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  • Antiborrelia antibodies in Lyme borreliosis (LB) are mostly detected by enzyme immunoassay (EIA), confirmed by immunoblot (the %22two-step system%22). In indicated cases, direct evidence of Borrelia burgdorferi is obtained with the PCR method, electron microscopy and cultivation. The %22one-step system%22 of testing for IgM and IgG antibodies in LB is economically preferably, but it requires an EIA kit with more than 90% sensitivity and specificity. The results were verified clinically in all cases, in disputable cases with additional immunoblot (BAG-Med), and analyzed statistically. Conclusions: The best results for a %22one-step system%22 of examinations for antiborrelia antibodies were obtained with the Abbot and Euroimmun EIA kits in our set. A %22two-step system%22 of serological examination could be composed from the basic IgM and IgG examination with a high sensitivity EIA kit (Viroimmun, Test-Line) followed with confirmation of positives by specific immunoblot.
  • Antiborrelia antibodies in Lyme borreliosis (LB) are mostly detected by enzyme immunoassay (EIA), confirmed by immunoblot (the %22two-step system%22). In indicated cases, direct evidence of Borrelia burgdorferi is obtained with the PCR method, electron microscopy and cultivation. The %22one-step system%22 of testing for IgM and IgG antibodies in LB is economically preferably, but it requires an EIA kit with more than 90% sensitivity and specificity. The results were verified clinically in all cases, in disputable cases with additional immunoblot (BAG-Med), and analyzed statistically. Conclusions: The best results for a %22one-step system%22 of examinations for antiborrelia antibodies were obtained with the Abbot and Euroimmun EIA kits in our set. A %22two-step system%22 of serological examination could be composed from the basic IgM and IgG examination with a high sensitivity EIA kit (Viroimmun, Test-Line) followed with confirmation of positives by specific immunoblot. (en)
  • Úvod: protilátky proti borélii u Lymeské boreliózy (LB) se většinou detekují dvoustupňovým procesem (EIA + blot). V daných případech je přímý důkaz přítomnosti borélie poskytnut PCR, elektronovou mikroskopií nebo kultivačně. Jednostupňový proces detekc protilátek IgM a IgG u LB je ekonomický, ale vyžaduje vysokou specifitu a citlivost (více než 90%) EIA kitu. Materiál a metody: bylo shromážděno 90 krevních vzorků (54 od pacientů s LB a 36 ze zdravých jedinců). Protilátky IgM a IgG byly detekovány 5 EIA kity od různých výrobců. Výsledky byly verifikovány klinicky, v případě nejasností i pomocí imunoblotu (BAG-med). Závěry: nejlepší výsledky s jednostupňovou detekcí byly získány s EIA kity od Abbot a Eurimmun. Dvoustupňová sérologická detekce by se mohla skládat ze základní detekce IgM a IgG plus vysoce citlivých EIA kitů (Viroimmun, Test-Line) s následným potvrzením pozitivity spedifickým imunoblotem. (cs)
Title
  • Diagnosis of Lyme borreliosis using enzyme immunoanalysis
  • Diagnostika Lymské borreliózy při použití EIA metod (cs)
  • Diagnosis of Lyme borreliosis using enzyme immunoanalysis (en)
skos:prefLabel
  • Diagnosis of Lyme borreliosis using enzyme immunoanalysis
  • Diagnostika Lymské borreliózy při použití EIA metod (cs)
  • Diagnosis of Lyme borreliosis using enzyme immunoanalysis (en)
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  • RIV/00216208:11150/05:00004048!RIV08-MSM-11150___
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  • Diagnosis; borreliosis; using; enzyme; immunoanalysis (en)
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  • PL - Polská republika
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  • 11
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  • Čermáková, Eva
  • Hanovcová, Irena
  • Ryšková, Olga
  • Čermáková, Zuzana
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