Table 3.
Test | Sensitivity and specificity | Remarks |
Stool smear | 30% sensitivity for single stool sample[35] | Simple test but insensitive |
Agar plate culture | 90% sensitivity[28] | Sensitive and simple |
But needs 2 d for results | ||
Health hazard to lab workers | ||
Serologic tests | ||
IFAT | IFAT: 97% sensitivity and 98% specificity[29] | Cross reactivity except with LIPS |
ELISA | ELISA: 93% sensitivity and 95% specificity[30] | Inability to differentiate past and current infection |
LIPS | LIPS: 97% sensitivity and 100% specificity[32] | Expensive |
Molecular tests | ||
PCR | PCR: 99%-100% sensitivity and 15%-100% specificity[34] | Low specificity with low parasite burden |
Expensive | ||
LAMP | Not widely available |
ELISA: Enzyme Linked Immunosorbent Assay; IFAT: Indirect immunofluorescence antibody test; LAMP: Loop-mediated isothermal amplification; LIPS: Immunoprecipitation system; PCR: Polymerase chain reaction.