Evaluation of a standardized F1 capsular antigen capture ELISA test kit for the rapid diagnosis of plague

FEMS Immunol Med Microbiol. 2004 Jun 1;41(2):149-55. doi: 10.1016/j.femsim.2004.02.005.

Abstract

Rapid detection of soluble F1 capsular antigen in serum, bubo fluid or urine of patients proved to be a valuable tool in the presumptive diagnosis of plague. We evaluated a F1 capsular antigen capture ELISA resembling a commercially available test kit. The minimal detectable concentration was 4 ng/ml. The specificity was 100% when investigating 47 sera from healthy Malagasy subjects and 98.4% when 365 sera from German blood donors were studied. Sensitivity was determined on sera (n=11) and buboes (n=18) from bacteriologically confirmed Malagasy plague patients. Sensitivity was 90.1% for serum and 100% for buboes. A standardized F1 capsular antigen capture ELISA test kit might be well suited for the early detection of plague particularly in non-endemic areas where clinical microbiological laboratories have only limited access to alternative techniques for rapid identification of Yersinia pestis.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Antibodies, Monoclonal
  • Antigens, Bacterial / analysis*
  • Antigens, Bacterial / blood
  • Antigens, Bacterial / urine
  • Bacterial Capsules / analysis*
  • Bacterial Capsules / blood
  • Bacterial Capsules / urine
  • Bacterial Proteins / analysis*
  • Bacterial Proteins / blood
  • Bacterial Proteins / urine
  • Enzyme-Linked Immunosorbent Assay / methods*
  • Enzyme-Linked Immunosorbent Assay / standards
  • Humans
  • Plague / blood
  • Plague / diagnosis*
  • Plague / immunology
  • Plague / microbiology
  • Reagent Kits, Diagnostic*
  • Sensitivity and Specificity
  • Yersinia pestis / immunology
  • Yersinia pestis / isolation & purification*

Substances

  • Antibodies, Monoclonal
  • Antigens, Bacterial
  • Bacterial Proteins
  • Reagent Kits, Diagnostic
  • caf1 protein, Yersinia pestis