Evidence map›Paper›PMID 30616580›Full record

ArticleBMC infectious diseases2019

Performance of serological tests PGL1 and NDO-LID in the diagnosis of leprosy in a reference Center in Brazil.

André Luiz Leturiondo, Ariani Batista Noronha, Monik Oney Oliveira do Nascimento, Cynthia de Oliveira Ferreira, Fabíola da Costa Rodrigues, Milton Ozório Moraes, Carolina Talhari

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Decoding leprosy: immune response, clinical manifestations and emerging diagnostic approaches.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Review
  6. Article
  7. Article
  8. Challenges and advances in serological and molecular tests to aid leprosy diagnosis.Experimental biology and medicine (Maywood, N.J.) · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. ELISA Test Based on the Phenolic Glycolipid-I (PGL-I) ofPathogens (Basel, Switzerland) · 2022
    Article
  13. Review
  14. Anti-Leishmania IgG is a marker of disseminated leishmaniasis caused by Leishmania braziliensis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  15. Insights intoProteomes · 2021
    Review
  16. Leprosy surveillance study in a highly endemic Brazilian area using leprosy specific serologic tests and IFNγ whole blood assay.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  17. Article
  18. [Leprosy in Amazonas-impressions of the National Leprosy Program].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2020
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

André Luiz LeturiondoPrograma de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil. andre_leturiondo@yahoo.com.br.ORCID http://orcid.org/0000-0002-7202-5579
Ariani Batista NoronhaFundação Alfredo da Matta, Av Codajás 24, Cachoeirinha, Manaus, Amazonas, Brazil.
Monik Oney Oliveira do NascimentoFundação Alfredo da Matta, Av Codajás 24, Cachoeirinha, Manaus, Amazonas, Brazil.
Cynthia de Oliveira FerreiraFundação Alfredo da Matta, Av Codajás 24, Cachoeirinha, Manaus, Amazonas, Brazil.
Fabíola da Costa RodriguesFundação Alfredo da Matta, Av Codajás 24, Cachoeirinha, Manaus, Amazonas, Brazil.
Milton Ozório MoraesLaboratório de Hanseníase, Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Carolina TalhariPrograma de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil.
Fundação de Medicina Tropical · BRFundação Oswaldo Cruz · BRUniversidade Nilton Lins · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of leprosy and multidrug therapy are crucial to achieve zero transmission and zero grade II incapacities goals of World Health Organization. Leprosy is difficult to diagnose because clinical forms vary and there are no gold standard methods to guide clinicians. The serological rapid tests aid the clinical diagnosis and are available for field use. They are easy to perform, do not require special equipment or refrigeration and are cheaper than the molecular tests.

methodsWe evaluated the performance of two rapid serological tests (PGL1 and NDO-LID) in the discrimination of leprosy cases from healthy individuals at the Alfredo da Matta Foundation, a reference center for the disease in Manaus, Amazonas, Brazil. PGL1 and NDO-LID rapid tests are capable of detecting specific antibodies of M. leprae, IgM and IgM/IgG, respectively. A total of 530 healthy subjects and 171 patients (50 with paucibacillary and 121 multibacillary leprosy) were included in the study.

resultsAmong the paucibacillary leprosy patients, the sensitivity was 34.0 and 32.0% for the NDO-LID and PGL1, respectively. In multibacillary leprosy patients, the NDO-LID sensitivity was 73.6% and the PGL1 was 81.0%. Serological tests demonstrated specificities of 75.9% for PGL-1 and 81.7% for NDO-LID. The positive predictive value (PPV), negative predictive value (NPV) and accuracy in multibacillary patients were 47.9, 93.1, and 80.2% respectively for the NDO-LID, and 43.4, 94.6 76.8% for PGL1.

conclusionsThe tests showed limited capacity in the diagnosis of the disease, however, the high negative predictive value of the tests indicates a greater chance of true negatives in this group favoring exclusion of leprosy. This characteristic of the ML flow test is important in aiding clinical Diagnosis, especially in a region endemic to the disease and with other confounding skin conditions.

Indexed as

AdolescentAdultAgedAntibodies, BacterialAntigens, BacterialBrazilCase-Control StudiesChildEarly DiagnosisFemaleGlycolipidsHumansLeprosyLeprosy, MultibacillaryLeprosy, PaucibacillaryMaleAntibodies, BacterialAntigens, BacterialGlycolipidsphenolic glycolipid I, Mycobacterium lepraeAccuracyLeprosyNDO-LIDPGL1Serologic tests

Identifiers

PMID30616580
PMCPMC6322275
OpenAlexW2944263503

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.