Development and Evaluation of Two Simple, Rapid Immunochromatographic Tests for the Detection of Yersinia pestis Antibodies in Humans and Reservoirs 英文参考文献.docVIP
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Development and Evaluation of Two Simple, Rapid Immunochromatographic Tests for the Detection of Yersinia pestis Antibodies in Humans and Reservoirs 英文参考文献
DevelopmentandEvaluationofTwoSimple,Rapid
ImmunochromatographicTestsfortheDetectionof
YersiniapestisAntibodiesinHumansandReservoirs
MinoarisoaRajerison1,SylvieDartevelle2,LalaoA.Ralafiarisoa1,IdirBitam3,DinhThiNgocTuyet4,
VoahangyAndrianaivoarimanana1,FaridabanoNato2,LilaRahalison1*
1Unite′ Peste-InstitutPasteurdeMadagascar,Antananarivo,Madagascar,2De′partementdeBiologieStructuraleetChimie–LaboratoiredeProductiondeProte′ines
Recombinantes et d’Anticorps - Institut Pasteur de Paris, Paris, France, 3Laboratoire d’Entomologie Me′dicale – Service de Parasitologie - Institut Pasteur d’Alge′rie,
Hamma-Alger,Algeria,4De′partementdeMicrobiologie-InstitutPasteurdeNha-Trang,Nha-Trang,VietNam
Abstract
Background:Toolsforplaguediagnosisandsurveillancearenotalwaysavailableandaffordableinmostofthecountries
affected by the disease. Yersinia pestis isolation for confirmation is time-consuming and difficult to perform under field
conditions.SerologictestslikeELISArequirespecificequipmentsnotalwaysavailableindevelopingcountries.Inadditionto
theexistingrapidtestforantigendetection,arapidserodiagnosticassaymaybeusefulforplaguecontrol.
Methods/PrincipalFindings:Wedevelopedtworapidimmunochromatography-basedtestsforthedetectionofantibodies
directedagainstF1antigenofY.pestis.Thefirsttest,SIgT,whichdetectstotalIg(IgT)anti-F1inseveralspecies(S)(human
andreservoirs),wasdevelopedinordertohaveforthefielduseanalternativemethodtoELISA.Theperformanceofthe
SIgTtestwasevaluatedwithsamplesfromhumansandanimalsforwhichELISAwasusedtodeterminethepresumptive
diagnosisofplague.SIgTtestdetectedanti-F1Igantibodiesinhumanswithasensitivityof84.6%(95%CI:0.76–0.94)anda
specificityof98%(95%CI:0.96–1).Inevaluationofsamplesfromrodentsandothersmallmammals,theSlgTtesthada
sensitivityof87.8%(95%CI:0.80–0.94)andaspecificityof90.3%(95%CI:0.86–0.93).Improvedperformancewasobtained
withsamplesfromdogs,asentinelanimal,withasensitivityof93%(95%CI:0.82–1)andaspecificityof98%(95%CI:0.95–
1.01).Thesecondtest,HIgM,whichdetects
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