The microscopic agglutination test (MAT) is an unreliable predictor of infecting Leptospira serovar in Thailand.

@article{Smythe2009TheMA,
  title={The microscopic agglutination test (MAT) is an unreliable predictor of infecting Leptospira serovar in Thailand.},
  author={Lee Douglas Smythe and Vanaporn Wuthiekanun and Wirongrong Chierakul and Yupin Suputtamongkol and Surapee Tiengrim and Michael Francis Dohnt and Meegan L. Symonds and Andrew T. Slack and Apichat Apiwattanaporn and Sunee Chueasuwanchai and Nicholas P J Day and Sharon J Peacock},
  journal={The American journal of tropical medicine and hygiene},
  year={2009},
  volume={81 4},
  pages={695-7}
}
A prospective study in Thailand identified 106 patients with culture-proven leptospirosis. The accuracy of the microscopic agglutination test (MAT) in predicting the infecting serovar was evaluated in 78/106 (74%) patients with a diagnostic titer. MAT correctly determined the infecting serovar in 26 cases (33%), indicating that this assay is a poor predictor of infecting serovar in our setting. 

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