[Hepatitis A in an institute for mentally retarded].
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Biomedical subjects
Publications and source records attributed to W Duermeyer.
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A new test principle for the detection of specific IgM-class antibodies was developed and applied in an Enzyme-Linked Immuno Sorbent Assay (ELISA) for the detection of hepatitis A IgM antibodies. A solid phase coated with anti-IgM was incubated successively with serum sample, specific antigen, and enzyme-labeled F (ab')2 fragments from IgG antibodies against the antigen and enzyme substrate. F(ab')2 fragments were used to avoid interference with rheumatoid factor. Specificity and sensitivity are very high. This test principle appears generally applicable in the diagnosis of infectious and parasitic diseases by testing only one serum sample.
The sensitivity, reproducibility and specificity of an enzyme-linked immunosorbent assay (ELISA) for the defective phage PBS Z1 of Bacillus subtilis have been investigated. It was shown that phages in concentrations between 10(8) and 2.5 X 10(10) particles/ml could be assayed with this method. The coefficient of variation for concentrations between 5 X 10(8) and 5 X 10(9) particles/ml was approx. 10%. From some other Bacillus phages tested, only the defective phages resembling PBS Z1 in morphology were detected efficiently with the ELISA for PBS Z1. A comparison is made between ELISA and other assays for PBS Z1.
In a small outbreak of hepatitis A among members of a hospital staff, excretion of hepatitis A virus could be detected by immune electron microscopy (IEM) and enzyme-linked immunosorbent assay (ELISA) in 3 out of 3 cases tested. Significant increases in antibody titre could be shown in 4 out of 6 cases (IEM), and development of virus specific IgM was shown in all 6 cases (ELISA). Among these patients IgM could be detected after 3 months, while sera drawn after 10 months were negative.
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