{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:18:06Z","timestamp":1790925486656,"version":"4.1.0"},"reference-count":29,"publisher":"American Society for Microbiology","issue":"10","license":[{"start":{"date-parts":[[2010,10,1]],"date-time":"2010-10-01T00:00:00Z","timestamp":1285891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Clin Vaccine Immunol"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:p>\n            The serodiagnosis of\n            <jats:italic>Strongyloides stercoralis<\/jats:italic>\n            infection by enzyme-linked immunosorbent assays based on crude antigen (CrAg-ELISA), while useful, has been limited by the reliance on crude parasite extracts. Newer techniques such as the luciferase immunoprecipitation system assay (LIPS), based on a 31-kDa recombinant antigen (termed NIE) from\n            <jats:italic>S. stercoralis<\/jats:italic>\n            and\/or the recombinant antigen\n            <jats:italic>S. stercoralis<\/jats:italic>\n            immunoreactive antigen (SsIR), or the NIE-ELISA have shown promise in controlled settings. We compared each of these serologic assays in individuals from both regions of the world in which\n            <jats:italic>S. stercoralis<\/jats:italic>\n            is endemic and those in which it is not. A comprehensive stool evaluation (sedimentation concentration, Baermann concentration with charcoal cultures, agar plate, and Harada-Mori) and four different serologic techniques using CrAg-ELISA or recombinant NIE-ELISA as well as LIPS using NIE alone or in combination with a second recombinant antigen (NIE\/SsIR-LIPS) were compared among individuals with parasitologically proven infection (\n            <jats:italic>n<\/jats:italic>\n            = 251) and healthy controls from regions of the world in which the infection is nonendemic (\n            <jats:italic>n<\/jats:italic>\n            = 11). Accuracy was calculated for each assay. The prevalence of\n            <jats:italic>S. stercoralis<\/jats:italic>\n            infection was 29.4% among Argentinean stool samples (\n            <jats:italic>n<\/jats:italic>\n            = 228). Sedimentation concentration and Baermann were the most sensitive stool-based methods. NIE-LIPS showed the highest sensitivity (97.8%) and specificity (100%) of the serologic assays. The calculated negative predictive value was highest for both the NIE-LIPS and CrAg-ELISA (&gt;97%) irrespective of disease prevalence. No cross-reactivity with soil-transmitted helminths was noted. NIE-LIPS compares favorably against the current CrAg-ELISA and stool evaluation, providing additional accuracy and ease of performance in the serodiagnosis of\n            <jats:italic>S. stercoralis<\/jats:italic>\n            infections irrespective of disease prevalence.\n          <\/jats:p>","DOI":"10.1128\/cvi.00259-10","type":"journal-article","created":{"date-parts":[[2010,8,26]],"date-time":"2010-08-26T01:46:09Z","timestamp":1282787169000},"page":"1624-1630","update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":120,"title":["Improved Diagnosis of\n            <i>Strongyloides stercoralis<\/i>\n            Using Recombinant Antigen-Based Serologies in a Community-Wide Study in Northern Argentina"],"prefix":"10.1128","volume":"17","author":[{"given":"Alejandro J.","family":"Krolewiecki","sequence":"first","affiliation":[{"name":"Area de Investigaciones Clinicas, Fundacion Huesped. Pje. Peluffo 3932 (C1202ABB), Buenos Aires, Argentina"},{"name":"Clinical Parasitology Unit and Helminth Immunology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, 4 Center Dr., Building 4, Room B1-05, Bethesda, Maryland 20892"},{"name":"U.S. Centers for Disease Control and Prevention (CDC) Center for Global Health, Division of Parasitic Diseases and Malaria, Parasitic Diseases Branch (CGH\/DPDM\/PDB), 4770 Buford Highway, MS F-36, Atlanta, Georgia 30341"},{"name":"Instituto de Investigaciones en Enfermedades Tropicales, Universidad Nacional de Salta, Sede Regional Ora\u0301n, Alvarado 751 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"},{"name":"Hospital San Vicente de Paul, Pueyrredon 701 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshan","family":"Ramanathan","sequence":"additional","affiliation":[{"name":"Area de Investigaciones Clinicas, Fundacion Huesped. 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Peluffo 3932 (C1202ABB), Buenos Aires, Argentina"},{"name":"Clinical Parasitology Unit and Helminth Immunology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, 4 Center Dr., Building 4, Room B1-05, Bethesda, Maryland 20892"},{"name":"U.S. Centers for Disease Control and Prevention (CDC) Center for Global Health, Division of Parasitic Diseases and Malaria, Parasitic Diseases Branch (CGH\/DPDM\/PDB), 4770 Buford Highway, MS F-36, Atlanta, Georgia 30341"},{"name":"Instituto de Investigaciones en Enfermedades Tropicales, Universidad Nacional de Salta, Sede Regional Ora\u0301n, Alvarado 751 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"},{"name":"Hospital San Vicente de Paul, Pueyrredon 701 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Fink","sequence":"additional","affiliation":[{"name":"Area de Investigaciones Clinicas, Fundacion Huesped. 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Peluffo 3932 (C1202ABB), Buenos Aires, Argentina"},{"name":"Clinical Parasitology Unit and Helminth Immunology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, 4 Center Dr., Building 4, Room B1-05, Bethesda, Maryland 20892"},{"name":"U.S. Centers for Disease Control and Prevention (CDC) Center for Global Health, Division of Parasitic Diseases and Malaria, Parasitic Diseases Branch (CGH\/DPDM\/PDB), 4770 Buford Highway, MS F-36, Atlanta, Georgia 30341"},{"name":"Instituto de Investigaciones en Enfermedades Tropicales, Universidad Nacional de Salta, Sede Regional Ora\u0301n, Alvarado 751 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"},{"name":"Hospital San Vicente de Paul, Pueyrredon 701 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"McAuliffe","sequence":"additional","affiliation":[{"name":"Area de Investigaciones Clinicas, Fundacion Huesped. 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Peluffo 3932 (C1202ABB), Buenos Aires, Argentina"},{"name":"Clinical Parasitology Unit and Helminth Immunology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, 4 Center Dr., Building 4, Room B1-05, Bethesda, Maryland 20892"},{"name":"U.S. Centers for Disease Control and Prevention (CDC) Center for Global Health, Division of Parasitic Diseases and Malaria, Parasitic Diseases Branch (CGH\/DPDM\/PDB), 4770 Buford Highway, MS F-36, Atlanta, Georgia 30341"},{"name":"Instituto de Investigaciones en Enfermedades Tropicales, Universidad Nacional de Salta, Sede Regional Ora\u0301n, Alvarado 751 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"},{"name":"Hospital San Vicente de Paul, Pueyrredon 701 (4530), San Ramo\u0301n de la Nueva Ora\u0301n, Salta, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana P.","family":"Cajal","sequence":"additional","affiliation":[{"name":"Area de Investigaciones Clinicas, Fundacion Huesped. 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