Performance of Immunodiagnostic Tests for Typhoid Fever: A Systematic Review and Meta-Analysis

Abstract

Typhoid fever, also known as typhoid, is a life-threatening bacterial infection that remains a global health concern. The infection is associated with a significant morbidity and mortality rate, resulting in an urgent need for specific and rapid detection tests to aid prevention and management of the disease. The present review aims to assess the specificity and sensitivity of the available literature on the immunodiagnostics of typhoid fever. A literature search was conducted using three databases (PubMed, ProQuest and Scopus) and manual searches through the references of identified full texts to retrieve relevant literature published between 1 January 2011 and 31 December 2020. Of the 577 studies identified in our search, 12 were included in further analysis. Lipopolysaccharides (LPS) and hemolysin E (HlyE) were the most frequently studied antigens. The specimens examined in these studies included serum and saliva. Using blood culture as the gold standard, anti-LPS IgA gave the highest sensitivity of 96% (95% CI: 93–99) and specificity of 96% (95% CI: 93–99) for distinguishing between typhoid cases and healthy controls, whereas the combination of anti-LPS and anti-flagellin total IgGAM gave the highest sensitivity of 93% (95% CI: 86–99) and specificity of 95% (95% CI: 89–100) for distinguishing typhoid cases and other febrile infections. A comparably high sensitivity of 92% (95% CI: 86–98) and specificity of 89% (95% CI: 78–100) were shown in testing based on detection of the combination of anti-LPS (IgA and IgM) and anti-HlyE IgG as well as a slightly lower sensitivity of 91% (95% CI: 74–100) in the case of anti-50kDa IgA. Anti-50kDa IgM had the lowest sensitivity of 36% (95% CI: 6–65) against both healthy and febrile controls. The development of a rapid diagnostic test targeting antibodies against lipopolysaccharides combined with flagellin appeared to be a suitable approach for the rapid detection test of typhoid fever. Saliva is added benefit for rapid typhoid diagnosis since it is less invasive. As a result, further studies could be done to develop additional approaches for adopting such samples.

TYPHOIDYNE : Microspot Multi-Antigen Arrays Enzyme Immunoassay - The synergistic effects of species-specific and genus conserved antigens towards an improved definitive and differential diagnosis of typhoid fever

“…Various serological tests have been reported in literature using speci c antigenic protein for the diagnosis of typhoid fever. However, the performance of the tests was inadequate and the positive predictive value of these tests are the major drawbacks in diagnosis of typhoid fever 22 . These previous reports have revealed the immunodiagnostic gap which led to under and inaccurate diagnosis of typhoid fever.…”

A Comparative Study of the Performance of Typhoid Diagnostic Tests among Suspected Patients at the University of Cape Coast Hospital, Ghana

“…Studies have shown that the presence of antibodies in blood does not always correlate with bacteraemia. Antibodies are known to persist in the body for several months, even years, posing a challenge in distinguishing between acute and chronic infections [29]. A study that looked at antibody decay profiles, found that IgG antibodies could persist in blood for over a year, whilst IgM levels appeared to decline after 3 to 4 months [30].…”

Salmonella infections: an Update, Detection and Control Strategies

“…It showed moderate sensitivity and specificity of 56-84% and 31-97% respectively [62]. None of them yielded satisfactory results when tested in high-burden countries [64]. Although cheap and simple, clinicians in lowresource endemic settings should cautiously rely on them as early diagnostic tools.…”