Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1



Comparative evaluation of slide agglutination and Widal tube agglutination test in detecting enteric fever among patients attending a tertiary care hospital in North India

Noor Jahan, Razia Khatoon, Amrita, Sudhir Mehrotra, Swatantra Kumar.

Abstract
Background: Enteric fever is a major public health problem with significant morbidity and mortality in developing countries. Although, isolation of causative organism from blood is the standard laboratory method, but due to frequent use of self-medication by patients, and its long turnaround time, it is seldom used, and enteric fever is usually diagnosed by using serological methods. Widal tube agglutination test is the standard serological test used, which is now a days replaced by slide agglutination test due to its convenience and rapidity. The present study was done to comparatively evaluate the slide agglutination and Widal tube agglutination test in detecting enteric fever.
Methods: A hospital based cross-sectional study was done from January to June 2016. A total of 117 patients with clinical presentation suggestive of enteric fever were included in the study whose venous blood was collected and serum was tested by both slide agglutination and Widal tube agglutination test.
Results: Out of 117 patients, slide agglutination test showed positive results in 39 (33.3%) samples, whereas, Widal tube agglutination test showed positive results in 23 (19.7%) samples only. The slide test had a sensitivity of 91.3%, specificity of 80.9%, positive predictive value of 53.8% and negative predictive value of 97.4% as compared to Widal tube agglutination test.
Conclusions: Due to high false positivity shown by slide test, it is suggested that serological diagnosis should not be made solely on the basis of slide test rather its results should be confirmed by using Widal tube agglutination test.

Key words: Enteric fever, Slide agglutination test, Widal tube agglutination test, Sensitivity, Specificity



Share this Article


Advertisement
Journal of Contemporary Medical Education

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons