Specimen adequacy control for chlamydia assays

Chemistry: molecular biology and microbiology – Measuring or testing process involving enzymes or... – Involving antigen-antibody binding – specific binding protein...

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435 792, 435 721, 435259, 435961, 435967, 435975, 435973, G01N 33571

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active

051660539

ABSTRACT:
A method for determining the adequacy of a cervical or urethral test specimen collected for an immunological assay to detect the presence of Chlamydia trachomatis. Cells present in the specimen are disrupted to expose a substance present in or on C. triachomatis that is detectable by immunological reaction. In order to determine if the test specimen contains an adequate amount of the cervical or urethral cell type that serves as a host cell for C. trachomatis, the disrupted specimen is also reacted with an immunological reagent that produces a detectable complex upon specific binding with a substance present in or on columnar epithelial cells. The present invention therefore provides a control reaction that verifies the adequacy of the collected test specimen and thereby increases the confidence that a negative test result for the presence of Chlamydia indicates the absence of a C. trachomatis infection in the patient.

REFERENCES:
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patent: 4920045 (1990-04-01), Okuda et al.
patent: 5032504 (1991-07-01), Mauck
Friedman et al., "Correlation of Positive Rate of Microtrak Chlamydia Direct Specimen Test with Adequacy of Specimen Collection" Abstract C.19, Abstracts of the Annual meeting of ASM p. 331 (1986).
Fukushima et al. Abstract from "Immunohistochemical Observations of Keratins, Involucim and Apithelial Membrane Antigen in Urinary Bladder Carcinomas from Patients Infected with Schistosoma Haematobium", Virchows Archiv. A, 411(2):103-115 (1987).
Holmes, "The Chlamydic Epidemic" JAMA 245(17):1718-1723 (May 1, 1981).
Howard et al, "Correlation of the Percent of Positive Chlcomydia trachomatis Direct Fluorescent Antibody Detection Tests with the Adequacy of Specimen Collection", Diagn. Microbiol. Infect. Dis., 14:233-237 (1991).

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