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Rapid Antigen Tests

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Advanced Techniques in Diagnostic Microbiology

Abstract

Immunoassays for the detection of the antigens of microorganisms remain important tools for the diagnosis and management of infectious diseases. Great strides have been made since the introduction of the early precipitation and agglutination assays in increasing the sensitivity, specificity, standardization, and automation of antigen tests [1–4]. Antigen tests have long been used to detect infectious agents that are difficult, slow, or hazardous to culture. However, antigen detection methods are especially useful for rapid diagnosis, whether in the clinic, emergency department, doctor’s office, or central laboratory. Simple one-step assays can provide results in 15 min with dramatic benefits to physician decision-making.

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References

  1. Carpenter AB (2002) Antibody-based methods. In: Rose NR, Hamilton RG, Detrick B (eds) Manual of clinical laboratory immunology. ASM, Washington, DC, p 2002

    Google Scholar 

  2. Constantine NT, Lana DP (2003) Immunoassays for the diagnosis of infectious diseases. In: Murray PR, Baron EJ, Jorgenesen JH, Pfaller MA, Yolken RH (eds) Manual of clinical microbiology. ASM, Washington, DC

    Google Scholar 

  3. Hage DS (1999) Immunoassays. Anal Chem 71:294R–304R

    Article  PubMed  CAS  Google Scholar 

  4. Peruski AH, Peruski LF Jr (2003) Immunological methods for detection and identification of infectious disease and biological warfare agents. Clin Diagn Lab Immunol 10:506–513

    PubMed  CAS  Google Scholar 

  5. Bisno AL, Gerber MA, Gwaltney JM Jr, Kaplan EL, Schwartz RH, Infectious Diseases Society of America (2002) Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis. Clin Infect Dis 35:113–125

    Article  PubMed  Google Scholar 

  6. Roson B, Fernandez-Sabe N, Carratala J, Verdaguer R, Dorca J, Manresa F, Gudiol F (2004) Contribution of a urinary antigen assay (Binax NOW) to the early diagnosis of pneumococcal pneumonia. Clin Infect Dis 38:222–226

    Article  PubMed  Google Scholar 

  7. Smith MD, Derrington P, Evans R, Creek M, Morris R, Dance DA, Cartwright K (2003) Rapid diagnosis of bacteremic pneumococcal infections in adults by using the Binax NOW Streptococcus pneumoniae urinary antigen test, a prospective, controlled clinical evaluation. J Clin Microbiol 41:2810–2813

    Article  PubMed  CAS  Google Scholar 

  8. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, Dowell SF, File TM Jr, Musher DM, Niederman MS, Torres A, Whitney CG (2007) Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 44(Suppl 2):S27–S72

    Article  PubMed  CAS  Google Scholar 

  9. Waterer GW, Baselski VS, Wunderink RG (2001) Legionella and community-acquired pneumonia, a review of current diagnostic tests from a clinician’s viewpoint. Am J Med 110:41–48

    Article  PubMed  CAS  Google Scholar 

  10. Edelstein PH (2007) Legionella. In: Murray P, Barron EJ, Jorgensen JH, Landry ML, Pfaller MA (eds) Manual of clinical microbiology, 9th edn. ASM, Washington, DC

    Google Scholar 

  11. Wilcox MH, Planche T, Fang FC (2010) What is the current role of algorithmic approaches for diagnosis of Clostridium difficile infection? J Clin Microbiol 48:4347–4353

    Article  PubMed  Google Scholar 

  12. Eastwood K, Else P, Charlett A, Wilcox M (2009) Comparison of nine commercially available Clostridium difficile toxin detection assays, a real-time PCR assay for C. difficile tcdB, and a glutamate dehydrogenase detection assay to cytotoxin testing and cytotoxigenic culture methods. J Clin Microbiol 47:3211–3217

