Mendes Célia Regina, Teixeira Angela Terezinha Lauand Sampaio, Pereira Rosana Aparecida Trevisan, Dias Luis Candido de Souza
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP.
Rev Soc Bras Med Trop. 2005 Mar-Apr;38(2):178-80. doi: 10.1590/s0037-86822005000200010. Epub 2005 Mar 30.
Parasitological diagnosis should be appropriately conducted with high sensitivity and specificity so that intestinal parasite can be detected as the specific treatment depends on this result. A comparative study was developed to evaluate the concordance between the Kato-Katz and coprotest methods in the detection of helminthes in 332 individuals in Pedro de Toledo. A significant difference was found in the case of the Trichuris trichiura - 16.2% with the Kato-Katz method and 7.5% with the coprotest method. Therefore, the positive and negative samples of the coprotest method were compared with the number of eggs per gram of feces (epg) obtained by the Kato-Katz method. When the coprotest method was negative, 65 epg of Trichuris trichiura were found by the Kato-Katz method and when the coprotest was positive the epg according to the Kato-Katz were far higher, 199 epg, which demonstrated that the coprotest was inferior to the Kato-Katz method regarding low intensity infections.
寄生虫学诊断应具备高灵敏度和特异性,以便能检测出肠道寄生虫,因为具体治疗取决于该检测结果。开展了一项比较研究,以评估加藤厚涂片法(Kato-Katz法)和粪便寄生虫抗原检测法(coprotest法)在检测佩德罗-德托莱多市332名个体体内蠕虫时的一致性。在检测鞭虫时发现了显著差异,加藤厚涂片法检测出的感染率为16.2%,而粪便寄生虫抗原检测法为7.5%。因此,将粪便寄生虫抗原检测法的阳性和阴性样本与加藤厚涂片法获得的每克粪便虫卵数(epg)进行了比较。当粪便寄生虫抗原检测法为阴性时,加藤厚涂片法检测出每克粪便中有65个鞭虫卵;当粪便寄生虫抗原检测法为阳性时,加藤厚涂片法检测出的每克粪便虫卵数要高得多,为199个epg,这表明在低强度感染方面,粪便寄生虫抗原检测法不如加藤厚涂片法。