Field evaluation of the whole blood immunochromatographic test for rapid bancroftian filariasis diagnosis in the northeast of Brazil

Bibliographic Details
Title: Field evaluation of the whole blood immunochromatographic test for rapid bancroftian filariasis diagnosis in the northeast of Brazil
Authors: Braga, Cynthia, Dourado, Maria Inês, Ximenes, Ricardo Arraes de A., Alves, Luiz, Brayner, Fabio, Rocha, Abraham, Alexander, Neal
Source: Revista do Instituto de Medicina Tropical de São Paulo. June 2003 45(3)
Publisher Information: Instituto de Medicina Tropical de São Paulo, 2003.
Publication Year: 2003
Subject Terms: Bancroftian filariasis, Diagnostic, Screening, Surveillance
More Details: This study evaluated the whole blood immunochromatographic card test (ICT card test) in a survey performed in Northeastern Brazil. 625 people were examined by the thick blood film (TBF) and ICT card test. Residents of a non-endemic area were also tested by the whole blood card test and Og4C3. The sensitivity of the ICT card test was 94.7% overall, but lower in females than males, based on the reasonable assumption that TBF is 100% specific. However, since TBF and other methods have unknown sensitivity, the true specificity of the card test is unknown. Nevertheless, it is possible to estimate upper and lower limits for the specificity, and relate it to the prevalence of the disease. In the endemic area, the possible range of the specificity was from 72.4% to 100%. 29.6% of the card tests performed in the non-endemic area exhibited faint lines that were interpreted as positives. Characteristics of the method including high sensitivity, promptness and simplicity justify its use for screening of filariasis. However, detailed information about the correct interpretation in case of extremely faint lines is essential. Further studies designed to consider problems arising from imperfect standards are necessary, as is a sounder diagnostic definition for the card test.
Document Type: article
File Description: text/html
Language: English
ISSN: 0036-4665
DOI: 10.1590/S0036-46652003000300002
Access URL: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652003000300002
Rights: info:eu-repo/semantics/openAccess
Accession Number: edssci.S0036.46652003000300002
Database: SciELO
More Details
ISSN:00364665
DOI:10.1590/S0036-46652003000300002
Published in:Revista do Instituto de Medicina Tropical de São Paulo
Language:English