The performance of serological tests for Leishmania infantum infection screening in dogs depends on the prevalence of the disease

Dogs are considered the main reservoir of Leishmania infantum. This protozoan causes visceral leishmaniasis (VL), an uncontrolled urban zoonosis in Brazil. Serological tests and polymerase chain reaction (PCR) on peripheral blood were performed to identify infected dogs in scenarios of higher and lo...

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Detalles Bibliográficos
Autores: Mendonca, Ivete Lopes de, Batista, Joilson Ferreira, Schallig, Henk, Pires e Cruz, Maria do Socorro, Alonso, Diego Peres [UNESP], Martins Ribolla, Paulo Eduardo [UNESP], Costa, Dorcas Lamounier, Nery Costa, Carlos Henrique
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/162878
Acceso en línea:http://dx.doi.org/10.1590/S1678-9946201759039
http://hdl.handle.net/11449/162878
Access Level:acceso abierto
Palabra clave:Visceral leishmaniasis
Leishmania infantum
Dogs
Diagnosis
Control
Descripción
Sumario:Dogs are considered the main reservoir of Leishmania infantum. This protozoan causes visceral leishmaniasis (VL), an uncontrolled urban zoonosis in Brazil. Serological tests and polymerase chain reaction (PCR) on peripheral blood were performed to identify infected dogs in scenarios of higher and lower prevalence of the disease (Teresina and Vitoria). One-hundred infected and 57 non-infected animals from Teresina and 100 non-infected animals from Vitoria were studied. Animal selection was not dependent on previous serology. The sensitivity (Teresina) and specificity (Teresina and Vitoria) were as follows: indirect antibody fluorescence (IFAT) cut-off of 1:40 (IFAT 1:40): 96%, 18%, and 76%; IFAT 1:80: 90%, 33%, and 93%; direct agglutination test (DAT): 96%, 33%, and 98%; fast agglutination screening test (FAST): 93%, 68%, and 100%; immunochromatographic assay with a recombinant rK39 antigen (rK39): 88%, 74%, and 98%; enzyme linked immunosorbent assay (ELISA): 91%, 79%, and 98%; rapid dual-path platform test (TR DPP (R)): 98%, 60%, and 98%; and blood PCR: 29%, 93%, and 97%, respectively. In the high transmission area, none of the tests adequately discriminated L. infantum-infected from non-infected dogs. However, in the high transmission city, the area under the receiver operating characteristic (ROC) curve of FAST, DAT, ICrK39, ELISA and TR DPP (R) was high.