title: [A comparative evaluation of the sensitivity of different methods for the serological diagnosis of leptospirosis].
abstract: In this work the comparative evaluation of the sensitivity and serological specificity of the microcapsular agglutination (MCA) test, the passive hemagglutination (PHA) test and the microagglutination (MA) test are presented. In the MCA test leptospiral antigens, adsorbed on synthetic carrier capsules produced by Japan Lyophilization Laboratory, were used and the PHA test was made with the use of polyvalent erythrocyte diagnosticum. The study of blood serum samples from 46 leptospirosis patients revealed that the values of antibody titers in the PHA and MCA tests were 5.5-8.1 times higher than the traditional MA test. In the MCA and PHA tests antileptospiral antibodies could be detected as early as on days 1-3 of the disease when the results of the MA test were negative or very low. The maximum values of antibody titers in the MCA and PHA tests were detected on days 11-15 of the disease and in the MA test, on days 21-25. The MCA and PHA tests are genus-specific and permit the detection of antileptospiral antibodies irrespective of the serogroup of the infective agent. In the study of the blood sera of 40 patients with diseases of nonleptospiral etiology the MCA and MA tests yielded false positive results in 7.5% and the PHA test, in 12.5% of cases in titers below the diagnostic level. These data are indicative of high sensitivity and specificity of the serological tests used in this study.
authors.forename: E G
authors.initials: EG
authors.lastname: Volina
authors.forename: E V
authors.initials: EV
authors.lastname: Mel'nitskaia
authors.forename: E P
authors.initials: EP
authors.lastname: Bernasovskaia
authors.forename: V S
authors.initials: VS
authors.lastname: Kiktenko
authors.forename: Y
authors.initials: Y
authors.lastname: Arimitsu
authors.forename: S
authors.initials: S
authors.lastname: Kobayachi
mesh_terms: D000372:Agglutination Tests / Q000295:instrumentation / Q000379:methods; D000907:Antibodies, Bacterial / Q000097:blood; D003937:Diagnosis, Differential; D005069:Evaluation Studies as Topic; D006386:Hemagglutination Tests; D006801:Humans; D007919:Leptospira / Q000276:immunology; D007922:Leptospirosis / Q000175:diagnosis*; D012698:Serologic Tests / Q000379:methods; D013997:Time Factors; D014895:Weil Disease / Q000175:diagnosis
chemical_list: D000907:Antibodies, Bacterial
vernacular_title: Sravnitel'naia otsenka chuvstvitel'nosti razlichnykh metodov serologichicheskoĭ diagnostiki leptospiroza.