    Article  PubMed  Google Scholar 

  13. Versalovic J (2003) Helicobacter pylori. Pathology and diagnostic strategies. Am J Clin Pathol 119:403–412

    Article  PubMed  Google Scholar 

  14. Chey WD, Wong BC, The Practice Parameters Committee of the American College of Gastroenterology (2007) American College of Gastroenterology guideline on the management of Helicobacter pylori infection. Am J Gastroenterol 102:1808–1825

    Article  PubMed  CAS  Google Scholar 

  15. Mahoney JB, Coombes BK, Chernesky MA (2003) Chlamydia and Chlamydophilia. In: Murray P, Barron EJ, Jorgensen JH, Landry ML, Pfaller MA (eds) Manual of clinical microbiology, 9th edn. ASM, Washington, DC

    Google Scholar 

  16. Sabido M, Hernandez G, Gonzalez V, Valles X, Montoliu A, Figuerola J, Isern V, Vinado B, Figueroa L, Casabona J (2009) Clinic-based evaluation of a rapid POC test for Chlamydia trachomatis among sex workers in Escuintla, Guatemala. J Clin Microbiol 47:475–476

    Article  PubMed  CAS  Google Scholar 

  17. Peeling RW, Holmes KK, Mabey D, Ronald A (2006) Rapid tests for sexually-transmitted infections (STIs): the way forward. Sex Transm Infect 83(Suppl 5):S1–S6

    Article  Google Scholar 

  18. Kiska DL, Jones MC, Mangum ME, Orkiszewski D, Gilligan PH (1995) Quality assurance study of bacterial antigen testing of cerebrospinal fluid. J Clin Microbiol 33:1141–1144

    PubMed  CAS  Google Scholar 

  19. Thompson RB, Miller JM (2003) Specimen collection, transport, and processing, bacteriology. In: Murray P, Barron EJ, Jorgensen JH, Landry ML, Pfaller MA (eds) Manual of clinical microbiology, 9th edn. ASM, Washington, DC

    Google Scholar 

  20. CDC (Centers for Disease Control and Prevention) (2009) Recommendations for diagnosis of shiga toxin-producing Escherichia coli infections by clinical laboratories. MMWR 58:RR-12

    Google Scholar 

  21. Walsh TJ, Anaissie EJ, Denning DW, Herbrecht R, Kontoyiannis DP, Marr KA, Morrison VA, Segal BH, Steinbach WJ, Stevens DA, van Burik J, Wingard JR, Patterson TF (2008) Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America. Clin Infect Dis 46:327–360

    Article  PubMed  CAS  Google Scholar 

  22. Perfect JR, Casadevall A (2002) Cryptococcosis. Infect Dis Clin North Am 16:837–874

    Article  PubMed  Google Scholar 

  23. Perfect JR, Dismukes WE, Dromer F, Goldman DL, Graybill JR, Hamill RJ, Harrison TS, Larsen RA, Lortholary O, Nguyen MH, Pappas PG, Powderly WG, Singh N, Sobel JD, Sorrell TC (2010) Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the Infectious Diseases Society of America. Clin Infect Dis 50:291–322

    Article  PubMed  Google Scholar 

  24. Cruciani M, Marcati P, Malena M, Bosco O, Serpelloni G, Mengoli C (2002) Meta-analysis of diagnostic procedures for Pneumocystis carinii pneumonia in HIV-1-infected patients. Eur Respir J 20:982–989

    Article  PubMed  CAS  Google Scholar 

  25. Thomas CF Jr, Limper AH (2004) Pneumocystis pneumonia. N Engl J Med 350:2487–2498

    Article  PubMed  CAS  Google Scholar 

  26. Hauser PM, Bille J, Lass-Florl C, Geltner C, Feldmesser M, Levi M, Patel H, Muggia V, Alexander B, Hughes M, Follett SA, Cui X, Leung F, Morgan G, Moody A, Perlin DS, Denning DW (2011) Multicenter, prospective clinical evaluation of respiratory samples from subjects at risk for Pneumocystis jirovecii infection by use of a commercial real-time PCR assay. J Clin Microbiol 49:1872–1878

