Becker Ann-Christin, Kraemer Amelie, Epe Christian, Strube Christina
Institute for Parasitology, University of Veterinary Medicine Hannover, Buenteweg 17, 30559, Hanover, Germany.
Elanco Centre de Recherche Santé Animale, St. Aubin, Switzerland.
Parasitol Res. 2016 Jul;115(7):2581-7. doi: 10.1007/s00436-016-5003-8. Epub 2016 Mar 21.
Coproscopical methods used in veterinary-parasitological diagnostics were validated according to their sensitivity (Se) and egg recovery rate [efficiency (Ef)]. Validation of the combined sedimentation-flotation method and the modified McMaster method was performed by using feces spiked with eggs of Ancylostoma caninum, Uncinaria stenocephala, Cooperia oncophora, cyathostomins, Ascaris suum, Toxascaris leonina, Toxocara canis, Trichuris vulpis, Moniezia expansa, and Anoplocephala perfoliata. For validation of the sedimentation method, Fasciola hepatica eggs were used. With the combined sedimentation-flotation method using ZnSO4 as flotation medium [specific gravity (SG) 1.30], 5 g fecal samples of all tested parasite species (concentration levels 1, 5, 10, 20, 40, 60, and 80 epg) were reproducibly detected "positive" (100 % Se) as of 80 epg. The Ef of the combined sedimentation-flotation method, defined as percentage of rediscovered eggs, revealed clear differences between parasites and showed the highest value for cyathostomins and the lowest for U. stenocephala and T. leonina eggs. The average Ef for all parasite species at 80 epg was 1.50 %. With the McMaster method (concentration levels 1, 30, 50, 80, 100, 500, and 1000 epg), all tested parasite species were detected reliably positive as of 500 epg with a mean Ef of 46.4 %. When evaluating the sedimentation method (concentration levels 1, 5, 10, 15, 20, 25, and 30 epg), F. hepatica eggs were reproducibly found in 5 g fecal samples as of 20 epg with 20.0 % Ef. The result that the combined zinc sulfate sedimentation-flotation method (SG 1.30) as flotation medium provides diagnostic certainty only as of 80 epg has to be considered at preventing zoonoses. If pet owners wish to prevent any zoonotic infection ("zero tolerance"), a monthly anthelminthic treatment should be advised instead of monthly fecal examinations.
兽医寄生虫学诊断中使用的粪便检查方法根据其敏感性(Se)和虫卵回收率[效率(Ef)]进行了验证。联合沉淀-浮选法和改良麦克马斯特法的验证是通过向粪便中添加犬钩口线虫、窄头钩虫、有齿库珀线虫、盅口线虫、猪蛔虫、狮弓蛔虫、犬弓首蛔虫、狐毛首线虫、扩展莫尼茨绦虫和叶状裸头绦虫的虫卵来进行的。为了验证沉淀法,使用了肝片吸虫卵。采用以硫酸锌为浮选介质[比重(SG)1.30]的联合沉淀-浮选法,所有测试寄生虫种类(浓度水平为1、5、10、20、40、60和80个虫卵/克粪便)的5克粪便样本,从80个虫卵/克粪便开始可重复检测为“阳性”(敏感性100%)。联合沉淀-浮选法的效率(Ef)定义为重新发现的虫卵百分比,不同寄生虫之间存在明显差异,盅口线虫的效率最高,窄头钩虫和狮弓蛔虫卵的效率最低。所有寄生虫种类在80个虫卵/克粪便时的平均效率为1.50%。采用麦克马斯特法(浓度水平为1、30、50、80、100、500和1000个虫卵/克粪便),所有测试寄生虫种类从500个虫卵/克粪便开始可可靠检测为阳性,平均效率为46.4%。在评估沉淀法(浓度水平为1、5、10、15、20、25和30个虫卵/克粪便)时,5克粪便样本中从20个虫卵/克粪便开始可重复发现肝片吸虫卵,效率为20.0%。在预防人畜共患病时,必须考虑以硫酸锌为浮选介质(比重1.30)的联合沉淀-浮选法仅从80个虫卵/克粪便开始才能提供诊断确定性这一结果。如果宠物主人希望预防任何人畜共患感染(“零容忍”),应建议每月进行驱虫治疗,而不是每月进行粪便检查。