Evaluation of IgM Antibody Capture Enzyme-Linked Immunosorbent Assay Kits for Detection of IgM against Japanese Encephalitis Virus in Cerebrospinal Fluid Samples

Vasanthapuram Ravi Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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Jaimie S. Robinson Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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Brandy J. Russell Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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Anita Desai Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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Nalini Ramamurty Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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David Featherstone Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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Barbara W. Johnson Department of Neurovirology, National Institute of Mental Health and Neuro Sciences, Bangalore, India; Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado; Immunization and Vaccine Development, World Health Organization South East Asia Regional Office, New Delhi, India; Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland

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Infection with Japanese encephalitis virus (JEV) is a major public health problem in Asia. Detection of JEV-specific IgM in serum and cerebrospinal fluid (CSF) by the IgM antibody capture enzyme-linked immunosorbent assay (MAC-ELISA) is currently the most widely used diagnostic method to detect JEV infection. Because of the possible presence of IgM cross-reactivity with other flaviviruses in serum and the high ratio of inapparent-to-apparent JEV infections, a positive result in serum only suggests a recent infection and not necessarily an encephalitic illness caused by JEV. Consequently, detection of JEV-specific IgM in CSF assumes great diagnostic relevance. We evaluated two commercial JEV MAC-ELISA kits using 60 CSF samples obtained from patients with acute encephalitis syndrome. The Panbio and XCyton kits had sensitivities of 65–80% and 95% and specificities of 90% and 97.5%, respectively. Performance information on these commercial JEV MAC-ELISA kits for CSF should assist in laboratory-based JE surveillance programs.

Author Notes

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