Leprosy Diagnostic Landscape

Dried Blood Spot Serology

Capillary blood is collected on filter paper, dried, transported at ambient temperature and eluted for antibody quantification by immunoassay or multiplex bead array. The method separates the point of collection from the point of analysis.

Technology
Serology (Antibody) · ELISA / multiplex bead
What it measures
Anti-PGL-I and anti-LID-1 antibodies eluted from filter paper
Developer
Academic groups and surveillance programmes
Specimen
Dried blood spot
Development status
LDT with clinical validation
Regulatory status
None / RUO
Intended use
Integrated serosurveillance where collection and analysis are geographically separated
Main limitation
Limited by what anti-PGL-I serology can detect, and results depend on a central laboratory.
Linked publications
19
TPP-1, confirming leprosy
61.0 of 100, partial alignment
TPP-2, infection in contacts
62.0 of 100, partial alignment
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