Evaluation of the Panbio dengue virus nonstructural 1 antigen detection and immunoglobulin M antibody enzyme-linked immunosorbent assays for the diagnosis of acute dengue infections in Laos
Abstract We evaluated 2 commercial enzyme-linked immunosorbent assays (ELISAs) for the diagnosis of dengue infection; one a serologic test for immunoglobulin M (IgM) antibodies, the other based on detection of dengue virus nonstructural 1 (NS1) antigen. Using gold standard reference serology on pair...
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| Published in: | Diagnostic microbiology and infectious disease Vol. 60; no. 1; pp. 43 - 49 |
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| Main Authors: | , , , , , , , , , |
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| Abstract | Abstract We evaluated 2 commercial enzyme-linked immunosorbent assays (ELISAs) for the diagnosis of dengue infection; one a serologic test for immunoglobulin M (IgM) antibodies, the other based on detection of dengue virus nonstructural 1 (NS1) antigen. Using gold standard reference serology on paired sera, 41% (38/92 patients) were dengue confirmed, with 4 (11%) acute primary and 33 (87%) acute secondary infections (1 was of indeterminate status). Sensitivity of the NS1-ELISA was 63% (95% confidence interval [CI], 53–73) on admission samples but was much less sensitive (5%; 95% CI, 1–10) on convalescent samples. The IgM capture ELISA had a lower but statistically equivalent sensitivity compared with the NS1-ELISA for admission samples (45%; 95% CI, 35–55) but was more sensitive on convalescent samples (58%; 95% CI, 48–68). The results of the NS1 and IgM capture ELISAs were combined using a logical OR operator, increasing the sensitivity for admission samples (79%; 95% CI, 71–87), convalescent samples (63%; 95% CI, 53–73), and all samples (71%; 95% CI, 65–78). |
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| AbstractList | We evaluated 2 commercial enzyme-linked immunosorbent assays (ELISAs) for the diagnosis of dengue infection; one a serologic test for immunoglobulin M (IgM) antibodies, the other based on detection of dengue virus nonstructural 1 (NS1) antigen. Using gold standard reference serology on paired sera, 41% (38/92 patients) were dengue confirmed, with 4 (11%) acute primary and 33 (87%) acute secondary infections (1 was of indeterminate status). Sensitivity of the NS1-ELISA was 63% (95% confidence interval [CI], 53–73) on admission samples but was much less sensitive (5%; 95% CI, 1–10) on convalescent samples. The IgM capture ELISA had a lower but statistically equivalent sensitivity compared with the NS1-ELISA for admission samples (45%; 95% CI, 35–55) but was more sensitive on convalescent samples (58%; 95% CI, 48–68). The results of the NS1 and IgM capture ELISAs were combined using a logical OR operator, increasing the sensitivity for admission samples (79%; 95% CI, 71–87), convalescent samples (63%; 95% CI, 53–73), and all samples (71%; 95% CI, 65–78). Abstract We evaluated 2 commercial enzyme-linked immunosorbent assays (ELISAs) for the diagnosis of dengue infection; one a serologic test for immunoglobulin M (IgM) antibodies, the other based on detection of dengue virus nonstructural 1 (NS1) antigen. Using gold standard reference serology on paired sera, 41% (38/92 patients) were dengue confirmed, with 4 (11%) acute primary and 33 (87%) acute secondary infections (1 was of indeterminate status). Sensitivity of the NS1-ELISA was 63% (95% confidence interval [CI], 53–73) on admission samples but was much less sensitive (5%; 95% CI, 1–10) on convalescent samples. The IgM capture ELISA had a lower but statistically equivalent sensitivity compared with the NS1-ELISA for admission samples (45%; 95% CI, 35–55) but was more sensitive on convalescent samples (58%; 95% CI, 48–68). The results of the NS1 and IgM capture ELISAs were combined using a logical OR operator, increasing the sensitivity for admission samples (79%; 95% CI, 71–87), convalescent samples (63%; 95% CI, 53–73), and all samples (71%; 95% CI, 65–78). |
| Author | Blacksell, Stuart D Nisalak, Ananda Day, Nicholas P.J Mammen, Mammen P Jarman, Richard G Gibbons, Robert V Newton, Paul N Thongpaseuth, Soulignasack Phetsouvanh, Rattanaphone Jenjaroen, Kemajittra |
| Author_xml | – sequence: 1 fullname: Blacksell, Stuart D – sequence: 2 fullname: Mammen, Mammen P – sequence: 3 fullname: Thongpaseuth, Soulignasack – sequence: 4 fullname: Gibbons, Robert V – sequence: 5 fullname: Jarman, Richard G – sequence: 6 fullname: Jenjaroen, Kemajittra – sequence: 7 fullname: Nisalak, Ananda – sequence: 8 fullname: Phetsouvanh, Rattanaphone – sequence: 9 fullname: Newton, Paul N – sequence: 10 fullname: Day, Nicholas P.J |
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| Keywords | Dengue Immunochromatographic Serology Diagnosis Point-of-care Laos NS1 IgM Antibody Acute Dengue virus 1 Flavivirus Infection Virus Antigen Viral disease Dengue group virus Arbovirus disease Flaviviridae Detection ELISA assay |
| Language | English |
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| Snippet | Abstract We evaluated 2 commercial enzyme-linked immunosorbent assays (ELISAs) for the diagnosis of dengue infection; one a serologic test for immunoglobulin M... We evaluated 2 commercial enzyme-linked immunosorbent assays (ELISAs) for the diagnosis of dengue infection; one a serologic test for immunoglobulin M (IgM)... |
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| SubjectTerms | Antibodies, Viral - blood Antigens, Viral - blood Arboviroses Biological and medical sciences Dengue Dengue - diagnosis Dengue fevers Dengue virus Dengue Virus - immunology Dengue Virus - isolation & purification Diagnosis Enzyme-Linked Immunosorbent Assay - methods Fundamental and applied biological sciences. Psychology Human viral diseases Humans IgM Immunochromatographic Immunoglobulin M - blood Infectious Disease Infectious diseases Internal Medicine Laos Medical sciences Microbiology Miscellaneous NS1 Point-of-care Sensitivity and Specificity Serology Tropical viral diseases Viral diseases Viral Nonstructural Proteins - blood Virology |
| Title | Evaluation of the Panbio dengue virus nonstructural 1 antigen detection and immunoglobulin M antibody enzyme-linked immunosorbent assays for the diagnosis of acute dengue infections in Laos |
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