01542nas a2200253 4500000000100000008004100001260001300042653002600055653003800081653001100119653001200130653002500142653002000167100001200187700001100199700002200210245010200232856005100334300001200385490000700397050001500404520085500419022001401274 2003 d c2003 Sep10aAntibodies, Bacterial10aEnzyme-Linked Immunosorbent Assay10aHumans10aleprosy10aMycobacterium leprae10aSerologic Tests1 aOskam L1 aSlim E1 aBührer-Sékula S00aSerology: recent developments, strengths, limitations and prospects: a state of the art overview. uhttps://leprosyreview.org/article/74/3/19-6205 a196-2050 v74 aOSKAM 20033 a
Specific antibodies can be used as a surrogate marker for bacterial load in leprosy. Tests to detect antibodies can be used for (i) the classification of patients for treatment purposes [most multibacillary (MB) patients are seropositive, most paucibacillary (PB) patients are not], (ii) the prediction of an increased risk of relapse and (iii) the identification of contacts having an increased risk of developing leprosy. With the advent of fast, robust and easy to perform serological tests such as lateral flow, agglutination and card tests, the application of serology in the field for these purposes becomes a feasible prospect. We hereby present an overview of the current knowledge and new developments in this area and discuss the strengths, limitations and possible applications of antibody detection in leprosy research and control.
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