Dogs are considered the main reservoir of Leishmania infantum.
This protozoan causes visceral leishmaniasis (VL), an uncontrolled urban
zoonosis in Brazil. Serological tests and polymerase chain reaction (PCR) on
peripheral blood were performed to identify infected dogs in scenarios of higher
and lower prevalence of the disease (Teresina and
Vitória). One-hundred infected and 57
non-infected animals from Teresina and 100 non-infected animals from
Vitória were studied. Animal selection was
not dependent on previous serology. The sensitivity (Teresina) and specificity
(Teresina and Vitória) were as follows:
indirect antibody fluorescence (IFAT) cut-off of 1:40 (IFAT 1:40): 96%, 18%, and
76%; IFAT 1:80: 90%, 33%, and 93%; direct agglutination test (DAT): 96%, 33%,
and 98%; fast agglutination screening test (FAST): 93%, 68%, and 100%;
immunochromatographic assay with a recombinant rK39 antigen (rK39): 88%, 74%,
and 98%; enzyme linked immunosorbent assay (ELISA): 91%, 79%, and 98%; rapid
dual-path platform test (TR DPP®): 98%, 60%, and 98%; and blood PCR:
29%, 93%, and 97%, respectively. In the high transmission area, none of the
tests adequately discriminated L. infantum-infected from
non-infected dogs. However, in the high transmission city, the area under the
receiver operating characteristic (ROC) curve of FAST, DAT, ICrK39, ELISA and TR
DPP® was high.