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March 1, 1962Journal of HygieneOpen Access

A precipitin test for acute poliomyelitis and for assessing antibody response to oral poliovaccine

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Key result

The precipitin test using non-infectious antigens correctly identified 100% of 50 patients with acute poliomyelitis while remaining negative in all control subjects.

Why the study?

Does a precipitin test accurately diagnose acute poliomyelitis and assess antibody response to oral poliovaccine?

Population

50 patients with acute poliomyelitis, 240 schoolchildren who received monovalent oral poliovaccine 4.5…

Comparison

Precipitin test using potent non-infectious… vs Neutralizing antibody tests in monkey-kidney…

Design

Cross-sectional

Follow-up

Up to 7 weeks post-vaccination for students

Authors

GSGolda SelzerState University of New YorkMBMargaret Butchart

Discussion

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Implication

Supports diagnostic potential of precipitin testing; hypothesis-generating and requires prospective validation before clinical adoption.

Study Design

Type

Observational (n=401)

Multicenter

No

Structured PICO

Does a precipitin test accurately diagnose acute poliomyelitis and assess antibody response to oral poliovaccine?

P
Population
401 individuals, including 50 patients with acute poliomyelitis, 90 medical students, 240 schoolchildren, and 21 controls, evaluated for poliovirus precipitins and neutralizing antibodies in South Africa.
E
Exposure
Precipitin test using potent non-infectious antigens (agar gel Ouchterlony tests)
C
Comparator
Neutralizing antibody tests in monkey-kidney tissue culture
O
Outcome
Positive precipitin test results (sharpness and intensity of precipitation bands)surrogate

Main Result

Absolute Event Rate: 100% vs 0%

The precipitin test is a rapid, effective diagnostic tool for acute poliomyelitis and for assessing recent antibody response to oral poliovaccine.

Limitations

  • Negative or weakly positive results may occur in the very earliest stage of acute poliomyelitis (within 8 days of onset).
  • Precipitins are transient compared to neutralizing antibodies, limiting long-term retrospective diagnosis.

Cite This Study

Selzer et al. (1962) conducted an observational in Acute poliomyelitis (n=401). Precipitin test using non-infectious poliovirus antigens vs. Controls without poliomyelitis was evaluated on Positive precipitin test for acute poliomyelitis. The precipitin test using non-infectious antigens correctly identified 100% of 50 patients with acute poliomyelitis while remaining negative in all control subjects.

synapsesocial.com/papers/6a98008f48723bb28e3678behttps://doi.org/10.1017/s0022172400039310
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1POLIOVIRUS PRECIPITINS1957 · 33 citations
  2. 2Studies on poliomyelitis virus. Concentration and purification of the virus1957 · 23 citations
  3. 3PROPERTIES AND BEHAVIOR OF ORALLY ADMINISTERED ATTENUATED POLIOVIRUS VACCINE1957 · 172 citations
  4. 4MODIFICATION OF THE HOMOTYPIC SPECIFICITY OF POLIOMYELITIS COMPLEMENT-FIXING ANTIGENS BY HEAT1956 · 40 citations
  5. 5PREPARATION AND STANDARDIZATION OF ANTISERUMS PREPARED WITH THE THREE KNOWN TYPES OP POLIOMYELITIS VIRUSES121954 · 25 citations