Evaluation of the BinaxNOW® Streptococcus pneumoniae antigen test on fresh, frozen and concentrated urine samples in elderly patients with and without community-acquired pneumonia

J Microbiol Methods. 2016 Feb:121:24-6. doi: 10.1016/j.mimet.2015.12.007. Epub 2015 Dec 9.

Abstract

We evaluated the BinaxNOW® urine antigen test in elderly. For fresh un-concentrated urine samples, the sensitivity for pneumococcal pneumonia was 63% and specificity 97%. After freezing and concentration, the results comparable to positive control line in intensity at 60 min gave high sensitivity (81%) with no loss in specificity (96%).

Keywords: Community-acquired pneumonia; Streptococcus pneumoniae; Urine antigen.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antigens, Bacterial / urine*
  • Bacteriological Techniques / instrumentation
  • Bacteriological Techniques / methods*
  • Community-Acquired Infections / diagnosis
  • Community-Acquired Infections / microbiology
  • Community-Acquired Infections / urine*
  • Diagnostic Tests, Routine / methods
  • Freezing
  • Humans
  • Pneumonia, Pneumococcal / diagnosis
  • Pneumonia, Pneumococcal / microbiology
  • Pneumonia, Pneumococcal / urine*
  • Streptococcus pneumoniae / immunology
  • Streptococcus pneumoniae / isolation & purification*
  • Urine / chemistry
  • Urine / microbiology

Substances

  • Antigens, Bacterial