title: Assessment of the Rose-Bengal plate test for the diagnosis of human brucellosis in health facilities in Narok district, Kenya.
abstract: The Rose-Bengal plate test (RBPT) was performed on 488 patients with flu-like symptoms from Narok district. There was poor agreement between RBPT results from four health facilities in Narok and from the central veterinary laboratory (CVL). Agreement was poorer for the three rural dispensaries than for the District Hospital. On the other hand, for tests conducted at the CVL, there was good agreement between RBPT, serum agglutination test (SAT) and complement fixation test (CFT) results, indicating that all these tests were probably performing well. Better training and quality control and the use of white rather than a clear background surface for judging agglutination results are recommended to improve the performance of test results in Narok District health facilities.
authors.affiliation: Kenya Trypanosomiasis Research Institute, Kikuyu, Kenya.
authors.forename: M W
authors.initials: MW
authors.lastname: Maichomo
authors.forename: J J
authors.initials: JJ
authors.lastname: McDermott
authors.forename: S M
authors.initials: SM
authors.lastname: Arimi
authors.forename: P B
authors.initials: PB
authors.lastname: Gathura
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000372:Agglutination Tests; D002006:Brucellosis / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D003168:Complement Fixation Tests; D005260:Female; D005456:Fluorescent Dyes; D006767:Hospitals, District; D006801:Humans; D007223:Infant; D007630:Kenya; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012395:Rose Bengal; D019035:Rural Health Services; D012680:Sensitivity and Specificity
chemical_list: D005456:Fluorescent Dyes; D012395:Rose Bengal