This test measures the amount of antibodies to the Bartonella bacteria in blood. It is used to diagnose diseases caused by this bacteria, such as endocarditis, cat scratch disease, and trench fever.
Laboratory tests may be done for many reasons. Tests are performed for routine health screenings or if a disease or toxicity is suspected. Lab tests may be used to determine if a medical condition is improving or worsening. Lab tests may also be used to measure the success or failure of a medication or treatment plan. Lab tests may be ordered for professional or legal reasons. You may need this test if you have:
When and how often laboratory tests are done may depend on many factors. The timing of laboratory tests may rely on the results or completion of other tests, procedures, or treatments. Lab tests may be performed immediately in an emergency, or tests may be delayed as a condition is treated or monitored. A test may be suggested or become necessary when certain signs or symptoms appear.
Due to changes in the way your body naturally functions through the course of a day, lab tests may need to be performed at a certain time of day. If you have prepared for a test by changing your food or fluid intake, lab tests may be timed in accordance with those changes. Timing of tests may be based on increased and decreased levels of medications, drugs or other substances in the body.
The age or gender of the person being tested may affect when and how often a lab test is required. Chronic or progressive conditions may need ongoing monitoring through the use of lab tests. Conditions that worsen and improve may also need frequent monitoring. Certain tests may be repeated to obtain a series of results, or tests may need to be repeated to confirm or disprove results. Timing and frequency of lab tests may vary if they are performed for professional or legal reasons.
Before having blood collected, tell the person drawing your blood if you are allergic to latex. Tell the healthcare worker if you have a medical condition or are using a medication or supplement that causes excessive bleeding. Also tell the healthcare worker if you have felt nauseated, lightheaded, or have fainted while having blood drawn in the past.
When a blood sample from a vein is needed, a vein in your arm is usually selected. A tourniquet (large rubber strap) may be secured above the vein. The skin over the vein will be cleaned, and a needle will be inserted. You will be asked to hold very still while your blood is collected. Blood will be collected into one or more tubes, and the tourniquet will be removed. When enough blood has been collected, the healthcare worker will take the needle out.
The amount of discomfort you feel will depend on many factors, including your sensitivity to pain. Communicate how you are feeling with the person doing the test. Inform the person doing the test if you feel that you cannot continue with the test.
During a blood draw, you may feel mild discomfort at the location where the blood sample is being collected.
After a blood sample is collected from your vein, a bandage, cotton ball, or gauze may be placed on the area where the needle was inserted. You may be asked to apply pressure to the area. Avoid strenuous exercise immediately after your blood draw. Contact your healthcare worker if you feel pain or see redness, swelling, or discharge from the puncture site.
Blood: During a blood draw, a hematoma (blood-filled bump under the skin) or slight bleeding from the puncture site may occur. After a blood draw, a bruise or infection may occur at the puncture site. The person doing this test may need to perform it more than once. Talk to your healthcare worker if you have any concerns about the risks of this test.
Laboratory test results may vary depending on your age, gender, health history, the method used for the test, and many other factors. If your results are different from the results suggested below, this may not mean that you have a disease. Contact your healthcare worker if you have any questions. The following is considered to be a normal result for this test:
Ask your healthcare worker how you will be informed of the test results. You may be asked to call for results, schedule an appointment to discuss results, or notified of results by mail. Follow up care varies depending on many factors related to your test. Sometimes there is no follow up after you have been notified of test results. At other times follow up may be suggested or necessary. Some examples of follow up care include changes to medication or treatment plans, referral to a specialist, more or less frequent monitoring, and additional tests or procedures. Talk with your healthcare worker about any concerns or questions you have regarding follow up care or instructions.
 Tsuneoka H, Umeda A, Tsukahara M, et al: Evaluation of indirect fluorescence antibody assay for detection of Bartonella clarridgeiae and Seroprevalence of B. clarridgeiae among patients with suspected cat scratch disease. J Clin Microbiol 2004; 42(7):3346-9.
 Rolain JM, Lecam C, & Raoult D: Simplified serological diagnosis of endocarditis due to Coxiella burnetii and Bartonella. Clin Diagn Lab Immunol 2003; 10:1147-1148. Available from URL: http://cdli.asm.org/cgi/content/full/10/6/1147. As accessed February 10, 2005.
 Agan BK & Dolan MJ: Laboratory diagnosis of Bartonella infections. Clin Lab Med 2002; 22:937-962.
 Lamas CC & Eykyn SJ: Blood culture negative endocarditis: analysis of 63 cases presenting over 25 years. Heart 2003; 89(3):258-262.
 Houpikian P & Raoult D: Diagnostic methods. current best practices and guidelines for identification of difficult-to-culture pathogens in infective endocarditis. Cardiol Clin 2003; 21:207-217.
 Lepidi H, Fournier PE, & Raoult D: Quantitative analysis of valvular lesions during Bartonella endocarditis. Am J Clin Pathol 2000; 114(6):880-9.
 Raoult D, Fournier PE, Drancourt M, et al: Diagnosis of 22 new cases of Bartonella endocarditis.. Ann Intern Med 1996; 125:646-652.
 Metzkor-Cotter E, Kletter Y, Avidor B, et al: Long-term serological analysis and clinical follow-up of patients with cat scratch disease. Clin Infect Dis 2003; 37:1149-1154. Available from URL: http://www.journals.uchicago.edu/CID/journal/issues/v37n9/30589/30589.html. As accessed February 10, 2005.
 Sander A, Berner R, & Ruess M: Serodiagnosis of cat scratch disease: response to bartonella henselae in children and review of diagnostic methods. Eur J Clin Microbiol Infect Dis 2001; 20:392-401.
 Dalton MJ, Robinson LE, Cooper J, et al: Use of Bartonella antigens for serologic diagnosis of cat-scratch disease at a national referral center. Arch Intern Med 1995; 155(15):1670-6.
 Brouqui P, Lascola B, Roux V, et al: Chronic Bartonella quintana bacteremia in homeless patients. N Engl J Med 1999; 340(3):184-9.
 Jackson LA, Spach DH, Kippen DA, et al: Seroprevalence to Bartonella quintana among patients at a community clinic in downtown Seattle. J Infect Dis 1996; 173(4):1023-6.
 Comer JA, Flynn C, Regnery RL, et al: Antibodies to Bartonella species in inner-city intravenous drug users in Baltimore, Md. Arch Intern Med 1996; 156(21):2491-5.