Armengol Catherine, Cassaing Sophie, Roques-Malecaze Christine, Chauvin Pamela, Iriart Xavier, Berry Antoine, Fillaux Judith
Service de Parasitologie-Mycologie, Hôpital Purpan, Toulouse, 31059, France.
Service de Parasitologie-Mycologie, Hôpital Purpan, Toulouse, 31059, France; Pharmacochimie et Biologie Pour le Développement (PHARMA-DEV), IRD UMR 152 Université Paul Sabatier, Toulouse, 31400, France.
Diagn Microbiol Infect Dis. 2017 Feb;87(2):103-107. doi: 10.1016/j.diagmicrobio.2016.10.020. Epub 2016 Oct 22.
We assessed the ability to early detect a toxoplasmic seroconversion between 1 immunoblot (LDBIO II®) and 6 automated assays (TGS TA®, Architect®, Vidas II®, Liaison II®, Platelia®, and Elecsys®), comparing the time before anti-Toxoplasma gondii IgG detection during infection in pregnant women. From 2007 to 2015, 620 sera of 269 women were included. The median durations before positive IgG detection with Vidas II®, Liaison II®, Platelia®, and Elecsys® were significantly longer than Architect® with differential times from 11 to 28days (P<0.001). This time was significantly shortened by the use of LDBIO®, resulting in a saving of 13days (P<0.001). The detection of a positive rate of IgG with TGS TA® was as early as Architect® (P=0.105). The ability to early detect a toxoplasmic seroconversion is not equivalent between the assays and has to be considered when selecting the reagents to reduce the time to therapeutic intervention.
我们评估了1种免疫印迹法(LDBIO II®)和6种自动化检测方法(TGS TA®、Architect®、Vidas II®、Liaison II®、Platelia®和Elecsys®)早期检测弓形虫血清转化的能力,比较了孕妇感染期间抗弓形虫IgG检测之前的时间。2007年至2015年,纳入了269名女性的620份血清。Vidas II®、Liaison II®、Platelia®和Elecsys®检测到IgG阳性之前的中位持续时间明显长于Architect®,差异时间为11至28天(P<0.001)。使用LDBIO®可显著缩短这一时间,节省了13天(P<0.001)。TGS TA®检测IgG阳性率与Architect®一样早(P=0.105)。各检测方法早期检测弓形虫血清转化的能力并不相同,在选择试剂以缩短治疗干预时间时必须予以考虑。