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Table 4 Demonstration of peste des petits ruminants diagnostic spectrum and prototype assays undergoing development

From: Paradigm shift in the diagnosis of peste des petits ruminants: scoping review

Diagnostic technique

Reliability

References

Strengths

Limitation (s)

Tentative diagnosis

Less costly

Unreliable due to presence of PPR related diseases

[73, 109]

Virus culture and isolation

Discerns active infections

High overhead cost

[77, 79, 110]

Virus neutralisation test (VNT)

It is specific and able to discern PPRV exposure

Cannot be used as DIVA test

[53, 111]

Agar gel immunodiffusion (AGID)

Simple and cheap

Low sensitive and is affected by prozone effect

[94, 112]

Counter-immunoelectrophoresis (CIE)

The test is fast, simple and cheap

Not free from prozone effect

[94, 112]

Enzyme-linked immunosorbent assays (ELISA)

Suitable for routine diagnosis on large scale

Low sensitive compared to PCR

[95, 96, 113,114,115]

Haemagglutination (HA) test

Simple to perform and it is inexpensive

Non-specific

[116,117,118]

Haemagglutination inhibition (HAI) test

Fast and relatively easy to perform and easy to standardise

Works best with human blood group‘‘O’’

[119, 120]

Immuno-peroxidase test

Test is easy to perform

Test is less sensitive compared to RT-PCR

[109]

Fluorescent antibody test (FAT)

The test is highly specific and able to detect active infection

High overhead cost and impracticable in the field setting

[116]

Immunofiltration test

Pen-side test and serves to screen large sample size

Less sensitive compared to ELISA

[105]

Immunochromatographic test

Rapid and does not require instrumentation

Less sensitive compared to IC-ELISA

[26]

Luciferase immunoprecipitation system tests

Highly sensitive for sero-surveillance

Not DIVA test

[121]

Pseudotype-based assays

No need of sophisticated facility

Technically demanding test

[122]

Quantum dots-lateral flow immunoassay strips

Very rapid test and highly sensitive

Limited to previous exposure

[27]

Surface Plasmon resonance-biosensor

Ultrasensitive diagnostic tools

Expensive and technically demanding

[123, 124]

Reverse transcription polymerase chain reaction (PCR)

Highly sensitive and accurate

High maintenance cost

[97, 125]

Reverse transcription loop-mediated isothermal amplification

Highly sensitive, cheap and rapid for pen-side test

Requires many primers

[29]

Microarray

It allows multiple virus screening

Less sensitive compared to PCR

[21, 126]

Reverse transcription recombinase polymerase amplification

Point of care diagnostics following miniaturisation

Sensitivity is low compared to RT-PCR

[32, 127]

Sequencing platforms

Highly accurate for aetiologic agents confirmation

Costly and require expertise

[128,129,130]

Oxford nanopore MinION sequencers

Rapid and accurate for genomic surveillance in field settings

Requires extra efforts for monitoring signal to noise ratio in base detection

[33, 129]