Abstract:
OBJECTIVE:To evaluate the performance of serological tests using dried blood on filter-papers (micro-card agglutination test for trypanosomiasis (micro-CATT)) performed under field and laboratory conditions and using whole blood ((CATT/T.b. gambiense) (wb-CATT) and latex agglutination (LATEX/T.b. gambiense) (wb-LATEX)) for the serodiagnosis and surveillance of human African trypanosomiasis in West and Central Africa. METHODS:We evaluated the micro-CATT, wb-CATT and wb-LATEX methods in Côte d'Ivoire and the Central African Republic by screening 940 people. Sensitivity and specificity were calculated for each serological test; only patients with the confirmed presence of trypanosomes in the blood or lymph aspirate were considered true positives. Positive and negative predictive values were also calculated. FINDINGS:Each of the tests showed a lower sensitivity in the Central African Republic than in Côte d'Ivoire. CONCLUSION:The results confirmed the efficiency of the classic wb-CATT to detect sleeping sickness patients. The micro-CATT method can be used for human African trypanosomiasis surveillance if the test is performed on the same day as the blood collection, or if samples are stored at 4 degrees C. Otherwise, micro-CATT can be used when absolute sensitivity is not required. wb-LATEX should only be used for high-specificity screening.
journal_name
Bull World Health Organjournal_title
Bulletin of the World Health Organizationauthors
Truc P,Lejon V,Magnus E,Jamonneau V,Nangouma A,Verloo D,Penchenier L,Büscher Psubject
Has Abstractpub_date
2002-01-01 00:00:00pages
882-6issue
11eissn
0042-9686issn
1564-0604pii
S0042-96862002001100008journal_volume
80pub_type
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