Leptospirosis is an often severe disease which requires prompt treatment. L
aboratory testing is required to reach a valid diagnosis. An agglutination
assay for the detection of Leptospira-specific antibodies consisting of ind
ividually wrapped agglutination cards containing a stable, dried detection
reagent is evaluated. The assay is simply performed by suspending the dried
reagent with a drop of serum. The result is obtained within 30 s. The sens
itivity of the assay varied with the stage of the disease and was 72.3% for
samples collected during the first 10 days of the illness and 88.2% for sa
mples collected at a later stage. The specificity was 93.9% and 89.8%, resp
ectively. These characteristics make the test ideal for use in areas where
the disease is common and where laboratory support is not routinely availab
le.