Comparison of antisera in the fluorescent antibody test for detection of Bacteroides spp in clinical specimens.

Abstract:

:Twenty-two known strains of the Bacteroides fragilis group of organisms and 67 clinical specimens from a variety of sites were examined by fluorescent antibody test (IFA) using two different antisera fro the rapid detection of B fragilis group of organisms. A previously reported Barts' pooled antisera was compared with a commercially produced Fluoretec kit antisera and the findings were related to routine anaerobic culture and gas liquid chromatography for short chain fatty acids. The Barts' antisera was more sensitive (88%) but less specific (88%) than the kit (sensitivity 50%, specificity 98%). This indicates that Barts' antisera picks up more positive cultures than the kit. The predictive value of a positive test was 82% for Barts' antisera and 93% for the kit. There were higher numbers of false-negatives with the kit (13/26) than with the Barts' (3/26). The predictive value of a negative test was 92% for Barts' antisera and 75% for the kit, indicating that a negative IFA test with Barts' antisera is a reliable index of the absence of the B fragilis group of organisms from clinical specimens. The implications for the use of this test in a routine laboratory are discussed.

journal_name

J Clin Pathol

authors

Wills A,Taylor E,Pantosti A,Phillips I,Tabaqchali S

doi

10.1136/jcp.35.3.304

subject

Has Abstract

pub_date

1982-03-01 00:00:00

pages

304-8

issue

3

eissn

0021-9746

issn

1472-4146

journal_volume

35

pub_type

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