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Challenges of Rabies Serology: Defining Context of Interpretation

The case fatality rate of rabies, nearly 100%, is one of the most unique characteristic of this ancient virus infection. The crucial role rabies virus neutralizing antibody plays in protection is both well established and explanation of why rabies serology is important. Various laboratory methods ca...

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Autor principal: Moore, Susan M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8402924/
https://www.ncbi.nlm.nih.gov/pubmed/34452381
http://dx.doi.org/10.3390/v13081516
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author Moore, Susan M.
author_facet Moore, Susan M.
author_sort Moore, Susan M.
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description The case fatality rate of rabies, nearly 100%, is one of the most unique characteristic of this ancient virus infection. The crucial role rabies virus neutralizing antibody plays in protection is both well established and explanation of why rabies serology is important. Various laboratory methods can and have been used but serum neutralization methods have long been the gold standard due to the ability to measure function (neutralization), however these methods can be difficult to perform for several reasons. Assays such as enzyme linked absorbance assays (ELISA), indirect fluorescence antibody (IFA) and more recently lateral flow methods are in use. Interpretation of results can be problematic, not only between methods but also due to modifications of the same method that can lead to misinterpretations. A common assumption in review of laboratory test results is that different methods for the same component produce comparable results under all conditions or circumstances. Assumptions and misinterpretations provide the potential for detrimental decisions, ranging from regulatory to clinically related, and most importantly what ‘level’ is protective. Review of the common challenges in performance and interpretation of rabies serology and specific examples illuminate critical issues to consider when reviewing and applying results of rabies serological testing.
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spelling pubmed-84029242021-08-29 Challenges of Rabies Serology: Defining Context of Interpretation Moore, Susan M. Viruses Review The case fatality rate of rabies, nearly 100%, is one of the most unique characteristic of this ancient virus infection. The crucial role rabies virus neutralizing antibody plays in protection is both well established and explanation of why rabies serology is important. Various laboratory methods can and have been used but serum neutralization methods have long been the gold standard due to the ability to measure function (neutralization), however these methods can be difficult to perform for several reasons. Assays such as enzyme linked absorbance assays (ELISA), indirect fluorescence antibody (IFA) and more recently lateral flow methods are in use. Interpretation of results can be problematic, not only between methods but also due to modifications of the same method that can lead to misinterpretations. A common assumption in review of laboratory test results is that different methods for the same component produce comparable results under all conditions or circumstances. Assumptions and misinterpretations provide the potential for detrimental decisions, ranging from regulatory to clinically related, and most importantly what ‘level’ is protective. Review of the common challenges in performance and interpretation of rabies serology and specific examples illuminate critical issues to consider when reviewing and applying results of rabies serological testing. MDPI 2021-07-31 /pmc/articles/PMC8402924/ /pubmed/34452381 http://dx.doi.org/10.3390/v13081516 Text en © 2021 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Moore, Susan M.
Challenges of Rabies Serology: Defining Context of Interpretation
title Challenges of Rabies Serology: Defining Context of Interpretation
title_full Challenges of Rabies Serology: Defining Context of Interpretation
title_fullStr Challenges of Rabies Serology: Defining Context of Interpretation
title_full_unstemmed Challenges of Rabies Serology: Defining Context of Interpretation
title_short Challenges of Rabies Serology: Defining Context of Interpretation
title_sort challenges of rabies serology: defining context of interpretation
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8402924/
https://www.ncbi.nlm.nih.gov/pubmed/34452381
http://dx.doi.org/10.3390/v13081516
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