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14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference:<br />

Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.<br />

Please note that the official publication of the <strong>International</strong> Journal of <strong>Infectious</strong> Diseases 2010, Volume 14, Supplement 1<br />

is available electronically on http://www.sciencedirect.com<br />

Final Abstract Number: 75.013<br />

Session: Diagnostics<br />

Date: Friday, March 12, 2010<br />

Time: 12:30-13:30<br />

Room: <strong>Poster</strong> & Exhibition Area/Ground Level<br />

Type: <strong>Poster</strong> Presentation<br />

Diagnostic value of Elisa serological test using synthetic peptides of Mycobacteriun tuberculosis<br />

antigens in childhood tuberculosis<br />

D. LOPEZ 1 , F. GIAMPRIETO 2 , J. DE WAARD 2 , M. A. Patarroyo 3 , C. Fernandez de Larrea 4 , Z.<br />

Araujo 5<br />

1 JM DE LOS RIOS HOSPITAL, CARACAS, DISTRITO CAPITAL, Venezuela, 2 INSTITUTO DE<br />

BIOMEDICINA, CARACAS, DISTRITO CAPITAL, Venezuela, 3 Fundación Instituto de<br />

Inmunología de Colombia, Bogotá, Colombia, 4 Servei d’Hematologia. Hospital Clínic de<br />

Barcelona, Barcelona, Spain, 5 Instituto de Biomedicina, Universidad Central de Venezuela, 4043,<br />

D.C., Venezuela<br />

Background: One study was conducted to evaluate the efficacy of ELISA serological test <strong>for</strong> the<br />

detection of IgG antibodies against ESAT-6 synthetic peptides and the recombinant ESAT-6<br />

antigen (rESAT-6).<br />

Methods: The study was carried out on children with pulmonary tuberculosis and healthy controls<br />

(13 cases and 63 controls). In<strong>for</strong>med consents of their parents or guardians were taken. They<br />

were subjected to clinical examination, relevant laboratory investigations, tuberculin test<br />

(epidemiological link with confirmed case), chest radiograph and therapeutic positive test.<br />

Relevant body fluids (sputum and gastric fluid) were subjected to biochemical test adenosine<br />

deaminase (ADA) and bacteriological tests (Lowëstein-Jensen (LJ) and Ziehl Neelson (ZN)) and<br />

PCR. Sera samples were analyzed <strong>for</strong> antibodies against 5 ESAT-6 synthetic peptides (12033,<br />

12034, 12035, 12036 and 12037) and rESAT-6. The Utility of these methods was evaluated using<br />

receiver operating characteristic curve (ROC) analysis.<br />

Results: ELISA test using ESAT-6 peptide (anti-12036) showed a significantly higher sensitivity<br />

(100%) than ADA, LJ medium culture method and ZN staining and PCR tests (30% ADA, 0% ZN<br />

staining, 0% LJ culture and 12.5% PCR) in all patients (p < 0.001). ADA biochemical test was<br />

highly specific (100%), followed by anti-12033 test (95.2%). Anti-rESAT-6 showed been lowly<br />

sensible and specific.<br />

Conclusion: In view of the convenience, low cost and high sensitivity and specificity, the ELISA<br />

tests using a combination of ESAT-6 peptides could have a promising future in the diagnosis of<br />

childhood tuberculosis.

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