Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever
Abstract Background The incidence of typhoid fever is increasing in Egypt. The Widal test is the evaluation most widely used in Egypt for diagnosis, but it has many drawbacks; therefore, new diagnostic tools are needed. Our aim was to evaluate the diagnostic accuracy of the onsite typhoid IgG/IgM co...
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Format: | Article |
Language: | English |
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SpringerOpen
2023-05-01
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Series: | Beni-Suef University Journal of Basic and Applied Sciences |
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Online Access: | https://doi.org/10.1186/s43088-023-00391-8 |
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author | Alaa Aboud Mohamed Basel Abd El Monem Ebeid Radwa Ahmed Rabea Abdellatif Mariam Malak |
author_facet | Alaa Aboud Mohamed Basel Abd El Monem Ebeid Radwa Ahmed Rabea Abdellatif Mariam Malak |
author_sort | Alaa Aboud Mohamed |
collection | DOAJ |
description | Abstract Background The incidence of typhoid fever is increasing in Egypt. The Widal test is the evaluation most widely used in Egypt for diagnosis, but it has many drawbacks; therefore, new diagnostic tools are needed. Our aim was to evaluate the diagnostic accuracy of the onsite typhoid IgG/IgM combo rapid test in diagnosing typhoid fever. Method Blood specimens were collected from 90 patients (of all ages) who presented with fever of more than 4 days’ duration. The OnSite Combo test and the Widal test were performed for all patients. Results The OnSite Combo test results were positive in approximately 24% of all patients; the Widal test results were positive in 18.9%; and typhoid was diagnosed through blood culture in 32.2%. The OnSite Combo test had 72.4% sensitivity, 98.4% specificity, a positive predictive value of 95.5%, and a negative predictive value of 88.2%. In contrast, the Widal test had 51.7% sensitivity, 69.7% specificity, a positive predictive value of 88.2%, and a negative predictive value of 80.8%. Conclusions The onsite combo test was more efficacious than the Widal test in diagnosing typhoid fever. |
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format | Article |
id | doaj.art-1bb21b7347874030924999e5082979fd |
institution | Directory Open Access Journal |
issn | 2314-8543 |
language | English |
last_indexed | 2024-03-13T08:59:05Z |
publishDate | 2023-05-01 |
publisher | SpringerOpen |
record_format | Article |
series | Beni-Suef University Journal of Basic and Applied Sciences |
spelling | doaj.art-1bb21b7347874030924999e5082979fd2023-05-28T11:24:58ZengSpringerOpenBeni-Suef University Journal of Basic and Applied Sciences2314-85432023-05-011211510.1186/s43088-023-00391-8Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid feverAlaa Aboud Mohamed0Basel Abd El Monem Ebeid1Radwa Ahmed Rabea Abdellatif2Mariam Malak3Department of Tropical Medicine, Faculty of Medicine, Beni-Suef UniversityDepartment of Tropical Medicine, Faculty of Medicine, Beni-Suef UniversityDepartment of Clinical and Chemical Pathology, Faculty of Medicine, Beni-Suef UniversityDepartment of Tropical Medicine, Faculty of Medicine, Beni-Suef UniversityAbstract Background The incidence of typhoid fever is increasing in Egypt. The Widal test is the evaluation most widely used in Egypt for diagnosis, but it has many drawbacks; therefore, new diagnostic tools are needed. Our aim was to evaluate the diagnostic accuracy of the onsite typhoid IgG/IgM combo rapid test in diagnosing typhoid fever. Method Blood specimens were collected from 90 patients (of all ages) who presented with fever of more than 4 days’ duration. The OnSite Combo test and the Widal test were performed for all patients. Results The OnSite Combo test results were positive in approximately 24% of all patients; the Widal test results were positive in 18.9%; and typhoid was diagnosed through blood culture in 32.2%. The OnSite Combo test had 72.4% sensitivity, 98.4% specificity, a positive predictive value of 95.5%, and a negative predictive value of 88.2%. In contrast, the Widal test had 51.7% sensitivity, 69.7% specificity, a positive predictive value of 88.2%, and a negative predictive value of 80.8%. Conclusions The onsite combo test was more efficacious than the Widal test in diagnosing typhoid fever.https://doi.org/10.1186/s43088-023-00391-8TyphoidOnsite typhoid IgG/IgM combo rapid testWidal testBlood culture |
spellingShingle | Alaa Aboud Mohamed Basel Abd El Monem Ebeid Radwa Ahmed Rabea Abdellatif Mariam Malak Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever Beni-Suef University Journal of Basic and Applied Sciences Typhoid Onsite typhoid IgG/IgM combo rapid test Widal test Blood culture |
title | Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever |
title_full | Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever |
title_fullStr | Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever |
title_full_unstemmed | Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever |
title_short | Use of onsite typhoid IgG/IgM combo test as rapid diagnostic test for typhoid fever |
title_sort | use of onsite typhoid igg igm combo test as rapid diagnostic test for typhoid fever |
topic | Typhoid Onsite typhoid IgG/IgM combo rapid test Widal test Blood culture |
url | https://doi.org/10.1186/s43088-023-00391-8 |
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