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Title: [Evaluation of the Widal test for diagnosing typhoid fever in Lebanon]. Author: Hamze M, Naboulsi M, Vincent P. Journal: Pathol Biol (Paris); 1998 Oct; 46(8):613-6. PubMed ID: 9871933. Abstract: Typhoid fever is a major public health problem in developing countries. In Lebanon, where the sanitary infrastructure was severely damaged during the civil war, the high prevalence of typhoid fever creates a pressing need for a rapid and reliable diagnostic tool. To evaluate the diagnostic usefulness of the Widal test, patients with a positive blood culture for Salmonella typhi (n = 78) were compared to controls with fever due to another infection (n = 65) and with blood donors (n = 96). Discrimination between the patient group and the two control groups was best when an agglutinin O titer of 1/160 or more was used. With this cutoff, sensitivity was 67.9%; specificity was 93.8% versus the febrile controls and 100% versus the blood donors. These results suggest that despite its well-known limitations the Widal test remains a valuable tool for typhoid fever control in many developing countries.[Abstract] [Full Text] [Related] [New Search]