Mass screening for Trypanosoma cruzi infections using the immunofluorescence, ELISA and haemagglutination tests on serum samples and on blood eluates from filter-paper
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1990
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Methods used to diagnose Trypanosoma cruzi infection differ in their ability to discriminate between sera
from infected and uninfected individuals. We compared the results of an immunofluorescence (IF) test,
a haemagglutination (HA) test, and an enzyme-linked immunosorbent assay (ELISA) for the diagnosis of
T. cruzi infections in a large population-based survey in central Brazil using blood eluates from filter-paper
and venous blood samples. The sensitivities of the tests on eluates, compared with results on serum
samples, were low: ELISA (78. 1%), IF (69.2%) and HA (64.6%). The level of agreement between the tests on
eluates was very poor, with the best co-positivity for IF and ELISA. Both the positive and negative
predictive values of the three tests on eluates were similar (around 96%) to those for sera. Higher
co-positivity values were obtained for the three tests on sera. The implications of these results are
discussed in relation to blood screening, routine medical practice, sero-epidemiological surveys, and the
follow-up of patients admitted to therapeutic trials.
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ZICKER, F.; SMITH, P. G.; LUQUETTI, A. O.; OLIVEIRA, O. S. Mass screening for Trypanosoma cruzi infections using the immunofluorescence, ELISA and haemagglutination tests on serum samples and on blood eluates from filter-paper. Bulletin of the World Health Organization, Bethesda, v. 68, n. 4, p. 465-471, 1990.