TY - JOUR KW - Antigens, Bacterial KW - Enzyme-Linked Immunosorbent Assay KW - Humans KW - leprosy KW - Mycobacterium tuberculosis KW - Penicillinase KW - Predictive Value of Tests KW - Tuberculosis, Meningeal KW - Tuberculosis, Pulmonary AU - Sood J AU - Gupta O P AU - Narang P AU - Cheirmaraj K AU - Reddy M V AU - Harinath B C AB -

Stick sandwich enzyme linked immunosorbent assay (ELISA) using rabbit anti PPD-RT 23 immunoglobulins and enzyme penicillinase has been explored for detection of tubercular antigen in sera and CSF samples of pulmonary tuberculosis and tubercular meningitis (TBM) respectively. The analysis of sera showed 73.3% of pulmonary tuberculosis cases, 16.2% of healthy controls and 44.4% of Hansen's disease positive for tubercular antigen. The accuracies of positive and negative predictive values were 69% and 82% respectively. The analysis of CSF samples showed the presence of tubercular antigen in 76.4% of TBM, 16.6% of pyogenic meningitis cases, 19.4% of neurological diseases other than meningitis and 16.1% non-neurological disease controls. The accuracies of positive and negative predictive values were 48% and 94% respectively. Hence this simple test using economical and indigenous reagents can be applied for the diagnosis of pulmonary and extra-pulmonary tuberculosis.

BT - The Journal of communicable diseases C1 - http://www.ncbi.nlm.nih.gov/pubmed/1812161?dopt=Abstract DA - 1991 Sep IS - 3 J2 - J Commun Dis LA - eng N2 -

Stick sandwich enzyme linked immunosorbent assay (ELISA) using rabbit anti PPD-RT 23 immunoglobulins and enzyme penicillinase has been explored for detection of tubercular antigen in sera and CSF samples of pulmonary tuberculosis and tubercular meningitis (TBM) respectively. The analysis of sera showed 73.3% of pulmonary tuberculosis cases, 16.2% of healthy controls and 44.4% of Hansen's disease positive for tubercular antigen. The accuracies of positive and negative predictive values were 69% and 82% respectively. The analysis of CSF samples showed the presence of tubercular antigen in 76.4% of TBM, 16.6% of pyogenic meningitis cases, 19.4% of neurological diseases other than meningitis and 16.1% non-neurological disease controls. The accuracies of positive and negative predictive values were 48% and 94% respectively. Hence this simple test using economical and indigenous reagents can be applied for the diagnosis of pulmonary and extra-pulmonary tuberculosis.

PY - 1991 SP - 173 EP - 7 T2 - The Journal of communicable diseases TI - Penicillinase ELISA for detection of tubercular antigen in tuberculosis. VL - 23 SN - 0019-5138 ER -