Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.

Inter- and intra-observer variation was examined among six microscopists who read 50 scrub typhus (ST) and murine typhus (MT) indirect immunofluorescence assay (IFA) immunoglobulin M (IgM) slides. Inter-observer agreement was moderate (κ = 0.45) for MT and fair (κ = 0.32) for ST, and was significant...

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Main Authors: Phetsouvanh, R, Thojaikong, T, Phoumin, P, Sibounheuang, B, Phommasone, K, Chansamouth, V, Lee, S, Newton, P, Blacksell, S
Format: Journal article
Language:English
Published: 2013
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author Phetsouvanh, R
Thojaikong, T
Phoumin, P
Sibounheuang, B
Phommasone, K
Chansamouth, V
Lee, S
Newton, P
Blacksell, S
author_facet Phetsouvanh, R
Thojaikong, T
Phoumin, P
Sibounheuang, B
Phommasone, K
Chansamouth, V
Lee, S
Newton, P
Blacksell, S
author_sort Phetsouvanh, R
collection OXFORD
description Inter- and intra-observer variation was examined among six microscopists who read 50 scrub typhus (ST) and murine typhus (MT) indirect immunofluorescence assay (IFA) immunoglobulin M (IgM) slides. Inter-observer agreement was moderate (κ = 0.45) for MT and fair (κ = 0.32) for ST, and was significantly correlated with experience (P = 0.03 and P = 0.004, respectively); κ-scores for intra-observer agreement between morning and afternoon readings (range = 0.35-0.86) were not correlated between years of experience for ST and MT IFAs (Spearman's ρ = 0.31, P = 0.54 and P = 0.14, respectively; P = 0.78). Storage at 4°C for 2 days showed a change from positive to negative in 20-32% of slides. Although the titers did not dramatically change after 14 days of storage, the final interpretation (positive to negative) did change in 36-50% of samples, and it, therefore, recommended that slides should be read as soon as possible after processing.
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spelling oxford-uuid:c76cc0e0-ce4b-416a-8fcc-0219fa7a57ab2022-03-27T06:44:55ZInter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c76cc0e0-ce4b-416a-8fcc-0219fa7a57abEnglishSymplectic Elements at Oxford2013Phetsouvanh, RThojaikong, TPhoumin, PSibounheuang, BPhommasone, KChansamouth, VLee, SNewton, PBlacksell, SInter- and intra-observer variation was examined among six microscopists who read 50 scrub typhus (ST) and murine typhus (MT) indirect immunofluorescence assay (IFA) immunoglobulin M (IgM) slides. Inter-observer agreement was moderate (κ = 0.45) for MT and fair (κ = 0.32) for ST, and was significantly correlated with experience (P = 0.03 and P = 0.004, respectively); κ-scores for intra-observer agreement between morning and afternoon readings (range = 0.35-0.86) were not correlated between years of experience for ST and MT IFAs (Spearman's ρ = 0.31, P = 0.54 and P = 0.14, respectively; P = 0.78). Storage at 4°C for 2 days showed a change from positive to negative in 20-32% of slides. Although the titers did not dramatically change after 14 days of storage, the final interpretation (positive to negative) did change in 36-50% of samples, and it, therefore, recommended that slides should be read as soon as possible after processing.
spellingShingle Phetsouvanh, R
Thojaikong, T
Phoumin, P
Sibounheuang, B
Phommasone, K
Chansamouth, V
Lee, S
Newton, P
Blacksell, S
Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.
title Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.
title_full Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.
title_fullStr Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.
title_full_unstemmed Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.
title_short Inter- and intra-operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus.
title_sort inter and intra operator variability in the reading of indirect immunofluorescence assays for the serological diagnosis of scrub typhus and murine typhus
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