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Comparison of three ELISAs for the routine diagnosis of human T-lymphotropic virus infection in a high-prevalence setting in Peru

  • Universidad Peruana Cayetano Heredia, Instituto de Medicina Tropical Alexander von Humboldt
  • Institute of Tropical Medicine
  • Universidad Peruana Cayetano Heredia
  • Katholieke Universiteit Leuven
  • Faculty of Pharmaceutical, Biomedical and Veterinary Sciences
  • Hospital Nacional Cayetano Heredia

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

To compare three human T-lymphotropic virus (HTLV) ELISAs in a high-prevalence setting, we recruited 300 adults: 125 relatives of HTLV-infected subjects and 175 patients with possible diagnoses of HTLV-associated diseases. Sera were tested with Platelia, Murex, and Ortho ELISA. Samples with positive or discordant ELISA underwent confirmatory Inno-Lia testing. Inno-Lia gave 85/300 HTLV-1-positive and 1/300 HTLV-2-positive results. The positive predictive value was 98% for Platelia, and 100% for Murex and Ortho. Six samples had discordant ELISA; Murex gave one false-negative result, Ortho two and Platelia one. In high-prevalence settings, it is recommended to test samples with two ELISAs before considering them HTLV-seronegative.

Original languageEnglish
Pages (from-to)420-422
Number of pages3
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Volume103
Issue number4
DOIs
StatePublished - Apr 2009

Keywords

  • Diagnosis
  • ELISA
  • Human T-lymphotropic virus 1
  • Human T-lymphotropic virus 2
  • Peru
  • Predictive value of tests

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