PMID- 16436144 OWN - NLM STAT- MEDLINE DCOM- 20060707 LR - 20061115 IS - 0105-4538 (Print) IS - 0105-4538 (Linking) VI - 61 IP - 3 DP - 2006 Mar TI - Screening for allergic respiratory disease in the general population with the ADVIA Centaur Allergy Screen Assay. PG - 344-8 AB - BACKGROUND: In patients in whom the clinical indication for immunoglobulin E (IgE)-mediated allergic respiratory disease is weak, a single qualitative multiallergen-screening assay for IgE antibody to multiple allergen specificities may support the absence of IgE-mediated allergic respiratory disease. The aim was to investigate the diagnostic efficacy of a new multiallergen-screening assay in relation to skin prick test (SPT) reactivity and objective diagnoses of allergic respiratory disease in a general population setting. METHODS: A total of 709 participants in a population-based study were examined by questionnaire and SPT. Serum was analysed by using a multiallergen-screening assay: the ADVIA Centaur Allergy Screen (AS) assay. The dichotomized result of the AS assay was compared with SPT reactivity, specific IgE positivity, and a clinical diagnosis of allergic rhinitis or allergic asthma defined by the presence of relevant symptoms and positive SPTs. RESULTS: Sensitivity, specificity, and positive (PPV) and negative predictive values (NPV) of the AS against SPT reactivity were 86%, 96%, 94%, and 89%, respectively. A negative AS assay test was able to exclude allergic rhinitis and allergic asthma with a probability of more than 96% and 98% (NPV), respectively. The AS assay was able to identify more than 92% and 92% (sensitivity) of cases of allergic rhinitis and allergic asthma, respectively. CONCLUSIONS: The AS assay proved to be a valid measure of allergic respiratory disease and may be used as a screening tool to rule out allergic respiratory disease, and as an objective measure of allergic respiratory disease in epidemiological studies. FAU - Linneberg, A AU - Linneberg A AD - Research Centre for Prevention and Health, Glostrup University Hospital, Glostrup, Denmark. FAU - Husemoen, L L N AU - Husemoen LL FAU - Nielsen, N H AU - Nielsen NH FAU - Madsen, F AU - Madsen F FAU - Frolund, L AU - Frolund L FAU - Johansen, N AU - Johansen N LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Antibodies, Anti-Idiotypic) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Antibodies, Anti-Idiotypic/*blood MH - Asthma/diagnosis/epidemiology MH - Cohort Studies MH - Confidence Intervals MH - Desensitization, Immunologic MH - Female MH - Humans MH - Hypersensitivity, Immediate/*diagnosis/epidemiology MH - Immunoglobulin E/*immunology MH - Immunologic Tests/methods MH - Male MH - Mass Screening/*methods MH - Prevalence MH - Probability MH - Prospective Studies MH - Respiratory Hypersensitivity/*diagnosis/epidemiology MH - Rhinitis, Allergic, Seasonal/diagnosis/epidemiology MH - Risk Assessment MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Skin Tests/methods EDAT- 2006/01/27 09:00 MHDA- 2006/07/11 09:00 CRDT- 2006/01/27 09:00 PHST- 2006/01/27 09:00 [pubmed] PHST- 2006/07/11 09:00 [medline] PHST- 2006/01/27 09:00 [entrez] AID - ALL968 [pii] AID - 10.1111/j.1398-9995.2006.00968.x [doi] PST - ppublish SO - Allergy. 2006 Mar;61(3):344-8. doi: 10.1111/j.1398-9995.2006.00968.x.