Summary:
The main problem of serologic examinations is the correct interpretation of serological findings.
Essentially, there are two reasons for serologic examination. The first one is simply the need
to know if the person examined has antibodies against the agent in question. Here the
interpretation of the result is easy. In the second case, the question hidden behind the inquiry
if the patient has antibodies or not is entirely different: namely, if the patient is experiencing
the infection caused by the agent in question. Since the serologic results do not equate with
medical diagnosis, their correct interpretation is difficult, if not impossible. For the diagnostic
purposes we must usually examine two specimens of the serum and demonstrate significant
changes in the titre of antibodies. Examples are given when it is exceptionally possible to
diagnose an infection from the serologic result of the single specimen. Generally, the interpre-
tation must take into account: 1. the kind of the infectious agent, 2. the pathogenesis of
infection, 3. the course of the immune reaction ascertained by the detection of antibody activity
in different classes of immunoglobulins or by the demonstration of low-avidity antibodies, 4.
technicalities as the type of serologic reaction, 5. individual reactivity of the patient and, most
importantly, 6. time data on the duration of the illness. The attending physician should have
adequate knowledge of serologic methods and the laboratory worker should be informed about
the disease and about the individual patient in question.
Key words:
serology - interpretation of result - detection of antibodies - titre of antibodies.
|