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Rapid screening for Haemophilus influenzae type B sepsis
The test should not be used to diagnose sepsis; culture is necessary.
Sepsis is a serious medical illness that requires prompt treatment.
Diagnosis depends on clinical findings and culture. Latex
agglutination tests have been developed to rapidly identify
bacterial antigens.
Streptococcus group B and Escherichia coli K1 are two of the
most common causes of neonatal sepsis.In older age groups the
most common isolates are Haemophilus influenzae type b,
Streptococcus pneumoniae, and Neisseria meningitidis groups.
Negative
A positive result suggests the presence of Haemophilus
influenzae antigens in the serum. However, examples have been
reported of unrelated bacteria which possess common antigens.
As with any immunological test, the possibility of false positives
due to cross reactions cannot be ruled out.
A negative result suggests the absence of Haemophilus influenzae
antigens. However, it does not eliminate the possibility of an
infection caused by this organism. If symptoms are present, cultures
are indicated.
Tests performed directly on clinical specimens are intended for
screening purposes and do not replace the need for culture.
False-positive and false-negative results may occur.
Tunkel AR, Scheld WM: Pathogenesis and pathophysiology of
bacterial meningitis. Clin Microbiol Rev 1993; 6:118-136