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. 2015 Jun;15(2):360-7.
doi: 10.4314/ahs.v15i2.8.

Evaluation of the diagnostic performance and operational characteristics of four rapid immunochromatographic syphilis tests in Burkina Faso

Fadima Yaya Bocoum  1 , Henri Ouédraogo  2 , Grissoum Tarnagda  2 , Alice Kiba  3 , Simon Tiendrebeogo  2 , Fabrice Bationo  2 , Benjamin Liestman  4 , Serge Diagbouga  2 , Christina Zarowsky  5 , Ramata Ouédraogo Traoré  6 , Séni Kouanda  2
Affiliations

Evaluation of the diagnostic performance and operational characteristics of four rapid immunochromatographic syphilis tests in Burkina Faso

Fadima Yaya Bocoum et al. Afr Health Sci. 2015 Jun.

Abstract

Background and objective: Little information is available on the rapid diagnostic testing for syphilis in Burkina Faso. The objectives of the study were (i) to assess the sensitivity and specificity of four on site rapid tests in comparison with Treponema pallidum haemagglutination assay (TPHA) as a gold standard and (ii) to evaluate the operational characteristics of those tests among health workers in a maternity unit.

Methods: Four rapid syphilis tests commercially available in Burkina Faso were evaluated using archived serum samples and Treponema pallidum hemagglutination assay (TPHA) as the gold standard. Blood samples were collected between November 2011 and June 2012 from blood donors at the Regional Blood Transfusion Center of Ouagadougou. The sensitivity and specificity of the tests were calculated. Evaluation of operational characteristics such as clarity of pamphlet, complexity of technique, duration, was conducted in a first-level healthcare center with health workers in maternity unit.

Results: Alere DetermineTM Syphilis was the most sensitive of the four rapid syphilis tests evaluated. It was followed by SD Bioline Syphilis 3.0, Cypress Diagnostics Syphilis Quick test and Accu-Tell ® Rapid Anti-TP, which was the least sensitive. The four tests demonstrated a good diagnostic specificity for syphilis (95-98%), and healthcare workers found them easy to use.

Conclusions: The study allowed confirming the good performance of three of four rapid syphilis tests in Burkina Faso. More research will be conducted to assess the feasibility of introducing selected rapid tests for syphilis in antenatal care services.

Keywords: Burkina Faso; performance; rapid test; syphilis.

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References

    1. WHO, author. The global elimination of congenital syphilis: rationale and strategy for action. Geneva: WHO; 2007. WHO.
    1. Chico RM, Mayaud P, Mabey D, Ronsmans C. Prevalence of Malaria and Sexually Transmitted and Reproductive Tract Infections in Pregnancy in Sub-Saharan Africa A Systematic Review. JAMA. 2012;307(19):2079–2086. - PubMed
    1. Kirakoya-Samadoulougou F, Defer M-C, Yaro S, Fao P, Ilboudo F, Langani Y, et al. Low seroprevalence of syphilis in Burkina Faso. Sex Transm Infect [Internet] 2011 Feb;87(1):35–37. [cited 2013 Jan 15];Available from: http://www.ncbi.nlm.nih.gov/pubmed/20693149. - PubMed
    1. Sombie I, Meda N, Cartoux M, Tiendrébéogo S, Ouangre A, Yaro S, et al. Seroprevalence of syphilis among women attending urban antenatal clinics in Burkina Faso, 1995–8. Sex Transm Infect [Internet] 2000 Aug 1;76(4):314–316. [cited 2013 Jan 16]; Available from: http://sti.bmj.com/cgi/doi/10.1136/sti.76.4.314. - DOI - PMC - PubMed
    1. Saloojee H, Velaphi S, Goga Y, Afadapa N, Steen R, Lincetto O. The prevention and management of congenital syphilis: an overview and recommendations. Bull World Heal Org [Internet] 2004 Jun;82(6):424–430. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2622853&tool=p.... - PMC - PubMed

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