Indirect Immunofluorescence Assay (IFA) - IgG

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Accredited by the Standards Council of Canada to Laboratory no. 594 - CAN-P-4E (ISO/IEC 17025)

Requisition Forms

Reference Details

Description:

Detection of IgG antibodies to Bartonella quintana by IFA.

Test Category:
Serology
Pathogen:
Bartonella quintana
Illnesses and Diseases:
  • Trench fever
  • Bacillary angiomatosis
Specimen:

h human serum. Minimum volume of serum required is 0.25 mL. Hyperlipaemic, haemolysed or contaminated sera may yield erroneous results.

Collection Method:

Collect blood in serum separator tubes.

Specimen Processing, Storage and Shipping:

Transfer an aliquot of serum to a 1.5 mL screw-top vial with O-ring (Sarstedt vial). Store specimen refrigerated up to five days or store frozen until shipped for testing. Ship frozen on dry ice or with freezer packs.

Transportation of Dangerous Goods:

Shipping of specimens shall be done by a TDG certified individual in accordance with TDG regulations. For additional information regarding classification of specimens for the purposes of shipping, consult either Part 2 Appendix 3 of the TDG Regulations or section 3.6.2 of the IATA Dangerous Goods Regulations as applicable.

For additional guidance on the transport of infectious substances in other languages, please click on the link below.

http://www.who.int/ihr/capacity-strengthening/infectious-substances/en/

Patient Criteria:

Infection with B. quintana (Trench fever) is characterized by fever, which may be present as a single bout or bouts of recurrent fever, headache, rash and bone pain mainly in the shins neck and back.

B. quintana may cause bacillary angiomatosis in immunocompromised individuals such as those with advanced HIV.  

Accompanying Documentation:

Completed ‘Requisition for Diagnostic Testing for Selected Zoonotic Agents - Serology’.

Comments:

Specimens may be subject to rejection if they are not the appropriate sample type, have insufficient volume or are not accompanied by relevant patient information or clinical history.

Methods and Interpretation of Results:

Commercial IFA kit. Human sera are screened for IgG antibodies to B. quintana at a dilution of 1:64. Samples reactive at the screening dilution are titrated to determine end-point titre. An IgG endpoint greater than 1:64 may be considered evidence of past exposure to Bartonella however; an IgG endpoint titre > 1:256 on a single sample, or a four-fold increase in IgG titres between two serum samples drawn two to three weeks apart and tested in parallel, is considered presumptive evidence of a recent or current infection.

There is extensive cross-reactivity between Bartonella species; therefore the serological differentiation between B. henselae and B. quintana may not be possible. Results should be interpreted in conjunction with clinical history and symptoms.

Initiation of antibiotic treatment prior to testing may result in decreased antibody production which will affect the outcome of serological testing.

Turnaround Time:

21 calendar days.

Contact:
Phone: (204) 789-7434 or (204) 789-6070
Fax: (204) 789-2082
References:
  1. Chomel B, Boulouis HJ, Maruyama S, Breitschwerdt EB. Bartonella spp. in pets and effect on human health. (2006) Emerg. Infect. Dis. (12):389-394.
  2. Raoult D. From cat scratch disease to Bartonella henselae infection. (2007) Clin. Infect. Dis. (45):1541-1542.
Guidelines:
Related Information: