Dereure J, Lanotte G, Pratlong F, Gouvernet J, Majhour J, Belazzoug S, Khiami A, Rageh H A, Jarry D, Périères J, Rioux J A
Laboratoire d'écologie médicale et de pathologie parasitaire, Faculté de médecine, Montpellier, France.
Bull Soc Pathol Exot. 1998;91(4):300-5.
The authors relate the realization, evaluation and eco-epidemiological applications of a "field-test": the agglutination of latex particles coated with a soluble antigen of Leishmania infantum in the presence of homologous antibodies. Evaluated on 1,035 canine sera, the sensitivity of the latex agglutination test (LAT) was 93.4% compared to the indirect fluorescent antibody test (IFAT). 90 node cultures were carried out on dogs with positive or negative LAT and/or positive or negative IFAT. The frequency of positive node cultures (70%) as versus positive LAT came between the results obtained for an IFAT > 1/40 (64%) and IFAT > 1/80 (73%). 32/33 (97%) dogs had positive node culture, LAT and IFIAT(> 1/80). 6 dogs had negative LAT but positive node culture: 5 of these had also an IFAT < 1/160. This test was used in the field on several eco-epidemiological surveys in leishmanian enzootic areas. Node cultures were made on the dogs with positive TL. 39 strains were isolated: 18 in Algeria, 15 in Morocco, 2 in Syria and 4 in Yemen. 13/39 strains were obtained from dogs with IFI < 1/160: 2 at 1/20, 8 at 1/40 and 3 at 1/80. In Algeria this test was also used for the diagnosis of human visceral leishmaniasis in a child. This quick, simple, sensitive and specific test could be usefully carried out on "field" surveys for the diagnosis of visceral-leishmaniasis in animals and human beings.
作者介绍了一种“现场试验”的实现、评估及生态流行病学应用:在同源抗体存在的情况下,利什曼原虫可溶性抗原包被的乳胶颗粒发生凝集。在1035份犬血清上进行评估,与间接荧光抗体试验(IFAT)相比,乳胶凝集试验(LAT)的敏感性为93.4%。对LAT阳性或阴性和/或IFAT阳性或阴性的犬进行了90次淋巴结培养。阳性淋巴结培养的频率(70%)与阳性LAT相比,介于IFAT>1/40(64%)和IFAT>1/80(73%)的结果之间。32/33(97%)只犬的淋巴结培养、LAT和IFIAT(>1/80)呈阳性。6只犬LAT阴性但淋巴结培养阳性:其中5只犬的IFAT也<1/160。该试验在利什曼病动物疫区的多项生态流行病学调查中进行了现场应用。对TL阳性的犬进行了淋巴结培养。分离出39株菌株:18株在阿尔及利亚,15株在摩洛哥,2株在叙利亚,4株在也门。13/39株菌株来自IFI<1/160的犬:2株为1/20,8株为1/40,3株为1/80。在阿尔及利亚,该试验还用于一名儿童内脏利什曼病的诊断。这种快速、简单、灵敏且特异的试验可有效地用于动物和人类内脏利什曼病诊断的“现场”调查。