TY - JOUR KW - Adolescent KW - Adult KW - Age Distribution KW - Agglutination Tests KW - Antigens, Protozoan KW - Child KW - Child, Preschool KW - Disinfectants KW - Enzyme-Linked Immunosorbent Assay KW - Female KW - Formaldehyde KW - Humans KW - India KW - Leishmaniasis, Visceral KW - Male KW - Middle Aged KW - Rural Health KW - Sensitivity and Specificity KW - Seroepidemiologic Studies KW - Serologic Tests KW - Sex Distribution KW - water AU - Kumar R AU - Pai K AU - Kumar P AU - Pandey H P AU - Sundar S AB -
OBJECTIVE: To evaluate five kala-azar serological tests for field use.
METHOD: Serological survey in Pandit Ka Purva village in Varanasi district, India, using Sia water test, aldehyde test, direct agglutination test (DAT), micro-enzyme-linked immunosorbent assay (ELISA) and dot-ELISA.
RESULTS: The total population of the village was 518, 67 of whom showed typical clinical and parasitological features of kala-azar, including seven who died. The age distribution of kala-azar cases showed significant differences, being highest among the 45-54-year age group. The disease was more prevalent among males. Serum samples were collected from 498 persons (96% of total population) including 67 kala-azar cases and 40 disease controls (malaria, TB, leprosy, typhoid). Ten 10 serum samples from healthy controls living in endemic area were also collected. The test sensitivities were: Sia water test, 85.0%; aldehyde test, 62.7%; DAT, 94.0%; micro-ELISA, 91.0% and dot-ELISA, 97.0%. The test specificities were: Sia water test 92.5%, aldehyde test, 93.2%, DAT, 96.7; micro-ELISA, 97.6% and dot-ELISA, 98.4%.
CONCLUSION: The dot-ELISA is highly sensitive and specific, cheap, and easy to interpret with the naked eye, making it a powerful screening test for the surveillance and diagnosis of Indian kala-azar at field level.
BT - Tropical medicine & international health : TM & IH C1 - http://www.ncbi.nlm.nih.gov/pubmed/16398754?dopt=Abstract DA - 2006 Jan DO - 10.1111/j.1365-3156.2005.01538.x IS - 1 J2 - Trop. Med. Int. Health LA - eng N2 -OBJECTIVE: To evaluate five kala-azar serological tests for field use.
METHOD: Serological survey in Pandit Ka Purva village in Varanasi district, India, using Sia water test, aldehyde test, direct agglutination test (DAT), micro-enzyme-linked immunosorbent assay (ELISA) and dot-ELISA.
RESULTS: The total population of the village was 518, 67 of whom showed typical clinical and parasitological features of kala-azar, including seven who died. The age distribution of kala-azar cases showed significant differences, being highest among the 45-54-year age group. The disease was more prevalent among males. Serum samples were collected from 498 persons (96% of total population) including 67 kala-azar cases and 40 disease controls (malaria, TB, leprosy, typhoid). Ten 10 serum samples from healthy controls living in endemic area were also collected. The test sensitivities were: Sia water test, 85.0%; aldehyde test, 62.7%; DAT, 94.0%; micro-ELISA, 91.0% and dot-ELISA, 97.0%. The test specificities were: Sia water test 92.5%, aldehyde test, 93.2%, DAT, 96.7; micro-ELISA, 97.6% and dot-ELISA, 98.4%.
CONCLUSION: The dot-ELISA is highly sensitive and specific, cheap, and easy to interpret with the naked eye, making it a powerful screening test for the surveillance and diagnosis of Indian kala-azar at field level.
PY - 2006 SP - 41 EP - 8 T2 - Tropical medicine & international health : TM & IH TI - Sero-epidemiological study of kala-azar in a village of Varanasi district, India. VL - 11 SN - 1360-2276 ER -