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Latex based, rapid and easy assay for human leptospirosis in a single test format
Authors:Smits H L  Chee H D  Eapen C K  Kuriakose M  Sugathan S  Gasem M H  Yersin C  Sakasi D  Lai-A-Fat R F  Hartskeerl R A  Liesdek B  Abdoel T H  Goris M G  Gussenhoven G C
Affiliation:Department of Biomedical Research, Royal Tropical Institute, Amsterdam, The Netherlands. H.Smits@kit.nl
Abstract:
Leptospirosis is an often severe disease which requires prompt treatment. Laboratory testing is required to reach a valid diagnosis. An agglutination assay for the detection of Leptospira-specific antibodies consisting of individually wrapped agglutination cards containing a stable, dried detection reagent is evaluated. The assay is simply performed by suspending the dried reagent with a drop of serum. The result is obtained within 30 s. The sensitivity of the assay varied with the stage of the disease and was 72.3% for samples collected during the first 10 days of the illness and 88.2% for samples collected at a later stage. The specificity was 93.9% and 89.8%, respectively. These characteristics make the test ideal for use in areas where the disease is common and where laboratory support is not routinely available.
Keywords:leptospirosis  latex agglutination assay  serodiagnosis  microscopic agglutination assay  ELISA
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