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EVALUATION OF THE DIRECT AGGLUTINATION TEST AND THE RK39 DIPSTICK TEST FOR THE SERO-DIAGNOSIS OF VISCERAL LEISHMANIASIS
Diagnóstico
Leishmania chagasi
Humanos
TesT de aglutinação direta
Teste de vareta rK39
Brasil
Direct agglutination tesT
rK39 dipstick test
Leishmania chagasi
Diagnosis
Human
Brazil
Affilliation
KIT (Koninklijk Instituut voor de Tropen/Royal Tropical Institute). Biomedical Research. Meibergdreef 39, 1105 AZ Amsterdam, The Netherlands.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Imunologia. Rio de Janeiro, RJ, Brasil.
Universidade do Estado de Minas Gerais. Fundação Educacional de Divinópolis. Centro de Pós-graduação e Pesquisas. Divinópolis, MG Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Laboratório de Leishmanioses. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Imunologia. Rio de Janeiro, RJ, Brasil.
Universidade do Estado de Minas Gerais. Fundação Educacional de Divinópolis. Centro de Pós-graduação e Pesquisas. Divinópolis, MG Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Laboratório de Leishmanioses. Belo Horizonte, MG, Brasil.
Abstract
The direct agglutination test (DAT) based on a freeze-dried antigen and the rK39 dipstick test were evaluated
for the sero-diagnosis of visceral leishmaniasis (VL). The sensitivity and specificity of both tests were determined
using sera from confirmed VL patients (n = 21), healthy controls (n = 19) and from patients with other confirmed
infectious diseases (n = 42). The DAT had a sensitivity and a specificity of 100%. The rK39 had a sensitivity of 85.7%
and a specificity of 82%. Both tests were also used to screen blood samples of confirmed VL patients (n = 15) and
serum samples of VL suspects (n = 61). The DAT found all blood samples of confirmed VL patients positive and tested
98.4% of the serum samples of the VL suspects positive. In contrast, rK39 detected in 9/15 blood samples (60%)
antibodies against Leishmania chagasi and found 85.3% of the serum samples of the suspected patients positive.
Although the rK39 dipstick is more rapid and user friendlier than the DAT, the latter has a superior sensitivity and
specificity. Furthermore, the reagents used for DAT do not require cold storage, whereas the buffer of the rK39 must
be stored at 4oC. Therefore, the DAT is the most suitable test for the sero-diagnosis of VL under field conditions.
Keywords in Portuguese
Leishmaniose VisceralDiagnóstico
Leishmania chagasi
Humanos
TesT de aglutinação direta
Teste de vareta rK39
Brasil
Keywords
Visceral leishmaniasisDirect agglutination tesT
rK39 dipstick test
Leishmania chagasi
Diagnosis
Human
Brazil
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