Evaluation of two IgM rapid immunochromatographic tests during circulation of Asian lineage Chikungunya virus.
Chikungunya is an emerging viral disease, which is clinically difficult to distinguish from dengue. Current laboratory methods to diagnose chikungunya infection, such as virus isolation, RT-PCR and ELISA, are not readily available in many clinical settings. In order to provide a rapid and easy method for the diagnosis of chikungunya infection, rapid immunochromatographic tests to detect chikungunya IgM have recently become commercially available. The sensitivity and specificity of the OnSite Chikungunya IgM Rapid Test-Cassette and the SD Bioline CHIK IgM rapid test were evaluated in comparison to a capture ELISA. The sensitivity of the OnSite test was 20.5% while its specificity was 100%. The sensitivity of the SD Bioline test was 50.8% while its specificity was 89.2%. The sensitivity of the SD Bioline test increased with increasing CHIK IgM titers and with days of onset in samples collected before day 21 of illness. Increasing the reading time from the manufacturer's suggested time of 10 to 20 minutes significantly increased the sensitivity of the SD Bioline test to 68.2%, but did not significantly change its specificity.
Viral Diseases Program, United States Naval Medical Research Unit 2, Jakarta, Indonesia.
Herman
H
Kosasih
Susana
S
Widjaja
Edwin
E
Surya
Sri H
SH
Hadiwijaya
Deni P R
DP
Butarbutar
Ungke A
UA
Jaya
Nurhayati
Bachti
B
Alisjahbana
Maya
M
Williams
D018354:Alphavirus Infections / Q000175:diagnosis* / Q000276:immunology*; D065632:Chikungunya Fever; D002646:Chikungunya virus / Q000276:immunology*; D002845:Chromatography; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis*; D007158:Immunologic Techniques / Q000379:methods*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity
D007075:Immunoglobulin M