Mewara Abhishek, Khurana Sumeeta, Gupta Swati, Munda Vimal S, Singh Shreya, Sehgal Rakesh
Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Med Microbiol. 2019 Jul-Sep;37(3):381-386. doi: 10.4103/ijmm.IJMM_19_44.
Various stool concentration techniques have been used to increase the microscopic detection of parasites. We assessed the enclosed, single-vial, Mini Parasep technique in comparison to the currently used coprodiagnosis procedures.
A total of 150 stool samples were collected. Samples concentrated by formol-ether method (FEM) and Mini Parasep SF foecal concentrator and unconcentrated samples were subjected to wet mount, iodine mount microscopy and smear examination by modified acid-fast staining.
Direct wet mount detected 72 positive samples (48.6%), whereas 77 (51.3%) and 80 (53.3%) samples were detected by FEM and Mini Parasep SF methods, respectively. The sensitivity of detection of parasites was 98.7%, 95% and 90.1% with Mini Parasep, FEM and direct microscopy, respectively. A clearer background with less foecal debris and a better yield of Hymenolepis nana, Trichuris trichiura, Entamoeba coli and Giardia lamblia were noted with Mini Parasep.
Mini Parasep SF technique is simple, rapid and less cumbersome than conventional diagnostics, making it suitable for routine use. In addition, it offers higher sensitivity and better background clearance than both direct stool examination and FEM.
已采用多种粪便浓缩技术来提高寄生虫的显微镜检测率。我们将封闭式单瓶Mini Parasep技术与目前使用的粪便诊断程序进行了评估比较。
共收集了150份粪便样本。采用甲醛乙醚法(FEM)和Mini Parasep SF粪便浓缩器浓缩的样本以及未浓缩样本进行湿片、碘染色显微镜检查和改良抗酸染色涂片检查。
直接湿片检测出72份阳性样本(48.6%),而FEM法和Mini Parasep SF法分别检测出77份(51.3%)和80份(53.3%)样本。Mini Parasep法、FEM法和直接显微镜检查法检测寄生虫的灵敏度分别为98.7%、95%和90.1%。使用Mini Parasep法时背景更清晰,粪便残渣更少,微小膜壳绦虫、鞭虫、结肠内阿米巴和蓝氏贾第鞭毛虫的检出率更高。
Mini Parasep SF技术简单、快速,比传统诊断方法更简便,适用于常规使用。此外,它比直接粪便检查和FEM法具有更高的灵敏度和更好的背景清除效果。