Specimen Transport
Articles & Testing Guides
Education
Outreach Resource Center
- Support Services
- Operations
- Sales and Marketing
- Billing and Finance
- Regulatory
- Examples
- More Resources
- Contact Outreach Team
| Web: | MayoMedicalLaboratories.com |
|---|---|
| Email: | mml@mayo.edu |
| Telephone: | 800.533.1710 |
| International: | 507.266.5700 |
| Values are valid only on day of printing. | |
Screening for Haemophilus influenzae meningitis
The test should not be used to diagnose meningitis; culture is
necessary.
Meningitis has a wide variety of potential causes, both infectious
and noninfectious. Diagnosis depends on clinical findings and
culture. If bacterial meningitis is not treated promptly and effectively,
the disease is likely to be fatal. Accordingly, early identification of
the infecting agent can be of considerable value in providing the
patient with appropriate treatment. Latex agglutination tests have
been developed to rapidly identify bacterial antigens.
The latex agglutination procedure is used for qualitative detection of
specific polysaccharide antigen from Haemophilus influenzae type
b, Streptococcus pneumoniae, Neisseria meningitidis groups A, C, Y,
or W135, Neisseria meningitidis group B, Escherichia coli K1, or
streptococcus group B (infants) present in cerebrospinal fluid (CSF)
as a result of infection.
Negative
A positive result suggests the presence of Haemophilus
influenzae in the cerebrospinal fluid. 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 a Haemophilus
influenzae. 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.
Tunkel AR, Scheld WM: Pathogenesis and pathophysiology of
bacterial meningitis. Clin Microbiol Rev 1993; 6:118-136