Enteric Fever:- Part 3 – Typhidot Test for Diagnosis of Typhoid fever
Typhidot Test
What sample is needed for the Typhidot test?
- Venous blood is taken to get the serum.
What is the indication for the typhidot test?
- The main indication is to diagnose Typhoid fever.
What are the positive aspects of the Typhidot Test?
- This test detects antibody IgG and IgM in the patient’s serum.
- The commercial kit manufacturer claims that Typhidot can detect antibodies in the first few days of fever when Widal is negative.
- The Typhidot is easy to perform and requires no special equipment.
- Typhidot will be a useful complementary test to blood culture and the Widal test in typhoid fever diagnosis.
- The widal test is positive after at least 7 to 10 days of Typhoid fever.
How will you perform the typhidot test?
- First, you have to get the patient’s serum.
- Then, add serum 45 µL in the test slots.
- Add buffer solution one drop.
How much is the result accuracy of the Typhidot test?
- This is a rapid test, and accuracy is not clear.
- The Typhidot test gave a sensitivity of 100 percent and specificity of 80 percent when bacteremic patients were analyzed.
- Another study shows the test’s sensitivity and specificity using blood culture as the gold standard were 92.3 % and 98.8 %, respectively, for typhoid fever.
- One study was done in Pakistan.
How will you interpret the Typhidot test result?
Positive line | Interpretation |
IgM | Acute typhoid fever |
IgM + IgG | Acute typhoid fever |
IgG only and IgM (negative) | Past infection |
What are the advantages of the Typhidot test?
- Typhidot is easy to perform.
- There is no need for any equipment.
- There is no need to train the laboratory staff.
- This may be a useful complementary test to the widal test and blood culture.
- NOTE: My personal experience is that widal is still a better option and more reliable than Typhidot because Typhidot false-positive results are very common.
Question 1: What is the difference between Typhidot and widal test?
Question 2: When will the widal test be positive in typhoid fever?