Multi-Country Evaluation of the Sensitivity and Specificity of Two Commercially-Available NS1 ELISA Assays for Dengue Diagnosis
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  • {"files"=>["https://ndownloader.figshare.com/files/832565"], "description"=>"<p>Shown are the sensitivities (±95% CI) of kits Pan-E and Platelia assays from six Asian and Latin-American countries in 1385 patients with a laboratory confirmed diagnosis of dengue (A) and sensitivities in the subgroup of 933 patients confirmed by PCR or viral isolation (B).</p>", "links"=>[], "tags"=>["kits", "pan-e"], "article_id"=>502912, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.g002", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sensitivity_of_kits_Pan_E_and_Platelia_/502912", "title"=>"Sensitivity of kits Pan-E and Platelia.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2010-08-31 00:48:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/833054"], "description"=>"<p>*RSV (Respiratory Syncitial Virus).</p>", "links"=>[], "tags"=>["pan-e", "platelia", "assays", "sera"], "article_id"=>503395, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t007", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_NS1_results_as_determined_by_Kit_Pan_E_and_Platelia_assays_in_control_sera_panels_/503395", "title"=>"NS1 results as determined by Kit Pan-E and Platelia assays in control sera panels.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:56:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/832876"], "description"=>"a<p>Percentages and absolute numbers (in brackets) of identified DENV serotypes by country.</p>", "links"=>[], "tags"=>["serotype", "stratification"], "article_id"=>503226, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t004", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Geographical_and_serotype_stratification_of_the_study_population_/503226", "title"=>"Geographical and serotype stratification of the study population.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:53:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/833129"], "description"=>"<p>AFRIMS - Armed Forces Research Institute of Medical Sciences, IPK - Instituto de Medicina Tropical “Pedro Kouri”.</p><p>*AFRIMS laboratory network in Asia.</p><p>**Member of the Tropical Disease Research –Pediatric Dengue Vaccine Initiative network of proficiency tested laboratories for dengue diagnostic evaluation.</p>", "links"=>[], "tags"=>["laboratories", "performing", "diagnostic", "patients", "enrolled", "denco"], "article_id"=>503459, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_List_of_laboratories_performing_diagnostic_testing_for_the_patients_enrolled_in_the_DENCO_study_/503459", "title"=>"List of laboratories performing diagnostic testing for the patients enrolled in the DENCO study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:57:39"}
  • {"files"=>["https://ndownloader.figshare.com/files/832931"], "description"=>"<p>*Samples from 1273 patients with a confirmed dengue diagnosis between day of illness 1 to 7.</p><p>**Percentage of positives IgM samples plus positive NS1 samples of the IgM negative samples in the total tested samples.</p><p>***Percentages of IgM positive in total samples collected in the first four days (38%), days 5–7 (48%) and total (41%).</p>", "links"=>[], "tags"=>["detection", "platelia", "assay", "igm"], "article_id"=>503284, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t005", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_NS1_detection_kit_Platelia_assay_only_in_relation_to_IgM_status_and_day_of_illness_/503284", "title"=>"NS1 detection (kit Platelia assay only) in relation to IgM status and day of illness.<sup>*</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:54:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/833184"], "description"=>"<p>*For each test validated local protocols were used at each site. Serology results are based on IgM and IgG Capture ELISA of acute and convalescent specimens except where indicated.</p><p>**Four laboratories employed the RT/PCR protocol described by Lanciotti, et al., 1992 <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0000811#pntd.0000811-Lanciotti1\" target=\"_blank\">[20]</a>, one employed the protocols by Kong et al., 2006, J Virol Methods and Yong et al., 2007 Singaporean Med J <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0000811#pntd.0000811-Kong1\" target=\"_blank\">[22]</a>, <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0000811#pntd.0000811-Yong1\" target=\"_blank\">[23]</a>,and the other the protocol by Laue et al., . J Clin Microbiol 1999 <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0000811#pntd.0000811-Laue1\" target=\"_blank\">[21]</a>. All laboratories employed MAC-ELISA. One laboratory employed Inhibition ELISA Method for IgG study while other four used GAC-ELISA. HI: hemagglutination inhibition assay was done in one laboratory (WHO recommendations were followed) <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0000811#pntd.0000811-WHO2\" target=\"_blank\">[30]</a>.</p>", "links"=>[], "tags"=>["employed", "dengue", "classification", "confirmed"], "article_id"=>503522, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t002", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Laboratory_criteria_employed_at_country_level_for_dengue_laboratory_classification_as_confirmed_dengue_case_/503522", "title"=>"Laboratory criteria employed at country level for dengue laboratory classification as confirmed dengue case.<sup>*</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:58:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/833244"], "description"=>"<p>*Number of DENV-positive samples by virus isolation or RT-PCR and serotype determined.</p>", "links"=>[], "tags"=>["denv"], "article_id"=>503598, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t003", "stats"=>{"downloads"=>1, "page_views"=>41, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_NS1_sensitivity_in_the_context_of_DENV_serotype_/503598", "title"=>"NS1-sensitivity in the context of DENV serotype.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:59:58"}
