Table 1

Comparison of various diagnostic tests used for typhoid detection

TestSensitivitySpecificityOther details
TUBEX® TF69–7178% (95% CI 71–85%)87% (95% CI 82–91%)Colorimetric assay—detects IgM directed against Salmonella Typhi O9 lipopolysaccharide antigen
Test-It Typhoid69–7169% (95% CI 59–78%)90% (95% CI 78–93%)Lateral flow assay IgM antibodies against S. Typhi O antigen
Typhidot69–7184% (95% CI 73–91%)79% (95% CI 70–87%).Detects specific IgM and IgG antibodies against the 50 kDa bacterial outer membrane protein (OMP)
TPtesta6896.0% (95% CI: 87.1–99.8%)96.6% (95% CI: 90.7–99.2%)Utilizes circulating IgA antibodies against the bacteria using ELISA
Widal test7273.5 (95% CI: 60.9–86.1%)75.7% (Range: 13.8–98%)Detects IgM and IgG antibodies, against O (surface polysaccharide) antigen and H (flagellar) antigen
TestSensitivitySpecificityOther details
TUBEX® TF69–7178% (95% CI 71–85%)87% (95% CI 82–91%)Colorimetric assay—detects IgM directed against Salmonella Typhi O9 lipopolysaccharide antigen
Test-It Typhoid69–7169% (95% CI 59–78%)90% (95% CI 78–93%)Lateral flow assay IgM antibodies against S. Typhi O antigen
Typhidot69–7184% (95% CI 73–91%)79% (95% CI 70–87%).Detects specific IgM and IgG antibodies against the 50 kDa bacterial outer membrane protein (OMP)
TPtesta6896.0% (95% CI: 87.1–99.8%)96.6% (95% CI: 90.7–99.2%)Utilizes circulating IgA antibodies against the bacteria using ELISA
Widal test7273.5 (95% CI: 60.9–86.1%)75.7% (Range: 13.8–98%)Detects IgM and IgG antibodies, against O (surface polysaccharide) antigen and H (flagellar) antigen

The table compares the performance of common serological tests for the diagnosis of enteric fever from endemic areas

aEvaluated only in a small number of studies

Table 1

Comparison of various diagnostic tests used for typhoid detection

TestSensitivitySpecificityOther details
TUBEX® TF69–7178% (95% CI 71–85%)87% (95% CI 82–91%)Colorimetric assay—detects IgM directed against Salmonella Typhi O9 lipopolysaccharide antigen
Test-It Typhoid69–7169% (95% CI 59–78%)90% (95% CI 78–93%)Lateral flow assay IgM antibodies against S. Typhi O antigen
Typhidot69–7184% (95% CI 73–91%)79% (95% CI 70–87%).Detects specific IgM and IgG antibodies against the 50 kDa bacterial outer membrane protein (OMP)
TPtesta6896.0% (95% CI: 87.1–99.8%)96.6% (95% CI: 90.7–99.2%)Utilizes circulating IgA antibodies against the bacteria using ELISA
Widal test7273.5 (95% CI: 60.9–86.1%)75.7% (Range: 13.8–98%)Detects IgM and IgG antibodies, against O (surface polysaccharide) antigen and H (flagellar) antigen
TestSensitivitySpecificityOther details
TUBEX® TF69–7178% (95% CI 71–85%)87% (95% CI 82–91%)Colorimetric assay—detects IgM directed against Salmonella Typhi O9 lipopolysaccharide antigen
Test-It Typhoid69–7169% (95% CI 59–78%)90% (95% CI 78–93%)Lateral flow assay IgM antibodies against S. Typhi O antigen
Typhidot69–7184% (95% CI 73–91%)79% (95% CI 70–87%).Detects specific IgM and IgG antibodies against the 50 kDa bacterial outer membrane protein (OMP)
TPtesta6896.0% (95% CI: 87.1–99.8%)96.6% (95% CI: 90.7–99.2%)Utilizes circulating IgA antibodies against the bacteria using ELISA
Widal test7273.5 (95% CI: 60.9–86.1%)75.7% (Range: 13.8–98%)Detects IgM and IgG antibodies, against O (surface polysaccharide) antigen and H (flagellar) antigen

The table compares the performance of common serological tests for the diagnosis of enteric fever from endemic areas

aEvaluated only in a small number of studies

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