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A comparative study of different immunoassays to detect specific antibodies to Echinococcus spp. in human sera


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Correct seropositive reactions in patients with confirmed alveolar or cystic echinococcosis.

Antigens/ELISA tests used
Parasitic diseaseE. multilocularisE. granulosus s.l.Echinococcus spp.
AgEmAgBAgHFEchinococcus granulosus(Bordier)NovaLisaTMEchinococcus IgG (NovaTec)
Alveolar echinococcosis (n = 10)9n.c.n.c.n.c.8
Cystic echinococcosis (n = 17)n.c.13171513
Total correctly positive/tested9/1013/1717/1715/1721/27
Sensitivity (%)90.076.510088.277.8

False positive reactions with sera of patients suffering from different parasitic/other infections and with control sera.

Antigens/ELISA tests used
Parasitic/other infectionsE. multilocularisE. granulosus s.l.Echinococcus spp.
AgEmAgBAgHFEchinococcus granulosus (Bordier)NovaLisaTMEchinococcus IgG (NovaTec)
Alveolar echinococcosis (n = 10)n.c.9710n.c.
Cystic echinococcosis (n = 17)0n.c.n.c.n.c.n.c.
Ascariasis (n = 8)00010
Trichuriasis (n = 4)00000
Trichinellosis (n = 8)00001
Toxocariasis (n = 9)00010
Toxoplasmosis (n = 8)01100
Strongyloidiasis (n = 6)00210
Dirofilariasis (n = 1)00000
Ricketsiosis (n = 1)00000
Clinically healthy persons (n = 25)02122
Total false positive/tested0/8712/8011/8013/803/70

Sensitivity, specificity and Youden index of tested antigens/tests.

Sensitivity (%)Specificity (%)PPV (%)NPV (%)
Antigen/testParasitic disease(95% CI)(95% CI)(95% CI)(95% CI)YI
AgEmE. multilocularis90.010010098.90.90
(55.5–99.8)(96.6–100)n.c.(93.1–99.8)
76.585.052.094.4
AgB(50.1–93.2)(75.4–91.4)(37.7–66.0)(87.8–97.6)0.61
10086.360.7100
AgHFE. granulosus(83.8–100)(76.7–92.9)(47.2–72.8)n.c.0.86
88.283.853.697.1
Echinococcus granulosus (Bordier)(63.6–98.5)(73.8–91.1)(40.5–66.2)(90.1–99.2)0.72
77.895.787.591.8
NovaLisaTMEchinococcus IgG (NovaTec)Echinococcus spp.(57.7–91.4)(87.8–99.1)(69.4–95.6)(84.6–95.8)0.74
eISSN:
1336-9083
ISSN:
0440-6605
Idioma:
Inglés
Calendario de la edición:
4 veces al año
Temas de la revista:
Life Sciences, Zoology, Ecology, other, Medicine, Clinical Medicine, Microbiology, Virology and Infection Epidemiology