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.   Strongyloides stercoralis  affects more than half a billion people worldwide, and hyperinfection in immunocompromised patients can be fatal. Elimination of this neglected tropical disease requires field-applicable diagnostic tools. We conducted a laboratory evaluation of a lateral flow rapid dipstick test (SsRapid™) using sera samples from a  Strongyloides -endemic area in northeast Thailand. Group 1 was  S. stercoralis -positive and larvae- and/or antibody-positive (according to the IgG ELISA) ( N  = 100). Group 2 had negative fecal examination and IgG ELISA results ( N  = 25). Group 3 had other parasitic infections and negative IgG ELISA results ( N  = 25). The results showed good diagnostic sensitivity (82%) and excellent specificity (96%). Suggested improvements in the SsRapid™ test include increased diagnostic sensitivity and conversion to the more robust cassette format. Field studies should be performed as well.

Evaluation of a Rapid IgG4 Lateral Flow Dipstick Test to Detect Strongyloides stercoralis Infection in Northeast Thailand