the resource for testing of leptospirosis on site
TRANSCRIPT
The resource for testing of Leptospirosis
On site
• Caused by bacteria leptospires: long, thin, motile spirochetes maintained in the genital and urinary tract
• Characterized by Weil’s in 1886
• Also known as infectious jaundice
• Animals are the natural host
• The infection is often wrongly diagnosed due to the wide range of symptoms.
• Wrong diagnosis leads to potentially fatal infections of the kidney, liver, brain,
lung or heart
Leptospirosis
A Global Infection
Annual rates of leptospira infection
0.02 per 100,000 population in temperate climates 100 to 500 times increased rate in tropical climates
Associated with heavy rainfall or flooding
Low
High
Transmitted to humans by direct exposure with urine or
tissue of an infected animal:
Transmission Route
Rodents RacconsOopossumsCattleSwineDogsHorsesBuffaloesSheepGoats
Leptospirosis Does Not Discriminate the Rich & Poor
Risk of Exposure
Outdoor laborers /animal workers:
• farmers• mine workers • sewer workers • slaughter house workers • veterinarians • animal caretakers • fish workers • military personnel
Outdoor sporting in contaminated lakes & rivers:
• camping• swimming • kayaking• rafting
A recreational hazardAn occupational hazard
Leptospirosis Prevention
Vaccinate your pets to protect them and your family members against this disease
Avoid contact with animal urine or body fluids, particularly with any open wounds
Do not swallow, swim or walk in water that may contain animal urine
Wear protective clothing or footwear near soil or water that may be contaminated with
animal urine
Leptospirosis Course
2 days – 4 wks In 2nd week
Common Symptoms of Leptospirosis
• High fever • Headache • Chills • Muscle aches • Vomiting • Jaundice • Red eyes • Abdominal Pain • Diarrhea • Rash
Leptospirosis Complications If not diagnosed and treated
• Ards • Azotemia • Meningitis • Extreme fatigue • Hemorrhage• Hearing loss• Respiratory distress • Pulmonary hemorrhage • Hepatomegaly• Weil's disease (liver and renal failure)• Fatality rate is 1 to 5%! Hepatomegaly
Leptospirosis Treatment
A curable Infection!
• Can be treated with antibiotics such as Doxycycline or Penicillin
• Treatment is most effective when started promptly
people with symptoms suggestive of leptospirosis should contact a health care
provider for an on site rapid test
The Threat of Leprospirosis Phase I
Flu like symptoms2-4 weeks
Phase II
severe complications in 2 weeks
Life threatenin
g!
Show false recovery for a whilemisdiagnosed Not seek medical care
An Early & Differential Diagnosis Is Required!
Diseases Resembling Leptospirosis
Middle to high severity symptoms
differentiation from
Dengue fever Other hemorrhagic fevers
Other fevers Hepatitis
Viral meningitis Malaria
Typhoid fever
Light symptoms
differentiation from
Influenza
other related viral diseases
Current Leptospirosis Diagnostics• Epidemiologic history History of contact with stagnant contaminated water or rodents
• MAT as gold standard to detect antibodies limited to reference institutes, large panel of the leptospria are required to make the test reagent; Positive result 10–12 days after the first clinical symptoms and signs
• Urine, blood, CSF culture The median time for positive result is from 3 weeks to 3 months; Useless for diagnosis, but is commonly used in research.
• PCR Early, accurate diagnosis, but expensive and is commonly used in research
• Serology antibody test Positive results seen in 5-10 days after infection, commonly used
CTK Leptospirosis Test Kit OnSite Leptospira IgG /IgM Combo Rapid Test
• Detects IgG and IgM in one test device• Can use serum, plasma & whole blood• Simple procedure, result in 15 minutes• Requires minimal training without equipment • The most sensitive rapid test kit on market
CE !
OnSite Leptospira IgG /IgM Combo Test Window
1 drop of specimen 1 drop of sample diluent Result
Catalog: R0101C
OnSite Leptospira IgG/IgM Combo Kit CE !
Test Result Interpretation
OnSite Leptospira IgG/IgM Combo Kit
Negative IgM Positive IgG Positive IgM+G Positive
No infection Fresh early Re-infection Current Infection Infection late stage infection
OnSite Leptospira IgG /IgM Combo kit Performance
• Sensitivity and Specificity
• Stability Stable for 4 months at 45°C Stable for 18 months at 2-30°C
Test Sensitivity Specificity
OnSite IgM 40%-90% 90-99 %
OnSite IgG 90%-100% 90-99 %
Competitors 28% - 48% 90-99 %
Simple, cost effective on site screening test to indicate for leptospira infection
CTK Leptospira Differential Test kitsCTK OnSite Rapid Test Kits Major Symptoms CE Status
OnSite influenza A/B Rapid test Headache, muscle ache
CE
OnSite Hepatitis A, B, C and E Rapid Test Fever, jaundices N/A
OnSite Malaria Ab and Ag Rapid Test Chill, fever, headache
CE
OnSite Dengue IgG/IgM and Ag Rapid Test
Fever, headachemuscle ache
CE
OnSite CHIK IgM Rapid Test Fever, headache CE
OnSite Flariasis IgG/IgM Rapid Test Fever CE
OnSite Rotavirus Ag Rapid Test Fever, vomiting diarrhea
CE
OnSite Typhoid IgG/IgM Rapid Test Fever, vomiting diarrhea
CE
Leptospirosis - Final Message• Infectious disease caused by leptospires
• Transmitted to humans by direct exposure to urine or tissue of an infected animal.
• Typically progresses through two phases of nonspecific symptoms.
• Pets may also be at risk of contracting leptospirosis.
• Treated with antibiotics and it is rarely fatal if treated promptly.
For early, cost effective, differential diagnosis
Ask for OnSite Leptospira IgG/IgM Combo test kit!
For Onsite leptospira Test Kit Information
Local distributor
[email protected] [email protected]@[email protected]@[email protected] San Diego, CA 92121, USA
CTK contact information: