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[用于慢性恰加斯病患者异体诊断的骚扰锥蝽III龄和IV龄若虫敏感性与死亡率的比较研究]

[Comparative study of sensitivity and mortality of Triatoma infestan nymphs III and IV used in the xenodiagnosis of chronic chagasic patients].

作者信息

Schenone H, Rojas Mercado A, Castillo D

出版信息

Bol Chil Parasitol. 2000 Jan-Jun;55(1-2):14-7.

Abstract

Triatoma infestans nymphs have shown a good sensitivity for detecting Trypanosoma cruzi in the blood stream of infected hosts when are used in the xenodiagnosis (XD). This method, with its natural limitations, using seven nymphs III of T. infestans, has been routinely utilized with a satisfactory yield. With the aim of an eventual improving of the yield of XD (with 7 nymphs), two series of 54 XD boxes each, containing a total of 378 nymphs III and 378 nymphs IV respectively, were applied--one of each during three consecutive days--to nine chronic chagasic patients. Each of the nymphs was weighted before and after the application of the boxes, and the intestinal content of them was examined 30, 60 and 90 days later. The main comparative results obtained with nymphs III and IV of T. infestans were: blood ingestion 40 versus 107 mg (2.7 higher), positivity of insects 35.8% versus 50.6% (15.8% higher), positivity of XD boxes (7 nymphs each) 46.3% versus 55.6% (9.3% higher), and mortality rates 28.6% versus 12.2% (16.4% lower). All these results demonstrate that nymphs IV of T. infestans, because their higher capacity of ingesting blood and higher tolerance to examination manipulations, are more suitable for been used in XD.

摘要

在进行异种诊断(XD)时,克氏锥蝽若虫对检测感染宿主血流中的克氏锥虫表现出良好的敏感性。这种方法虽有其天然局限性,但使用7只克氏锥蝽III龄若虫,一直被常规使用且产出令人满意。为了最终提高XD(使用7只若虫)的产出,分别应用了两个系列,每个系列54个XD盒,分别共包含378只III龄若虫和378只IV龄若虫——连续三天每天对9名慢性恰加斯病患者应用其中一个系列。每个若虫在应用盒子前后都进行称重,并在30、60和90天后检查其肠道内容物。使用克氏锥蝽III龄和IV龄若虫获得的主要比较结果如下:吸血量分别为40毫克和107毫克(IV龄若虫高2.7倍),昆虫阳性率分别为35.8%和50.6%(IV龄若虫高15.8%),XD盒(每个盒7只若虫)阳性率分别为46.3%和55.6%(IV龄若虫高9.3%),死亡率分别为28.6%和12.2%(IV龄若虫低16.4%)。所有这些结果表明,克氏锥蝽IV龄若虫由于其更高的吸血能力和对检查操作的更高耐受性,更适合用于异种诊断。

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