Test Code STRNG Strongyloides Antibody, IgG, Serum
Useful For
Screening for the presence of IgG-class antibodies to Strongyloides
This test is not useful for monitoring patient response to therapy as IgG-class antibodies to Strongyloides may remain detectable following resolution of infection.
Reporting Name
Strongyloides Ab, IgG, SSpecimen Type
SerumSpecimen Required
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 0.5 mL
Collection Instructions: Centrifuge and aliquot serum into a plastic vial.
Specimen Minimum Volume
0.4 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated (preferred) | 30 days | |
Frozen | 30 days |
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | Reject |
Gross icterus | Reject |
Heat inactivated specimen | Reject |
Reference Values
Negative
Reference values apply to all ages.
Supportive Data
Accuracy:
The Bordier Strongyloides enzyme immunoassay was compared to the Strongyloides luciferase immunoprecipitation (LIPS) assay as performed at the National Institutes of Health and to the SciMedix Strongyloides IgG enzyme-linked immunosorbent assay using 102 serum samples. Based on prior publications, the LIPS assay was considered the gold standard comparator for this evaluation.(1,2) The comparative data is shown below in Tables 1, 2, and 3:
Table 1. Comparison of results between the Bordier and NIH LIPS assays (n=102)
|
NIH LIPS |
||
Positive |
Negative |
||
Bordier |
Positive |
51 |
12 |
Negative |
3 |
36 |
Positive Agreement: 96.2% (51/53); 95% CI: 86.5%-99.7%
Negative Agreement: 75.0% (36/48); 95% CI: 61.1%-85.2%
Overall Agreement: 85.3% (87/102); 95% CI: 77.0%-91.0%
Table 2. Comparison of results between the Bordier and SciMedx assays (n=102)
SciMedx |
||||
Positive |
Negative |
Equivocal |
||
Bordier |
Positive |
45 |
13 |
5 |
Negative |
8 |
30 |
1 |
Positive Agreement: 84.9% (45/53); 95% CI: 72.7%-92.4%
Negative Agreement: 69.8% (30/43); 95% CI: 54.8%-81.5%
Overall Agreement: 73.5% (75/102); 95% CI: 64.2%-81.2%
Table 3. Comparison of results between the SciMedx and NIH LIPS assays (n=102)
NIH LIPS |
|||
Positive |
Negative |
||
SciMedix |
Positive |
42 |
11 |
Negative |
7 |
36 |
|
Equivocal* |
5 |
1 |
*Equivocal results were excluded from calculation of positive and negative agreement.
Positive Agreement: 85.7% (42/49); 95% CI: 73.0%-93.2%
Negative Agreement: 76.6% (36/47); 95% CI: 62.6%-86.6%
Overall Agreement: 76.5% (78/102); 95% CI: 67.3%-83.7%
Reference Range:
Evaluation was performed on 100 normal donor serum samples by the Bordier Strongyloides assay and 99% (99/100) were negative.
Day(s) Performed
Monday, Wednesday, Thursday, Friday
Report Available
Same day/1 to 4 daysSpecimen Retention Time
14 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterCPT Code Information
86682
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
STRNG | Strongyloides Ab, IgG, S | 34376-4 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
STRNG | Strongyloides Ab, IgG, S | 80660-4 |
Testing Algorithm
For more information see Parasitic Investigation of Stool Specimens Algorithm.
Special Instructions
Forms
If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.