确定个体对腮腺炎疫苗的免疫后免疫反应
以前没有免疫记录腮腺炎病毒的病毒记录的先前感染了腮腺炎病毒先前感染的记录
multiplex Flow Immunoassay
mumps IgG
腮腺炎血清学
血清
Container/Tube:
首选:血清凝胶
一种cceptable:红色顶部
specimen Volume:0.5毫升
如果不以电子方式订购,请完成,打印并发送我nfectious Disease Serology Test Request(T916) with the specimen
0.4 mL
严重的溶血 | 拒绝 |
Gross lipemia | 拒绝 |
Gross icterus | 拒绝 |
热灭活标本 | 拒绝 |
specimen Type | temperature | 时间 | 特殊容器 |
---|---|---|---|
血清 | refrigerated (preferred) | 14天 | |
Frozen | 14天 |
确定个体对腮腺炎疫苗的免疫后免疫反应
以前没有免疫记录腮腺炎病毒的病毒记录的先前感染了腮腺炎病毒先前感染的记录
mumps病毒是paramyxoviridae病毒家族的成员,其中包括副菌病毒血清型1-4,麻疹,呼吸道合胞病毒(RSV)和Metapneumovirus。腮腺炎在未接种疫苗的个体中具有高度感染性,通常通过吸入感染的呼吸液滴或分泌而传播。大约2周的孵育期之后,症状发作通常是急性的,低级发烧,头痛和不适的前途。(1,2)唾液腺的疼痛肿大,腮腺炎的标志,大约60%,至60%。70%的感染和95%的症状患者。睾丸疼痛(提供率)发生在大约15%至30%的后假男性和腹部疼痛(卵巢炎)中发生在5%的后假妇女中。神经系统疾病(脑膜炎<10%,脑炎<1%)。
widespread routine immunization of infants with attenuated mumps virus has dramatically decreased the number of reported mumps cases in the United States. However, outbreaks continue to occur, indicating persistence of the virus in the general population.
laboratory diagnosis of mumps is typically accomplished by detection of IgM- and IgG-class antibodies to the mumps virus. However, due to the widespread mumps vaccination program, in clinically suspected cases of acute mumps infection, serologic testing should be supplemented with virus isolation in culture or detection of viral nucleic acid by polymerase chain reaction (PCR) in throat, saliva, or urine specimens.
vaccinated: Positive (> or =1.1 AI)
你nvaccinated: Negative (< or =0.8 AI)
reference values apply to all ages.
积极的:
the presence of detectable IgG-class antibodies indicates prior exposure to the mumps virus through infection or immunization. Individuals testing positive are considered immune to mumps virus.
equivocal:
提交一个在10到14天内进行测试的额外样本,以证明如果最近接种疫苗或其他临床指示,请证明IgG血清转化。
消极的:
the absence of detectable IgG-class antibodies suggests no prior exposure to the mumps virus or the lack of a specific immune response to immunization.
mumps virus shares antigenic relationships with other viruses of the paramyxovirus group; therefore, serologic cross-reactions are possible, but uncommon with this test procedure.(2)
我gG-class antibodies to mumps virus may be present in serum specimens from individuals who have received blood products within the past several months, but have not been immunized or experienced past infection with this virus.
在急性感染期间抽出的血清样品可能对该病毒的IgG级抗体阴性。
to evaluate the accuracy of the BioPlex mumps IgG multiplex flow immunoassay (MFI), 500 prospective serum specimens were analyzed in a blinded fashion by the SeraQuest mumps IgG EIA and the BioPlex mumps IgG assay. Specimens with discordant results after initial testing were repeated by both assays during the same freeze/thaw cycle. Further discrepancies were evaluated by the mumps IgG VIDAS enzyme-linked fluorescent immunoassay (ELFA; bioMerieux, Inc). The results are summarized below:
|
seraQuest Mumps IgG EIA
|
|||
Bioplex mumps IgG
|
积极的 |
消极的 |
equivocal |
|
积极的 |
412
|
4(a) |
8 |
|
消极的 |
3(b) |
48 |
3 |
|
equivocal |
5 |
6 |
11 |
(a) All 4 of these samples tested positive by VIDAS Mumps IgG ELFA
(b)这3个样品之一,由Vidas腮腺炎igG Elfa测试为阴性
sensitivity: 98.1% (412/420); 95% CI: 96.2% to 99.1%
specificity: 82.8% (48/58); 95% CI: 70.9% to 90.6%
总体百分比协议:94.2%(471/500);95%CI:91.8%至96.0%
1. Hviid A, Rubin S, Muhlemann K: Mumps. Lancet. 2008 Mar;371(9616):932-944
2. Hodinka RL, Moshal KL: Childhood infections. In: Storch GA ed. Essentials of Diagnostic Virology. Churchill Livingstone; 2000:168-178
3。litman N, Baum SG: Mumps virus. In Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Elsevier; 2020:2087-2092
the BioPlex 2200 mumps IgG assay uses multiplex flow immunoassay technology. Briefly, serum samples are mixed and incubated at 37 degrees C with sample diluent and dyed beads coated with mumps antigen. After a wash cycle, antihuman-IgG antibody conjugated to phycoerythrin (PE) is added to the mixture and incubated at 37 degrees C. Excess conjugate is removed in another wash cycle and the beads are resuspended in wash buffer. The bead mixture then passes through a detector that identifies the bead based on dye fluorescence and determines the amount of antibody captured by the antigen by the fluorescence of the attached PE. Raw data are calculated in relative fluorescence intensity. Three additional dyed beads, an internal standard bead, a serum verification bead, and a reagent blank bead are present in each reaction mixture to verify detector response, the addition of serum to the reaction vessel and the absence of significant nonspecific binding in serum.(Package insert: BioPlex 2200 System MMRV IgG, Bio-Rad Laboratories: 11/30/2018)
monday through Saturday
该测试已被美国食品药品监督管理局清除,批准或豁免,并根据制造商的说明使用。梅奥诊所以与CLIA要求一致的方式验证了绩效特征。
86735
test Id | 测试订单名称 | 订单loinc值 |
---|---|---|
mppG | mumps AB,IgG,S | 6476-6 |
result Id | test Result Name | result LOINC Value
一种pplies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
|
---|---|---|
deXG5 | 腮腺炎IgG抗体指数 | 25418-5 |
m你mG | mumps AB,IgG,S | 6476-6 |