Evaluation of 9 Rapid Agglutination Tests for the Diagnosis of  Typhoid and Parathyphoid Fever in Côte D'ivoire

Inwoley, André; Affi-Aboli, Roseline; Kabran, Matthieu; Adiko, Aimé Césaire; Abiyou, Nadège-Audrey; Amani, Franck Stéphane; Seka, Jean-Claude; Dembele, Bamory

Evaluation of 9 Rapid Agglutination Tests for the Diagnosis of Typhoid and Parathyphoid Fever in Côte D'ivoire

André Inwoley^{1, 2, *}, Roseline Affi-Aboli¹, Matthieu Kabran^{1, 2}, Aimé Césaire Adiko¹, Nadège-Audrey Abiyou¹, Franck Stéphane Amani¹, Jean-Claude Seka¹, Bamory Dembele¹

¹ Immunology Unit, Faculty of Pharmaceuticals and Biological Sciences, University Felix Houphouet Boigny, Abidjan, Côte D'ivoire

² Centre for Diagnosis and Research on AIDS and other Infectious Diseases, Treichville, Abidjan, Côte D'ivoire

Article Information

Identifiers and Pagination:

Year: 2016
Volume: 3
First Page: 243
Last Page: 248
Publisher ID: MEDJ-3-243
DOI: 10.2174/1874220301603010243

Article History:

Received Date: 01/09/2016
Revision Received Date: 24/09/2016
Acceptance Date: 24/09/2016
Electronic publication date: 31/10/2016
Collection year: 2016

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© Inwoley et al.; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the Immunology Unit, Faculty of Pharmaceuticals and Biological Sciences, University Felix Houphouet Boigny, BP V 34 Abidjan, Côte D'ivoire; Tel: (225) 05058587; E-mail: andre.inwoley@gmail.com

Introduction:

In Africa, the Widal test is done in the majority of laboratories by rapid tests whose performances are poorly documented. We evaluate the performance of 9 commercial rapid tests used in Côte d'Ivoire for the serodiagnosis of typhoid and paratyphoid fever.

Methods:

we used a panel of 170 samples collected from subjects suspected of typhoid or paratyphoid fever in Abidjan to determine the sensitivity, the specificity and operational characteristics of 9 plate agglutination tests (BIOREX^®, BIOTEC^®, CHRONOLAB^®, CROMATEST^®, FORTRESS^®, PLASMATEC^®, CYPRESS^®, SPINREACT^® and TYDAL^®) compared to the reference technique SALMONELLA SEROLOGY^® of BIORAD (tube agglutination).

Results:

Among the 9 evaluated tests, only BIOTEC^® presented good performances (96% sensitivity and 97% specificity). Others gave sensitivities below 80%. Their characteristics were improved with the semi-quantitative plate agglutination test. All tests had good operational characteristics.

Conclusion:

In our context, the majority of tests evaluated should not be used to carry out the Widal test.

Keywords: Assessment panel, Paratyphoid fevers, Sensitivity, Specificity, Typhoid Widal test.

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RESEARCH ARTICLE

Evaluation of 9 Rapid Agglutination Tests for the Diagnosis of Typhoid and Parathyphoid Fever in Côte D'ivoire

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Abstract

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Conclusion:

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