Yildiz Zeyrek Fadile, Ozbilge Hatice, Yüksel M Fehmi, Zeyrek C Dost, Sirmatel Fatma
Harran Universitesi Tip Fakültesi Mikrobiyoloji Anabilim Dali, Sanliurfa.
Turkiye Parazitol Derg. 2006;30(2):95-8.
Amoebiasis is a significant health problem in developing countries. Humans are infected by two morphologically identical species of Entamoeba. Entamoeba histolytica causes amebic colitis and liver abscess, and Entamoeba dispar is noninvasive. The aim of this study was to determine the prevalence of the E. histolytica/E. dispar complex using the ELISA method on stools of patients. A total of 1600 stool specimens were examined using Lugol preparations and the modified Ritchie method. A total of 583 (36.4%) of the stool specimens were found to be positive for one or more than one parasite. Twenty two subjects (3.8%) of the study population with intestinal parasites harbored two parasites and one subject (0.2%), three parasites. A total of 87 stool specimens that were doubtful using the Lugol method were examined by the E. histolytica specific sensu-lato antigen based ELISA test and the trichrome staining method. Of these 87 specimens, 23 (26.4%) specimens were positive for E. histolytica/E. dispar trophozoites/cysts microscopically using trichrome staining and 19 (21.7%) of the stool specimens were found to be positive for the E. histolytica/E. dispar complex by the ELISA test.
阿米巴病在发展中国家是一个严重的健康问题。人类感染两种形态相同的溶组织内阿米巴属物种。溶组织内阿米巴可引起阿米巴性结肠炎和肝脓肿,而迪斯帕内阿米巴是非侵袭性的。本研究的目的是使用酶联免疫吸附测定(ELISA)方法检测患者粪便中溶组织内阿米巴/迪斯帕内阿米巴复合体的流行情况。总共1600份粪便标本采用卢戈氏液制剂和改良的里奇方法进行检查。总共583份(36.4%)粪便标本被发现一种或多种寄生虫检测呈阳性。研究人群中有22名(3.8%)肠道寄生虫患者携带两种寄生虫,1名(0.2%)携带三种寄生虫。总共87份使用卢戈氏方法检测结果存疑的粪便标本通过基于溶组织内阿米巴特异性广义抗原的ELISA试验和三色染色法进行检查。在这87份标本中,23份(26.4%)标本经三色染色显微镜检查溶组织内阿米巴/迪斯帕内阿米巴滋养体/包囊呈阳性,19份(21.7%)粪便标本经ELISA试验检测溶组织内阿米巴/迪斯帕内阿米巴复合体呈阳性。