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Limited Diagnostic Capacities of Two Commercial Assays for the Detection of Leptospira Immunoglobulin M Antibodies in Laos
Author(s) -
Stuart D. Blacksell,
Lee D. Smythe,
Rattanaphone Phetsouvanh,
Michael Dohnt,
Rudy A. Hartskeerl,
Meegan L. Symonds,
Andrew Slack,
Manivanh Vongsouvath,
Viengmone Davong,
Olay Lattana,
Simmaly Phongmany,
Valy Keolouangkot,
Nicholas J. White,
Nicholas Day,
Paul N. Newton
Publication year - 2006
Publication title -
clinical and vaccine immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.649
H-Index - 77
eISSN - 1556-6811
pISSN - 1556-679X
DOI - 10.1128/cvi.00219-06
Subject(s) - leptospira , antibody , gold standard (test) , direct agglutination test , leptospirosis , immunoglobulin m , immunoglobulin g , agglutination (biology) , diagnostic test , medicine , virology , immunology , serology , veterinary medicine
The diagnostic utility of immunochromatographic (Leptotek) and enzyme-linked immunosorbent assay (ELISA; Panbio) tests for the detection of Leptospira immunoglobulin M antibodies was assessed in febrile adults admitted in Vientiane, Laos. Both tests demonstrated poor diagnostic accuracy using admission serum (Leptotek sensitivity of 47.3% and specificity of 75.5%: ELISA sensitivity of 60.9% and specificity of 65.6%) compared to the Leptospira "gold standard" microscopic agglutination test.

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