Comparison of microscopic and immunoassay examination in the diagnosis of intestinal protozoa of humans in Mansoura, Egypt

被引:6
作者
Elswaifi S.F. [1 ]
Palmieri J.R. [1 ]
El-Tantawy N. [2 ]
El-Hussiny M. [3 ]
Besheer T. [4 ]
Abohashem E. [3 ]
机构
[1] Department of Microbiology, Infectious, and Emerging Diseases, Edward Via College of Osteopathic Medicine, 2265 Kraft Drive, Blacksburg, 24060, VA
[2] Department of Medical Parasitology, Faculty of Medicine, Mansoura University, Gomhorria Street, Mansoura City, Dakahlia
[3] Department of Clinical Pathology, Faculty of Medicine, Mansoura University, Gomhorria Street, Mansoura City, Dakahlia
[4] Department of Tropical Medicine, Faculty of Medicine, Mansoura University, Gomhorria Street, Mansoura City, Dakahlia
关键词
Cryptosporidium; Diagnosis; ELISA; Entamoeba; Giardia; Prevalence;
D O I
10.1007/s12639-014-0542-3
中图分类号
学科分类号
摘要
Protozoal diseases are prevalent globally and especially in developing countries that have relatively lower socioeconomic populations such as Egypt. Direct microscopic examination (DME) is used for the detection and identification of protozoa but lacks sufficient reliability, and thus may be detrimental in obtaining accurate diagnostic or epidemiological data. In this study, we determine the prevalence of infections by Giardia intestinalis, Cryptosporidium sp., and Entamoeba histolytica in humans in Egypt. Furthermore, we determine the reliability of DME in determining infections caused by these protozoa and compare the results to enzyme linked Immunosorbent assays (ELISA). Our results indicate that the prevalence of giardiasis, cryptosporidiosis, and entamoebiasis is 38, 22, and 16 %, respectively. The sensitivity and specificity of DME for detection of G.intestinalis is 45 and 99 %, for Cryptosporidium 66 and 99 %, and for Entamoeba 45 and 100 %, respectively. Our findings demonstrate that ELISA is more reliable for diagnostic and epidemiologic study purposes. © 2014, Indian Society for Parasitology.
引用
收藏
页码:580 / 585
页数:5
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共 42 条
  • [1] Altman D.G., Bland J.M., Diagnostic tests 1: Sensitivity and specificity, Bmj, 308, (1994)
  • [2] Diagnostic tests 2: Predictive values, Bmj, 309, (1994)
  • [3] Antonios S.N., Tolba O.A., Othman A.A., Saad M.A., A preliminary study on the prevalence of parasitic infections in immunocompromised children, J Egypt Soc Parasitol, 40, pp. 617-630, (2010)
  • [4] Cirak V.Y., Bauer C., Comparison of conventional coproscopical methods and commercial coproantigen ELISA kits for the detection of Giardia and Cryptosporidium infections in dogs and cats, Berl Munch Tierarztl Wochenschr, 117, pp. 410-413, (2004)
  • [5] Dorny P., Praet N., Deckers N., Gabriel S., Emerging food-borne parasites, Vet Parasitol, 163, pp. 196-206, (2009)
  • [6] El-Kadi M.A., Dorrah A.O., Shoukry N.M., Patients with gastrointestinal complaints due to enteric parasites, with reference to Entamoeba histolytica/dispar as dected by ELISA E. histolytica adhesion in stool, J Egypt Soc Parasitol, 36, pp. 53-64, (2006)
  • [7] El-Mahallawy H., Basha N.R.E., Zaki M.M., El-Arousy M., Elswaifi S.F., Abohashem E.M., A comparative study on enteric parasitic infections in immunocompetent and immunosuppressed children in Egypt, Comp Clin Pathol, (2013)
  • [8] El-Shazly A.M., Mowafy N., Soliman M., El-Bendary M., Morsy A.T.A., Ramadan N.I.I., Arafa W.A.S., Egyptian genotyping of Giardia lamblia, J Egypt Soc Parasitol, 34, pp. 265-280, (2004)
  • [9] El-Shazly A.M., Awad S.E., Sultan D.M., Sadek G.S., Khalil H.H.M., Morsy T.A., Intestinal parasites in Dakahlia Governorate, with different techniques in diagnosing protozoa, J Egypt Soc Parasitol, 36, pp. 1023-1034, (2006)
  • [10] El-Sherbini G.T., Noor M.F.A., Hegazi M.M., Parasitiosis in handicapped children in an Egyptian blind asylum, J Egypt Soc Parasitol, 38, pp. 319-326, (2008)