Table 1. Number and percentage of positive test results in parasitology, serology and PCR, according to the status of the participants.
All suspects at inclusion (N = 237) | Non-confirmed suspects (N = 94) | Parasitologically confirmed cases (N = 143) | |||||
N positive | % positive | N positive | % positive | N positive | % positive | ||
Any parasitological technique | 143 | 60.3 | - | - | 143 | 100 | |
Lymph node aspirate† | 56 | 23.6 | - | - | 56 | 39.2 | |
Capillary tube centrifugation‡ | 66 | 28.5 | - | - | 66 | 47.5 | |
mAECT-WB | 115 | 48.5 | - | - | 115 | 80.4 | |
mAECT-BC | 130 | 54.9 | - | - | 130 | 90.9 | |
CSF examination¥ in CCC or MSC | 26 | 11.0 | - | - | 26 | 18.2 | |
Any PCR | 224 | 94.5 | 87 | 92.6 | 137 | 95.8 | |
PCR - filter paper | |||||||
INRB | duplicate 1 | 92 | 38.8 | 11 | 11.7 | 81 | 56.6 |
duplicate 2 | 157 | 66.2 | 47 | 50.0 | 110 | 76.9 | |
ITM | duplicate 1 | 147 | 62.0 | 32 | 34.0 | 115 | 80.4 |
duplicate 2 | 139 | 58.7 | 30 | 31.9 | 109 | 76.2 | |
PCR - GE-buffer | |||||||
INRB | duplicate 1 | 146 | 61.6 | 21 | 22.3 | 125 | 87.4 |
duplicate 2 | 172 | 72.6 | 55 | 58.5 | 117 | 81.8 | |
ITM | duplicate 1 | 147 | 62.0 | 22 | 23.4 | 125 | 87.4 |
duplicate 2 | 146 | 61.6 | 18 | 19.2 | 128 | 89.5 | |
Serology | |||||||
CATT blood titration end titer (≥4) | 214 | 90.3 | 75 | 79.8 | 139 | 97.2 | |
Trypanolysis (LiTat 1.3) | 173 | 73.0 | 38 | 40.4 | 135 | 94.4 |
Not done in 128 cases as LNA cannot be applied on suspects without swollen lymph nodes (included in the analysis as not positive).
Not done in 5 cases (result missing in the analysis).
CTC can be done on every suspect, therefore, for the denominator the number of suspects examined was taken, assuming that the positivity rate in the 5 missing suspects is not different from the positivity rate in the examined suspects.
Not done in 84 cases as lumbar puncture, for ethical reasons, is not done on all suspects (included in the analysis as not positive).
CCC = cell counting chamber, MSC = modified single centrifugation; mAECT = mini Anion Exchange Centrifugation Technique, BC = buffy coat, WB = whole blood, CSF = cerebrospinal fluid, GE-buffer = guanidine-hydrochloride EDTA buffer.