Comparative evaluation of the Rose Bengal plate test, standard tube agglutination test and complement fixation test for the diagnosis of human brucellosis

Rev Sci Tech. 2012 Dec;31(3):979-84. doi: 10.20506/rst.31.3.2175.

Abstract

In this study, 241 serum samples from individuals exposed to brucellosis were subjected to the Rose Bengal plate test (RBPT); the titre was estimated by standard tube agglutination test (STAT), with positive > or = 80 IU/ml. Randomly selected sera (n = 81) were analysed by complement fixation test (CFT): titre > or = 1:4 was considered positive. Of 241 sera subjected to RBPT and STAT, 177 were negative in both tests; 5 samples tested negative by RBPT but positive by STAT. None was positive by RBPT and negative by STAT. Of 81 sera subjected to CFT, 23 (28.4%) were positive. Both RBPT and CFT found 18 samples positive; 5 samples were positive by CFT and negative by RBPT. Comparison of STAT with CFT showed 13 samples positive by STAT but negative by CFT, and 4 positive by CFT but negative by STAT. The sensitivity and specificity of STAT were 82.6% and 77.6%, respectively, with CFT as gold standard. No test is perfect, and the clinical history coupled with a combination of two or more tests will reduce diagnostic errors.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Agglutination Tests / standards*
  • Antibodies, Bacterial / blood
  • Brucella / immunology
  • Brucellosis / diagnosis*
  • Complement Fixation Tests / standards*
  • Cross-Sectional Studies
  • Fluorescent Dyes*
  • Humans
  • Rose Bengal*
  • Sensitivity and Specificity

Substances

  • Antibodies, Bacterial
  • Fluorescent Dyes
  • Rose Bengal