Allen C. ChengSharon J. PeacockDirek LimmathurotsakulGumphol WongsuvanWirongrong ChierakulPremjit AmornchaiNongluk GetchalaratWipada ChaowagulNicholas J. WhiteNicholas P.J. DayVanaporn WuthiekanunMahidol UniversityMenzies School of Health ResearchSappasitthiprasong HospitalNuffield Department of Clinical MedicineGeelong Hospital2018-08-202018-08-202006-01-01Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.100, No.1 (2006), 64-67003592032-s2.0-28244439143https://repository.li.mahidol.ac.th/handle/20.500.14594/23380A prospective study was performed to compare a rapid immunochromogenic cassette test (ICT) with the indirect haemagglutination assay (IHA) and clinical rules for the diagnosis of melioidosis in an endemic area. The sensitivity and specificity of the IgG ICT was 86% and 47%, and the IgM ICT was 82% and 47%, respectively. These were similar to the results for IHA (sensitivity 73%, specificity 64%) and clinical rules (73% and 37%). ICT lacks clinical utility as a result of high background rates of positive Burkholderia pseudomallei serology in this population. Low sensitivity and specificity of clinical rules is consistent with the protean manifestations of melioidosis and clinical difficulty in identifying patients with melioidosis. © 2005 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.Mahidol UniversityImmunology and MicrobiologyMedicineArticleSCOPUS10.1016/j.trstmh.2005.04.019