Evaluation of four whole-cell Leptospira-based serological tests for diagnosis of urban leptospirosis

被引:32
作者
McBride, Alan J. A.
Santos, Balbino L.
Queiroz, Adriano
Santos, Andreia C.
Hartskeerl, Rudy A.
Reis, Mitermayer G.
Ko, Albert I.
机构
[1] Fundacao Oswaldo Cruz, Ctr Pesquisas Goncalo Moniz, Minist Hlth, BR-40295001 Salvador, BA, Brazil
[2] Royal Trop Inst KIT, Dept Biomed Res, NL-1105 AZ Amsterdam, Netherlands
[3] Cornell Univ, Weill Med Coll, Div Infect Dis & Internal Med, New York, NY USA
关键词
D O I
10.1128/CVI.00217-07
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Four serologic assays for leptospirosis had sensitivities of 72 to 88% and specificities of 88 to 100% in the setting of highly endemic urban transmission, indicating that assays using enzyme-linked immunosorbency and rapid formats may be used as alternatives to the microscopic agglutination test for diagnosing urban leptospirosis. Testing a second sample will be required in cases with an initial negative result, since sensitivity was low (46 to 68%) during the first week of illness.
引用
收藏
页码:1245 / 1248
页数:4
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