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...

Full description

Bibliographic Details
Main Authors: Alaa Aboud Mohamed, Basel Abd El Monem Ebeid, Radwa Ahmed Rabea Abdellatif, Mariam Malak
Format: Article
Language:English
Published: SpringerOpen 2023-05-01
Series:Beni-Suef University Journal of Basic and Applied Sciences
Subjects:
Online Access:https://doi.org/10.1186/s43088-023-00391-8
_version_ 1797817822365089792
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.
first_indexed 2024-03-13T08:59:05Z
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
work_keys_str_mv AT alaaaboudmohamed useofonsitetyphoidiggigmcombotestasrapiddiagnostictestfortyphoidfever
AT baselabdelmonemebeid useofonsitetyphoidiggigmcombotestasrapiddiagnostictestfortyphoidfever
AT radwaahmedrabeaabdellatif useofonsitetyphoidiggigmcombotestasrapiddiagnostictestfortyphoidfever
AT mariammalak useofonsitetyphoidiggigmcombotestasrapiddiagnostictestfortyphoidfever