Direct immunofluorescence for the diagnosis of legionellosis

Culture and direct immunofluorescent microscopy (DFA) results for Legionella pneumophila were reviewed over a two-year period. In the first year, a positive result was defined as having at least one morphologically typical fluorescing organism. In the second year, a positive was defined as at least...

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Main Authors: David JM Haldane, Ruth Peppard, Robert K Sumarah
Format: Article
Language:English
Published: Wiley 1993-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1993/909761
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author David JM Haldane
Ruth Peppard
Robert K Sumarah
author_facet David JM Haldane
Ruth Peppard
Robert K Sumarah
author_sort David JM Haldane
collection DOAJ
description Culture and direct immunofluorescent microscopy (DFA) results for Legionella pneumophila were reviewed over a two-year period. In the first year, a positive result was defined as having at least one morphologically typical fluorescing organism. In the second year, a positive was defined as at least five typical fluorescing organisms. Despite these stricter criteria and other measures to reduce the possibility of reagent contamination, there was no statistically significant difference in the sensitivity or specificity of the DFA in the two years for sputa, deep specimens or overall. Of 37 sputum specimens from infected patients, 16 were positive on DFA. Thirty-two of 38 positive patients were detected by sputum culture. DFA can provide rapid diagnostic information but cannot be used to rule out the diagnosis. Sputum is a useful specimen for the initial laboratory investigation of patients with legionellosis.
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series Canadian Journal of Infectious Diseases
spelling doaj-art-18d721cf29054815ad1d53fbbde765872025-02-03T01:30:49ZengWileyCanadian Journal of Infectious Diseases1180-23321993-01-014210110410.1155/1993/909761Direct immunofluorescence for the diagnosis of legionellosisDavid JM Haldane0Ruth Peppard1Robert K Sumarah2Department of Microbiology, Victoria General Hospital, Halifax, Nova Scotia, CanadaDepartment of Microbiology, Victoria General Hospital, Halifax, Nova Scotia, CanadaDepartment of Microbiology, Victoria General Hospital, Halifax, Nova Scotia, CanadaCulture and direct immunofluorescent microscopy (DFA) results for Legionella pneumophila were reviewed over a two-year period. In the first year, a positive result was defined as having at least one morphologically typical fluorescing organism. In the second year, a positive was defined as at least five typical fluorescing organisms. Despite these stricter criteria and other measures to reduce the possibility of reagent contamination, there was no statistically significant difference in the sensitivity or specificity of the DFA in the two years for sputa, deep specimens or overall. Of 37 sputum specimens from infected patients, 16 were positive on DFA. Thirty-two of 38 positive patients were detected by sputum culture. DFA can provide rapid diagnostic information but cannot be used to rule out the diagnosis. Sputum is a useful specimen for the initial laboratory investigation of patients with legionellosis.http://dx.doi.org/10.1155/1993/909761
spellingShingle David JM Haldane
Ruth Peppard
Robert K Sumarah
Direct immunofluorescence for the diagnosis of legionellosis
Canadian Journal of Infectious Diseases
title Direct immunofluorescence for the diagnosis of legionellosis
title_full Direct immunofluorescence for the diagnosis of legionellosis
title_fullStr Direct immunofluorescence for the diagnosis of legionellosis
title_full_unstemmed Direct immunofluorescence for the diagnosis of legionellosis
title_short Direct immunofluorescence for the diagnosis of legionellosis
title_sort direct immunofluorescence for the diagnosis of legionellosis
url http://dx.doi.org/10.1155/1993/909761
work_keys_str_mv AT davidjmhaldane directimmunofluorescenceforthediagnosisoflegionellosis
AT ruthpeppard directimmunofluorescenceforthediagnosisoflegionellosis
AT robertksumarah directimmunofluorescenceforthediagnosisoflegionellosis