The Information Value of Detection of Borrelia Antibodies in
the Healthy Blood Donors and in the Population at Risk
1Bartůněk P., 1Goričan K., 1Veiser T., 2Mrázek V., 2Vařejka P., 3Hulínská D.
1IV. interní klinika 1. LF UK a VFN, Praha1IV. interní klinika 1. LF UK a VFN, Praha 2II. interní klinika 1. LF UK a VFN, Praha, 3Národní referenční laboratoř pro lymeskou borreliózu SZÚ, Praha |
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Summary:
Background. Geographic differences of particular species of ticks and variant strains of Borrelias
impede the comparison of local and foreign experience. The authors tried to support some literary
observations with their own results and designed a study aimed at determination of anti-Borrelia
antibodies (AB) in the selected population samples. The goal of the study was to find and statistically
evaluate: a) difference in distribution of values of AB in the sample of probands from the risk and nonrisk
environment (foresters in Šumava and Prague blood donors, respectively) by means of ELISA
method, b) tick bite frequency in the risk and non-risk groups, c) to determine and statistically evaluate
the prevalence of probands with increased levels of antiborrelial antibodies in the local study population
by ELISA method and the prevalence of probands with non-normal values found by Western blot (WB)
method.
Methods and Results. In the group of Prague blood donors (control group), in total 200 probands were
examined; in the risk group, 71 probands from Šumava forest were examined. Blood specimens were
examined in the National Reference Laboratory for Lyme Borreliosis in Prague. In all specimens, ELISA
NRLB KC90 was used. Western blot assay was used for confirmation.
Conclusions. On the basis of literature review from Europe and USA, it is possible to generalize the
following, despite some equivocations: 1. regional differences are not significant, with the exception of
high-risk territories or „occupational exposure“; 2. there is no significant difference between males and
females; 3. considerable caution is necessary in comparing the control and risk groups; prerequisite for
such comparison is defining the characteristics of both groups.
Key words:
tick, borrelia strains, antiborrelial antibodies
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