Detection of Borreliacidal Antibodies in Lyme Borreliosis Patient Sera Containing Antimicrobial Agents

Author:

Jobe Dean A.1,Rawal Nenoo1,Schell Ronald F.23,Callister Steven M.14

Affiliation:

1. Microbiology Research Laboratory1 and

2. Wisconsin State Laboratory of Hygiene2 and

3. Department of Medical Microbiology and Immunology,3University of Wisconsin, Madison, Wisconsin 53706

4. Section of Infectious Diseases,4 Gundersen Lutheran Medical Center, La Crosse, Wisconsin 54601, and

Abstract

ABSTRACT The borreliacidal-antibody test has been used for the serological detection and confirmation of Lyme borreliosis. However, the presence of antimicrobial agents in serum can confound the accurate detection of borreliacidal antibodies. In this study, we developed a Bacillus subtilis agar diffusion bioassay to detect small concentrations of antimicrobial agents in serum. We also used XAD-16, a nonionic polymeric resin, to adsorb and remove high concentrations of amoxicillin, cefotaxime, ceftriaxone, cefuroxime, doxycycline, and erythromycin without significantly affecting even small concentrations of immunoglobulin M (IgM) or IgG borreliacidal antibodies. High concentrations of penicillin could also be removed by adding 1 U of penicillinase without significantly influencing the levels of borreliacidal antibodies. These simple procedures greatly enhance the clinical utility of the borreliacidal-antibody test.

Publisher

American Society for Microbiology

Subject

Microbiology (medical),Clinical Biochemistry,Immunology,Immunology and Allergy

Reference33 articles.

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2. Clinical comparison of borreliacidal-antibody test with indirect immunofluorescence and enzyme-linked immunosorbent assays for diagnosis of Lyme disease.;Agger W. A.;Mayo Clin. Proc.,1997

3. Anhalt J. P. Washington J. A. II. Preparation and storage of antimicrobial solutions Manual of clinical microbiology 5th ed. Balows A. Hausler W. J. Jr. Hermann K. L. Isenberg H. D. Shadomy H. J. 1991 1199 1200 American Society for Microbiology Washington D.C.

4. Interlaboratory comparison of test results for detection of Lyme disease by 516 participants in the Wisconsin State Laboratory of Hygiene/College of American Pathologists Proficiency Testing Program

5. Callister S. M. Jobe D. A. Schell R. F. Detection of borreliacidal antibodies by flow cytometry Current protocols in cytometry. Robinson J. P. Darzynkiewicz Z. Dean P. N. Orfao A. Rabinovitch P. S. Stewart C. C. Tanke H. S. Wheeless L. L. 1999 11.5.1 11.5.11 John Wiley and Sons Inc. New York N.Y

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