Nunes C M, Biondi G F, Heinemann M B, Richtzenhain L J
Department of Production and Animal Health, Veterinary Medicine, São Paulo State University-UNESP, Araçatuba, Brazil.
Vet Parasitol. 2000 Nov 10;93(2):135-40. doi: 10.1016/s0304-4017(00)00355-1.
Taenia solium cysticercosis is still a serious public health problem in several countries where poverty and lack of hygiene favor transmission. Because pigs are the primary intermediate hosts, prevalence of porcine cysticercosis is a reliable indicator of active transmission zones. Serological diagnostic methods are important tools for epidemiological studies since they can be applied to living animals on a large scale. Four antigen preparations (cyst fluid and crude) from T. solium and T. crassiceps metacestodes were compared for swine cysticercosis diagnosis by indirect ELISA (IE). Twenty-eight serum samples from swine naturally and experimentally infected by cysticerci of T. solium and 56 serum samples from swine reared in commercial herds were tested. Best results of overall sensitivity were obtained by the use of cyst fluid and crude antigen of T. crassiceps metacestode (100 and 96.4%, respectively). Using homologous antigen preparations we have observed higher specificity percentage (98.2% for cyst fluid and 96. 4% for crude metacestode T. solium antigen). We concluded that sensitivity is of far more importance than specificity for identification of endemic areas in order to prevent transmission to man. We conclude, therefore, that IE performed with cyst fluid antigen of T. crassiceps metacestode is a better tool for that purpose.
猪带绦虫囊尾蚴病在一些因贫困和卫生条件差而利于传播的国家仍然是一个严重的公共卫生问题。由于猪是主要的中间宿主,猪囊尾蚴病的流行情况是活跃传播区域的可靠指标。血清学诊断方法是流行病学研究的重要工具,因为它们可大规模应用于活体动物。比较了来自猪带绦虫和肥胖带绦虫中绦期的四种抗原制剂(囊液和粗提物)用于间接ELISA(IE)诊断猪囊尾蚴病的效果。检测了28份自然感染和实验感染猪带绦虫囊尾蚴的猪血清样本以及56份商业猪群饲养的猪血清样本。使用肥胖带绦虫中绦期的囊液和粗提抗原获得了总体敏感性的最佳结果(分别为100%和96.4%)。使用同源抗原制剂时,我们观察到更高的特异性百分比(囊液为98.2%,猪带绦虫中绦期粗提抗原为96.4%)。我们得出结论,为防止传播给人类,在确定流行地区时敏感性远比特异性重要。因此,我们得出结论,用肥胖带绦虫中绦期囊液抗原进行间接ELISA是实现该目的的更好工具。