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Detection of IgM Antibodies Directed Towards West Nile Virus by ELISA

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Accredited by the Standards Council of Canada to Laboratory no. 594 - CAN-P-4E (ISO/IEC 17025)

Requisition Forms

Reference Details

Description:

Serological detection of IgM antibodies directed towards West Nile virus (WNV) by ELISA.

Test Category:
Serology
Pathogen:
West Nile virus (WNV)
Laboratory:
Illnesses and Diseases:
  • West Nile encephalitis
Specimen:

Serum. Minimum volume of 250 ml required.

Collection Method:

Collect blood in serum separator tubes.

Specimen Processing, Storage and Shipping:
Store samples refrigerated or frozen until shipped for testing. Ship frozen samples on dry ice, and refrigerated samples on wet ice
Transportation of Dangerous Goods:

Shipping of specimens shall be done by a TDG certified individual in accordance with TDG regulations. For additional information regarding classification of specimens for the purposes of shipping, consult either Part 2 Appendix 3 of the TDG Regulations or section 3.6.2 of the IATA Dangerous Goods Regulations as applicable.

Patient Criteria:

Suspected West Nile virus infection.

Accompanying Documentation:

Completed Viral Zoonoses requisition including sender laboratory name, address and telephone number. Patient name and / or identifier (specimen reference number), date of birth, test(s) requested, date of on-set of symptoms, and clinical and travel history of patient.

Comments:

N/A

Methods and Interpretation of Results:

Microplate EIA. Due to the cross-reactive nature of flavivirus antibody, the detection of flavivirus IgG (Eg. Japanese encephalits, WNV, etc.) in a single sera is indicative of past or present exposure to this agent, or a related agent from the same virus genus. The presence of WNV specific IgM in a single serum sample is consistent with an acute infection to this agent (or a related flavivirus, note that flavivirus IgM serological procedures are more specific than IgG serology for this genera of arboviruses) and meets the criteria for a "probable case". However, a 4 fold rise or greater in neutralizing antibody titre, or an IgG or IgM seroconversion in paired sera, is required to document a "confirmed case" of infection with associated illness.

There is increasing evidence for IgM persistence in blood/serum for up to a year or more after arbovirus (Eg. members of the Flavivirus, alphavirus, and bunyavirus arthropod borne virus groups) exposure. Thus, detection of IgM by itself may not always be a confirmation of acute infection.  
Isolation of an arbovirus, or detection of arboviral antigen or nucleic acid in a clinical specimen would constitute firm evidence of viral association with illness and provide "confirmed case" status.
Turnaround Time:

15 Calendar days.

Contact:
Phone #: (204) 789-6071
Fax: (204) 789-2082
References:
  1. Martin, D.A., Muth, D.A, Brown, T., Johnson, A.J., Karabatsos, N., and Roehrig, J.T. Standardization of immunoglobulin M capture enzyme-limked immunosorbent assays for routine diagnosis of arboviral infections. J. Clin. Micro. 2000; 38: 1823-1826.
Guidelines: