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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