  • {"files"=>["https://ndownloader.figshare.com/files/832469"], "description"=>"<p>Flow chart summarising multi-country enrolment of dengue patients and basis for the final dataset.</p>", "links"=>[], "tags"=>["summarising", "multi-country", "enrolment", "dengue", "patients"], "article_id"=>502807, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.g001", "stats"=>{"downloads"=>0, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_chart_summarising_multi_country_enrolment_of_dengue_patients_and_basis_for_the_final_dataset_/502807", "title"=>"Flow chart summarising multi-country enrolment of dengue patients and basis for the final dataset.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2010-08-31 00:46:47"}
  • {"files"=>["https://ndownloader.figshare.com/files/414744", "https://ndownloader.figshare.com/files/414810"], "description"=>"<div><h3>Background</h3><p>Early diagnosis of dengue can assist patient triage and management and prevent unnecessary treatments and interventions. Commercially available assays that detect the dengue virus protein NS1 in the plasma/serum of patients offers the possibility of early and rapid diagnosis.</p><h3>Methodology/Principal Findings</h3><p>The sensitivity and specificity of the Pan-E Dengue Early ELISA and the Platelia™ Dengue NS1 Ag assays were compared against a reference diagnosis in 1385 patients in 6 countries in Asia and the Americas. Platelia was more sensitive (66%) than Pan-E (52%) in confirmed dengue cases. Sensitivity varied by geographic region, with both assays generally being more sensitive in patients from SE Asia than the Americas. Both kits were more sensitive for specimens collected within the first few days of illness onset relative to later time points. Pan-E and Platelia were both 100% specific in febrile patients without evidence of acute dengue. In patients with other confirmed diagnoses and healthy blood donors, Platelia was more specific (100%) than Pan-E (90%). For Platelia, when either the NS1 test or the IgM test on the acute sample was positive, the sensitivity versus the reference result was 82% in samples collected in the first four days of fever. NS1 sensitivity was not associated to disease severity (DF or DHF) in the Platelia test, whereas a trend for higher sensitivity in DHF cases was seen in the Pan-E test (however combined with lower overall sensitivity).</p><h3>Conclusions/Significance</h3><p>Collectively, this multi-country study suggests that the best performing NS1 assay (Platelia) had moderate sensitivity (median 64%, range 34–76%) and high specificity (100%) for the diagnosis of dengue. The poor sensitivity of the evaluated assays in some geographical regions suggests further assessments are needed. The combination of NS1 and IgM detection in samples collected in the first few days of fever increased the overall dengue diagnostic sensitivity.</p></div>", "links"=>[], "tags"=>["multi-country", "specificity", "commercially-available", "ns1", "elisa", "assays", "dengue"], "article_id"=>141880, "categories"=>["Cancer", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0000811.s001", "https://dx.doi.org/10.1371/journal.pntd.0000811.s002"], "stats"=>{"downloads"=>17, "page_views"=>24, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Multi_Country_Evaluation_of_the_Sensitivity_and_Specificity_of_Two_Commercially_Available_NS1_ELISA_Assays_for_Dengue_Diagnosis/141880", "title"=>"Multi-Country Evaluation of the Sensitivity and Specificity of Two Commercially-Available NS1 ELISA Assays for Dengue Diagnosis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2010-08-31 00:31:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/832986"], "description"=>"<p>*As indicated by the former WHO classification into DF and DHF/DSS for patients with NS1 test result and clinical classification available (N = 1051 for Platelia and 678 for Pan-E).</p><p>**LAC (Latin-American countries), SEA (Asian countries).</p><p>***N/positive NS1; % ; (95% CI).</p>", "links"=>[], "tags"=>["platelia", "pan-e", "geographic"], "article_id"=>503332, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.t006", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sensitivity_of_Kit_Platelia_and_Pan_E_by_geographic_region_and_disease_severity_/503332", "title"=>"Sensitivity of Kit Platelia and Pan-E by geographic region and disease severity.<sup>*</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-08-31 00:55:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/832721"], "description"=>"<p>(<b>A</b>) Shown is the sensitivity (±95% CI) of kits Pan-E and Platelia by day of illness in four Asian countries (N = 728 -kit Pan-E; N = 1152 -kit Platelia) amongst patients with a laboratory confirmed diagnosis of dengue where the acute sera were collected between day 2 and day 6 of illness. (<b>B</b>) Shown is the sensitivity (±95% CI) of kits Pan-E and Platelia in the first four days of illness in two Latin American countries (N = 93 -kit Pan-E; N = 90 -kit Platelia) amongst patients with a laboratory confirmed diagnosis of dengue where the acute sera were collected between day 2 and day 4 of illness. Data is presented for those days of illness with > = 40 observations respectively.</p>", "links"=>[], "tags"=>["infectious diseases/neglected tropical diseases", "infectious diseases/tropical and travel-associated diseases", "infectious diseases/viral infections", "virology/diagnosis", "virology/emerging viral diseases"], "article_id"=>503058, "categories"=>["Infectious Diseases", "Virology", "Medicine"], "users"=>["Maria G. Guzman", "Thomas Jaenisch", "Roger Gaczkowski", "Vo Thi Ty Hang", "Shamala Devi Sekaran", "Axel Kroeger", "Susana Vazquez", "Didye Ruiz", "Eric Martinez", "Juan C. Mercado", "Angel Balmaseda", "Eva Harris", "Efren Dimano", "Prisca Susan A. Leano", "Sutee Yoksan", "Elci Villegas", "Herminia Benduzu", "Iris Villalobos", "Jeremy Farrar", "Cameron P. Simmons"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000811.g003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_NS1_sensitivity_by_day_of_illness_/503058", "title"=>"NS1 sensitivity by day of illness.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2010-08-31 00:50:58"}

PMC Usage Stats | Further Information

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Relative Metric

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