Evaluation of a Rapid IgG4 Lateral Flow Dipstick Test to Detect Strongyloides stercoralis Infection in Northeast Thailand

Autor: Jiraporn Sithithaworn, Nor Mustaiqazah Juri, Chanika Worasith, Nor Suhada Anuar, Kulthida Kopolrat, Rahmah Noordin, Phattharaphon Wongphutorn, Paiboon Sithithaworn, Sirowan Ruantip
Rok vydání: 2021
Předmět:
Zdroj: Am J Trop Med Hyg
ISSN: 1476-1645
0002-9637
Popis: Strongyloides stercoralis affects more than half a billion people worldwide, and hyperinfection in immunocompromised patients can be fatal. Elimination of this neglected tropical disease requires field-applicable diagnostic tools. We conducted a laboratory evaluation of a lateral flow rapid dipstick test (SsRapid™) using sera samples from a Strongyloides-endemic area in northeast Thailand. Group 1 was S. stercoralis-positive and larvae- and/or antibody-positive (according to the IgG ELISA) (N = 100). Group 2 had negative fecal examination and IgG ELISA results (N = 25). Group 3 had other parasitic infections and negative IgG ELISA results (N = 25). The results showed good diagnostic sensitivity (82%) and excellent specificity (96%). Suggested improvements in the SsRapid™ test include increased diagnostic sensitivity and conversion to the more robust cassette format. Field studies should be performed as well.
Databáze: OpenAIRE