Evidence map›Paper›PMID 39734221›Full record

ArticleParasites & vectors2024

Comparison of ELISA and IFAT for Leishmania infantum by European and Middle Eastern diagnostic laboratories.

Kurayi G Mahachi, Marie Ozanne, Patrick Bourdeau, Juliana Sarquis, Eric Kontowicz, Laia Solano-Gallego, Luis Cardoso, Gaetano Oliva, Gad Baneth, Maria Grazia Pennisi and 4 more

Abstract readComparative Study
In one paragraph

Article in Parasites & vectors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Targeted Molecular Screening ofInternational journal of molecular sciences · 2026
    Article
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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

14 authors.

Kurayi G MahachiCollege of Public Health, University of Iowa, Iowa City, IA, USA.
Marie OzanneDepartment of Mathematics and Statistics, Mount Holyoke College, South Hadley, MA, USA.
Patrick BourdeauÉcolecole Nationale Vétérinaire, Agroalimentaire et de l'Alimentation, Nantes-Atlantique (ONIRIS), Nantes, France.
Juliana SarquisAnimal Health Department, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.
Eric KontowiczCollege of Public Health, University of Iowa, Iowa City, IA, USA.
Laia Solano-GallegoLeishVet Association, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.
Luis CardosoLeishVet Association, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain. lcardoso@utad.pt.
Gaetano OlivaLeishVet Association, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.
Gad BanethLeishVet Association, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.
Maria Grazia PennisiLeishVet Association, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.
Angela M ToeppSentara Healthcare, Eastern Virginia Medical School, Norfolk, VA, USA.
Guadalupe MiróLeishVet Association, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.
Margaret CarrelCollege of Public Health, University of Iowa, Iowa City, IA, USA.
Christine A PetersenCollege of Public Health, University of Iowa, Iowa City, IA, USA.

Funding

Alteration of skin immune environment by sand fly saliva across progressive LeishmaniasisR01AI171971 · NIAID · UNIVERSITY OF IOWA · PI Christine A Petersen · 2022 to 2026
$3.0M
Epidemic modeling framework for complex, multi-species disease processesR01TW010500 · FIC · UNIVERSITY OF IOWA · PI OLESON, JACOB, PETERSEN, CHRISTINE A · 2016 to 2020
$2.4M
FIC NIH HHS R01 TW010500NIAID NIH HHS R01 AI171971
6 · The paper itself

Abstract

backgroundVisceral leishmaniosis (VL) is the most severe form of human leishmaniosis, with an estimated 95% case fatality if left untreated. Dogs act as peridomestic reservoir hosts for the protozoan parasite Leishmania infantum, a causative agent for human leishmaniosis, endemic throughout the Mediterranean basin. To assure consistent and accurate surveillance of canine infection and prevent transmission to people, consistent diagnosis of canine L. infantum infection across this region is essential for protecting both human and animal health. Our goal was to compare the accuracy, sensitivity and specificity of enzyme-linked immunosorbent assays (ELISA) and immunofluorescence antibody tests (IFAT), performed at seven academic veterinary diagnostic centres across southern Europe and Israel.

methodsWe performed a known sample "ring" trial to compare L. infantum quantitative serological tests. Two hundred seventy-two (n = 272) canine serum samples of known serological status were chosen from these sites, representative of the region. In-house or commercial ELISA and IFAT were performed according to each laboratory's specifications. Latent Class Analysis (LCA) was used to determine sensitivity and specificity of each test. True and false positives were calculated to determine the probability of identifying samples.

resultsSensitivity and specificity for ELISA ranged from 95 to 99% and 92% to 97%, respectively, with moderate variability from one site. Sensitivity and specificity for IFAT ranged from 89 to 99% and 83% to 94%, respectively, with increased variability compared to ELISA. Overall test agreement was 78% with a pair-wise agreement between 65 and 89%.

conclusionsAll sites demonstrated substantial comparative diagnostic accuracy, with good agreement based on known seropositive and seronegative samples. Studies and interventional trials that use these tests will remain valid because of high diagnostic agreement between sites.

Indexed as

Antibodies, ProtozoanDog DiseasesEnzyme-Linked Immunosorbent AssayLeishmania infantumLeishmaniasis, VisceralSensitivity and SpecificityAnimalsDogsEuropeFluorescent Antibody Technique, IndirectHumansIsraelAntibodies, ProtozoanDogsEnzyme-linked immunosorbent assayEpidemiologyImmunofluorescence antibody testLatent Class AnalysisLeishmaniaLeishmaniosisOne HealthSerology

Identifiers

PMID39734221
PMCPMC11684067

What OpenQuestion holds

Textmetadata
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.