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Automated diagnostic analyzers have transformed clinical microbiology by providing rapid and reliable methods for pathogen identification and antibiotic susceptibility testing. Among these systems, the Vitek 2 is widely used because it automates the traditionally labor-intensive processes of microbial identification (ID) and antibiotic susceptibility testing (AST), delivering standardized and timely results that are essential for effective patient care.Microbial Identification with ID CardsThe...
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Related Experiment Video

Updated: Apr 22, 2026

Determination of Chemical Inhibitor Efficiency against Intracellular Toxoplasma Gondii Growth Using a Luciferase-Based Growth Assay
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Real-World Utilization Patterns of Toxoplasmosis Diagnostic Testing in Korea: A Large-Scale Laboratory-Based Study.

Rihwa Choi1,2, Sang Gon Lee1

  • 1Laboratory Medicine Center, GC Labs, Yongin, Gyeonggi, Republic of Korea.

Journal of Clinical Laboratory Analysis
|April 21, 2026
PubMed
Summary

This study reveals varied diagnostic test use for toxoplasmosis in Korea. Serologic tests dominate initial evaluations, with PCR used sparingly, highlighting a need for clearer clinical guidelines.

Keywords:
immunoglobulin Gimmunoglobulin Mpolymerase chain reactiontest utilizationtoxoplasma

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Area of Science:

  • Medical Diagnostics
  • Infectious Disease Epidemiology
  • Clinical Laboratory Science

Background:

  • Toxoplasmosis diagnosis relies mainly on serologic assays, with PCR used selectively.
  • Real-world data on toxoplasmosis diagnostic test utilization is scarce, especially in low-prevalence regions.
  • Understanding current diagnostic practices is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To analyze real-world utilization patterns of Toxoplasma gondii diagnostic tests in Korea.
  • To investigate test combinations, sequential testing, and factors influencing test positivity.
  • To identify variations in diagnostic approaches across different healthcare institutions.

Main Methods:

  • Retrospective analysis of laboratory data for PCR, IgG, and IgM assays from January 2020 to December 2024.
  • Evaluation of 28,668 subjects undergoing toxoplasmosis testing.
  • Descriptive statistics and multivariable logistic regression for analyzing utilization and positivity factors.

Main Results:

  • Serologic tests were the primary initial diagnostic method; PCR was infrequently used as an adjunct.
  • IgM positivity correlated with subsequent testing, while IgG positivity increased with age.
  • PCR positivity indicating acute infection was rare, found mainly in cerebrospinal and vitreous fluids.
  • Significant institutional variations in testing patterns were observed.

Conclusions:

  • This study offers a comprehensive overview of toxoplasmosis diagnostic test usage in Korea.
  • Observed variations in test utilization, particularly IgM use and sequential testing, warrant further investigation.
  • Clinical data integration is essential to fully understand the implications of these diagnostic patterns.