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Peer reviewedOpen accessRubellaMeaslesCongenital rubella syndrome

Assessment of Commercial Lateral Flow Immunoassays for Rubella IgM Detection in Serum Samples

International Journal of Infectious Diseases·

Patrick Reteng, Regina Brunnhoefer, Emilie Charpentier, Judith M. Hübschen

DOI
10.1016/j.ijid.2026.109057
PMID
42604651
PMCID
OpenAlex
W7203572948
Study type
Journal article
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

These rapid platforms could enable decentralized screening in regions lacking advanced laboratory infrastructure, provided that positive outcomes undergo confirmatory testing.

01

Structured evidence summary

Research question

The study investigates the diagnostic performance of commercially available lateral flow immunoassays for detecting rubella-specific IgM antibodies.

Study design

An in vitro comparative evaluation was conducted using a standardized serum panel alongside two established enzyme immunoassays as reference standards.

Population and setting

The analysis utilized a controlled laboratory serum panel comprising diluted controls and pooled samples rather than a clinical patient cohort.

Main findings

The majority of evaluated rapid tests demonstrated markedly reduced analytical sensitivity compared to reference methods, identifying target antibodies only at elevated concentrations. A small subset exhibited increased sensitivity alongside compromised specificity. Elevated rubella IgG titers did not produce cross-reactive interference.

Public-health relevance

These rapid platforms could enable decentralized screening in regions lacking advanced laboratory infrastructure, provided that positive outcomes undergo confirmatory testing.

Important limitations

Diagnostic accuracy was assessed using a fixed serum panel rather than a diverse array of clinical specimens collected from actual patient populations.

GIDS interpretation

This publication supplies technical context for evaluating point-of-care diagnostic tools within rubella monitoring frameworks, highlighting how performance trade-offs may influence deployment decisions in resource-constrained environments.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 12 auditable classifier relationships to diseases, places, topics, and study design.

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