The present invention generally relates to the field of detecting and preventing infectious diseases caused by Enterococcus faecalis and/or Enterococcus faecium. More specifically, the invention relates to an Enterococcus faecalis and/or Enterococcus faecium antigen which comprises at least one unit having the following general formula:

##STR00001##

The instant invention provides various formulations comprising combinations of immunostimulating oligonucleotides, polycationic carriers, sterols, saponins, quaternary amines, TLR-3 agonists, glycolipids, and MPL-A or analogs thereof in oil emulsions, use thereof in preparations of immunogenic compositions and vaccines, and use thereof in the treatment of animals.

Recurrent tonsillitis disease (RT) is a common indication for pediatric tonsillectomy, the most frequent childhood surgery. It is unknown why some children develop RT. The present disclosure demonstrates that RT tonsils exhibit significantly smaller germinal centers than non-RT tonsils, concomitant with a bias against Group A Streptococcus (GAS)-specific germinal center follicular helper CD4.sup.+ T cells (GC Tfh), and significantly reduced antibodies to the GAS virulence factor SpeA. The present disclosure also shows a significant immunogenetic component to this disease, with the identification of ‘at risk’ and ‘protective’ HLA alleles for RT. Finally, the present disclosure identifies a new cell type, granzyme B+GC Tfh cells, which are activated by SpeA, are significantly more abundant in RT GC Tfh cells, and have the capacity to kill B cells, thus, providing a window into the immunology and genetics of a classic childhood disease and identifies a new type of pathogenic T cell.

A screening method for confirming that a subject does not have a Group B Streptococcus (GBS) infection, the method comprising: determining if a GBS-volatile organic compound (VOCs) is not present in a sample that has been taken from the genital mucosa of the subject, wherein if a GBS-VOC is not present in the sample, the subject does not have a Group B Streptococcus infection. A method of diagnosing that a subject has a Group B Streptococcus (GBS) infection, the method comprising: determining if a GBS-volatile organic compound (VOCs) is present in a sample that has been taken from the genital mucosa of the subject, wherein if a GBS-VOC is present in the sample, the subject has a Group B Streptococcus infection.

A method is provided that includes introducing a fluid sample (19) into a fluid container (2, 502, 702) of a filtration assembly (20, 500, 720) and passing the fluid sample (19) through a porous filter (5, 705) by distally advancing a plunger (3, 610, 703) within the fluid container (2, 502, 702), thereby capturing, on or within the porous filter (5, 705) at least a portion of any particulate present in the fluid sample (19). Thereafter, a cavity (28, 628, 728) is created within the fluid container (2, 502, 702) between a distal end of the plunger and a distal end (49, 549, 749) of the fluid container (2, 502, 702) by proximally partially withdrawing the plunger (3, 610, 703) within the fluid container (2, 502, 702), while one or more vacuum-prevention openings (11, 711) are open. An extraction liquid (30) is prepared by introducing one or more extraction reagents (29) into the cavity (28, 628, 728) and bathing the porous filter (5, 705). The extraction liquid (30) is tested for the presence of a biological target. Other embodiments are also described.

Provided are methods for determining the health status of subject considered as a potential intestinal microflora donor, and to compositions including bacteria obtained from healthy subjects. Further provided are methods of identifying individuals of exceptional health suitable to be donors of bacteria of the intestinal microflora, and methods for producing reproducibly effective probiotic compositions, and probiotic compositions derived from such bacteria.

In a general aspect, microorganisms [e.g., bacteria, etc.) are identified and detected. In some examples, a liquid solvent is supplied through a first channel of a sampling probe to an internal reservoir of the sampling probe; a fixed volume of the liquid solvent in the internal reservoir is held in direct contact with a sample surface for a period of time to form a liquid analyte; gas is supplied to the internal reservoir through a second channel of the sampling probe; the liquid analyte is extracted from the internal reservoir through a third channel of the sampling probe; the liquid analyte is transferred to a mass spectrometer; the mass spectrometer processes the liquid analyte to produce mass spectrometry data; and the mass spectrometry data are analyzed to detect and identify a microorganism [e.g., acteria, fungi, or another type of microorganism) present at the sample surface.

The present invention provides a panel of at least five clinical analyses or tests (using serum samples) to determine the risk of pediatric acute-onset neuropsychiatric syndrome (PANS) and/or pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) in an individual. These include enzyme linked immunosorbent assays (ELISAs) to measure antibody titers against neuronal antigens present in the brain; the neuronal antigens include lysoganglioside, tubulin, dopamine receptor D1, dopamine receptor D2, serotonin receptor 5HT2A, and serotonin receptor 5HT2C. Antibody titers against at least four of these neuronal antigens are required in the present methods; preferably antibody tiers against all of these neuronal antigens are measured. A final assay is used to quantify calcium/calmodulin-dependent protein kinase activity using a neuronal cell line. The results of these analyses or tests are then combined using an algorithm to determine whether a PANS or PANDAS diagnosis is appropriate for the individual. Depending on the diagnosis, an appropriate treatment can be determined.

The present invention generally relates to the field of detecting and preventing infectious diseases caused by Enterococcus faecalis and/or Enterococcus faecium. More specifically, the invention relates to an Enterococcus faecalis and/or Enterococcus faecium antigen which comprises at least one unit having the following general formula: ##STR00001##

Disclosed is a new and emerging serotype of Streptococcus pneumoniae designated serotype 6C, and assays and monoclonal antibodies useful in identifying same. Also disclosed is a novel pneumococcal polysaccharide with the repeating unit {2) glucose 1 (1.fwdarw.3) glucose 2 (1.fwdarw.3) rhamnose (1.fwdarw.3) ribitol (5.fwdarw.phosphate}. This new serotype may be included in pneumococcal vaccines.