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Improving sensitivity of oral fluid testing in IgG prevalence studies: application of mixture models to a rubella antibody survey

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Gay, N. J., Vyse, A. J., Enquselassie, F., Nigatu, Wondatir and Nokes, D. James. (2003) Improving sensitivity of oral fluid testing in IgG prevalence studies: application of mixture models to a rubella antibody survey. Epidemiology and Infection, Vol.13 (No.2). pp. 285-291. ISSN 0950-2688

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Official URL: http://dx.doi.org/10.1017/S0950268802008051

Abstract

A method for the analysis of age-stratified antibody prevalence surveys is applied to a previously reported survey of antibody to rubella virus using oral fluid samples in which the sensitivity of the assay used was shown to be compromised. The age-specific distribution of the quantitative results of antibody tests using oral fluids is modelled as a mixture of strong positive, weak positive and negative components. This yields maximum likelihood estimates of the prevalence at each age and demonstrates that, when used in conjunction with mixture modelling techniques, the results of antibody prevalence studies using oral fluids accurately reflect those obtained using sera.

Item Type: Journal Article
Subjects: Q Science > QR Microbiology > QR355 Virology
Divisions: Faculty of Science > Life Sciences (2010- ) > Biological Sciences ( -2010)
Library of Congress Subject Headings (LCSH): Rubella virus, Viruses -- Identification, Viruses -- Isolation, Viral antibodies, Viruses -- Research
Journal or Publication Title: Epidemiology and Infection
Publisher: Cambridge University Press
ISSN: 0950-2688
Date: April 2003
Volume: Vol.13
Number: No.2
Page Range: pp. 285-291
Identification Number: 10.1017/S0950268802008051
Status: Peer Reviewed
Access rights to Published version: Restricted or Subscription Access
Funder: Wellcome Trust (London, England)
Grant number: 047413 (Wellcome)
References: 1. Morgan-Capner P, Wright J, Miller C, Miller E. Surveillance of antibody to measles, mumps and rubella by age. B M J 1988; 297: 770–772. 2. Mortimer P, Parry J. Non-invasive virological diagnosis : are saliva and urine specimens adequate substitutes for blood? Rev Med Virol 1991; 1: 73–78. 3. Malamud D. Oral diagnostic testing for detecting human immunodeficiency virus-1 antibodies : a technology whose time has come.AmJ Med 1997;102: 9–14. 4. Vyse A, Brown D, Cohen B, Samuel R, Nokes DJ. Detection of rubella virus-specific immunoglobulin G in saliva by an amplification-based enzyme-linked immunosorbent assay using monoclonal antibody to fluorescein isothiocyanate. J Clin Microbiol 1999; 37: 391–395. 5. Nokes DJ, Nigatu W, Abebe A, et al. A comparison of oral fluid and serum for the detection of rubellaspecific antibodies in a community study in Addis Ababa, Ethiopia. Trop Med Int Health 1997; 3: 258–267. 6. Nokes DJ, Enquselassie F, Vyse A, Nigatu W, Cutts F, Brown D. An evaluation of oral-fluid collection devices for the determination of rubella antibody status in a rural Ethiopian community. Trans Roy Soc Trop Med Hyg 1998; 92: 679–685. 7. Nokes DJ, Enquselassie F, Nigatu W, et al. Has oral fluid the potential to replace serum for the evaluation of population immunity levels ? A study of measles, rubella and hepatitis B in rural Ethiopia. Bull WHO 2001; 79: 588–595. 8. Gay NJ. Analysis of serological surveys using mixture models: application to a survey of parvovirus B19. Stat Med 1996; 15: 1567–1573. 9. Nigatu W, Nokes DJ, Enquselassie F, et al. Detection of measles specific IgG in oral fluid using an FITC/ anti-FITC IgG capture enzyme linked immunosorbent assay (GACELISA). J Virol Meth 1999; 83: 135–144. 10. Parry J, Perry K, Panday S, Mortimer P. Diagnosis of hepatitis A and B by testing saliva. J Med Virol 1989; 28: 255–260. 11. Perry K, Brown D, Parry J, Panday S, Pipkin C, Richards A. Detection of measles, mumps and rubella antibodies in saliva using antibody capture radioimmunoassay. J Med Virol 1993; 40: 235–240. 12. Rice P, Cohen B. A school outbreak of parvovirus B19 infection investigated using salivary antibody assays. Epidemiol Infect 1996; 116: 331–338. 13. Vyse A, Knowles W, Cohen B, Brown D. Detection of IgG antibody to Epstein–Barr virus viral capsid antigen in saliva by antibody capture radioimmunoassay. J Virol Meth 1997; 63: 93–101. 14. Wang J, Adler S. Salivary antibodies to cytomegalovirus (CMV) glycoprotein B accurately predict CMV infections among preschool children. J Clin Microbiol 1996; 34: 2632–2634.
URI: http://wrap.warwick.ac.uk/id/eprint/777

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