Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1987 Jul;40(7):787–792. doi: 10.1136/jcp.40.7.787

Antibody to coliform antigens in urine samples from patients with symptoms of urinary tract infection.

H McKenzie, D N Young
PMCID: PMC1141099  PMID: 3624500

Abstract

An enzyme linked immunoadsorbent assay (ELISA) was used to detect IgG, IgM, and IgA antibody in urine to a crude antigenic mixture prepared from six arbitrarily chosen strains of common coliform urinary pathogens. In a group of patients with symptoms of urinary tract infection 24 of 80 (30%) urine samples were positive on culture by conventional methods, 58 of 80 (72.5%) were positive for polymorphs on microscopy, and 72 of 80 (90%) were positive for antibody by ELISA. Secretory component was detected in 28 of 80 (35%) samples, and this is consistent with local antibody production. The results show that antibody can be detected in a wide range of urine samples using a simple antigen mixture, and this may form the basis of a useful test to diagnose urinary tract infection.

Full text

PDF
790

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Akerlund A. S., Ahlstedt S., Hanson L. A., Jodal U. Antibody responses in urine and serum against Escherichia coli O antigen in childhood urinary tract infection. Acta Pathol Microbiol Scand C. 1979 Feb;87C(1):29–36. [PubMed] [Google Scholar]
  2. Giamarellou H. Antibody-coated bacteria in urine: when, where and why? J Antimicrob Chemother. 1984 Feb;13(2):95–99. doi: 10.1093/jac/13.2.95. [DOI] [PubMed] [Google Scholar]
  3. Holmgren J., Eggertsen G., Hanson L. A., Lincoln K. Immunodiffusion studies on Escherichia coli. 1. Identification of O, K and H antigens in an O6 strain. Acta Pathol Microbiol Scand. 1969;76(2):304–318. [PubMed] [Google Scholar]
  4. Latham R. H., Wong E. S., Larson A., Coyle M., Stamm W. E. Laboratory diagnosis of urinary tract infection in ambulatory women. JAMA. 1985 Dec 20;254(23):3333–3336. [PubMed] [Google Scholar]
  5. Stamm W. E., Counts G. W., Running K. R., Fihn S., Turck M., Holmes K. K. Diagnosis of coliform infection in acutely dysuric women. N Engl J Med. 1982 Aug 19;307(8):463–468. doi: 10.1056/NEJM198208193070802. [DOI] [PubMed] [Google Scholar]
  6. Thomas V., Shelokov A., Forland M. Antibody-coated bacteria in the urine and the site of urinary-tract infection. N Engl J Med. 1974 Mar 14;290(11):588–590. doi: 10.1056/NEJM197403142901102. [DOI] [PubMed] [Google Scholar]
  7. Voller A., Bidwell D. E., Bartlett A. Enzyme immunoassays in diagnostic medicine. Theory and practice. Bull World Health Organ. 1976;53(1):55–65. [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES