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Comparison between treponemal and non-treponemal tests for syphilis detection

Authors: Verónica, Aguaiza; Rosa F, Chiriboga-Ponce;

Comparison between treponemal and non-treponemal tests for syphilis detection

Abstract

Syphilis detection has traditionally relied on non-treponemal tests for screening followed by confirmation with a treponemal test, an algorithm implemented worldwide.To evaluate the performance of treponemal and non-treponemal tests in the effective detection of syphilis among blood donors.A cross-sectional study was conducted with 384 samples, initially reactive for syphilis by non-treponemal tests (VDRL). All samples were retested by VDRL, ELISA, CLIA, and FTA-ABS, the latter as a confirmatory test. We calculated kappa coefficients to establish agreement between tests and determine performance indices for each assay.We identified agreement between non-treponemal and treponemal tests. Concordance between VDRL and ELISA was 78.8% and between CLIA and VDRL was of 76% (p < 0.005). The concordance between ELISA and CLIA was 83%. When comparing the results of treponemal and non-treponemal tests with FTA-ABS, concordance rates ranged from 44.2% to 61.9%. Performance indices showed that non-treponemal and treponemal tests exhibit sensitivity values between 89.70% and 99.39%. The positive predictive value was higher for the CLIA test (95.27%), whereas the highest false-positive rate was observed for the VDRL test (94.52%).The samples analyzed were reactive from the outset, which could interfere with the measurement parameters. However, they provided valuable information to evaluate the implemented algorithms.

Keywords

Male, Adult, Enzyme-Linked Immunosorbent Assay, Blood Donors, Middle Aged, Sensitivity and Specificity, Antibodies, Bacterial, Syphilis Serodiagnosis, Cross-Sectional Studies, Humans, Female, Syphilis, Treponema pallidum, Algorithms

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold