AOAC SPADA February 2015 Meeting Book
General Analytical Needs
• Infectious dose for humans 10‐100 organisms • Diagnostic testing for Q fever is serologic tittering of IgG and IgM, using phase I and phase II antigens • To date, no PCR based diagnostic approved for human samples to diagnose acute Q fever, in part, because of transient appearance in serum and whole blood
Regulatory Guidance (continued) • Coxiella burnetii is a B list Select Agent requiring BSL3 containment • Nine Mile, RSA439, clone 4, is not a Select Agent, can be manipulated at BSL2 and does not revert because of a well characterized, large deletion ((~20 Kbp) which encodes critical O‐antigen biosynthetic genes. • Human vaccination is not available in US and Q‐vax, is not licensed in US
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