Diphtheria: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests.

  • Bacteriology (cultural): throat swab for corynebacteria (in pharyngeal diphtheria from the pharyngeal mucosa, under the pseudomembranes); also general pathogen and resistance, if necessary.
  • Serology only suitable to vaccine titer control: AK against diphtheria toxin (see below).

* Detection of the pathogen is reportable by name according to the Infection Protection Act (IfSG).

Vaccination status – control of vaccination titers

Vaccination Laboratory parameters Value Rating
Diphtheria Diphtheria antibody <0.1 IU/ml No vaccine protection detectable → basic immunization required(→ check after 4 weeks)
0.1-1.0 IU/ml Vaccination protection not reliably sufficient → booster required(→ check after 4 weeks)
1.0-1.4 IU/ml Booster recommended after 5 years
1.5-1.9 IU/ml Booster recommended after 7 years
> 2.0 IU/ml Booster recommended after 10 years