Longitudinal Seroepidemiologic Study of Visceral Leishmaniasis in Hyperendemic Regions of Bihar, India

We conducted a seroepidemiologic study of visceral leishmaniasis (VL) in hyperendemic communities in Bihar, India, to determine its seroprevalence. A direct agglutination test (DAT) and rK39 antigen strip test were used as serologic tests. Capillary blood samples were collected on filter papers from...

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Veröffentlicht in:The American journal of tropical medicine and hygiene 2009-03, Vol.80 (3), p.345-346
Hauptverfasser: Gidwani, Kamlesh, Kumar, Rajiv, Rai, Madhukar, Sundar, Shyam
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container_title The American journal of tropical medicine and hygiene
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creator Gidwani, Kamlesh
Kumar, Rajiv
Rai, Madhukar
Sundar, Shyam
description We conducted a seroepidemiologic study of visceral leishmaniasis (VL) in hyperendemic communities in Bihar, India, to determine its seroprevalence. A direct agglutination test (DAT) and rK39 antigen strip test were used as serologic tests. Capillary blood samples were collected on filter papers from 870 healthy persons (574 and 296 from households with or without VL, respectively). Of these persons, 230 (26.43%) were positive by DAT (titer > or =1:1,600) and 120 (13.79%) were positive by the rK39 antigen strip test. During a two-year follow-up, 25 persons developed VL; 1 and 8 persons were positive by the rK39 strip test and DAT, respectively, and 1 was positive by both tests. Fifteen (2.57%) persons who were seronegative at baseline also developed VL. Disease occurred more among persons living in the same household (24 of 25). However, there was no significant difference in disease conversion among children (5-15 years of age) and adults (> 15 years of age). Seropositivity among asymptomatic persons is not a predictor for development of VL.
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source MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Agglutination Tests
Antibodies, Protozoan - blood
Biological and medical sciences
Child
Child, Preschool
Endemic Diseases
Female
Human protozoal diseases
Humans
India - epidemiology
Infectious diseases
Leishmaniasis, Visceral - epidemiology
Leshmaniasis
Longitudinal Studies
Male
Medical sciences
Parasitic diseases
Protozoal diseases
Seroepidemiologic Studies
title Longitudinal Seroepidemiologic Study of Visceral Leishmaniasis in Hyperendemic Regions of Bihar, India
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