Skip to main content
Transactions of the American Clinical and Climatological Association logoLink to Transactions of the American Clinical and Climatological Association
. 1982;93:50–62.

Rapid diagnosis of Legionnaires' disease.

A White, R B Kohler, L J Wheat, B Sathapatayavongs, W C Winn Jr, J C Girod, P H Edelstein
PMCID: PMC2279536  PMID: 7048694

Abstract

An enzyme linked immunosorbent assay was developed to detect urinary antigen excreted by patients with Legionnaires' disease. Of 47 patients tested, antigen was detected in 39. Antigen was not detected in any of 178 urine specimens from patients with other pulmonary, bacteremic, or urinary tract infections after performance of a quick and simple confirmatory test. The assay required more time to perform than a previously described radioimmunoassay but was of equivalent sensitivity and specificity and did not require expensive equipment of contact with radioactive reagents. We conclude that enzyme linked immunosorbent assay is a rapid, sensitive, and specific means for rapidly diagnosing Legionnaires' disease which can be performed in clinical laboratories unwilling or unable to use radioisotopes.

Full text

PDF
50

Selected References

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

  1. Berdal B. P., Farshy C. E., Feeley J. C. Detection of Legionella pneumonophila antigen in urine by enzyme-linked immunospecific assay. J Clin Microbiol. 1979 May;9(5):575–578. doi: 10.1128/jcm.9.5.575-578.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Broome C. V., Cherry W. B., Winn W. C., Jr, MacPherson B. R. Rapid diagnosis of Legionnaires' disease by direct immunofluorescent staining. Ann Intern Med. 1979 Jan;90(1):1–4. doi: 10.7326/0003-4819-90-1-1. [DOI] [PubMed] [Google Scholar]
  3. Challand G., Goldie D., Landon J. Radioimmunoassay and saturation analysis. Immunoassay in the diagnostic laboratory. Br Med Bull. 1974 Jan;30(1):38–43. doi: 10.1093/oxfordjournals.bmb.a071165. [DOI] [PubMed] [Google Scholar]
  4. Doskeland S. O., Berdal B. P. Bacterial antigen detection in body fluids: methods for rapid antigen concentration and reduction of nonspecific reactions. J Clin Microbiol. 1980 Apr;11(4):380–384. doi: 10.1128/jcm.11.4.380-384.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Edelstein P. H., McKinney R. M., Meyer R. D., Edelstein M. A., Krause C. J., Finegold S. M. Immunologic diagnosis of Legionnaires' disease: cross-reactions with anaerobic and microaerophilic organisms and infections caused by them. J Infect Dis. 1980 May;141(5):652–655. doi: 10.1093/infdis/141.5.652. [DOI] [PubMed] [Google Scholar]
  6. Edelstein P. H., Meyer R. D., Finegold S. M. Laboratory diagnosis of Legionnaires' disease. Am Rev Respir Dis. 1980 Feb;121(2):317–327. doi: 10.1164/arrd.1980.121.2.317. [DOI] [PubMed] [Google Scholar]
  7. Ford D. J., Radin R., Pesce A. J. Characterization of glutaraldehyde coupled alkaline phosphatase--antibody and lactoperoxidase--antibody conjugates. Immunochemistry. 1978 Apr;15(4):237–243. doi: 10.1016/0161-5890(78)90061-5. [DOI] [PubMed] [Google Scholar]
  8. Halbert S. P., Anken M. Detection of hepatitis B surface antigen (HBS Ag) with use of alkaline phosphatase-labeled antibody to HBS Ag. J Infect Dis. 1977 Oct;136 (Suppl):S318–S323. doi: 10.1093/infdis/136.supplement_2.s318. [DOI] [PubMed] [Google Scholar]
  9. Kohler R. B., Zimmerman S. E., Wilson E., Allen S. D., Edelstein P. H., Wheat L. J., White A. Rapid radioimmunoassay diagnosis of Legionnaires' disease: detection and partial characterization of urinary antigen. Ann Intern Med. 1981 May;94(5):601–605. doi: 10.7326/0003-4819-94-5-601. [DOI] [PubMed] [Google Scholar]
  10. Locarnini S. A., Garland S. M., Lehmann N. I., Pringle R. C., Gust I. D. Solid-phase enzyme-linked immunosorbent assay for detection of hepatitis A virus. J Clin Microbiol. 1978 Sep;8(3):277–282. doi: 10.1128/jcm.8.3.277-282.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Schuurs A. H., Van Weemen B. K. Enzyme-immunoassay. Clin Chim Acta. 1977 Nov 15;81(1):1–40. doi: 10.1016/0009-8981(77)90410-7. [DOI] [PubMed] [Google Scholar]
  12. Tilton R. C. Legionnaires' disease antigen detected by enzyme-linked immunosorbent assay. Ann Intern Med. 1979 Apr;90(4):697–698. doi: 10.7326/0003-4819-90-4-697. [DOI] [PubMed] [Google Scholar]
  13. Voller A., Bidwell D. E., Bartlett A., Edwards R. A comparison of isotopic and enzyme-immunoassays for tropical parasitic diseases. Trans R Soc Trop Med Hyg. 1977;71(5):431–437. doi: 10.1016/0035-9203(77)90046-3. [DOI] [PubMed] [Google Scholar]
  14. 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]
  15. Winn W. C., Jr, Cherry W. B., Frank R. O., Casey C. A., Broome C. V. Direct immunofluorescent detection of Legionella pneumophila in respiratory specimens. J Clin Microbiol. 1980 Jan;11(1):59–64. doi: 10.1128/jcm.11.1.59-64.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Wolters G., Kuijpers L. P., Kacaki J., Schuurs A. H. Enzyme-linked immunosorbent assay for hepatitis B surface antigen. J Infect Dis. 1977 Oct;136 (Suppl):S311–S317. doi: 10.1093/infdis/136.supplement_2.s311. [DOI] [PubMed] [Google Scholar]
  17. Wolters G., Kuijpers L., Kacaki J., Schuurs A. Solid-phase enzyme-immunoassay for detection of hepatitis B surface antigen. J Clin Pathol. 1976 Oct;29(10):873–879. doi: 10.1136/jcp.29.10.873. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Yolken R. H., Greenberg H. B., Merson M. H., Sack R. B., Kapikian A. Z. Enzyme-linked immunosorbent assay for detection of Escherichia coli heat-labile enterotoxin. J Clin Microbiol. 1977 Nov;6(5):439–444. doi: 10.1128/jcm.6.5.439-444.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Yolken R. H., Kim H. W., Clem T., Wyatt R. G., Kalica A. R., Chanock R. M., Kapikian A. Z. Enzyme-linked immunosorbent assay (ELISA) for detection of human reovirus-like agent of infantile gastroenteritis. Lancet. 1977 Aug 6;2(8032):263–267. doi: 10.1016/s0140-6736(77)90951-5. [DOI] [PubMed] [Google Scholar]
  20. Yolken R. H., Stopa P. J. Analysis of nonspecific reactions in enzyme-linked immunosorbent assay testing for human rotavirus. J Clin Microbiol. 1979 Nov;10(5):703–707. doi: 10.1128/jcm.10.5.703-707.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Transactions of the American Clinical and Climatological Association are provided here courtesy of American Clinical and Climatological Association

RESOURCES