
title_full Analytical validation of anti-toxoplasma IgG immunoassays
title_fullStr Analytical validation of anti-toxoplasma IgG immunoassays
title_full_unstemmed Analytical validation of anti-toxoplasma IgG immunoassays
title_short Analytical validation of anti-toxoplasma IgG immunoassays
title_sort analytical validation of anti toxoplasma igg immunoassays
topic Toxoplasma
Immunoassay
ECLIA
ELFA
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000600012
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