Galvão L M, Cançado J R, Rezende D F, Krettli A U
Departamento de Parasitologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Braz J Med Biol Res. 1989;22(7):841-3.
Hemoculture tests, a method for the detection of Trypanosoma cruzi, were used to investigate the effects of the anticoagulants heparin or EDTA on the parasite growth in culture medium (liver infusion tryptose, LIT). Hemocultures from 13 patients with positive serology for chronic Chagas' disease performed in parallel with both anticoagulants resulted in a total of seven (54%) positive hemocultures, three positive with blood samples collected with EDTA (23%), two with heparin (15%) and two with both anticoagulants (15%). There was no significant difference between the number of positive tubes in blood samples collected with either heparin (11%) or with EDTA (13%), an indication that heparin does not block the growth of T. cruzi. However, the simultaneous use of both anticoagulants may improve the positivity index of the hemocultures.
血培养检测是一种检测克氏锥虫的方法,用于研究抗凝剂肝素或乙二胺四乙酸(EDTA)对培养基(肝浸液胰蛋白胨培养基,LIT)中寄生虫生长的影响。对13例慢性恰加斯病血清学阳性患者同时使用这两种抗凝剂进行血培养,共得到7份(54%)阳性血培养结果,其中3份来自用EDTA采集的血样(23%),2份来自用肝素采集的血样(15%),2份来自同时使用两种抗凝剂采集的血样(15%)。用肝素(11%)或EDTA(13%)采集的血样中阳性管数无显著差异,这表明肝素不会阻碍克氏锥虫的生长。然而,同时使用两种抗凝剂可能会提高血培养的阳性率。