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Corresponding author.

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Received Aug 26; Accepted Oct Abstract Bordetella pertussis-specific antibodies can be detected by enzyme-linked immunosorbent assays ELISAs or multiplex immunoassays. Assays use purified or mixed antigens, and only pertussis toxin PT is specific for B. The interpretation of results can be based on dual-sample or single-sample serology using one or two cut-offs.

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In infants, older vaccinated children, adolescents and adults, the clinical course may not be im single but taken meaning, and prolonged coughing may be the only symptom. In these cases, the diagnosis of pertussis requires laboratory methods for confirmation. Direct and indirect tests are available.

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Direct tests are real-time polymerase chain reaction PCR and culture, whereas indirect tests measure specific antibodies in oral fluid or sera. Here, we focus on the detection of antibodies against Bordetella pertussis antigens. Development of the recommendations The EU Pertstrain group consists of representatives of the Bordetella reference laboratories in their respective EU countries.

After a search of relevant databases, a first draft was written NG and intensively reviewed by members of the group.

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In a second face-to-face meeting, at the Rijksinstituut voor Volksgezondheid en Milieu RIVMIm single but taken meaning, the Netherlands, in Junethe draft recommendations were broadly discussed and agreed upon. This version was then reviewed again by all authors.

Capillary blood samples may be used if a sufficient volume cannot be obtained otherwise. If acute and convalescent serum samples taken at least three weeks apart from one individual are available, they should be tested together in one run.

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ELISA in serum samples In preparation for the acellular vaccine studies in the s, the enzyme-linked immunosorbent assay ELISA methodology, the type of antigens, as well as the reference sera have been standardised, and they have been used in all acellular vaccine trials, in sero-epidemiological studies in many countries and for diagnostic purposes in various laboratories [ 1 — 5 ]. Sometimes, adenylate cyclase-haemolysin toxin ACT is also used. These antigens are used in their active, i.

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The storage conditions of the antigens as well as the duration of storage can vary significantly according to the manufacturers who provide the purified antigens. Anti-PT antibodies are specific for B. For this reason, in routine diagnosis, only the measurement of anti-PT antibodies is recommended.

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However, the measurement of other antibodies may be used for transmission, immunogenicity or vaccine non-inferiority studies. The use of kits with mixed antigens is not recommended [ 6 ]. Flow cytometry Bead-based multiplex assays that simultaneously measure antibodies to various antigens have also been applied to B.

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Immunoblots, line and dot blots Many commercial kits detect anti-B. Antigens used in these kits have to be validated concerning their purity, as contamination with other antigens or antigen aggregates can also produce false-positive results.

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A quantitative interpretation of blot results is not possible, but a semi-quantitative reporting may be possible.

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