    Article  PubMed  Google Scholar 

  27. Garcia LS (2001) Antibody and antigen detection in parasitic infections. In: Garcia LS (ed) Diagnostic medical parasitology, 4th edn. ASM, Washington, DC

    Google Scholar 

  28. CDC (Centers for Disease Control and Prevention), National Center for Infectious Diseases, Division of Parasitic Diseases (2004) Diagnostic procedures for stool specimens: detection of parasite antigens. http://wwwdpdcdcgov/dpdx/HTML/DiagnosticProcedures.htm

  29. Johnston SP, Ballard MM, Beach MJ, Causer L, Wilkins PP (2003) Evaluation of three commercial assays for detection of Giardia and Cryptosporidium organisms in fecal specimens. J Clin Microbiol 41:623–626

    Article  PubMed  Google Scholar 

  30. Roy S, Kabir M, Mondal D, Ali IKM, Petri WA, Haque R (2005) Real-Time-PCR assay for diagnosis of Entamoeba histolytica infection. J Clin Microbiol 43:2168–2172

    Article  PubMed  CAS  Google Scholar 

  31. Solaymani-Mohammadi S, Rezaian M, Babaei Z, Rajabpour A, Meamar AR, Pourbabai AA, Petri WA (2006) Comparison of a stool antigen detection kit and PCR for diagnosis of Entamoeba histolytica and Entamoeba dispar infections in asymptomatic cyst passers in Iran. J Clin Microbiol 44:2258–2261

    Article  PubMed  Google Scholar 

  32. Stark D, van Hal S, Fotedar R, Butcher A, Marriott D, Ellis J, Harkness J (2008) Comparison of stool antigen detection kits to PCR for diagnosis of amebiasis. J Clin Microbiol 46:1678–1681

    Article  PubMed  CAS  Google Scholar 

  33. Leber AL, Novak-Weekley S (2007) Intestinal and urogenital amebae, flagellates, and ciliates. In: Murray P, Barron EJ, Jorgensen JH, Landry ML, Pfaller MA (eds) Manual of clinical microbiology, 9th edn. ASM, Washington, DC

    Google Scholar 

  34. Murray CK, Gasser RA, Magill AJ, Miller RS (2008) Update on rapid diagnostic testing for malaria. Clin Microbiol Rev 21:97–110

    Article  PubMed  Google Scholar 

  35. Chandrasena TG, Premaratna R, Abeyewickrema W, de Silva NR (2002) Evaluation of the ICT whole-blood antigen card test to detect infection due to Wuchereria bancrofti in Sri Lanka. Trans R Soc Trop Med Hyg 96:60–63

    Article  PubMed  CAS  Google Scholar 

  36. Slinger R, Milk R, Gaboury I, Diaz-Mitoma F (2004) Evaluation of the QuickLab RSV test, a new rapid lateral-flow immunoassay for detection of respiratory syncytial virus antigen. J Clin Microbiol 42:3731–3733

    Article  PubMed  CAS  Google Scholar 

  37. Wilhelmi I, Colomina J, Martin-Rodrigo D, Roman E, Sanchez-Fauquier A (2001) New immunochromatographic method for rapid detection of rotaviruses in stool samples compared with standard enzyme immunoassay and latex agglutination techniques. Eur J Clin Microbiol Infect Dis 20:741–743

    Article  PubMed  CAS  Google Scholar 

  38. Barenfanger J, Drake C, Leon N, Mueller T, Troutt T (2000) Clinical and financial benefits of rapid detection of respiratory viruses: an outcomes study. J Clin Microbiol 38:2824–2828

    PubMed  CAS  Google Scholar 

  39. Bonner AB, Monroe KW, Talley LI, Klasner AE, Kimberlin DW (2003) Impact of the rapid diagnosis of influenza on physician decision-making and patient management in the pediatric emergency department: results of a randomized, prospective, controlled trail. Pediatrics 112:363–367

