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Table 2 Leptospirosis prevalence estimates among study population (n = 147) at three enrolling hospitals, Sarawak, Malaysia, according to various diagnostic tests employed. Participants were defined as having leptospirosis if at least two out of three serological tests were found to be positive and/or molecular evidence of Leptospira was identified in either participant sera or urine

From: Leptospirosis infections among hospital patients, Sarawak, Malaysia

Diagnostic type

Kapit Hospital n (%)

Sarikei Hospital

n (%)

Sibu Hospital n (%)

Total

n (%)

Sera

 Leptorapide RDT*

35/102 (34.3)

12/24 (50.0)

15/21 (71.4)

62/147 (42.2)

 MAT

2/31 (6.5)

6/14 (42.3)

7/14 (50.0)

15/59 (25.4)

 ELISA assay

14/102 (13.7)

3/24 (12.5)

5/21 (23.8)

22/147 (15.0)

 qPCR

16/102 (15.7)

3/23 (13.0)

1/21 (4.8)

20/145 (13.8)

Urine

 Leptorapide RDT*

32/100 (32.0)

4/22 (18.2)

7/19 (36.8)

43/141 (30.5)

 qPCR

19/100 (19.0)

8/22 (36.4)

6/19 (31.6)

33/141 (23.4)

Leptospirosis-positive participants

34/102 (33.3)

9/24 (37.5)

12/21 (57.1)

55/147 (37.4)

  1. * Rapid diagnostic test: Leptorapide latex agglutination test (Linnodee, Ltd., Antrim, Northern Ireland). Microagglutination testing, as carried out by the Institute for Medical Research reference lab in Kuala Lumpur, Malaysia, only partial results available. Leptospira IgM ELISA assay (PanBio, Queensland, Australia)