Evidence map›Paper›PMID 37807047›Full record

ArticleParasites & vectors2023

Assessment of the diagnostic performance of serological tests in areas where Leishmania infantum and Leishmania tarentolae occur in sympatry.

Roberta Iatta, Mariaelisa Carbonara, Anna Morea, Paolo Trerotoli, Giovanni Benelli, Yaarit Nachum-Biala, Jairo Alfonso Mendoza-Roldan, Maria Alfonsa Cavalera, Gad Baneth, Claudio Bandi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 17 citations in OpenAlex.

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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

12 authors at 5 institutions in 3 countries.

Roberta IattaInterdisciplinary Department of Medicine, University of Bari, Bari, Italy.
Mariaelisa CarbonaraDepartment of Veterinary Medicine, University of Bari Aldo Moro, Valenzano, Italy.
Anna MoreaInterdisciplinary Department of Medicine, University of Bari, Bari, Italy.
Paolo TrerotoliInterdisciplinary Department of Medicine, University of Bari, Bari, Italy.
Giovanni BenelliDepartment of Agriculture, Food and Environment, University of Pisa, Pisa, Italy.
Yaarit Nachum-BialaSchool of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel.
Jairo Alfonso Mendoza-RoldanDepartment of Veterinary Medicine, University of Bari Aldo Moro, Valenzano, Italy.
Maria Alfonsa CavaleraDepartment of Veterinary Medicine, University of Bari Aldo Moro, Valenzano, Italy.
Gad BanethSchool of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel.
Claudio BandiDepartment of Biosciences, Pediatric CRC "Romeo Ed Enrica Invernizzi"-University of Milan, Milan, Italy.
Andrea ZatelliDepartment of Veterinary Medicine, University of Bari Aldo Moro, Valenzano, Italy.
Domenico OtrantoDepartment of Veterinary Medicine, University of Bari Aldo Moro, Valenzano, Italy. domenico.otranto@uniba.it.
University of Bari Aldo Moro · ITHebrew University of Jerusalem · ILBu-Ali Sina University · IRIstituto Nazionale Genetica Molecolare · ITUniversity of Pisa · IT

Funding

EU funding within the Next Generation EU-MUR PNRR Extended Partnership initiative on Emerging Infectious Diseases Project no. PE00000007, INF-ACT
6 · The paper itself

Abstract

backgroundVisceral leishmaniosis caused by infection with the zoonotic protozoan Leishmania infantum is a life-threatening disease affecting dogs and humans. The sympatric occurrence of L. infantum and Leishmania tarentolae in an area of southern Italy endemic for canine leishmaniosis, where dogs are also exposed to the latter species, suggests the persistence of herpetophilic L. tarentolae in a non-permissive host, therefore raising questions about the performance of serological diagnostic tests routinely employed.

methodsThe diagnostic performance of serological tests such as the immunofluorescence antibody test (IFAT), two commercial immunoenzymatic assays (i.e. NovaTec VetLine Leishmania ELISA® and rK39 ICT®) and an in-house enzyme-linked immunosorbent assay (ELISA) was evaluated in healthy dogs seropositive to L. infantum, whereas the only IFAT available was used to detect antibodies to L. tarentolae.

resultsWith the IFAT, out of a total of 104 dogs tested, 15 were seronegative for L. infantum of which three were L. tarentolae seropositive' and 89 were L. infantum seropositive. Of the latter 89 dogs, representing the highest proportion of seropositive animals (85.6%) detected by IFAT' 66 were also seropositive for L. tarentolae. Cohen's kappa (κ) agreement coefficient between the IFAT results and those of all the other tests was very low, and the IFAT results were significantly different from those of all the other serological tests as calculated by Cochran's Q-test. Analysis using the Bayesian latent class (Bayes-LCA) showed that the in-house ELISA and IFAT contributed the most towards identifying infected and non-infected dogs, respectively. The IFAT test showed low positive predictive value (59.5%), but high negative predictive value (100%).

conclusionsThese results demonstrate that the IFAT for L. infantum, although highly sensitive, may not be considered a useful diagnostic test due to its low specificity. Therefore, an accurate serological tool with high specificity is mandatory for avoiding cross-reaction in epidemiological contexts where the two species of Leishmania occur in sympatry.

Indexed as

Dog DiseasesLeishmania infantumLeishmaniasis, VisceralAnimalsAntibodies, ProtozoanBayes TheoremDogsEnzyme-Linked Immunosorbent AssayHumansSensitivity and SpecificitySerologic TestsSympatryAntibodies, ProtozoanCanine leishmaniosisELISAIFATLeishmania spp.PerformanceSerological tests

Identifiers

PMID37807047
PMCPMC10561492
OpenAlexW4387439832

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.