    Article  PubMed  Google Scholar 

  40. Jennings LC, Skopnik H, Burckhardt I, Hribar I, Del Piero L, Deichmann KA (2009) Effect of rapid influenza testing on the clinical management of paediatric influenza. Influenza Other Respi Viruses 3:91–98

    Article  PubMed  Google Scholar 

  41. Landry ML (2011) Diagnostic tests for influenza infection. Curr Opin Pediatr 23:91–97

    Article  PubMed  CAS  Google Scholar 

  42. Sambol AR, Abdalhamid B, Lyden ER, Aden TA, Noel RK, Hinrichs SH (2009) Use of rapid influenza diagnostic tests under field conditions as a screening tool during an outbreak of the 2009 novel influenza virus, practical considerations. J Clin Virol 47:229–233

    Article  Google Scholar 

  43. Welch DF, Ginocchio CC (2010) Role of rapid immunochromatographic antigen testing in diagnosis of influenza A virus 2009 H1N1 infection. J Clin Microbiol 48:22–25

    Article  PubMed  CAS  Google Scholar 

  44. Dale SE, Mayer C, Mayer MC, Menegus MA (2008) Analytical and clinical sensitivity of the 3M rapid detection influenza A  +  B assay. J Clin Microbiol 46:3804–3807

    Article  PubMed  Google Scholar 

  45. Egan R, Hale M, Nasser N, et al (2011) High sensitivity of immunofluorescence influenza A  +  B assay with analyzer. Poster M2. 27th annual clinical virology symposium, Daytona Beach, FL, 8–11 May 2011

    Google Scholar 

  46. Landry ML, Ferguson D (2000) SimulFluor Respiratory Screen for rapid detection of multiple respiratory viruses in clinical specimens by immunofluorescence staining. J Clin Microbiol 38:708–711

    PubMed  CAS  Google Scholar 

  47. Landry ML (2009) Developments in immunologic assays for respiratory viruses. Clin Lab Med 294:635–647

    Article  Google Scholar 

  48. Pollock NR, Duong S, Cheng A, Han LL, Smole S, Kirby JE (2009) Ruling out novel H1N1 influenza virus infection with direct fluorescent antigen testing. Clin Infect Dis 49:e66–e68

    Article  PubMed  CAS  Google Scholar 

  49. Landry ML, Ferguson D (2010) Cytospin-enhanced immunofluorescence and impact of sample quality on detection of novel swine origin (H1N1). influenza virus. J Clin Microbiol 48:957–959

    Article  PubMed  Google Scholar 

  50. Scicchitano LM, Shetterly B, Bourbeau PP (1999) Evaluation of light diagnostics SimulFluor HSV/VZV immunofluorescence assay. Diagn Microbiol Infect Dis 35:205–208

    Article  PubMed  CAS  Google Scholar 

  51. Gerna G, Revello MG, Percivalle E, Morini F (1992) Comparison of different immunostaining techniques and monoclonal antibodies to the lower matrix phosphoprotein (pp 65) for optimal quantitation of human cytomegalovirus antigenemia. J Clin Microbiol 30:1232–1237

    PubMed  CAS  Google Scholar 

  52. Landry ML, Ferguson D (2000) 2-hour cytomegalovirus pp 65 antigenemia assay for rapid quantitation of cytomegalovirus in blood samples. J Clin Microbiol 38:427–428

    PubMed  CAS  Google Scholar 

  53. Branson BM (2010) The future of HIV testing. J Acquir Immune Defic Syndr 55(Suppl 2):S102–S105

    Article  PubMed  Google Scholar 

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Correspondence to Marie L. Landry M.D. .

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Campbell, S., Landry, M.L. (2013). Rapid Antigen Tests. In: Tang, YW., Stratton, C. (eds) Advanced Techniques in Diagnostic Microbiology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-3970-7_3

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