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http://dx.doi.org/10.3347/kjp.2014.52.5.493

A New IgG Immunoblot Kit for Diagnosis of Toxoplasmosis in Pregnant Women  

Khammari, Imen (Research Unit, UR12SP34, Farhat Hached University Hospital)
Saghrouni, Fatma (Research Unit, UR12SP34, Farhat Hached University Hospital)
Lakhal, Sami (Research Laboratory of Medical Parasitology, Biotechnology and Biomolecules, LR 11 IPT06 Pasteur Institute of Tunis)
Bouratbine, Aida (Research Laboratory of Medical Parasitology, Biotechnology and Biomolecules, LR 11 IPT06 Pasteur Institute of Tunis)
Said, Moncef Ben (Research Unit, UR12SP34, Farhat Hached University Hospital)
Boukadida, Jalel (Research Unit, UR12SP34, Farhat Hached University Hospital)
Publication Information
Parasites, Hosts and Diseases / v.52, no.5, 2014 , pp. 493-499 More about this Journal
Abstract
The determination of the accurate immune status of pregnant women is crucial in order to prevent congenital toxoplasmosis. Equivocal results with conventional serological techniques are not uncommon when IgG titers are close to the cut-off value of the test, so that a confirmatory technique is needed. For this purpose, we developed a homemade immunoblot (IB) using soluble extract of Toxoplasma gondii tachyzoites and assessed it by testing 154 positive, 100 negative, and 123 equivocal sera obtained from pregnant women. In order to select the more valuable bands in terms of sensitivity and specificity, we used the Youden Index (YI). The highest YIs were those given by the 32, 36, 98, 21, and 33 bands. The simultaneous presence on the same blot of at least 3 bands showed a much higher YI (0.964) and was adapted as the positivity criterion. The analysis of results showed that our homemade IB correlated well with the commercial LDBIO Toxo II $IgG^{(R)}$ kit recently recommended as a confirmatory test (96.7% of concordance).
Keywords
Toxoplasma gondii; toxoplasmosis; serodiagnosis; immunoblot; soluble tachyzoite antigen;
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