Modified Two-Tiered Testing Enzyme Immunoassay Algorithm for Serologic Diagnosis of Lyme Disease

TitleModified Two-Tiered Testing Enzyme Immunoassay Algorithm for Serologic Diagnosis of Lyme Disease
Publication TypeJournal Article
Year of Publication2022
JournalOpen Forum Infect Dis
Volume9
Issue7
Start Pageofac272
Date Published06/2022
AuthorsKhan FM, Allehebi ZO, Shabi Y, Davis IRC, LeBlanc J, Lindsay LR, Hatchette TF
Keywordsborrelia burgdorferi, diagnostics, Lyme disease, modified two-tiered testing, serology
Abstract

The modified 2-tier testing algorithm (MTTT) for Lyme disease (LD) has been approved by the US Food and Drug Administration. In this study, we show that the MTTT detected 28% more cases of early infection compared with the standard 2-tier algorithm while retaining high specificity in a region with a high incidence of LD.

URLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297310/