Evaluation of a passive microcapsule agglutination test for the screening of human leptospirosis
โ Scribed by B. Cacciapuoti; L. Ciceroni; Y. Arimitsu; T. Sato; M. Seki
- Publisher
- Springer
- Year
- 1993
- Tongue
- English
- Weight
- 440 KB
- Volume
- 9
- Category
- Article
- ISSN
- 0393-2990
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โฆ Synopsis
Microcapsules, absorbed with two mixed antigens -each composed of 3 sonicated leptospira serovars -were developed in the past as a microcapsule agglutination test (MCA-LS) for the screening of clinical leptospirosis.
Fof this study, fifty serum samples, taken at an earlier and at a later stage of illness from 25 Italian in-patients with clinical symptoms of leptospirosis, were tested with both the MCA-LS onedilution test and the microscopic agglutination (MA) test, the confirmatory test for leptospirosis, with 18 leptospira strains circulating in Italy. Compared with MA, MCA-LS showed a sensitivity of 91.7%, and a specificity of 92.3%, including leptospiroses not substained by the diagnostic strains used in the MCA-LS kit.
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Reml~ At a cut-off of 20 mg/L, the Ivfioral-Test showed a poor senmtivity (56%). Correction for creafininc did incresee the sensitivity (69%) for the same specificity (98.7"A). The beat screening performance was obtained when the I~emI-Te=t results were expressed as rate 0tg/min) with a recciver-o~t