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Bordetella pertussis serodiagnostics: state-of-the-art products from EUROIMMUN

To diagnose an acute Bordetella pertussis infection serologically, it is, according to up-to-date knowledge, usually sufficient to perform a single determination of IgG antibodies against pertussis toxin (PT). The second blood withdrawal is omitted, and results are interpreted according to the following scheme:
| Concentration anti-PT (IgG) | Interpretation |
|---|---|
| < 40 IU/ml | No indication of an acute infection; further tests only necessary when corresponding symptoms are present. |
| 40 to <100 IU/ml | Unclear serological constellation; investigate a second sample several days later. |
| >= 100 IU/m | Indication of an acute infection or recent vaccination. |
If a more in depth investigation is necessary, antibodies against pertussis toxin (IgA) and against filamentous haemagglutinin (FHA; IgG or IgA) are measured separately. Generally, test systems that use a mixture of PT and FHA as the antigen are not recommended – they do not allow any meaningful quantification. Age-dependent reference ranges can be obtained from the internet.
EUROIMMUN products ensure consistent, reproducible and state-of-the-art Bordetella pertussis serological diagnostics. The ELISAs are CE-labelled and allow the separate detection of specific antibodies against PT and FHA. Results are evaluated in international units (IU/ml). The ELISAs are complemented by immunoblots for simultaneous investigation of antibodies against adenylate cyclase toxin (ACT), PT and FHA.
| Test system | Ig class | Order number |
|---|---|---|
| Anti-Bordetella pertussis Toxin ELISA | IgA, IgG | EI 2050 A or G |
| Anti-Bordetella FHA ELISA | IgA, IgG | EI 2050-3 A or G |
| EUROLINE Bordetella pertussis (ACT, PT, FHA) | IgA, IgG | DN 2050 A or G |






















