Optimal Cutoff Titers for Indirect Immunofluorescence Assay for Diagnosis of Scrub Typhus

被引:41
作者
Lim, Cherry [1 ]
Blacksell, Stuart D. [1 ,2 ]
Laongnualpanich, Achara [3 ]
Kantipong, Pacharee [3 ]
Day, Nicholas P. J. [1 ,2 ]
Paris, Daniel H. [1 ,2 ]
Limmathurotsakul, Direk [1 ,4 ]
机构
[1] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Bangkok, Thailand
[2] Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med & Global Hlth, Oxford, England
[3] Chiang Rai Prachanukroh Hosp, Chiang Rai, Thailand
[4] Mahidol Univ, Fac Trop Med, Dept Trop Hyg, Bangkok, Thailand
基金
英国惠康基金;
关键词
ORIENTIA-TSUTSUGAMUSHI; PCR ASSAY; ACCURACY; ANTIBODY; LEPTOSPIROSIS; INFECTION; TESTS; GOLD;
D O I
10.1128/JCM.01680-15
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We determined the optimal cutoff titers in admission and convalescent-phase samples for scrub typhus indirect immunofluorescence assay using Bayesian latent class models. Cutoff titers of >= 1:3,200 in an admission sample or of a >= 4-fold rise to >= 1: 3,200 in a convalescent-phase sample provided the highest accuracy (sensitivity, 81.6%; specificity, 100%).
引用
收藏
页码:3663 / 3666
页数:4
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