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SERION ELISA classic Cytomegalovirus IgG / IgM - virion\serion

SERION ELISA classic Cytomegalovirus IgG / IgM - virion\serion

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YOUR<br />

GLOBAL<br />

PARTNER<br />

IN<br />

DIAGNOSTICS<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong><br />

<strong>Cytomegalovirus</strong> <strong>IgG</strong> / <strong>IgM</strong><br />

serion<br />

The <strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgG</strong> and <strong>IgM</strong> tests are qualitative and quantitative<br />

immunoassays for the detection of human antibodies directed against <strong>Cytomegalovirus</strong> in<br />

serum or plasma. The <strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgM</strong> is recommended for the<br />

detection of acute infections. The <strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgG</strong> test allows for<br />

the determination of immune status as well as for the detection of intrathecally produced<br />

<strong>IgG</strong> antibodies for CSF diagnostics. Furthermore, the <strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong><br />

<strong>IgG</strong> test allows for determination of <strong>IgG</strong> antibody avidity, by using the corresponding avidity<br />

reagent, in order to differentiate between acute and past infections.<br />

Micrograph of a pneumocyte infected with <strong>Cytomegalovirus</strong><br />

(Source: CDC, Centers for Disease<br />

Control and Prevention, United States Department<br />

of Health and Human Services)<br />

multianalyt TM<br />

Pathogen<br />

<strong>Cytomegalovirus</strong> (CMV) is a DNA virus and a member of the<br />

Human Herpesvirus group. Primary infection may result from<br />

contact with saliva, genital secretions, urine and breast milk of<br />

infected persons, as well as transplacentally or iatrogenically<br />

(transfusions, transplantations).<br />

Disease<br />

Primary infections are usually asymptomatic. Clinical manifestations<br />

vary considerably depending on age and immunocompetence<br />

ranging from localized infections to generalized<br />

disease. Significant clinical disease or death may follow infection<br />

of immuncompromized individuals. Reactivation in<br />

immunocompetent adults and concomitant secretion of the<br />

virus is usually asymptomatic. In immuncompromized patients<br />

reactivation of CMV infection may result in clinically<br />

severe disease. CMV infection is the major cause of complications<br />

in iatrogenic immunsuppression after organ transplantation<br />

and in HIV infected persons.


CMV infection is the most frequent congenital and postnatal<br />

infection. Primary as well as reactivated infections of<br />

pregnant women may result in foetopathy. The risk of fetal<br />

damage is higher in case of primary infections than during<br />

reactivations.<br />

Diagnosis<br />

The diagnosis of a CMV infection is occured by clinical symptoms<br />

and medical examination. For serological diagnosis immunoglobulin<br />

specific <strong>ELISA</strong> and, when necessary, tests for<br />

avidity determination are recommended.<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong><br />

For the validation of <strong>SERION</strong> ELSA <strong>classic</strong> <strong>Cytomegalovirus</strong><br />

<strong>IgG</strong> and <strong>IgM</strong> 331 serum samples from patients (pregnant<br />

women, patients undergoing transplantation, patients with<br />

HSV, VZV, HHV 6, EBV, Rubella Virus and Toxoplasma infection)<br />

were analyzed in comparison to commercially available<br />

<strong>ELISA</strong>. Sera classified as borderline were not included in the<br />

calculation of sensitivity and specificity.<br />

Highlights of <strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgG</strong>/<strong>IgM</strong><br />

● Use of an inactivated <strong>Cytomegalovirus</strong> preparation (Strain Towne)<br />

● Sensitive <strong>IgM</strong> detection as an initial test for the diagnosis of acute infections, particularly during pregnancy<br />

● Demonstration of <strong>IgG</strong> antibody activity for determination of immune status with results expressed in<br />

PEI-U/ml referenced to the national CMV <strong>IgG</strong> reference serum of the Paul-Ehrlich-Institute (Germany)<br />

● No significant cross-reactivities with antibodies against other Herpes Viruses, Rubella Virus or Toxoplasma<br />

● Detection of intrathecally synthesized <strong>IgG</strong> antibodies for CSF diagnostics<br />

● Differentiation of acute from past infections by determination of <strong>IgG</strong> antibody avidity<br />

using the corresponding avidity reagent<br />

● Sensitive <strong>IgM</strong> detection in DBS for demonstration of infections in neonates<br />

Order Information<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgG</strong> Order Nr.: ESR 109 G<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgM</strong> Order Nr.: ESR 109 M<br />

<strong>SERION</strong> <strong>ELISA</strong> control <strong>Cytomegalovirus</strong> <strong>IgG</strong> Order Nr.: C 109 G<br />

<strong>SERION</strong> <strong>ELISA</strong> control <strong>Cytomegalovirus</strong> <strong>IgM</strong> Order Nr.: C 109 M<br />

<strong>SERION</strong> <strong>ELISA</strong> avidity reagent <strong>Cytomegalovirus</strong> <strong>IgG</strong> Order Nr.: B 109 AVID<br />

<strong>SERION</strong> <strong>ELISA</strong> avidity control <strong>Cytomegalovirus</strong> <strong>IgG</strong> Order Nr.: BR 109 AVID<br />

Please visit our website www.virion-serion.com for more information on our <strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> products.<br />

Institut Virion\Serion GmbH<br />

Serion Immundiagnostica GmbH<br />

Friedrich-Bergius-Ring 19<br />

97076 Würzburg, Germany<br />

Sensitivity and Specificity<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> Sensitivity Specificity<br />

<strong>Cytomegalovirus</strong> <strong>IgG</strong> 99.0 % > 99 %<br />

<strong>Cytomegalovirus</strong> <strong>IgM</strong> > 99 % 92.0 %<br />

Precision<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgG</strong><br />

sample Mean<br />

value<br />

OD<br />

Intraassay<br />

CV (%)<br />

(n=20)<br />

Tel.: +49 (0)931 3045-222<br />

Fax: +49 (0)931 3045-100<br />

dialog@virion-serion.de<br />

www.virion-serion.com<br />

Mean<br />

value<br />

OD<br />

Interassay<br />

CV (%)<br />

(n=10)<br />

positive 0.440 3.1 0.440 3.1<br />

positive 1.187 2.3 1.187 2.3<br />

strong positive 1.606 2.4 1.606 2.4<br />

<strong>SERION</strong> <strong>ELISA</strong> <strong>classic</strong> <strong>Cytomegalovirus</strong> <strong>IgM</strong><br />

sample Mean<br />

value<br />

OD<br />

Intraassay<br />

CV (%)<br />

(n=20)<br />

Mean<br />

value<br />

OD<br />

Interassay<br />

CV (%)<br />

(n=10)<br />

positive 0.718 3.1 0,824 3.1<br />

positive 1.136 1.8 1.270 2.4<br />

strong positive 1.709 1.9 1.793 2.3<br />

Institut Virion\Serion GmbH, V5.13/01

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