Canine Visceral Leishmaniosis: a Comparative Analysis of the Eie-leishmaniose-visceral-canina-bio-manguinhos and the Ifi-leishmaniose-visceral-canina-bio-manguinhos Kits.
From: Departamento de Imunologia, Centro de Pesquisas Aggeu Magalhães/CPqAM, Fundação Oswaldo Cruz/FIOCRUZ, Av. Moraes Rego s/n, Cidade Universitária, 50670-420, Recife-PE, Brazil.
Veterinary parasitology
- Publish Date: Apr 2006
- ISSN: 0304-4017
- Volume: 137
- Issue: 1-2
- Pages: 11-6
- Medium: Print
- Language: English
- Citation (JAMA): Lira R A, Cavalcanti M Paiva, Nakazawa M, et al. Canine Visceral Leishmaniosis: a Comparative Analysis of the Eie-leishmaniose-visceral-canina-bio-manguinhos and the Ifi-leishmaniose-visceral-canina-bio-manguinhos Kits.. Vet. Parasitol. Apr 2006;137:11-6
Abstract
This study evaluated the performance of the EIE-leishmaniose-visceral-canina-Bio-Manguinhos (EIE-LVC) kit and to compare it with that of the IFI-leishmaniose-visceral-canina-Bio-Manguinhos (IFI-LVC) kit. Four groups of dogs were studied: group 1 (G1), dogs with clinical signs indicative of CVL and testing positive for the parasite (n = 25); group 2 (G2), dogs with only a presumed diagnosis of CVL (n = 62); group 3 (G3), dogs that had never lived in an area where CVL is endemic and never received a blood transfusion (n = 16); group 4 (G4), dogs carrying other parasites: such as babesiosis (n = 4), ehrlichiosis (n = 6) and demodicosis (n = 1). G1 and G3 were used for the calculation of sensitivity and specificity, respectively. The EIE-LVC showed a sensitivity of 72% (IC 95%: 50.4-87.1%) and a specificity of 87.5% (IC 95%: 60.4-97.8%). The value of the kappa index was 0.975 (CI 95%: 0.926-1.024), which represents an excellent fit. For IFI-LVC, the sensitivity was 68.0% (CI 95%: 46.4-84.3%) and the specificity 87.5% (CI 95%: 60.4-97.8%). When the tests were conducted in parallel, sensitivity was 92.0% (CI 95%: 72.5-98.6%) and specificity 75.0% (CI 95%: 47.4-91.7%). However, when conducted consecutively, the tests showed a sensitivity of 48.0% (CI 95%: 28.3-68.2%) and a specificity of 100.0% (CI 95%: 75.9-99.4%). The analysis of clinically suspected dogs using IFI-LVC and EIE-LVC kits in parallel, revealed that 26/62 animals were positive. Cross-reaction was observed in a dog with demodicosis. These results lead to the following conclusions: (1) the performance of the EIE-LVC kit is not statistically different from the IFI-LVC and (2) the kits must be used in parallel if higher sensitivity is required, reducing the number of false-negative results.
Mesh Headings (Keywords): Animals, Antibodies, Protozoan, Antigens, Protozoan, Case-Control Studies, Cross Reactions, Dog Diseases, Dogs, Enzyme-Linked Immunosorbent Assay, False Negative Reactions, Immunoenzyme Techniques, Leishmania donovani, Leishmaniasis, Visceral, Reagent Kits, Diagnostic, Recombinant Proteins, Reproducibility of Results, Sensitivity and Specificity, Species Specificity
Check for Full Text / PubMed Unique Identifier (PMID): 16446034
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