2013
DOI: 10.1111/tmi.12089
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Bayesian modelling to estimate the test characteristics of coprology, coproantigen ELISA and a novel real‐time PCR for the diagnosis of taeniasis

Abstract: Abstractobjective To estimate and compare the performances of coprology, copro-Ag ELISA and real-time polymerase chain reaction assay (copro-PCR) for detection of Taenia solium tapeworm carriers.methods The three diagnostic tests were applied on 817 stool samples collected in two Zambian communities where taeniasis is endemic. A Bayesian approach was used to allow estimation of the test characteristics. Two (0.2%; 95% Confidence Interval (CI): 0-0.8), 67 (8.2%; 95% CI: 6.4-10.3) and 10 (1.2%; 95% CI: 0.5-2.2) … Show more

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Cited by 73 publications
(78 citation statements)
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“…Recently, Bayesian modeling was used to estimate and compare the performances of microscopy, coproantigen ELISA, and multiplex realtime PCR for the detection of Taenia carriers by using stool samples (n ϭ 871) collected in two Zambian communities where the disease is endemic. Specificities were 99.9%, 92.0%, and 99.0% and sensitivities were 82.5%, 84.5%, and 82.7% for microscopy, ELISA, and PCR, respectively (402). In a study comparing LAMP and a conventional multiplex PCR based on the cox1 sequence using 43 known positive fecal samples, LAMP was more sensitive than PCR, 88.4% and 37.2%, respectively (403).…”
Section: Cestodesmentioning
confidence: 99%
“…Recently, Bayesian modeling was used to estimate and compare the performances of microscopy, coproantigen ELISA, and multiplex realtime PCR for the detection of Taenia carriers by using stool samples (n ϭ 871) collected in two Zambian communities where the disease is endemic. Specificities were 99.9%, 92.0%, and 99.0% and sensitivities were 82.5%, 84.5%, and 82.7% for microscopy, ELISA, and PCR, respectively (402). In a study comparing LAMP and a conventional multiplex PCR based on the cox1 sequence using 43 known positive fecal samples, LAMP was more sensitive than PCR, 88.4% and 37.2%, respectively (403).…”
Section: Cestodesmentioning
confidence: 99%
“…It is particularly significant when atypical forms are found, which are not differentiable from other species under the microscope. There are many studies in which researches use or compare different methods for identification and differentiation of T. solium from other species (4,6,7,15). It seems molecular tools can be considered as the methods of final differentiation of suspicious samples.…”
Section: Discussionmentioning
confidence: 99%
“…51 In addition, diagnostic tools such as coprology, coproantigen ELISA, and molecular methods (such as polymerase chain reactions) vary widely in their performance in identification of taeniasis cases (with or without accompanying cysticercosis). 52 Coprology methods struggle with sensitivity and species identification; this is especially problematic in SEA where sympatric infections with other Taenia species are common. Coproantigen method is usually only specific to the genus level, although species-specific assays for T. solium have been developed.…”
Section: Diagnostic Methods and Impact On Epidemiologymentioning
confidence: 99%