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Sensitivity and specificity of the Leishmania OligoC-TesT and NASBA-oligochromatography for diagnosis of visceral leishmaniasis in Kenya

  • Frank L. Basiye
  • , Margaret Mbuchi
  • , Charles Magiri
  • , George Kirigi
  • , Stijn Deborggraeve
  • , Gerard J. Schoone
  • , Alfarazdeg A. Saad
  • , Sayda el-Safi
  • , Enock Matovu
  • , Monique K. Wasunna
  • Kenya Medical Research Institute
  • Institute of Tropical Medicine Antwerp
  • KU Leuven
  • Royal Tropical Institute
  • University of Khartoum
  • Makerere University

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To estimate the sensitivity and specificity of the OligoC-TesT and nucleic acid sequence-based amplification coupled to oligochromatography (NASBA-OC) for molecular detection of Leishmania in blood from patients with confirmed visceral leishmaniasis (VL) and healthy endemic controls from Kenya. Methods: Blood specimens of 84 patients with confirmed VL and 98 endemic healthy controls from Baringo district in Kenya were submitted to both assays. Results: The Leishmania OligoC-TesT showed a sensitivity of 96.4% (95% confidence interval [CI]: 90-98.8%) and a specificity of 88.8% (95% CI: 81-93.6%), while the sensitivity and specificity of the NASBA-OC were 79.8% (95% CI: 67-87%) and 100% (95% CI: 96.3-100%), respectively. Conclusion: Our findings indicate high sensitivity of the Leishmania OligoC-TesT on blood while the NASBA-OC is a better marker for active disease. © 2010 Blackwell Publishing Ltd.
Original languageEnglish
Pages (from-to)806-810
JournalTropical Medicine and International Health
Volume15
Issue number7
DOIs
Publication statusPublished - Jul 2010
Externally publishedYes

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